Glenview Wellness & Rehabilitation

making sure Resident #1 and Resident #2 did not have another altercation by keeping an eye on them and keeping them separated if they were too close. LVN B stated he had been in serviced on Abuse and Neglect.

Interview on 10/21/2024 at 4:32 pm, the Administrator stated she did not report based on the provider letter and because Resident #2's BIMS was 0, she had no intent.

The Administrator stated there was no risk for not reporting.

When asked why abuse was reported the Administrator stated to make sure the facility is doing its due diligence by the residents.

Record review of facility policy, titled Abuse Prevention and Prohibition Program dated 10/24/2022, revealed the following: .VI.

Investigation.H.

Resident-to-resident altercations must be reported if the altercation is caused by a willful action that results in physical injury, mental anguish or pain.i.

The presence of a mental disorder or cognitive impairment does not automatically preclude a resident from engaging in deliberate on non-accidental behavior.ii.

Assessing psychosocial outcome of the victim of abuse may be difficult to determine or incongruent with what would be expected. In these situations, the Investigator should consider how a reasonable person in the resident's circumstances would be impacted by the incident.IX.

Reporting/Response.D.

The Facility will report allegations of abuse, neglect, exploitation, mistreatment, injuries of unknown source, misappropriation of resident property, or other incidents that qualify as a crime.i.

Immediately, but no later than 2 hours after forming the suspicion if the alleged violation involves abuse or results in serious bodily injury to the state survey agency, adult protective services, law enforcement, and the Ombudsman (if applicable per state regulation).ii. No later than 24 hours after forming the suspicion - if the alleged violation (e.g., misappropriation of property, neglect) does not involve abuse and does not result in serious bodily injury to the state survey agency, adult protective services, law enforcement, and the Ombudsman (if applicable per state regulation).iii.

Reporting requirements are based on real (clock) time, not business hours.iv.

The Administrator will provide the state survey agency, law enforcement and the Ombudsman (if applicable per state regulation) with a copy of the investigative report within 5 days of the incident.

Record review of Long-Term Care Regulation Provider Letter, date issued 10/29/2024, revealed the following: Abuse:HHSC rules define abuse as:‘The negligent or willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical or emotional harm or pain to a resident; or sexual abuse, including involuntary or nonconsensual sexual conduct that would constitute an offense under Penal Code S21.08 (indecent exposure) or Penal Code Chapter 22 (assaultive offenses), sexual harassment, sexual coercion, or sexual assault.'14CMS defines abuse as:‘The willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish.

Abuse also includes the deprivation by an individual, including a caretaker, of goods or services that are necessary to attain or maintain physical, mental, and psychosocial well-being.

Instances of abuse of all residents, irrespective of any mental or physical condition, cause physical harm, pain or mental anguish. It includes verbal abuse, sexual abuse, physical abuse, and mental abuse including abuse facilitated or enabled through the use of technology.'15Note: Allegations or incidents of resident-to-resident behavior may or may not meet the definition of abuse depending on whether a resident acted willfully. As the CFR states: ‘Willful, as used in the definition of 'abuse,' means the individual must have acted deliberately, not that the individual must have intended to inflict injury or harm.'16

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/19/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Glenview Wellness & Rehabilitation

7625 Glenview Dr North Richland Hills, TX 76180

SUMMARY STATEMENT OF DEFICIENCIES