Inspection·May 15, 2025

F 0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure that residents received care, consistent with professional standards of care to prevent development or promote wound healing for one (Resident #1) of three residents reviewed for pressure ulcers. Residents Affected - Some The facility failed to provide treatments on 04/30/2025, 05/03/2025, and 05/05/2025 to a pressure ulcer on Resident #1's left heel. This failure could place residents at risk for worsening pressure ulcers leading to discomfort, pain, and potential infections. Findings included: Review of Resident #1's face sheet, dated, 05/15/2025, reflected an [AGE] year-old female who was admitted on [DATE] and readmitted on [DATE]. Resident #1 had diagnoses which included cellulitis of left lower limb (a bacterial skin infection affecting the deeper layers of the skin and the tissue beneath it in the left leg), pressure ulcer of left heel, stage 4 (the most severe type, characterized by deep tissue damage, potentially exposing muscles, tendons, or bone), type 2 diabetes mellitus with diabetic neuropathy, unspecified (a chronic condition where the body either does not produce enough insulin or can not effectively use the insulin it produces, leading to high blood sugar levels), cognitive communication deficit ( communication difficulties stemming from underlying cognitive impairments, rather from speech or language deficits), and sepsis, unspecified organism ( infection is present, but the exact type of bacteria, virus, or fungus causing it is not identified). Review of Resident #1's Quarterly MDS, dated [DATE], reflected Resident #1 had a BIMS score of 14 which indicated her cognition was intact. Resident #1 had a diagnoses of pressure ulcer of left heel, stage 4, sepsis, unspecified organism, and diabetes mellitus. Resident #1 pressure ulcer stage 4 was present upon admission. Resident #1 was dependent on staff for toileting, showers, and transfers. She required partial/moderate assistance (helper does less the half the effort) with personal hygiene and upper body dressing. Resident #1 required substantial/maximal assistance (helper does more than half the effort) with lower body dressing. Review of Resident #1's Comprehensive Care Plan, with a completion date 04/30/2025, reflected Resident #1 had a pressure ulcer on her left heel. Interventions: Administer medications as ordered. Administer treatments as ordered and monitor for effectiveness. Replace any loose or missing dressings as needed. Assess/record/ monitor wound healing at least weekly. Measure length, width, and depth where possible. Avoid positioning the resident on the location of the left heel. Follow facility policies/protocols for the prevention/treatment of skin breakdown. (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 9 Event ID: 745051 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 745051 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Five Points Nursing & Rehabilitation of College St 3105 Corsair Drive College Station, TX 77845 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)