Focused Care At Hogan Park

F 0641

Ensure each resident receives an accurate assessment.

Level of Harm - Minimal harm or potential for actual harm

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

observations, interviews and record reviews, the facility failed to ensure the assessment accurately reflected the residents' status for 2 of 6 residents (Resident #3 and Resident #4) whose assessments were reviewed:Resident #4's quarterly MDS did not accurately reflect the resident's level of consciousness.This failure could place residents at risk for inadequate care due to inaccurate assessments. Findings included:Resident #4Record review of Resident #4's admission Record dated 11/06/25, revealed admission

on [DATE REDACTED] and a readmission on [DATE REDACTED]. Resident #4 was a [AGE] year-old male with diagnoses of heart failure and Type 2 Diabetes Mellitus.Record review of Resident #4's MDS dated [DATE REDACTED], revealed: Section B-Hearing, Speech, and Vision; and B0100 Comatose, Persistent vegetative state with a code of 1.

Yes-Skip to GG0100. This error resulted in sections C. Cognitive Patterns (BIMS), D. Mood, and E. Behavior to be skipped. Observation on 10/29/25 at 1:25 PM, revealed Resident #4 in his wheelchair, conscious, conversing, and following instructions provided by staff. Interview with Resident #4 on 11/10/25 at 12:37 PM, revealed Resident #4 said he has not been in a comatose state while in the facility.Interview with the MDS Coordinator on 11/10/25 at 3:00 PM, revealed the MDS Coordinator said she was not aware of the error, it was a typo, and Resident #4 had not been in a comatose state while at the facility. The MDS Coordinator said she was responsible for generating the MDS's. The MDS Coordinator said the risk of inaccurate MDS's is inappropriate care.Interview with the DON on 11/12/25 at 12:00 PM, revealed the DON said she performs random reviews of MDS's, and she was not aware of the error on Resident #4's MDS.

The DON said the MDS Coordinator was responsible for completing the MDS's for each resident. The DON said whichever nurse is working at the time the Safe Smoking Assessment is due, is responsible for completing it. The DON said she started reviewing all Safe Smoking Assessments about 1 month ago, but

she had not reviewed Resident #3's Safe Smoking Assessment.

Residents Affected - Few

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

Event ID:

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

11/12/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Focused Care at Hogan Park

3203 Sage St Midland, TX 79705

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 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

interview and record review the facility failed to ensure medical records, in accordance with accepted professional standards and practices, were maintained on each resident that were accurately documented for 1 of 6 residents (Resident #3) reviewed for medical records. The facility failed to ensure Resident #3's Safe Smoking Assessment record did not accurately document the resident's smoking status. This failure could place residents at risk of inaccurate records with the potential for inadequate care and treatment.

Record review of Resident #3's admission Record dated 11/06/25, revealed admission to the facility on [DATE REDACTED]. Resident #3 was a [AGE] year-old female with diagnoses of acute respiratory failure and Type 2 Diabetes Mellitus (a disease in which the body does not control the amount of sugar in the blood and kidneys).Record review of Resident #3's MDS dated [DATE REDACTED], revealed a BIMS score of 10, indicating moderate cognitive impairment.Record review of Resident #3's care plan dated 10/09/25, revealed: FocusResident is a smoker; Goal-The resident will not smoke without supervision through the review date; and Intervention-The resident requires supervision while smoking.Record Review of Resident #3's Safe Smoking Assessment completed by RN B, dated 08/09/25, revealed Section B Summary, the following items were check-marked:The resident is safe to smoke unsupervised, at this time.The resident requires direct supervision while smoking.The resident requires a fire-resistant smoking apron while smoking.All smoking materials will be kept at the nurse's station.Care plan is up to date or dated.The evaluation has been discussed with the resident.An interview with Resident #3 on 11/10/25 at 12:19 PM, revealed, Resident #3 said she has been able to smoke unattended since she was admitted and she does not have to wear a smoking apron. Resident #3 said staff hold her supplies and light cigarettes for her.An interview with RN B on 11/12/25 at 10:32 AM, revealed, RN #B said the error on the Safe Smoking Assessment for Resident #3 must have been a typo and she was not sure what she meant to check because it had been 3 months, and she has worked at different facilities.

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

11/12/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Focused Care at Hogan Park

3203 Sage St Midland, TX 79705

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)

Federal health inspectors cited FOCUSED CARE AT HOGAN PARK in MIDLAND, TX for a deficiency under regulatory tag F-F0880 during a complaint investigation conducted on 2025-11-12.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 3 deficiencies cited during this inspection of FOCUSED CARE AT HOGAN PARK.

Correction Status: Deficient, Provider has no plan of correction.