Health inspection·August 22, 2024

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 ensure the residents' right to privacy for 1 (Resident #1) of 5 residents reviewed for privacy. Residents Affected - Few The facility failed to ensure Resident #1's BIMS score and medical diagnosis was not given to non-family or non-medical persons in the building. These failures could allow residents' protected HIPAA information to be shared with individuals who do not have a need or right to know which could place residents at a risk of loss of dignity due to lack of privacy. The findings included: Record review of Resident #1's face sheet reflected a [AGE] year-old female with an initial admission date of 7/30/24, with diagnoses which included metabolic encephalopathy (a neurological disorder that occurs when a chemical imbalance in the blood affects the brain), arthritis, dementia, and anxiety disorder. Record review of Resident #1's quarterly MDS assessment section C, cognitive patterns, dated 8/21/24 reflected a BIMS score of 10 (moderate impairment). During a phone interview on 8/19/24 at 2:35 p.m., the ombudsman stated that she had a call from Resident #1's Family Member A who stated that someone at the building on 8/5/24 gave out Resident #1's BIMS and diagnosis to someone they should not have. She stated that there is an ongoing court case involving Resident #1 and Family Member B. She stated that a notary came to the facility and attempted to get Resident #1 to sign documentation to not evict Family Member B off the property back home. She stated that there was an argument, and some medical information was given out to the notary. She stated she followed up on the incident on 8/7/24 and went to the facility and asked who in the building gave away this information. She stated that the administrator stated, she was the one who gave out this information to the notary. She stated the administrator stated, she gave out the information to calm everyone down. During a phone interview on 8/19/24 at 2:55 p.m., Family Member A stated that on august 5th 2024 around 5:30 p.m., a notary came to the facility. She stated that the notary was trying to get Resident #1 to sign documentation which she should not sign. She stated that the next day august 6th 2024 there was a court case in which the notary at the facility shared Resident #1's diagnosis and BIMS score. She stated she has no idea who gave this information to the notary, and this should never have happened. She stated that was when she decided to reach out to the ombudsman to figure out who gave (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 08/22/2024 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)