Health inspection·June 22, 2023

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review the facility failed to respect the residents right to personal privacy, including the right to privacy in written, and electronic communications, including the right to receive unopened mail for 2 (Residents #1 and #2) of 6 residents reviewed for resident rights. Residents Affected - Few The facility failed to ensure that Residents #1 and #2 received their mail unopened. This failure could place residents at risk of not having privacy when receiving personal documents in the mail. Findings included: During an interview with Resident#1 on 06/22/2023 at 9:45 am. revealed the facility regularly opened her mail. The resident stated the last time it occurred was in October and November 2022. The resident complained to the administrator around that same time and has not noticed any mail opened since. The resident felt like her mail should not have been opened. An interview on 06/22/2023 at 2:40 pm with Admissions Director revealed Resident Rights policy was provided to the Resident or Authorized Representative at the time of admission. During an interview with the Business Office Manager on 06/22/2023 at 2:50 pm revealed the facility regularly opened mail addressed to residents. She stated she opened mail when she expected payments or information intended for the facility. She explained the following :updated insurance information, checks for the facility, or changes in Medicaid was what the facility was looking to obtain. She stated not all mail was opened, only mail that looked like it could have facility information in it was opened. She stated if a check goes directly to the resident and they do not provide the payment to the facility, the resident may have to be given notice to leave the facility for non-payment. The BOM did not indicate how this practice could affect the residents. During an interview with the Administrator, on 06/22/2023 at 4:10 pm it was confirmed the facility did open mail that appeared to be intended for the facility. He confirmed that this was done by the Business office Manager. During an interview and observation on 06/22/2023 at 4:35 pm The Business Office Manager provided two open letters from insurance companies addressed to Resident #2. The Business Office Manager stated she opened the letters herself. She stated when she opened the resident's mail, she wrote opened by the Business Office on the envelope and the mail was returned to the resident. She stated when checks were found they were applied to the resident's account. The mail for Resident #2 was provided as Page 1 of 2 676039 676039 06/22/2023 The Parks at Garland Healthcare and Rehab 3737 N Garland Avenue Garland, TX 75044

F 0583 Level of Harm - Minimal harm or potential for actual harm an example of a letter opened by the Business Office Manager. The opened mail addressed to Resident #2 was observed with a note that the mail was opened directly on the envelope. The name of the Insurance company was noted above the return address. The Business Office Manager indicated that she was going to give Resident #2 the opened mail. Residents Affected - Few Record review of the Resident Rights Policy revised December 2016 reflected the following: . communicate in person and by mail, email and telephone with privacy . 676039 Page 2 of 2