Inspection·December 17, 2025

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 observations, interviews, and record review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life for 1of 8 residents (Resident #44) reviewed for dignity. The facility failed to ensure CNA A did not stand while assisting Resident #44 with lunch on 12/15/25. This failure could place the residents at risk of not having the right to a dignified existence maintained.Findings included: Record review of Resident #44's admission record dated 12/15/25 reflected an [AGE] year-old male with an admit date of 01/18/20. His relevant diagnoses included vascular dementia (a decline in thinking skills caused by conditions damaging blood vessels, reducing blood flow and oxygen to the brain, often after strokes or mini-stokes), heart failure (the heart can't pump enough oxygen-rich blood for the body's needs, causing fluid backup and symptoms like shortness of breath, fatigue, and swelling), lack of coordination, and dysphagia (difficulty swallowing). Record review of Resident #44's quarterly MDS assessment dated [DATE] reflected a BIMS score of 3, which indicated his cognition was severely impaired. His functional ability for eating (the ability to use utensils to bring food and/or liquid to mouth and swallow food and/or liquid once the meal is placed before the resident) was substantial/maximal (assist-helper does more than half the effort. Helper lifts or hold truck or limbs and provide more than half the effort).Record review of Resident #44's quarterly care plan dated 08/14/25 reflected a focus of [Resident #44 has an ADL self-care performance deficit (date initiated 01/18/20 and revised 05/04/20) His interventions in part included Eating: the resident requires supervision assistance by (1) staff to eat (date 08/10/21 and revised on 08/10/21).During an observation on 12/15/25 at 12:35 pm, CNA A was observed as she walked into Resident #44's room to assist him with his lunch meal. CNA A stood on his left side the entire time she fed him. After Resident #44 was done eating, she was observed as she removed his lunch plate from his bedside table.In an interview on 12/15/25 at 12:40 am, Resident #44 said he was glad CNA A had assisted him with his lunch tray. In an interview on 12/15/25 at 12:45 pm, CNA A said the facility's protocol when assisting a resident with their meals was for the CNA to be sitting next at their level while feeding them. CNA A said the reason she had forgotten to get a chair and sit while she fed Resident #44 was because she had rushed to get to his room. She said a negative outcome for her not sitting while she fed Resident #44 was that maybe Resident #44 felt rushed when eating. In an interview on 12/16/25 at 2:36 pm, ADON B said Resident #44 required assistance with all his meals. She said CNAs and/or nursing staff were required to sit at the resident's level when feeding them. She said a negative outcome for Resident #44 not fed by a CNA who was sitting at his level would be a dignity issue. She said CNAs were in-serviced to sit while feeding resident in their rooms or in the dining room. In an interview on 12/16/25 at 2:46 pm., the DON said residents that required assistance with their feeding were fed by CNAs. She said, should be sitting next to the resident's bed. 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 15 Event ID: 676206 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 676206 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Arbor View 218 Baltic Edinburg, TX 78539 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)