Brentwood Terrace Healthcare And Rehabilitation

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

walked out of the room Resident #1 was heard saying What?. CNA A continued to exit the room. During an

interview on 11/11/2025 at 1:59 PM, CNA A said Resident #1 had visual impairment and was hard of hearing. CNA A said there was no problem with her making the comment that Resident #1 only wanted the TV on because the surveyors were in his room because he could not hear her. CNA A said there were no dignity issues associated with the way she treated Resident #1 or with her walking away from him without explaining why she was leaving the room when he questioned her. CNA A said she did not talk bad about any of the residents, and she had never said Resident #1 was crazy.,During an interview on 11/12/2025 at 12:38 PM, the DON said she expected the staff to explain to the residents what they were doing. The DON said she had not received any complaints about CNA A. The DON said she did not want any of the staff to speak negatively about the residents. The DON said CNA A walking away from Resident #1 could make him feel confused about the situation. During an interview on 11/12/2025 at 1:05 PM, the Administrator said

he expected the staff to explain to the residents what they were doing and prior to leaving the room ensure

the residents' needs were met. The Administrator said everyone was responsible for treating the residents with dignity and respect. The Administrator said speaking about the residents in front of them, even if they were not able to hear, and walking away from them without explaining could make them feel bad. Record

review of the facility's undated policy titled, Resident Rights, indicated, A facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality. The facility must protect and promote the rights of the resident. Respect and dignity - The resident has a right to be treated with respect and dignity, including. The right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences.

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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

11/21/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Brentwood Terrace Healthcare and Rehabilitation

2885 Stillhouse Road Paris, TX 75460

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 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

delivery it could have been done. During an interview on 11/12/2025 at 12:24 PM, the DON said the nurses were supposed to call the pharmacy prior to the residents' medications running out. The DON said if a medication was not administered the physician should be contacted. The DON said she was not aware Resident #2's Qulipta was not administered. The DON said the nurses should have contacted her to notify her of the doses of the missed medication, but they did not. The DON said not administering medications as ordered by the physician could result in a negative outcome. During an interview on 11/12/2025 at 12:50 PM, the Administrator said if a medication was not in the building, he expected the nurses to contact the pharmacy and get the medication delivered immediately. The Administrator said it was the nurse's responsibility to ensure medications were administered as ordered, and his expectations were if they did not, they should notify the ADON and DON. The Administrator said he was not medical; therefore, he was not aware of the risks associated with not administering medications as ordered. During an attempted phone interview on 11/12/2025 at 1:09 PM, LVN D did not answer the phone. Record review of the facility's policy, Medication Administration and General Guideline v3-2025, indicated, Medications are administered as prescribed.Medications are administered in accordance with written orders of the attending physician.

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