Health inspection·December 5, 2023

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 the facility failed to protect the confidentiality of personal health care information for one of three (Resident #1) residents reviewed for confidentiality of records. Residents Affected - Few The facility failed to ensure LVN A locked and closed the laptop during the medication pass exposing Resident #1's personal information to include some of her medications. This failure could affect residents by placing them at risk for loss of privacy and dignity. The Findings included: Review of Resident #1's face sheet dated 12/04/2023 revealed a 91 year- old male admitted to the facility on [DATE] and re admitted on [DATE] with diagnoses that included metabolic encephalopathy (a brain problem caused by chemical imbalance in the blood), type 2 diabetes (problem with regulating sugar), congestive heart failure problems with the heart muscle) Observation and interview on 12/05/2023 at 11:03 AM of the computer screen on LVN A's medication cart being unlocked for approximately 2-3 minutes while LVN A was inside the resident room passing medication. The medication cart was on the wall facing the hall and exposed to residents and staff who walked down the hall. The computer displayed the medication that was being provided to Resident #1. LVN A returned from Resident #1's room and started documenting that the medication had been given. There was staff observed walking down the hall while the computer screen was unlocked. LVN A stated the computer should have been locked but she forgot. LVN A stated the risk of leaving the computer unlocked would be a violation of privacy. Interview on 12/05/2023 at 2:24PM with the Director of Nursing revealed during medication pass the computer screen should be locked or minimized when not in sight. The Director of Nursing stated the risk of leaving the computer unlocked would be patient information would be visible to residents or staff walking down the hall. Review of the facility resident agreement stated the resident received acknowledgement of the privacy act statement- health care statement- health care records however does not go in to detail regarding the policy. 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: 676349 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 676349 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Accel at Willow Bend 2620 Communications Parkway Plano, TX 75093 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)