Health inspection·November 30, 2022

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections reviewed for 1 of 4 staff (CNA A) reviewed for infection control. Residents Affected - Few The facility failed to ensure staff (CNA A) wore face coverings correctly while providing direct care services. This failure could place the residents at risk of infection. Findings included: During observation on 11/28/22 between 11:00 AM and 11:30 AM on Unit 3, CNA A was observed walking around unit with her nose and mouth uncovered with a surgical mask under her chin. CNA A was observed pushing residents in wheelchairs, standing shoulder to shoulder with residents assisting them walking, bending over talking with residents, and delivering resident's drinks and snacks. During observation on 11/28/22 between 3:00 PM and 3:30 PM on Unit 3, CNA A was observed walking around unit with her nose and mouth uncovered with a mask under her chin. CNA A was observed pushing residents in wheelchairs, standing shoulder to shoulder with residents assisting them walking, patted resident on back, bending over talking with residents, and delivering resident's drinks. During an interview on 11/28/2022 at 3:30 PM, CNA A stated she should have been wearing her mask covering her mouth and nose. CNA A stated she was congested and was not able to breathe. CNA A stated that it was important to wear mask appropriately to prevent spread of COVID, and not wearing mask covering mouth and nose could have caused residents to get sick. CNA A stated she had screened herself before entering the building. During an interview on 11/30/22 at 2:50PM, the DON stated her expectation was that staff follow the rules and mask should be worn covering both their nose and mouth. The DON stated the Community Transmission levels were high, which indicated all staff and visitors needed to wear a mask while in the building. The DON stated the reason for the failure of CNA A not properly wearing a mask was due to the employee having such difficulty in breathing with allergies and congestion, she really was not paying attention to the fact that her mask was not covering her nose and mouth while around the residents. The DON stated the potential for harm for the residents could have been that if she would have had Covid and not allergies, then she could have spread the Covid virus to the residents. (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: 676219 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 676219 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/30/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windcrest Health & Rehabilitation 6050 Hospital Dr Abilene, TX 79606 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)