Health inspection·May 15, 2024

F 0572 Give residents a notice of rights, rules, services and charges. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to ensure residents were informed orally, of their rights, for 7 of 11 residents interviewed during a group meeting. (Resident #s #16, #18, #29, #33, #47, #72, and #75). Residents Affected - Some Residents #16, #18, #29, #33, #47, #72, and #75 were not provided on going communication of their rights orally, during their stay in the facility. This failure could place the residents at risk of a decreased quality of life, decreased awareness of their right and decreased execution of their rights. Findings include: Record review of monthly resident council meeting minutes, on 05/14/2024 at 10:00AM, revealed resident rights were not reviewed or discussed over the past five months; April, March, February and January 2024 and December 2023. During interview on 05/14/2024 at 10:00AM, Residents #16, #18, #29, #33, #47, #72 and #75 said, the Activity Director had not reviewed or explained resident rights to them, nor had the Administrator. During interview on 05/14/2024 at 10:55AM, the Activity Director said he has not reviewed the resident rights with the residents at the resident council meetings. He said they receive them at admission, and he has given them printed copies, but he has not reviewed and explained them to the residents. During interview on 05/15/2024 at 2:09 PM, the Administrator said, the resident receives a copy of the resident rights at admission, in their admission packet. She said, if an issue comes up, when she attends the resident council meetings, she will explain that issue, as it pertains to that issue, but she has not reviewed or explained the list of resident rights with the residents. Review of a document titled Resident Right, with a revised date of October 2022 , reflected Purpose: To ensure the facility will inform the resident both orally and in writing in a language that the resident understands . Procedure: 2 Information about resident rights and responsibilities will be given to the resident both orally and in writing. 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: 676311 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 676311 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/15/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Watkins-Logan-Garrison Texas State Veteran's Home 11466 Honor Lane Tyler, TX 75708 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)