Health inspection·December 30, 2025

F 0644 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to coordinate assessments with the resident review (PASARR) program under Medicaid in subpart C for 1 (Resident #1) of 2 residents reviewed for PASRR services.The facility failed to submit a complete and accurate request for NFSS in the LTC online portal within 20 days after the initial IDT meeting held on 6/14/24.This failure could place residents who were PASRR positive at risk of not getting the PASRR services for a better quality of life and could lead to a decline in health.Findings included:Record review of Resident #1's face sheet dated 12/16/25 revealed a [AGE] year-old male admitted to the facility on [DATE]. His diagnoses included: encephalitis (inflammation of the brain) and encephalomyelitis (inflammation of the brain and spinal cord), demyelinating disease (affects the protective cover around nerve cells) of central nervous system, manic episode (a period of abnormally elevated extreme changes in mood, behavior, activity, and energy level) without psychotic symptoms, bipolar disorder (a mental health condition that causes extreme mood swings), functional quadriplegia (a complete inability to move due to severe disability or frailty), and major depressive disorder.Record review of Resident #1's most recent quarterly MDS annual assessment dated [DATE] indicated a BIMS score of 15 meaning intact cognitive response.Record review of Resident #1's care plan dated revision dated 1/7/25 indicated Resident #1 has been identified as having PASRR positive DD and has refused all services. Interventions were: if Resident #1 changes his mind regarding services, staff to contact county with any changes. Will conduct annual meetings. Record review of Resident #1's PCSP dated 6/14/24 revealed the initial IDT meeting was held on 6/14/24. Attendees included Resident #1, LIDDA- Habilitation Coordinator, DON, DOR, MDS Coordinator A, MDS Coordinator B, and Resident #1's RP. The following NFSS were identified and confirmed: Customized Manual Wheelchair, Specialized Assessment OT, Specialized Assessment PT, Specialized Assessment ST, Specialized OT, Specialized PT and Specialized ST - all services were coded 2 indicated new.During an interview on 12/16/25 at 4:24 pm, with MDS Coordinator A and the DOR, MDS Coordinator A said the initial IDT meeting was held on 6/14/24. The DOR said Resident #1 was approved for PT, OT, and ST and Resident #1 refused all the evaluations. MDS Coordinator A said this was the first time they ran into a situation where the resident refused services, and she was not sure what to do with this situation. MDS Coordinator A said she contacted the PASRR representative from the Local Authority for guidance when the resident refused. MDS Coordinator A said initially Resident #1, and his RP were ok with the services offered but then Resident #1 refused. MDS Coordinator A said they had an annual meeting with Resident #1 recently and he refused again.During an interview on 12/17/25 at 9:15 am, with Resident #1, he said he refused services because he was going to get steroids to help him walk.During an interview on 12/30/25 at 9:04 am with Resident #1's RP, the RP said Resident #1 needed to see a psychiatrist because he had mental issues. The RP said she had trouble with Medicaid insurance because Resident #1's physician no longer takes his insurance.During an interview on (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: 676195 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 676195 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Falcon Point Post Acute 23553 West Fernhurst Drive Katy, TX 77494 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)