Health inspection·March 29, 2024

F 0577 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review the facility failed to have the results of the most recent survey of the facility posted in a place readily available to residents, family members and legal representatives for 1 of 1 survey results books. Residents Affected - Many The facility failed to ensure a binder placed on a table at the entrance of the facility and titled Survey Results contained the results of the most recent full recertification survey. This failure placed residents at risk of not having all the information necessary to make decisions about living at the facility. Findings included: Observation on 03/29/24 at 12:50 PM revealed a white three-ring binder on a console table just inside the entrance doors to the facility. The binder had Survey Results printed on the front. Within the binder were results of State Agency surveys dating back to 2021, but the results from the most recent full recertification survey, held from 02/06/24 to 02/08/24, were not present anywhere in the binder. The binder did contain a Notice of Accepted Plan of Correction Form referencing the full recertification survey dated 02/08/24. Review of the Statement of Deficiencies form CMS-2567 dated 02/08/24 reflected the facility was cited for failure to ensure the right to survey results. Review of the State Agency Notice of Accepted Plan of Correction found in the Survey Results binder on 03/29/24 reflected the following: The plan of correction and/or evidence of compliance may be accepted as determination of correction in lieu of conducting an on-site follow-up visit. A desk review may be performed. If, during a future visit, violations or deficiencies that were considered corrected through a desk review are discovered not to have been corrected, enforcement actions may be recommended. The notice was dated 03/20/24 and signed by the State (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: 676267 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 676267 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/29/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Brodie Ranch Nursing and Rehabilitation Center 2101 Frate Barker Rd Austin, TX 78748 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)