Inspection·May 13, 2025

F 0583 Keep residents' personal and medical records private and confidential. 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; it was determined the facility failed to ensure each resident was provided privacy during personal care, for 1 of 3 residents reviewed for Resident rights (Resident #2). Residents Affected - Few Facility failed to provide dignity and respect for Resident #2 by providing privacy during incontinent care. The facility's failure could place residents at risk of not being treated with respect, dignity, and care in a manner that protects and promotes the rights of the residents. Findings include: Resident #2 Record review of Resident #2's clinical record, dated 05/13/2025, revealed Resident #2 was a [AGE] year-old female, who was admitted to the facility on [DATE] with diagnoses including type 2 diabetes mellitus without complications (a condition where the body either doesn't make enough insulin or the body's cells don't respond properly to insulin, leading to elevated blood sugar levels (hyperglycemia)), atherosclerotic heart disease of native coronary artery without angina pectoris (a heart condition where atherosclerosis (buildup of plaque) in the heart's blood vessels (coronary arteries) is present, but the individual doesn't experience chest pain (angina)), history of transient ischemic attack (TIA) (a past episode of temporary neurological dysfunction caused by brief, localized blockage of blood flow to the brain), and cerebral infarctions without residual deficits (a past episode of a stroke (cerebral infarction) where the damage to the brain tissue resulted in permanent neurological deficits, but the individual has recovered from these deficits, leaving no lasting impairment), congestive heart failure (a weakness of the heart that leads to a buildup of fluid in the lungs and surrounding body tissues), epilepsy (a chronic neurological condition characterized by recurrent, unprovoked seizures). Record review of Resident #2's most recent MDS assessment, dated 03/01/2025, indicated Resident #2 had a BIMS of 14, indicating no cognitive impairment and a functionality of total dependency or maximal assistance was required in all care areas except moderate assistance needed with upper body dressing. Resident required touch assistance with eating and oral hygiene. During an observation on 05/13/2025 at 11:29 AM SNA C and SNA D did not shut Resident #2's blinds to her room or shut the door to Resident #2's room to provide privacy during incontinent care. During the time incontinent care was being provided to Resident #2, unidentified person walked by Resident #2's bedroom window twice. (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 7 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 05/13/2025 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)