Health inspection·September 5, 2024

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and record review, the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain functional abilities for 1 (Resident #3) out of 7 residents reviewed for ADLs. Residents Affected - Few The facility failed to ensure Resident #3 was placed in a safe and comfortable position while eating. This failure placed the resident at risk of discomfort and choking/aspiration. Findings included: Review of Resident #3's face sheet reflected a [AGE] year-old male admitted to the facility on [DATE] with diagnoses of unspecified fracture of left femur, multiple sclerosis (a disease which causes nerve damage and disrupts communication between the brain and the body), dysphagia (difficulty swallowing), and cognitive communication deficit (communication impairment causing trouble reasoning and making decisions while communicating). Review of Resident #3's comprehensive MDS, dated [DATE], reflected a brief interview for mental status (BIMS) score of 10 indicating moderate cognitive impairment. MDS reflected Resident #3 was dependent on assistance with lying to sitting and sitting to lying position change. Review of Resident #3's Care Plan, dated 06/22/2024, reflected the resident had an ADL Self Care Performance Deficit and required staff assistance with bed mobility. The care plan reflected the resident received tube feedings with a history of dysphagia and risk for aspiration (occurs when contents such as food, drink, saliva enter the lungs). Observation of video recorded at 07/15/2024 at 08:39 AM revealed Resident #3 lying in bed eating breakfast with the head of the bed slightly elevated. He was observed trying to lift his head off the pillow and struggling to see his food and eat while lying down. No observation of choking noted. In an interview on 09/03/2024 at 11:20 AM the RP for Resident # 3 stated she was concerned about the position Resident #3 was placed in while eating sometimes. She stated she had spoken with the Administrator and the staff regarding Resident #3's history of difficulty swallowing and the need for him to be raised to as close to 90 degrees as possible for meals due to the risk of choking. In an interview on 09/05/2024 at 9:25 AM Resident #3 stated he preferred to sit up when eating his meals and the staff sometimes sit him all the way up, but not always. He stated it was difficult to (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 4 Event ID: 676019 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 676019 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/05/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Lampstand Nursing and Rehabilitation 2001 E 29th St Bryan, TX 77802 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)