Health inspection·December 4, 2025

F 0552 Ensure that residents are fully informed and understand their health status, care and treatments. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 (Resident #1) of 5 residents observed for pharmacy services.The facility failed to assure Resident #1 was aware of the medications that he was administering.This failure could affect residents receiving medications by placing them at risk for medication errors. Findings included:Review of Resident #1's MDS assessment, dated 12/4/2025, reflected he was a [AGE] year-old male initially admitted to the facility on [DATE] with diagnoses that included unspecified convulsions (A seizure occurs due to an electrical disturbance in the brain, while a convulsion describes the involuntary action of jerking and contraction), schizophrenia, unspecified (a serious mental health condition that affects how people think, feel and behave), weakness (the state or condition of lacking strength), personal history of traumatic brain injury (an injury to the head that affects the way the brain works). Resident #1 BIMS score is 00 which is sever impairment. Review of Resident#1 Care Plan reflected the resident has impaired cognitive function/dementia or impaired thought process, a communication process (mostly non-verbal), he has as ADL Self Care performance deficit. The goal is for the residents to maintain current level of cognitive function through the review date. He will make basic needs known by (gestures, sounds, staff anticipating needs) daily through the review date. Interventions are for staff to monitor, document and report any changes. Review of Resident #1's Physician order, signed and dated by the physician on 9/12/2025, reflected Keppra Oral Solution 100 MG/ML (Levetiracetam) was ordered to be given twice a day for convulsions. This medication is what Resident #1 was provided when the Med Aide did not advise him what she was administering.Observation of video footage of Resident #1 on 11/26/25 at 7:15 PM revealed he was lying in bed with his hands behind his head and the bed was elevated. He was awake and alert. Med Aide knocked on the door and entered the room saying hello twice and advised the resident she had medication for him. She bent over to give the medication to Resident #1 and made sure he swallowed the medication. She asked Resident #1 are you okay? Resident #1 was non-verbal, so no response was heard. Per the Care Plan, the BIMS score and an attempt for an interview with the resident determined Resident #1 was non-verbal. Observation on 12/3/25 at 2:30 PM reflected Resident #1 sitting in his chair in the common area. He appeared to be clean and had no odor when passed by him. He was observed alert and moving around a little bit in the chair watching television. Surveyor attempted to speak with him but due to Resident #1 being non-verbal, there was no response. Interview with NP on 12/4/25 at 10:15 AM revealed there would be no adverse reaction if the staff did or did not mention the name of the medication due to Resident #1's cognitive ability. Interview with Medication Aide on 12/4/25 at 01:08 PM revealed she was reeducated on the process of passing medications to residents. She stated she advises residents of their medications when she passes them to the residents. Medication Aide Residents Affected - Few (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 2 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 12/04/2025 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)