Health inspection·February 26, 2026

F 0551 Give the resident's representative the ability to exercise the resident's rights. 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, that facility failed to extend to the resident representative ' s the right to make decisions on behalf of the resident for 1 of 6 (Resident #1) residents reviewed for resident rights in that: The facility failed to establish who Resident #1 wanted as a responsible party during his stay at the Nursing Facility. This failure could place residents at risk of not having their preferred responsible party represent them in care decisions. Findings include: Record review of Resident #1's face sheet dated 02/26/2026 revealed a [AGE] year-old male who was admitted on [DATE] and listed family member #2 as the responsible party. Record review of Resident #1's history and physical note dated 02/05/2026 revealed a diagnosis of terminal diagnosis of senile degeneration of the brain (final stage of severe age-related brain disease). The note revealed that Resident #1 was alert and oriented to person, place and situation but demonstrated significant forgetfulness and impaired insight.Record review of Resident # 1's entry MDS dated [DATE] revealed no BIMS score.Record review of Resident #1's BIMS assessment dated [DATE] revealed a BIMS score of 08 indicating moderate cognitive impairment.Record review of Resident #1's orders revealed an order for DNR/Hospice care initiated on 02/06/2026.Record review of Resident #1's hospice paperwork dated 02/06/2026 revealed the resident was placed under hospice care on 02/06/26, and was signed by Family Member #2.Record review of Resident #1's PASRR Level Screening dated 02/04/2026 revealed a next of kin listed a family member #3.In an interview on 02/24/2026 at 10:21am with, Resident #1's Family Member #3 revealed that Resident #1 was placed on hospice by family member #2 prior to transferring to long-term care facility from a local hospital. She stated that she was notified after the fact. She stated that at the current facility, Resident #1 was stating to the facility that he did not want Family Member #2 to be his responsible party because she did not treat him well. She stated that Resident #1 did not have the power of attorney. She stated that the current facility did not consult with the family members or the resident concerning who he wanted as a representative. She stated that the facility just kept the same responsible party as the hospital because Resident #1 lived with Family Member #2 prior to entering the long-term care facility. She stated that she did not want Resident #1 under hospice because she believed that he did not need it, she stated that Family Member #2 had him placed under hospice because at the time they were told that he was dying, but he got better but Family Member #2 still kept him under hospice services. She stated that she voiced to the Nursing Facility that she felt that Resident #1 did not need to be under hospice services during a care plan meeting held on 02/12/2026, however she was told that Resident #1's next of kin was Family Member #2 and that he had come with her designated as next of kin when he was admitted to the Nursing Facility.In an interview on 02/24/2026 at 2:21 pm with the Administrator revealed that Resident #1 was admitted with hospice orders. She stated that the hospice paperwork was signed by the current representative who was Family Member #2. She stated that Resident #1 had the representative appointed when he came into facility. She stated that Residents Affected - Few (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: 676375 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 02/26/2026 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)