Inspection·December 3, 2025

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 review the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of needs and preferences for one (Resident #1) of ten residents reviewed for reasonable accommodation of needs. The facility failed to ensure the call light system in Resident #1's room was in a position accessible to the resident on 10/28/2025.This failure could place the residents at risk of being unable to obtain assistance when needed and help in the event of an emergency.Findings included: Record review of Resident #1's Face Sheet, dated 10/28/2025, reflected the resident was a [AGE] year-old female who admitted on [DATE]. Resident #1 had diagnoses which included Alzheimer's disease (progressive cognitive decline, memory loss, and behavioral changes) and muscle wasting and atrophy. Record review of Resident #1's Quarterly MDS Assessment, dated 08/14/2025, reflected moderate cognitive impairment with a BIMS score of 08. Resident #1 required assistance for self-care and mobility needs. Record review of Resident #1's Comprehensive Care Plan, dated 08/01/2025, reflected the resident was at risk for falls related to unsteady gait/balance. One intervention was to keep call light within reach and encourage to ask for assistance. During an observation and interview on 10/28/2025 at 9:27 AM, Resident #1 was lying in bed. The call light was lying on the floor next to her bed. When asked about her call light, Resident #1 replied she could not reach it and asked the surveyor to get it. The DON was in the hall in the time. She came into Resident #1's room and observed the call light on the floor. The DON clipped Resident #1's call light to her blanket within the resident's reach. Upon exiting the room, the DON stated she was in Resident #1's room before the surveyor entered and Resident #1 was holding the call light in her hand. The DON stated the resident's call light should always be available to the resident to notify staff of any needs. During an interview on 10/28/2025 at 10:20 AM, CNA B stated at the beginning of her shift and during rounds, she checked to ensure residents had their call lights within reach. She stated it was important for Resident #1 to have her call light in reach to be able to call for help. She stated if something happened, no one would know. During an interview on 10/28/2025 at 10:26 AM, LVN A stated it was important for Resident #1 to have her call light in reach. He stated it was important for Resident #1 and all residents to be able to communicate with staff when they needed something. During an interview on 10/28/2025 at 2:11 PM, the Administrator stated every resident should have their call light placed where they could reach it. He stated it was important to ensure call lights were always within reach so residents could get help when they needed it. Record review of the facility's policy, Answering the Call Light, revised September 2022, reflected The purpose of this procedure is to ensure timely responses to the resident's requests and needs.Ensure that the call light is accessible to the resident when in bed. Residents Affected - Few 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: 676363 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 676363 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Mustang Park Therapy and Living Center 4501 Plano Parkway Carrollton, TX 75010 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)