Health inspection·January 27, 2024

F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Based on observation, interview, and record review the facility failed to ensure drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional principles, for 2 of 6 (Hall 600 & Hall 700) Medication Carts. 1.) The facility failed to ensure medication cart #1 was locked when unattended by nurse. 2.) The facility failed to ensure that all medications stored in Hall 600 & 700 medication carts were properly stored/labeled. These failures placed all residents at risk of harm or decline in health due to lack of potency of medications/biologicals or misappropriation of medications. The findings included: During an observation and interview on 01/26/2024 at 11:27 a.m., of 700 hall medication cart, revealed RN A stored 10 loose pills in the top drawer under one lock in a clear medication cup with no label. RN A stated she had attempted to administer the medications earlier and the resident would not take them so she stored it in the top of medication cart to attempt to give again. She stated she knew what the resident's medications were for due to it was the only medication cup with medications in the top of her cart. She stated medications were for Resident #2 which included 5 supplements, 1 thyroid medication, 1 blood thinner, 1 proton pump inhibitor, 1 constipation medication, 1 diuretic, and 1 blood pressure medication. RN 1 did not state any negative outcome when asked if there could be a negative outcome from storing medication outside of their original medication packages. During an observation and interview on 01/26/2024 at 12:04 p.m. of the 600 hall medication cart, revealed RN B stored loose medications in 3 medication cups in the top drawer under one lock 1 medication cup had Resident #3's last name written on it and one capsule in a medication cup. 2 medication cups had Resident #4's last name written on them with 7 pills in them. RN B stated the medications were for Resident #3 and Resident #4 which included: 1 antibiotic, 1 heart arrythmia medication, 4 supplements, 1 steroid, and 1 blood thinner. RN B stated she attempted to give medications earlier and both residents would not take. She stated she had stored them in the top drawer to attempt to administer the medications later and then would dispose of them if residents continued to refuse. RN B stated she did not know if the facility had a policy on medication storage regarding loose medication in cups. During an interview on 01/26/2024 at 12:08 p.m., the DON stated she was not aware if the facility (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 3 Event ID: 676376 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 676376 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/27/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Silver Spring 1690 N. Treadway Blvd. Abilene, TX 79601 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)