Brenham Healthcare Center

F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

the day after she learned of the incident, she was not at the facility and the Administrator was there and the Administrator did everything. She was not aware of anyone speaking to Resident #1 about the incident except he had a head-to-toe assessment. She said a head-to-toe assessment was different than a trauma assessment. She said Resident #1 being slapped was trauma. The ADON gave instructions by telephone to

the AN to give Resident #1 the head-to-toe assessment. A head-to-toe assessment was different than a trauma assessment. In a trauma assessment, when the resident was slapped, the number one question you would ask was if the resident felt safe. She did not know if the nurse asked him that question. In a trauma assessment you would want to ask if the resident was okay. The ADON said maybe Resident #1 should have had a head to toe and trauma assessment, but she just told the AN to do a head-to-toe assessment. She said the negative effect of not doing a trauma assessment would be you do not know if he felt safe or had information about previous abuse that might have affected his behavior. There was no documentation that shows that someone asked him if he felt safe in the facility, a trauma informed assessment should have been done. She said because it was not documented did not mean that he was not asked if he felt safe but stated that nursing policy was that if it was not documented, it did not happen.

The ADON said Resident #1 was not a fluent English speaker and if he was going to understand someone

it needed to be spoken to him in Spanish. The primary way of communicating with him was using the communication binder and when the AN administered his head-to-toe assessment, she should have had

the communication binder. The ADON said that LVN A said she slapped Resident #1, and that was assault and maybe the police should have been called. She said more things should have been done and she did not know if everything was done to make sure that there was no additional abuse in the facility. She said the possible negative effect of not following the procedures in the facility abuse and neglect investigation was that they were not making sure Resident #1 was okay and they were not making sure there was not any additional abuse. The ADON said when she obtained information to contact Resident #1's RP, she should have contacted her and let her know that he was slapped by a nurse.Interview on 08/17/25 at 1:55 pm with

the facility former SW reflected she was unaware of the incident involving LVN A and Resident #1 and the Resident Safe Survey she conducted on 07/23/25 for 15 Residents were safe surveys she conducted periodically, every 1 to 2 weeks, and not associated with any specific facility incident.Interview on 08/17/2025 at 5:42 pm with the Administ[TRUNCATED]

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Printed: 04/13/2026 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

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/19/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Brenham Healthcare Center

1303 Hwy 290 E Brenham, TX 77833

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)

F 0610 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

assessment. In a trauma assessment, when the resident was slapped, the number one question you would ask was if the resident felt safe. She did not know if the nurse asked him that question. In a trauma assessment you would want to ask if the resident was okay. The ADON said maybe Resident #1 should have had a head to toe and trauma assessment, but she just told the AN to do a head-to-toe assessment.

She said the negative effect of not doing a trauma assessment would be you do not know if he felt safe or had information about previous abuse that might have affected his behavior. There was no documentation that shows that someone asked him if he felt safe in the facility, a trauma informed assessment should have been done. She said because it was not documented did not mean that he was not asked if he felt safe but stated that nursing policy was that if it was not documented, it did not happen. The ADON said Resident #1 was not a fluent English speaker and if he was going to understand someone it needed to be spoken to him

in Spanish. The primary way of communicating with him was using the communication binder and when the

AN administered his head-to-toe assessment, she should have had the communication binder. The ADON said that LVN A said she slapped Resident #1, and that was assault and maybe the police should have been called. She said more things should have been done and she did not know if everything was done to make sure that there was no additional abuse in the facility. She said the possible negative effect of not following the procedures in the facility abuse and neglect investigation was that they were not making sure Resident #1 was okay and they were not making sure there was not any additional abuse. The ADON said when obtained information to contact Resident #1's RP, she should have contacted her and let her know that he was slapped by a nurse.Interview on 08/17/25 at 1:55 pm with the [TRUNCATED]

Event ID:

Facility ID:

If continuation sheet