F 0657
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed,
and revised by a team of health professionals.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to ensure a comprehensive plan was reviewed and revised by
an interdisciplinary team composed of individuals who have knowledge of the resident and his/her needs,
that includes but is not limited the attending physician, a registered nurse with responsibility for the resident,
a nurse aide with responsibility for the resident, and a member of food and nutrition services staff, for one of
three residents (Resident #1) reviewed for comprehensive resident centered care plans.
The facility failed to ensure all members of the interdisciplinary team were present for the care plan.
The failure placed the residents at risk for unmet care needs and a decreased quality of life.
Findings included:
Record review of Resident #1's electronic face sheet, printed 3/26/2024, revealed a [AGE] year-old male
was admitted to the facility on [DATE] and re admitted on [DATE] and 03/20/24 with diagnoses that included
but not limited to pressure ulcer (areas of skin damage caused by a lack of blood flow), anxiety ( feeling of
fear, dread, and uneasiness), heart failure(condition that develops when your heart doesn't pump enough
blood for your body's needs).
Record review of the quarterly MDS assessment dated [DATE] revealed Resident #1 had a BIMS score of
15 which indicated the resident was cognitively intact.
In an interview on 03/26/24 at 12:00 PM, Resident #1 revealed she had a care plan meeting upon returning
from the hospital on 3/21/24 and stated she had concerns about her care she wanted to address during the
care plan meeting however no members of the interdisciplinary team showed up except the Social Worker.
Resident #1 stated she felt the care plan should have been rescheduled to allow time for the other
members of the interdisciplinary team to be present. The resident stated no other members from the
interdisciplinary team had come to speak with her about her care following the meeting. Resident #1 stated
she had not addressed her concerns because she was hoping the department heads would come to her
room however no one had done so.
Record review of the care conference report for Resident #1 revealed a post admission care plan dated
3/20/2024 with the Social Worker, and Director of Nursing which indicated they were the only staff who
attended the meeting.
(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:
676039
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
676039
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/26/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Parks at Garland Healthcare and Rehab
3737 N Garland Avenue
Garland, TX 75044
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)
F 0657
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Interview on 3/26/24 at 1:36PM with the Director of Nursing revealed the Social Worker was responsible for
scheduling the care plan meetings and would let the members of the interdisciplinary team know about the
meeting. The Director of Nursing stated all members of the interdisciplinary team should be present during
the care plan meetings to ensure the resident was able to ask questions and be a part of their care. The
Director of Nursing stated all department head were aware that they were expected to attend the care plan
meetings and let the social worker if they were not able to attend. The Director of Nursing stated the risk of
the interdisciplinary team not being at the care plan meeting would be the resident would not be fully
informed about their care.
Interview on 03/26/24 at 1:49 with the Social Worker revealed Resident #1 had a care plan meeting after
returning from the hospital. The Social Worker stated she notified all members of the interdisciplinary team
which included all department heads. The Social Worker stated she had 48 hours to complete the post
admission care plan once a resident returned from the hospital. The Social Worker stated the
interdisciplinary team should have let her know if they would not be able to attend the meeting however that
did not happen. The Social Worker stated if the members of the interdisciplinary team were not able to
attend the care plan meeting her expectation was that they would see the resident later and complete their
portion of the care plan however she was not sure if the resident was seen. The Social Worker stated the
risk of not having the interdisciplinary team at the meeting would be the resident wound not be able to ask
them questions about their care.
Review of the facility policy Care plan revised 02/2024 revealed The resident/representative's right to
participate in the development and implementation of his or her plan of care includes the right to,
participate in the planning process, identify individuals to be included in the planning process, request
meetings, request revisions to the plan of care, participate in establishing his or her goals and expected
outcomes of care, participate in the type, amount, frequency and duration of care, receive the services
and/or items included in the care plan, be informed, in advance, of changes to the plan of care.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676039
If continuation sheet
Page 2 of 2
