Health inspection·May 15, 2023

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to ensure residents were treated with dignity, care, and in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for one resident (Resident #1) of six reviewed for dignity. RN A and PT B failed to ensure Resident #1's foley catheter bag was covered while in common areas of the facility. This failure could place residents at risk of feeling uncomfortable, disrespected, decreased self-esteem and a diminished quality of life. Findings Included: Review of Resident #1's face sheet dated 05/15/2023 revealed Resident #1 was a [AGE] year-old female admitted to the facility on [DATE] with diagnoses which included, Other spinal cerebrospinal leak (Occurs anywhere in the spinal column), Unspecified asthma (A chronic disease in which the bronchial airways in the lungs become narrowed and swollen), Dysphasia (A language disorder), Paraplegia (Paralysis of the legs and lower body), and Neuromuscular dysfunction of bladder (Lack bladder control due to a brain, spinal cord, or nerve problem). Review of Resident #1's initial MDS assessment dated [DATE] revealed a BIMS of 14 indicating independent with cognitive skills and daily decision making skills. She required extensive assist with toileting and transfers. She had an indwelling catheter. An observation on 05/15/2023 at 10:10AM revealed PT B was providing Resident #1 physical therapy services in the therapy gym. PT B was observed sitting on a chair to the front and side of Resident #1. Resident #1's foley catheter bag was hanging, uncovered, on the front right side of her electric wheelchair. The bag was approximately half full of urine and in full view of other residents and staff in the gym. Seven other residents were observed in the gym receiving services during this time. An interview on 05/15/2023 at 10:49AM with Resident #1 revealed RN A helped her to get ready for therapy today. She stated RN A hung her foley bag on the front of her electric wheelchair and she went to therapy on her own. Resident #1 said neither RN A nor PT B asked her about the catheter bag being exposed. She said she knew the bag should be covered so no one else can see it but did not think about covering it at the time. She said she did have some covers but did not think to ask the nurse to put one on. (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: 676410 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 676410 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/15/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Pure Health Transitional Care at Texas Health Pres 8200 Walnut Hill Lane Main 5 Dallas, TX 75231 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)