Health inspection·March 12, 2025

F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Based on observations, interviews, and record review the facility failed to ensure that all drugs and biologicals used in the facility were labeled and stored in accordance with professional standards for 2 of 3 medication carts (medication cart for Unit #1 and medication cart for Unit #2) reviewed for pharmacy services. The facility failed to ensure Resident #33, and Resident #71's natural tears eye drops were labeled with an open date on the medication cart for Unit #1. The facility failed to ensure Resident #12, and Resident #81's natural tears eye drops were labeled with an open date on the medication cart for Unit #2. These failures could affect residents prescribed medications in the facility and place them at risk for not receiving the correct medications, medication misuse, or receiving expired medications. Findings Included: During an observation on 03/10/25 at 10:00 AM, the medication cart for Unit #1 contained 2 bottles of natural tears eye drops with no open date for Resident #33 and Resident #71. During an observation on 03/10/25 at 10:10 AM, the medication cart for the Unit #2 contained 2 bottles of natural tears eye drops with no open date for Resident #12 and Resident #81. During an interview on 03/10/25 at 3:00 PM, LVN B stated all medications in multiuse vials should have been dated when opened. She stated she thought eye drops where good for 90 days after opening date. She stated it was the nurse's responsibility to date the medication when opened and to check the date prior to administering the medication. She stated not putting the open date could lead to residents receiving expired medications. During an interview on 03/12/25 at 10:15 AM, the DON stated eye drops and all multi use vials should have been dated when opened. She stated this should have been done by the nurse who opened the medication and should be checked each time the medication was administered. She stated not dating the medication could lead to the resident receiving expired medications. She stated the pharmacy did random medication cart checks but ultimately it was the nurse's responsibility to ensure all medications that require dating were dated. During an interview on 03/12/25 at 10:50 AM, the Administrator stated it was her expectation for (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 4 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 03/12/2025 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)