Inspection·January 11, 2024

F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some 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 develop a comprehensive care plan within 7 days after completion of the comprehensive assessment, and include to the extent practicable, the participation of the resident and the resident's representative(s) for 2 of 4 residents (Resident #'s 45 and 80) whose records were reviewed for assessments and care plans. Resident #45 did not have a comprehensive care plan meeting or an updated care plan after the Significant Change MDS dated [DATE]. Resident # 80 did not have a comprehensive care plan meeting or an updated care plan after the SignigficantSignificant Change MDS dated [DATE] This failure placed the residents at risk for not having individual needs identified and care and services provided to meet their needs, promote quality of care, feelings of well-being and quality of life. The findings included: Review of Resident #45's face sheet, dated 01/11/24, revealed a [AGE] year-old female, with a current admission date of 07/24/23. Diagnosis included: hypertension (high blood pressure), seizures, major depressive disorder. Review Resident #45's MDS assessment history revealed a quarterly assessment dated [DATE] and a significant change assessment dated [DATE]. Review of Resident #45's comprehensive care plan revealed it was last Reviewed/Revised on 11/20/23. There was no documented evidence that a care plan meeting was conducted for this care plan. In an interview on 01/09/24 at 01:26 PM Resident #45 said she had never been invited to a care plan meeting to discuss her care with facility staff. Review of Resident #80's face sheet, dated 01/11/24, revealed a [AGE] year-old female, with a current admission date of 01/23/21. Diagnosis included: Hypertension (high blood pressure), seizure disorder, chronic lung disease, and malignant neoplasm of the lung (cancerous tumor) Review Resident #80's MDS assessment history revealed a significant change assessment dated [DATE]. (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 5 Event ID: 676144 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 676144 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/11/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Senior Care Health & Rehabilitation Center - Wichi 910 Midwestern Pkwy Wichita Falls, TX 76302 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)