Advanced Health & Rehab Center Of Garland

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

to use two staff members for all hydraulic lift and transfer maneuvers. She stated it was her responsibility to follow facility policy. She stated she was not sure what was documented on Resident #2's Comprehensive Care Plan but she stated his mobility needs should be stated on the document, and all staff were to required to follow resident care plans for safety. An interview with ADON on 11/07/2025 at 10:45 AM revealed Resident #2 was bedbound, required a hydraulic lift for all transfers, and that he has required that for a while. She stated it was not acceptable for CNA A to operate the hydraulic lift by herself, even if it was for obtaining resident weights. Stated assistance from two staff was required for safety purposes. She stated the facility does skills checkoffs 2-3 times per year and she was responsible for the majority of CNA education. Additionally, she stated that Resident #2 should have hydraulic lift and transfer care on his Comprehensive Care Plan, so anyone that takes care of him will know how to transfer him properly. She stated this was ultimately the DON's responsibility to ensure resident care needs were identified on resident Comprehensive Care Plans, but she was not sure why this was not captured. An interview with DON on 11/07/2025 at 11:11 AM revealed Resident #2 required a hydraulic lift for all transfers and was not certain how long he has required this equipment. She stated it was not acceptable for CNA A to operate the hydraulic lift by herself, even if it was for obtaining resident weights. Stated assistance from two staff was required for safety purposes. She stated the facility does skills checkoffs annually along with mini skills check refresh at other times of the year. She stated ADON was responsible for the majority of CNA education. Additionally, she stated that Resident #2 should have hydraulic lift and transfer care on his Comprehensive Care Plan, so anyone that takes care of him will know how to transfer him properly. She stated this was ultimately the DON's responsibility to ensure resident care needs were identified on resident Comprehensive Care Plans but stated she recently was hired and would review this concern immediately.

Record review of facility staffing provided by Administrator, dated 10/02/2025, revealed documentation that CNA A worked on 10/02/2025. Record review of facility policy, Hydraulic Lift (Hoyer Lift) rev. 09/13/2024 revealed: Policy. to enable. to lift and move a resident safely. Record review of Validation Checklist Mechanical Lift, for CNA A dated 10/08/2025, revealed: 4. Lifting the Resident: Must have two staff members when using the lift.

Event ID:

Facility ID:

If continuation sheet

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

11/26/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Advanced Health & Rehab Center of Garland

1201 Colonel Drive Garland, TX 75043

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 0686 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

Resident #1 via hospice for approximately 7-8 months. She stated she was instructed to never remove his [wound care] bandage. She stated she did work at the facility with Resident #1 on 11/05/2025, provided him with a bath that morning around 9:00 AM and stated his sacral area did not have a bandage at this time.

She stated there was not a bandage at the time she provided care. She stated she looked for the wound care nurse and his nurse for the day to inform them, but she stated she could not find them. During an

interview with facility's Administrator on 11/07/2025 at 11:59 AM, she stated it was her expectation for residents' wounds to be covered and dressed at all times to promote healing and prevent infection. She stated she also expected staff to perform hand hygiene before and after resident care, and between glove changes when going from a dirty to clean area during incontinent care. She stated this was important to prevent infection. Additionally, she stated it was not acceptable for Resident #1's sacral wound to be uncovered for any extended period of time. She stated she expected both the Hospice Aide and CNA B to have checked his sacral area between 9:00 AM to the time of observation, 12:00 PM, and report any of his care needs to the nurse immediately. She stated this was a failure and was not completed, and she would work with the facility's DON to address the break in the system. Record review of facility policy, Hand Hygiene, rev. 11/12/2017, revealed Staff involved in direct resident contact will perform proper hand hygiene procedures to prevent the spread of infection to other personnel, residents, and visitors. 6. Additional Considerations: b. Wash hands after removing gloves. Hand Hygiene table. between resident contact. after handling contaminated objects, before applying and after removing personal protective equipment, including gloves. before performing resident care procedures. Record review of facility policy, Pressure Injury Prevention and Management, rev 04/12/2023 revealed: This facility is committed to the prevention of avoidable pressure injuries. and to provide treatment and services to heal the pressure ulcer/injury, prevent infection and the development of additional pressure ulcers/injuries. Evidence-based treatments in accordance with standards of practice will be provided for all residents who have a pressure injury present.

Event ID:

Facility ID:

If continuation sheet

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

11/26/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Advanced Health & Rehab Center of Garland

1201 Colonel Drive Garland, TX 75043

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 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

with DON on 11/07/2025 at 11:11 AM revealed Resident #2 required a hydraulic lift for all transfers and was not certain how long he has required this equipment. She stated it was not acceptable for CNA A to operate

the hydraulic lift by herself, even if it was for obtaining resident weights. Stated assistance from two staff was required for safety purposes. She stated the facility does skills checkoffs annually along with mini skills check refresh at other times of the year. She stated ADON was responsible for the majority of CNA education. Additionally, she stated that Resident #2 should have hydraulic lift and transfer care on his Comprehensive Care Plan, so anyone that takes care of him will know how to transfer him properly. She stated this was ultimately the DON's responsibility to ensure resident care needs were identified on resident Comprehensive Care Plans but stated she recently was hired and would review this concern immediately.

Record review of facility staffing provided by Administrator, dated 10/02/2025, revealed documentation that CNA A worked on 10/02/2025. Record review of facility policy, Hydraulic Lift (Hoyer Lift) rev. 09/13/2024 revealed: Policy. to enable. to lift and move a resident safely. Record review of Validation Checklist Mechanical Lift, for CNA A dated 10/08/2025, revealed: 4. Lifting the Resident: Must have two staff members when using the lift.

Event ID:

Facility ID:

If continuation sheet

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

11/26/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Advanced Health & Rehab Center of Garland

1201 Colonel Drive Garland, TX 75043

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 0695 Level of Harm - Minimal harm or potential for actual harm

residents, and visitors. 6. Additional Considerations: b. Wash hands after removing gloves. Hand Hygiene table. between resident contact. after handling contaminated objects, before applying and after removing personal protective equipment, including gloves. before performing resident care procedures.

Residents Affected - Few

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

Event ID:

Facility ID:

If continuation sheet

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

11/26/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Advanced Health & Rehab Center of Garland

1201 Colonel Drive Garland, TX 75043

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 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

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

cart keys, and medication cart and prior to entering each resident's room and making resident contact did not warrant him to perform hand hygiene. He stated hand hygiene was important for infection control purposes. During an interview with facility's ADON on 11/07/2025 at 10:45 AM, she stated it was her expectation for all staff to perform hand hygiene prior to donning gloves and prior to any resident contact.

She stated she was responsible for conducting periodic infection control in-services and skills check-offs to ensure staff compliance. She stated proper infection control practices were important to prevent the spread of infection. During an interview with facility's DON on 11/07/2025 at 11:11 AM, she stated it was her expectation for all staff to perform hand hygiene prior to donning gloves and prior to any resident contact.

She stated she recently started her employment at the facility but planned to provide re-training to all facility staff in the near future. She stated it was ultimately her responsibility to ensure staff were in compliance with infection control procedures. She stated proper infection control practices were important to prevent

the spread of infection. During an interview with facility's Administrator on 11/07/2025 at 11:59 AM, she stated it was her expectation for all staff to perform hand hygiene per facility policy for infection control purposes. She stated she expected her new DON to address the infection control concerns in the near future by doing skills re-training to all direct care staff members. Record review of facility policy, Hand Hygiene, rev. 11/12/2017, revealed Staff involved in direct resident contact will perform proper hand hygiene procedures to prevent the spread of infection to other personnel, residents, and visitors. 6. Additional Considerations: b. Wash hands after removing gloves. Hand Hygiene table. between resident contact. after handling contaminated objects, before applying and after removing personal protective equipment, including gloves. before performing resident care procedures.

Event ID:

Facility ID:

If continuation sheet