William R Courtney Texas State Veterans Home

Findings included:

Record review of Resident #1's admission record, dated 02/23/2026, revealed an [AGE] year-old male was admitted on [DATE]. Resident #1 had diagnoses which included: vascular dementia (progressive decline in thinking and memory skills caused by reduced blood flow to the brain), Alzheimer's disease (memory loss, cognitive decline, and behavioral changes due to brain cell death), and major depressive disorders (sad).

Record review of Resident #1's Quarterly MDS assessment, dated 02/18/2026, revealed the resident had a BIMS score that was blank, which indicated Resident #1 was unable to complete the interview. Resident #1's behavioral symptoms on the Quarterly MDS revealed presence of physical aggression.

Record review of Resident #1's care plan, dated 02/22/2026, revealed Resident #1was care planned on 05/10/2024 for cognitive function/dementia or impaired thought process r/t dementia with interventions to keep my routine consistent and try to provide consistent caregivers as much as possible in order to decrease confusion.

Record review of Resident #1's care plan, dated 02/22/2026, revealed Resident #1 was care planned on 02/07/2026 and did not include interventions for physical aggression r/t anger due to dementia on 02/15/2026.

During an interview on 02/22/2026 at 11:15 p.m., the DON stated it was expected for the care plans to reflect the current intervention for the behavior on 02/15/2026.

The DON stated the MDS Coordinator was responsible for updating the care plans.

The DON stated without the intervention updated it would not show what was put in place for Resident #1.

During an interview on 02/22/2026 at 2:04 p.m., the MDS Coordinator stated she was responsible for updating the care plan interventions for 02/15/2026.

The MDS Coordinator stated it was expected for her to update the care plan with the interventions of 1 to 1 so staff would know how to assist the residents.

The MDS Coordinator stated he failed to update the most recent intervention date of 02/15/2026 for Resident #1.

During an interview on 02/23/2026 at 4:11 p.m., Resident #1 stated he was safe but could not recall any incidents with any other residents that he may had.During an interview on 02/23/2026 at 4:20 p.m., the ADM stated it was expected for the MDS Coordinator to have updated Resident #1 behavior interventions on the care plan 02/15/2026.

The ADM stated the MDS Coordinator was responsible for making sure the intervention was updated on 02/15/2026 to ensure Resident #1's individual needs would be met.

Record review of the facility's policy titled, Care Plans, Comprehensive Person-Centered, dated 2001, revised March 2022, revealed, 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.

Identifying problem areas and their causes and developing interventions that are targeted and meaningful to the resident, are the endpoint of an interdisciplinary process.

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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE