Health inspection·October 23, 2023

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview and record review, the facility failed to ensure 1 of 6 residents (Resident #5) reviewed for accommodation of needs, received timely care assistance. Residents Affected - Few The facility failed to ensure Resident #5 could make her needs known, due to the call light being out of her reach and her inability to use the call light, without assistance. This deficient practice put Resident #5 at risk due to inability to obtain assistance. Findings were: Review of Resident #5's medical face sheet, not dated, revealed she admitted to facility on 10/27/2021, with diagnoses including, hypertension, Hyperlipidemia, Constipation, Hypokalemia, Pain-Unspecified, Unspecified Symbolic Dysfunctions, Cognitive Communication Deficit, Other Symbolic Dysfunctions, Muscle Weakness (generalized), Difficulty in Walking, lack of coordination, Alzheimer's Disease, with late onset, Dysphagia, Acute Respiratory failure, with hypoxia, abnormalities of gait and mobility, Chronic Kidney Disease-Stage 3, Age-related Osteoporosis, Depressive episodes, nausea, Need for assistance with personal care, and urinary tract infection. Review of a quarterly MDS August 31, 2023, revealed Resident #5's Brief Interview Mental Status (BIMS) score was a 7, which indicated severe impaired cognition. Review of Resident #5's Care Plan on 10/20/2023, revealed HIGH FALL RISK: Instruct resident to call for help before getting out of bed or chair, demonstrated the use of call light for resident, keep call light in reach at all times, visible to resident, and the resident is informed of its location and use. Date Initiated: 11/25/2022 and Revision on: 08/11/2023. During an observation on 10/20/23 at 1:53 p.m. Resident #5 is in bed uncomfortable and moaning. The call light was located in the floor, under the resident's bed, and not within her reach. Resident did not respond to any questions and was unable to verbally communicate her needs, during this observation. Interview on 10/20/2023 at 5:15 p.m, with the DON states the resident has had a change of condition in the last couple days and probably cannot push the call light at this time. The DON stated there were other forms of alert systems that could be used by the resident, but acknowledged the resident had only been provided a regular call light, while in the facility. 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: 676416 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 676416 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/23/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Brightpointe at Lytle Lake 1201 Clarks Dr Abilene, TX 79602 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)