Health inspection·August 30, 2025

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Based on observations, interviews, and record review, the facility failed to notify residents on how to file a grievance in an anonymous manner, and the contact information of the Grievance Official for 4 confidential residents out of 4 residents interviewed for grievances. 1.The facility failed to notify Residents or their representatives either individually or through prominent postings throughout the facility on how to file a grievance or complaint in an anonymous manner. 2.The facility failed to communicate to the residents who the facility identified as the Grievance Official. These failures could affect resident's ability to file a grievance without the fear of discrimination, reprisal, retribution, and their right to request a written decision regarding the resolution of their grievance.Observation on 08/30/2025 at 3:31 PM of a sign posted on a wall near the activities room titled, Social Services Policies and Procedures Complaints/Grievances Process revealed: Grievances/Complaints are accepted by the following, but not limited to:A. AdministratorB. Department manager or his/her designeeC. SupervisorD. Unit manager3. The receiver of the grievance/complaint instructs the complainant to complete appropriate sections of the Complaint/Grievance Report. If the complainant is unable to complete these sections, the social worker/designee is contacted to provide assistance m documenting the grievance/complaint issue.There were no blank grievance forms observed near the posting or anywhere in the facility where residents or their representatives could obtain a grievance form and/or turn in grievance forms anonymously. A Grievance Official and their contact information was also not indicated on the posting. In confidential interviews on 08/30/2025 between 2:00 PM - 3:45 PM with four residents who were members of and not members of Resident Counsel revealed that the residents did not know how to file grievances anonymously due to having to obtain grievance forms from department heads and the forms were in those respective staff offices. They stated there was not a place to obtain blank grievance forms by themselves or during weekends/holidays when department heads may not be available. The residents stated that they did not know they had the right to file grievances/complaints anonymously, or who the designated grievance official was. They also stated that if they had a grievance about a specific staff member, they would not want to have to turn the grievance into that person but would rather there be a way to discreetly turn it in so that the staff member would not know about it. In an interview on 08/30/2025 at 2:15 PM with the AD she stated she had worked at the facility for 3 years, and that residents were to file grievances with the ADM. She stated that if a resident came to her wanting to file a grievance, she would go get a grievance form from the ADM, fill it out, then give it back to the ADM. She stated she was not aware of a grievance box or a place in the facility where residents could turn in anonymous grievances. She stated the staff would slip the completed grievance form under the ADM's door if he was not at the facility. She stated during resident council, they would read off resident rights before the start of the meetings. She stated she had never thought of how a resident could fill out a grievance privately if it all went through the (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: 676197 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 676197 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ridgeview Rehabilitation and Skilled Nursing 206 Walls Dr Cleburne, TX 76033 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)