Killeen Nursing & Rehabilitation

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

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

area. They also sent the male nurse to speak to him to use the woman urinal since it is bigger at the mouth part. She stated he stays moist due to his size. DON stated he takes his scheduled showers and now they give it to him daily to help with the odor and his hygiene. They noticed the rash this weekend. The DON stated if the care plan is not updated, the staff cannot take care of the residents properly. The direct care cannot be given. Their care plans give you a window about that resident. Everything catered to each residents' needs. Residents may have aggressive behaviors so you know who can go in the room with them or someone cannot have a roommate with them. Some must be carefully planned because they are not compliant with smoking break, and it can lead to them hurting themselves or burning the building.In an

interview with MDS Coordinator on 12/29/2025 at 12:45 PM, revealed that Resident #2 has had a rash. She stated as the MDS Coordinator documents the chronic care plan once the resident gets admitted into the facility, the falls/accidents, antibiotics therapy, skin tears, and pressures ulcers. The MDS Coordinator or ADON depends who catches the changes will speak on in the morning meeting. If the care plan or the MDS is not current or updated nothing will happen because the staff go by the orders and their ADLs to care for

the residents. The long-term residents care plans are updated quarterly to match their quarterly assessments.Record review of the facility's Care Plans, Comprehensive Person-Centered, policy revised December 2016, revealed in part A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident.11. Assessments of residents are ongoing, and care plans are revised as information about the residents and the residents' conditions changes.

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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

12/29/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Killeen Nursing & Rehabilitation

5000 Thayer Dr Killeen, TX 76549

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 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

showers and makes her own decisions. She stated she is very pleasant and outspoken. She stated sometimes she wants a bed bath. DON stated if the residents refused their showers, the nurse would find out why, and she would contact the family and write a progress note. They will try to get their shower done

the next day. They will ask them. If they do not get it, they will end up on their rotation day. She stated if they do not receive their showers, they can smell, skin breakdown, all kind of health issues, UTI, yeast infections, even with the men. They will also feel bad about themselves, and it can cause them to have mental health. In an interview with CNA A on 12/29/2025 at 3:00 PM, revealed that if residents do not receive their showers, they will have skin issues and that is not good for them. Living in an environment that will not smell good and the breakdown of the residents with sensitive skin. CNA A stated Resident #1 receive showers and she is vocal.In an interview with Med Aide A on 12/29/2025 at 1:58 PM, revealed that Resident #1 refused showers and request a bed bath instead. She will take a shower once a week and the rest of the week she will request a bed bath. She stated she was outspoken, and she will not allow you to leave her dirty. She stated if the residents do not take a shower, it can lead to skin issues (breakdown of the skin) and dignity issues.In an interview with LVN A on 12/29/2025 at 11:58 AM, revealed that Resident #1 was one of the five residents that like to get up late. She stated she Resident #1 gets her showers and she did not hear of any complaints about her not getting her shower. She is very outspoken and energetic and always out in the community. She stated if the residents do not get their showers, it can cause skin breakdown, and they can start feeling some kind of way.In an interview with ADM on 12/29/2025 at 3:55 PM, it revealed that if the residents do not receive their showers, they can have skin breakdown and hygiene concerns from their neighbors if they are in the common area or their roommates. But the most concern is the skin breakdown. She stated Resident # 1 is vocal in everything she does and has not complained or stated she was not receiving her showers.Review of the Facility's Policy on Activities of Daily Living, dated 03/2018, reflected Residents will be provided with care, treatment, and services as appropriate to maintain or improve their ability to conduct ADLs. Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming, and personal and oral hygiene.

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