Health inspection·February 2, 2024

F 0689 Investigator. Level of Harm - Minimal harm or potential for actual harm Review of still photos from 01/30/2024: Residents Affected - Few -At 1:11:15 p.m., SNA I entered Resident #2's bedroom pushing a mechanical lift. No other staff observed in the room at the time. Resident #2 seated on a wheelchair. -At 1:11:25 p.m., mechanical lift positioned in front of Resident #2 as SNA I attached mechanical lift netting straps to lift device. No other staff observed in the picture. -At 1:13:42 p.m., Resident #2 observed lifted lying back on mechanical lift and over a bed. SNA I manipulating the netting holding the resident. SNA I was the only staff observed in the picture. -At 1:13:44 p.m., Resident #2 observed lifted lying back on mechanical lift netting and over a bed. SNA I manipulating the mechanical lift and holding onto the lift netting. SNA I was the only staff observed in the picture. -At 1:13:46 p.m., Resident #2 observed lifted lying back on mechanical lift netting over a bed. SNA I manipulating the mechanical lift. SNA I was the only staff observed in the picture. -At 1:13:47 p.m., Resident #2 observed lifted lying back on mechanical lift netting over a bed. SNA I manipulating the mechanical lift. SNA I was the only staff observed in the picture. During an interview on 02/02/2024 at 11:44 a.m., SNA I was shown the pictures of the transfer done on 01/30/2024. SNA I said she knows through training that Resident #2 required being mechanical lift transfer of two-persons. SNA I said she was assisted that day by PTA J. SNA I said another unknown CNA left from the hall and PTA J passed by and she asked him to come into the room. SNA I said PTA J stayed in the rom until the transfer was done. SNA I said she put on the hooks of the netting to the mechanical lift and lifted up the resident and put her in bed. The SNA I said PTA J was there outside of camera view but could not say where exactly. SNA I said she did all the work because PTA J was putting on gloves. SNA I said she did not wait for PTA J to physically assist. SNA I said the purpose of two-person mechanical lift transfers was for safety. SNA I said the other person was supposed to physically help guide the lifted resident during transfer while the other staff manipulates the mechanical lift. SNA I said she did all the work of manipulating the mechanical lift, positioning the resident and transferring resident from the wheelchair to the bed. During an interview on 02/02/2024 at 11:54 a.m., PTA J reviewed the still photos. PTA J said after reviewing the photos he was not sure if he was present during the transfer. PTA J said he had performed transfers assisting SNA I with Resident #2 but was not sure of the dates that he assisted. PTA J said he would be surprised if SNA I had done the mechanical lift transfer by herself. PTA J said if he was present during the transfer, he should have appeared in the photos physically assisting. PTA J said the second person in the mechanical lift transfer does not just supervise but helps to ensure safety. During an interview on 02/02/2024 at 12:05 p.m., Resident #2 said for the most part the facility staff perform two-person mechanical lift transfers. Resident #2 said while she was recovering in the 200-hall, SNA I performed a mechanical lift transferred by herself. Resident #2 said she does not remember what day the one-person transfer occurred. Resident #2 said no one else was in the room at the time of the transfer. Resident #2 said she did not know why SNA I transferred her by herself. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676375 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 676375 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/02/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE St Giles Nursing and Rehabilitation Center 950 Camino Del Rey Drive El Paso, TX 79927 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 0689 Resident #2 said she was not injured during the one-person transfer. Level of Harm - Minimal harm or potential for actual harm During an interview on 02/02/2024 at 2:21 p.m., the CNA Supervisor K said two-person transfers should be with two people hands-on to ensure safety. The CNA Supervisor K said the way two-person mechanical lift transfer were trained and done was one staff member would position the mechanical lift and the other staff member would help position the resident who was lifted by the mechanical lift. The CNA Supervisor K said there was no supervision person who just stands off to the side while the transfer was occurring. Residents Affected - Few Record review of in-service training revealed the following: *dated 11/14/2023, reading, Hoyer transfers MUST be completed by 2 clinical staff AT ALL TIMES. *dated 12/15/2023 and noting the following training information: 2 person transfers at all times when using Hoyer to transfer a resident. Further review revealed SNA I signed the in-service sheets indicating she was trained on 2 person transfers at all times when using mechanical lift to transfer a resident. Review of facility Hydraulic Lift policy undated, reads in part under procedures: involve as many staff members as needed to ensure feelings of security by the resident. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676375 If continuation sheet Page 3 of 3