Health inspection·February 5, 2026

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews, and record reviews, the facility failed to protect the rights of one (Resident #1) of four residents reviewed for resident rights. The facility staff took a picture of Resident #1 without her permission. This failure could place residents at risk for an infringement of fundamental rights and a dignified existence.Review of Resident #1's face sheet dated [DATE] revealed Resident #1 was last admitted on [DATE]. Resident #1's Face sheet also revealed admission and Primary Diagnosis ofMetabolic Encephalopathy (a general term for brain dysfunction caused by systemic illness, chemical imbalances, or toxins rather than a direct structural brain injury), Cirrhosis of the liver (the late stage of scarring of the liver caused by long term liver diseases and conditions), Chronic Hepatic Failure (the final, irreversible stage of long-term liver disease, where sever scarring replaces healthy tissue, crippling the liver's ability to function in detoxification, metabolism, and protein synthesis), Nutritional Anemia (low hemoglobin levels caused by a lack of essential nutrients, and Thrombocytopenia (having a lower-than-normal number of platelets in the blood). Record review of Resident #1'2 MDS Assessment Summary dated [DATE] revealed Resident #1 had a BIMS of 07 which indicated severe mental cognition impairment. The MDS also revealed Resident #1 used a walker for mobility, needed partial to moderate assistance for dressing her upper and lower extremities and only needed set up or supervision for eating and personal hygiene. Record review of Resident #1's care plan, undated, revealed Resident #1 was mobile using a wheelchair. The care plan also revealed Resident #1 had impaired cognitive function with interventions to provide a homelike environment. Record review of Employee Coaching form dated [DATE] confirmed Nurse A took a photo with her personal phone of Resident #1 to try and share the gravity of the situation with the ADON as she was preparing the resident to be sent to the Emergency Room. The Coaching section of the document revealed the following was provided as education to Nurse A: Pictures on private phones are not allowed, the Resident rights to privacy policy was reviewed, and communication devices are not allowed for patient care, documentation of findings and/or communication of emergent care. In an interview on [DATE] at 2:35 p.m., Resident #1's family member stated she heard a photo had been taken of her family member (Resident #1) and she felt like this compromised Resident #1's rights. Resident #1's family members stated they could not verify or produce the photograph at this time. In an interview on [DATE] at 11:00 a.m., LVN A she did take the picture of Resident #1 before sending Resident #1 to the hospital on [DATE], and she shared the picture with the ADON. LVN A stated she didn't take the picture to be ugly or to compromise the residents' rights. LVN A stated she took the picture to show them how much blood was on Resident 1's bed. LVN A stated she was suspended for two days for taking the picture and she received an official write up for it. LVN A stated she was not sure if it was against the facility policy to take pictures but also stated if she was taking the pictures with her personal phone then it was against the facility's policy. LVN A stated she did not think it was abuse or neglect and she was not doing it to abuse the resident. LVN A stated she Residents Affected - Few (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: 676491 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 676491 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/05/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Mission Ridge Rehab & Nursing Center 401 Swift Street Refugio, TX 78377 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)