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Inspection visit

Health inspection

AMARILLO CENTER FOR SKILLED CARECMS #6763471 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and record reviews, the facility failed to provide reasonable accommodations of resident needs and preferences except when to do so would endanger the health or safety of 3 (Resident #1, #2, and #3) of 7 residents reviewed for call lights. Residents Affected - Few The facility failed to ensure call light system was within reach and able to use if desired for Resident #1, #2, and #3. This failure could place the residents at risk of not maintaining or decreasing the resident's independence and provide necessary assistance if needed. Findings included: Resident #1 Record review of Resident #1's face sheet, dated 9/14/23, revealed Resident #1 was an [AGE] year-old female admitted to the facility originally on 1/24/23 and readmitted on [DATE]. Resident #1's diagnoses include but are not limited to Alzheimer's Disease with late onset, Major Depressive Disorders, Delusional Disorders, and repeated falls. Record review of Resident #1's MDS, Section C (Cognition), dated 7/11/23, revealed a BIMS score of 08, which indicated moderate cognitive impairment. An observation and interview on 9/14/23 at 10:44 AM, Resident #1 was sitting in chair across from bed. The resident was asked to press her call light, Resident #1's call light was in the floor between both Residents beds out of reach. An observation and interview on 9/14/23 at 10:46 AM, an interview with NA B verified the call light for Resident #1 was on the floor and the call lights should have been clipped to the bed or to the person. NA B stated a negative outcome could be the resident has an emergency and not able to reach the call light. Resident #2 Record review of Resident #2's face sheet, dated 9/14/23, revealed Resident #2 was an [AGE] year-old male who was admitted into the facility originally on 8/23/23, and readmitted on [DATE]. Resident #2's diagnoses included, but are not limited to, abdominal hernia with obstruction, malnutrition, displaced fracture of second cervical vertebra, and malignant neoplasm of prostate. (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: 676347 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 676347 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/14/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Amarillo Center for Skilled Care 6641 W Amarillo Blvd Amarillo, TX 79106 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 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Record review of Resident #2's MDS, dated [DATE], revealed no measurable score as resident has been in the facility for less than 14 days. Record review of Resident #2's care plan, dated 8/24/23, on Pg. 4, revealed a focus that the resident was a risk for falls with an intervention stating to be sure the resident's call light is within reach and encourage the resident to use it. Page 5 continues with same focus and a goal that the resident needs a safe environment with a working and reachable call light. An observation and interview on 9/14/23 at 10:55 AM, observed call light for Resident #2 was lying in drawer next to bed. Observed Resident #2 unable to reach it. An interview on 9/14/23 at 10:59 AM, LVN A revealed that Resident #2's call light was in the drawer. LVN A stated the resident would not be able to reach it. LVN A stated a negative outcome could be the resident would be in distress or could fall. Resident #3 Record review of Resident #3's face sheet, dated 9/14/23, revealed a [AGE] year-old female, originally admitted to the facility on [DATE], and readmitted on [DATE]. Diagnoses include btu are not limited to hemiplegia affecting right dominant side, legal blindness, obstructive sleep apnea, and lymphedema. Record review of Resident #3's MDS, Section C-Cognition, reveals a BIMS score of 15 which indicated the resident is cognitively intact. Record review of Resident #3's care plan, revised on 6/7/23, on page 6, indicated that the resident was a risk for falls with an intervention that stated to be sure the resident's call light is within reach and encourage the resident to use it for assistance as needed. On page 7, continued with same goal of the resident was risk for falls, an intervention stated a working and reachable call light. An observation and interview on 9/14/23 at 10:36 AM revealed Resident #3's call light wrapped around the left side rail of the bed above Resident #3's head. Resident #3 was unable to reach the call light and stated her roommate often must press the call light for them. An interview on 9/14/23 at 11:17 AM, the ADON revealed that call lights are to not be on floors. They (call lights), need to be clipped to the person or on the bed. She stated a negative outcome could be they can fall, and no one would know. An interview on 9/14/23 at 12:58 PM, the ADON indicated there was not a policy for call lights. An interview on 9/14/23 at 3:54 PM, the DON revealed that call lights are to be on the chair, clothes, bed linen, or pillowcase. The DON stated a negative outcome could be falls and ultimately someone can die. The DON stated there was no policy for call lights. Record review of in service completed on 8/21/23, revealed training on answering call lights promptly. Second page, first paragraph states that call lights should be place where a resident can reach it even if they cannot remember how to use it. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676347 If continuation sheet Page 2 of 2

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0558GeneralS&S Dpotential for harm

    F558 - The right to reside and receive services in the facility with reasonable

    Reasonably accommodate the needs and preferences of each resident.

FAQ · About this visit

Common questions about this visit

What happened during the September 14, 2023 survey of AMARILLO CENTER FOR SKILLED CARE?

This was a inspection survey of AMARILLO CENTER FOR SKILLED CARE on September 14, 2023. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at AMARILLO CENTER FOR SKILLED CARE on September 14, 2023?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Reasonably accommodate the needs and preferences of each resident."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.