Inspection·August 3, 2024

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** . Residents Affected - Few Based on observations, interviews, and record reviews the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for 1 of 7 Residents (Resident #2) reviewed for treatments and services. The facility failed to ensure Resident #2 received dressing changes to the abrasion on her arm every Monday, Wednesday and Friday as ordered by physician. This failure could affect residents with wound dressings and place them at risk for infection. Findings included: Record review of Resident #2's admission Record (face sheet), dated 08/01/2024, revealed she was admitted to the facility on [DATE] with diagnoses which included atherosclerotic heart disease (hardening of the arteries), high blood pressure, cognitive communication deficit (difficulty speaking because of impaired brain function) and repeated falls. On Resident #2's admission Record, Friend C was listed as her second emergency contact. Record review of Resident #2's MDS, an admission assessment dated [DATE], revealed her BIMS score was 12 out of 15 indication her cognitive skills for daily decision making were intact. Record review of Resident #2's care plan for the focus area of a potential for pressure ulcer development, initiated on 07/28/2024, revealed under interventions was to Administer treatments as ordered and monitor for effectiveness. Record review of Resident #2's Skin Evaluation, dated 07/29/2024, revealed the resident had an abrasion on her right elbow and the resident stated it occurred during a fall she had prior to her admission to the facility. Record review of Resident #2's physician orders revealed an order with a start date of 07/29/2024 to cleanse abrasion to the right elbow with wound cleanser, pat dry, apply xeroform (a specialized sterile, medicated gauze) and cover with a dry dressing three times weekly and PRN. Under Directions was every day shift, every Mon [Monday], Wed [Wednesday], Fri [Friday] for wound treatment and every 24 hours as needed for wound treatment. Record review of Resident #2's June 2024 TARs revealed wound care to Resident #2's right elbow was (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 4 Event ID: 676392 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 676392 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/03/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Legend Oaks Healthcare and Rehabilitation - New Br 2468 Fm 1101 New Braunfels, TX 78130 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)