Health inspection·December 30, 2025

F 0919 Make sure that a working call system is available in each resident's bathroom and bathing area. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to ensure residents were adequately equipped to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area from-four of six residents (Resident #2, #3, #4, and #5) reviewed for Resident Call System. The facility failed to ensure the call light system in Resident #2, #3, #4, and #5's rooms were in a position that was accessible to the residents on 12/30/25. This failure could place the residents at risk of being unable to obtain assistance when needed and help in the event of an emergency.Findings include: Record review of Resident #2's Face Sheet, dated 12/30/25, reflected he was a [AGE] year-old male admitted to the facility on [DATE]. Relevant diagnoses included reduced mobility and lack of coordination. Record review of Resident #2's Quarterly MDS assessment, dated 12/09/25, reflected a severe cognitive impairment. For ADL care, it reflected the resident required total assistance and an active diagnosis of muscle wasting. Record review of Resident #2's Comprehensive Care Plan, dated 7/07/25, reflected the resident had limited physical mobility and an intervention included encouraging the resident to use the call light for assistance. In an observation on 12/30/25 at 8:38 AM, Resident #2 was observed lying in his bed and his call light was observed hanging from an assist handrail, touching the floor mat on the floor. He was asked if he knew where his call light was located and he stated no. In an interview and observation on 12/30/25 at 8:40 AM, Restorative Aid B showed Resident #2's call light location, and she stated she had just finished bathing the resident and had forgotten to place his call light within his reach. She stated he needed the call light to contact staff if he needed help. Record review of Resident #3's Face Sheet, dated 12/30/25, reflected he was a [AGE] year-old male admitted to the facility on [DATE]. Relevant diagnoses included muscle weakness and lack of coordination. Record review of Resident #3's Quarterly MDS assessment, dated 12/08/25, reflected severe cognitive impairment. For ADL care, it reflected the resident required extensive assistance. Active diagnosis included a stroke. Record review of Resident #3's Comprehensive Care Plan, dated 6/30/25, reflected the resident was a fall risk and one of the interventions was to ensure call light was within reach of the resident. In an observation on 12/30/25 at 8:43 AM, Resident #3 was observed lying in his bed and his call light was observed under his bed on the floor. He was asked if he knew where his call light was located and he stated he did and was pointing to his bed remote. In an interview and observation on 12/30/25 at 8:44 AM, CNA T showed Resident #3's call light location, and she stated someone had just finished bathing the resident and had forgotten to place his call light within his reach. She stated he needed the call light to contact staff if he needed help. Record review of Resident #4's Face Sheet, dated 12/30/25, reflected she was a [AGE] year-old female admitted to the facility on [DATE]. Relevant diagnoses included lack of mobility and unsteadiness on feet. Record review of Resident #4's Quarterly MDS assessment, dated 12/14/25, reflected severe cognitive impairment. For ADL care, it reflected the resident required substantial assistance. Active diagnosis included fractures. Record review of Resident #4's Comprehensive Care Plan, dated 6/30/25, reflected the resident was a fall risk and one of the interventions was to ensure call light was within reach of the resident. In an observation on 12/30/25 at 8:46 AM, Resident #4 was observed lying in her bed. She was asked if she knew where her call light was located and she stated it was on her bed, but the call light was observed on the floor, on the far side of the nightstand. In an interview and observation on 12/30/25 at 8:47 AM, CNA T was shown Resident 4's call light location, and she stated she did not know why the resident's call light was not within her reach. She stated she was not the CNA for the resident. She stated the resident needed the call Residents Affected - Some (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455463 If continuation sheet Page 2 of 3 Printed: 05/15/2026 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 455463 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Meadows Health and Rehabilitation Center 8383 Meadow Rd Dallas, TX 75231 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 0919 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete light within reach to contact staff if she needed help. Record review of Resident #5's Face Sheet, dated 12/30/25, reflected she was an [AGE] year-old female admitted to the facility on [DATE]. Relevant diagnoses included lack of mobility and unsteadiness on feet. Record review of Resident #5's Quarterly MDS assessment, dated 12/29/25, reflected severe cognitive impairment. For ADL care, it reflected the resident required substantial assistance. Active diagnosis included a lack of coordination. Record review of Resident #4's Comprehensive Care Plan, dated 6/27/25, reflected the resident was a fall risk and one of the interventions was to ensure call light was within reach of the resident. In an observation on 12/30/25 at 8:50 AM, Resident #5 was observed lying in her bed and her call light was observed on the floor, near the back wall. In an interview and observation on 12/30/25 at 8:52 AM, LVN N was shown Resident #5's call light location, and he stated he did not know why the call light was not within reach of the resident. He stated it was the nurses and CNAs responsibility to ensure the call lights were within the resident's reach so they could call for help if they needed it. In an interview on 12/30/25 at 11:24 AM, the DON was told about Resident #2, # 3, 4, and #5's call lights not being within reach of the residents and she stated all staff should be checking to ensure call lights were within reach of the residents so they could call for help if needed. Record review of the facility's policy on Call System, Residents, January 2025, revealed Residents are provided with a means to call staff for assistance through a communication system that directly calls a staff member or a centralized workstation. Each resident is provided with a means to call staff directly for assistance from his/her bed, from toileting/bathing facilities and from the floor. Event ID: Facility ID: 455463 If continuation sheet Page 3 of 3