Health inspection·March 22, 2024

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 ensure residents have a right to personal privacy for 1 of 6 resident (Resident #42) reviewed for privacy, in that: Residents Affected - Few LVN A did not completely close Resident #42's privacy curtain while providing colostomy (an opening for the colon through the abdomen) care for the resident. This deficient practice could place residents at-risk of loss of dignity due to lack of privacy. The findings include: Record review of Resident #42's face sheet, dated 03/21/2024, revealed an admission date of 05/02/2019 and, a readmission date of 07/10/2021, with diagnoses which included: Hemiplegia (Paralysis of one side of the body), Dysphasia (language disorder), Congestive heart failure (impairment of the heart's blood pumping function), Alzheimer's disease (brain disorder that slowly destroys memory and thinking skills), Hyperlipidemia(Elevated level of any or all lipids(fat) in the blood), Mood disorder (any of a group of conditions of mental and behavioral disorder causing a disturbance in the person's mood), Colostomy (an opening for the colon through the abdomen) status. Record review of Resident #42's Significant change status MDS assessment, dated 02/05/2024, revealed the resident had a BIMS score of 12, indicating he was mildly impaired. Resident #42 had a ostomy and, was always incontinent of bladder. Observation on 03/21/24 at 09:41 a.m. revealed LVN A provided colostomy care for Resident #42, exposing the end of the resident's bed which could be seen from the door if someone had entered the room during care. Further observation revealed the curtain was either too short to cover the end of the bed or a curtain was missing at the end of the bed. During the care laundry staff knocked at the door and started to enter the room before being stopped by LVN A. During an interview with LVN A on 03/21/2024 at 10:00 a.m., LVN A confirmed the privacy curtain was not closed while they provided care for Resident #42 but it should have been. They confirmed the privacy curtain was too short to cover the end of the bed. During an interview with the ADON on 03/21/2024 at 10:10 a.m., the ADON confirmed privacy must be provided during nursing care and Resident #42's privacy curtains should have been closed completely. He revealed laundry services were in charge to change the curtain once a week and the curtain had been changed on Monday 3/18/2024. The ADON confirmed the resident would have been provided care, to include incontinent care, and therefore would have been been exposed without a full privacy curtain multiple times since Monday. (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: 676181 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 676181 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/22/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Heights of Atascosa 1855 W Goodwin Pleasanton, TX 78064 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)