Health inspection·November 22, 2024

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Based on observations, interviews, and record review the facility failed to ensure that all drugs and biologicals used in the facility were labeled and stored in accordance with professional standards for 1 of 1 medication rooms reviewed for drugs and biologicals. 1. The facility failed to ensure one over-the-counter medication Feosol was removed from the medication room when it had expired on 06/2024. 2. The facility failed to ensure medications for 2 of 2 discharged residents (DR's #1 and #2) were removed from current medication supply for proper disposition. These failures could place residents at risk of not receiving the therapeutic benefit of medications, adverse reactions to medications, medication misuse, and drug diversion. Findings included: 1. Observation of the facility medication storage room with the DON present on 11/20/2024 starting at 1:18 p.m., revealed one over-the-counter medication Feosol with an expiration date of 06/2024 found stored with other current OTC medications in the medication room. 2. Further observation of the facility medication room on 11/20/2024 starting at 1:18 p.m. revealed 2 baskets filled with medications labeled with the names of 2 discharged residents (DR's #1 and #2), stored on a storage rack at back of medication room. The basket labeled with DR #1's name contained medications that included: Diclofenac Topical 1% cream and Probiotic Culturelle and the basket labeled with DR #2's name contained medications which included Lidocaine 4% ointment, along with bottles containing Simvastatin and Midodrin. During an interview on 11/20/24 at 1:30 p.m., the DON stated that all expired medications should be removed from stock, as expired medications were at risk of being ineffective. The DON also stated that medications for discharged residents should be stored in the locked disposal box with the expired/discontinued medications for proper disposal by the pharmacist. The DON stated that the supply clerk, MA-D was responsible for stocking and maintaining the medication room, which included rotating stock and removing expired medications and medications for discharged residents. Interview on 11/22/24 at 10:00 a.m., with MA-D revealed that she had worked at facility for about a year and in addition to working as a medication aide, was responsible for stocking the supply room and ensuring all expired medications, and medications for discharged residents were removed from the medication room. She stated when she received new medication stock once a week, she would rotate (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 5 Event ID: 676406 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 676406 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/22/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Trucare Living Centers - Selma 16550 Retama Parkway Selma, TX 78154 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)