F 0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
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 provide the necessary services for residents
who are unable to carry out activities of daily living to maintain good grooming and personal hygiene for 1
(Resident#1) of 9 residents reviewed for ADLs. The facility failed to ensure Resident #1 had facial hair on
her chin removed on 01/07/2026. This failure could place residents who were dependent on staff for ADL
care at risk for loss of dignity, risk for infections and a decreased quality of life.Findings include: Record
review of Resident #1's Quarterly MDS assessment dated [DATE] reflected Resident #1 was a [AGE]
year-old female admitted to the facility on [DATE] with diagnoses included non-Alzheimer's dementia (types
of cognitive decline not caused by Alzheimer's disease), and hypertension (elevated blood pressure).
Resident #1's BIMS score was a 13, which indicated Resident #1's cognition was intact. The MDS
assessment indicated Resident #1 partial/moderate assistance with shower/bathe self. Record review of
Resident #1's Care Plan revised 12/10/25, reflected the following: Problem: [Resident #1] requires
assistance with ADL's R/T visual impairment, weakness, impaired cognition. Goal: Resident will maintain a
sense of dignity by being clean, dry, odor free, and well-groomed over the next 90 days. Approach: .
bathing: extensive to total one person assistance. An observation on 01/07/26 at 11:21 AM revealed
Resident #1 was sitting at the edge of the bed. Resident #1 had scattered chin hair that was long
approximately 3/4 inch in length. Resident #1 stated she got showers regularly according to her schedule in
the week Mondays-Wednesdays-Fridays, and she had been asking the staff to shave her chin hair, but they
kept telling her that, per facility policy, they did not have razors in the facility. Resident #1 stated she felt
embarrassed and did not like to get out of her room. She stated she ate in her room and did not like to go to
the dining room because of the facial hair. An interview on 01/07/26 at 2:42 PM with LVN B revealed CNAs
were responsible for residents' showers and grooming; including facial hair removal/shaving for female
residents. She added Resident #1's facial hair should be inspected weekly during shower days and
trimmed/shaved according to the resident's liking. LVN B stated it was the responsibility of the charge
nurses for each Hall to make sure residents received appropriate and consistent daily care. LVN B stated
the risk to Resident #1 was infection, loss of dignity, and self-isolation. In an interview on 01/07/26 at 3:35
PM, CNA A stated that CNAs were responsible for shaving/removing facial hair for female residents on
shower days and as needed. CNA A stated the facility had disposable razors designed for shaving
residents in the facility. CNA A stated that the first time he was assigned to Resident #1's care, and did not
know who told her that the facility did not have razors. He stated long facial hair could cause certain female
residents embarrassment and loss of dignity. An interview with the DON on 01/07/26 at 3:47 PM revealed
the CNAs were supposed to shave/remove female residents' facial hair during the shower days or as
desired by the residents. She stated the facility had razors as part of residents' grooming supplies. The
DON stated charge nurses were expected to ensure residents were showered and
Residents Affected - Few
(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 3
Event ID:
676319
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
676319
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/07/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Corinth Rehabilitation Suites on the Parkway
3511 Corinth Parkway
Corinth, TX 76208
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)
F 0677
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
groomed as needed by the resident's preference. She stated she had not been notified by anyone that
Resident #1 had facial hair and would like to be shaved. She stated that lack of proper grooming could lead
to skin problems and overall dignity issues. Record review of the facility's policy Activities of Daily Living,
Optimal Function, revised 05/05/23, reflected the following: . The Facility provides necessary care to all
residents that are unable to carry out activities of daily living on their own to ensure they maintain proper
nutrition, grooming, and hygiene .
Event ID:
Facility ID:
676319
If continuation sheet
Page 2 of 3
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
676319
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/07/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Corinth Rehabilitation Suites on the Parkway
3511 Corinth Parkway
Corinth, TX 76208
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)
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 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 for 1 of 9 residents (Resident #2)
reviewed for infection control. The facility failed to ensure CNA C changed gloves and performed hand
hygiene while providing incontinence care to Resident #2. This failure could place residents at risk for
infection and cross contamination.Findings include: A record review of Resident #2's Quarterly MDS
assessment, dated 12/19/25, reflected Resident #2 was an [AGE] year-old female admitted to the facility on
[DATE]. Her diagnoses included hypertension (elevated blood pressure), fracture of part of neck of left
femur, muscle wasting and atrophy, and Muscle weakness (generalized). Resident #2 had a BIMS score of
15 which indicated intact cognition. Resident #2 was frequently incontinent of bladder. An observation on
01/07/26 at 10:41 AM revealed CNA C entered Resident #2's room to provide incontinence care. CNA C
washed his hands and put on gloves. He unfastened the resident's brief and cleaned the front pubic area
using several peri wipes. CNA C assisted Resident #2 onto her left side. He removed and discarded the
soiled brief, and he cleaned the resident's buttocks area with peri wipes. Resident #2 had a medium bowel
movement. Without changing gloves, CNA A placed a clean brief under Resident #2. He repositioned the
resident back on her back, fastened the brief, covered Resident#2, and put the bed in low position. CNA C
gathered the dirty clothes and trash. He removed his gloves, washed his hands, and exited the room. In an
interview on 01/07/26 at 11:00 AM, CNA C stated he was to wash hands before and after care. CNA C also
stated he was supposed to change gloves and complete hand hygiene each time he moved from dirty to
clean area during residents' care. CNA C stated he did not change gloves during the incontinent care
because he was nervous and was not used to being observed during residents' care. CNA C stated he was
supposed to change gloves and complete hand hygiene to prevent the spread of infection. In an interview
on 01/07/26 at 3:47 PM with the DON, she stated during incontinent care, the staff were to complete hand
hygiene before and after care. The DON also stated in between care, CNA C was to complete hand
hygiene and change gloves because his hands were considered dirty after cleaning the resident. The DON
stated the staff were to complete hand hygiene during care to prevent the spread of infection. Record
review of the facility's policy, Hand Hygiene/Hand Washing, revised May 15, 2023, reflected, . Hand
Hygiene/Hand Washing is done . Before taking part in a medical or surgical procedure . After contact with
soiled or contaminated articles such as articles that are contaminated with body fluids . After removal of
medical/surgical or utility gloves.
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676319
If continuation sheet
Page 3 of 3