Health inspection·May 1, 2025

F 0602 Protect each resident from the wrongful use of the resident's belongings or money. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, and record review, the facility failed to ensure the resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for one (Resident #3) of four resident reviewed for misappropriation. Residents Affected - Few The facility failed to ensure Resident #3 was free from exploitation when Resident #3 reported that $611.00 was taken from her. This failure could place the residents at risk of unresolved and unreported allegations of misappropriation. Findings included: Record review of Resident #3 face sheet dated 04/30/2025 revealed a [AGE] year-old female readmitted to the facility on [DATE] with an initial admission on [DATE]. Resident #3 discharged from facility on 01/10/2025. Resident #3's Diagnosis included Atherosclerosis of Native Arteries of Other Extremities with Ulceration (a form of peripheral arterial disease (PAD), which affects the blood supply to the limbs); Type 2 Diabetes Mellitus without Complications (the blood sugar levels are being managed effectively, and there are no signs of damage to the body's organs or systems like heart, kidneys, eyes, or feet); Essential (Primary) Hypertension (high blood pressure where the cause is unknown). Record review of Resident #3's discharge MDS dated [DATE] noted BIMS Score to be 14/15 with memory intact. In an interview on 04/30/2025 at 11:45 am Resident #3 revealed when she was residing at the facility, MA A befriended her and wrote down her personal phone number she provided her. Resident #3 had conversations with MA A wanting to move out to her own apartment. In January, Resident #3 revealed she moved to an assisted living. Resident #3 received a call from MA A the beginning of February 2025 telling her she was going to rent an apartment for Resident #3 and MA A'a family member to live in. MA A spoke to Resident #3 over the phone from her job while MA A's family member drove her to the bank and had her withdraw $611.00 for the apartment. Resident #3 had MA A's family member sign a paper stating the $611.00 was for the deposit for the apartment, and then she handed over the money. On 03/05/2025, MA A contacted her saying the apartment fell through because the MA A had an eviction and could not rent the apartment. On 03/11/2025, she messaged MA A to return her money and did not hear back from her until 03/16/2025. MA A messaged Resident #3 back saying she was sorry, but the previous apartment that refused her application deposited the money and she could not get the money back yet. Resident #3 revealed that she contacted the police to report incident and the police recommended her to contact HHSC. Resident #3 spoke to ADM, who first stated he would call her back, but she did (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 4 Event ID: 676178 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 676178 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/01/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Duncanville Healthcare and Rehabilitation Center 419 S Cockrell Hill Rd Duncanville, TX 75116 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)