Inspection·May 10, 2023

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to treat each resident with respect and dignity and care in a manner that promotes maintenance or enhancement of his or her quality of life for 1 of 18 residents (Resident # 7) reviewed for resident rights. The facility failed to ensure Resident # 7 was assisted with eating in a dignified manner. This failure could place residents at risk for decreased quality of life, quality of care, and self-esteem. Findings: Record review of facility face sheet dated 05/09/2023 indicated Resident #7 was admitted on [DATE] with diagnoses of cerebrovascular disease (stroke), contracture (lack of movement of joint), dysphagia (difficulty swallowing), and impaired communication. Quarterly MDS dated [DATE] indicated a BIMS of 99 indicating Resident # 7 was unable to be interviewed and was totally dependent on staff for eating. Comprehensive care plan indicated Resident # 7 required total care assistance for activities of daily living and for facility staff to feed the resident. During an observation on 05/08/23 at 11:25 am CNA A announced openly in the dining room two times that Resident # 7 was a feeder and needed her tray with other residents present during the noon meal. During an interview on 05/09/23 at 10:13 AM CNA B stated she had been an aide for 4 years and had worked at the facility for 3 months. She stated a resident was a feeder when they could not feed themselves. She stated she had not been trained to use any other term but hearing it out loud that term does not sound good and could affect a resident's dignity. She stated she would do better when discussing a resident that needs assistance. During an interview on 05/09/23 at 10:19 AM LVN C stated residents that need help with meals are feeders. She stated that term is used throughout the building but did recall a training that educated on the term feeder versus needs assistance. She stated using that term could affect a resident's self-worth and dignity. During an observation on 05/09/23 at 11:46 AM the tray cart in the main dining room was observed with tape labeled feeders written in a size that was readable by those present in the dining room. During an interview on 05/10/23 at 07:53 AM CNA A stated she had been a CNA for 13 years and (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 6 Event ID: 676177 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 676177 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/10/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Garrison Nursing Home & Rehabilitation Center 333 North Fm 95 Garrison, TX 75946 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)