Health inspection·December 15, 2024

F 0625 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to provide the resident and resident representative written notice which specifies the duration of the bed-hold policy for 1 (Resident #1) of 2 resident reviewed for bed-holds. The facility failed to provide bed-hold notification to Resident #1 when she was discharged to the hospital. This failure could place residents at risk of being improperly discharged and placed in unsafe conditions. The findings included: Record review of Resident #1's admission record dated 12/15/24 revealed an [AGE] year-old female with an admission date of 12/05/24 and diagnoses of Muscle Weakness (Generalized), Encephalopathy (brain disorder) Unspecified, Type 2 Diabetes Mellitus (body does not use insulin effectively or produce enough insulin) without complications, Alzheimer's Disease (brain disorder that causes gradual decline in memory, thinking and reasoning skills) unspecified, and other seizures. Record review of Resident #1's Hospital record dated 11/27/24 revealed Resident #1 was admitted to the hospital on [DATE]. Record review of Resident #1's progress note dated 12/05/24 revealed Resident #1 was re-admitted back to the facility on [DATE]. An attempt to interview Resident #1 on 12/14/24 at 11:15 a.m., was unsuccessful as Resident #1 was not interviewable. In an interview on 12/14/24 at 11:17 a.m. the RP stated Resident #1 had been sent to the hospital last month and stayed there for over a week. She said she was not given information or signed any papers about a bed-hold. She said Resident #1 was admitted back to the facility, however was not able to return to the same room. Record review of Resident #1's electronic records and chart on 12/15/24 at 11:05 a.m. revealed there was no bed-hold forms found in either. In an interview on 12/15/24 at 12:28 p.m. when asked about a bed hold notice for Resident #1, the (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: 676398 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 676398 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/15/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Fox Hollow Post Acute 310 America Dr Brownsville, TX 78526 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)