Health inspection·December 4, 2025

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some disorder) )- onset 06/07/23, mild neurocognitive disorder due to known physiological condition without behavioral disturbance, and cognitive communication deficit (a slight decline in thinking/memory (Mild Neurocognitive Disorder) from a known medical cause (like TBI, alcoholism, sleep apnea) without major behavioral issues, specifically showing difficulty with communication (language/expression) but still managing daily life independently) - onset 06/09/23. Record review of Resident #3's MDS, dated [DATE] reflected her BIMS score was 11 which indicated moderate cognitive impairment. During an interview on 12/04/25 at 5:50 am, RN A stated it was the residents' right to be able to go outside and sit on the front patio. RN A stated a staff member would have to let them out the front door. During an interview on 12/04/25 at 6:30 am Resident #1 stated he used to be able to go outside in the front for as long as he wanted to and as many times as he wanted to. Resident #1 stated now he can only go outside for 30 minutes when [MA B] goes outside. Resident #1 stated he felt upset, and he was suffering because another resident wheeled herself away from the facility, went to the hospital and got lost. Resident #1 stated it was not fair and since then the residents cannot go outside in front by themselves. During a confidential interview at an undisclosed date and time, Anonymous person stated another resident left the facility and since then the residents cannot go outside by themselves. Anonymous Person did not recall how long ago the incident happen. Anonymous Person would like to go back outside more because Anonymous Person felt trapped. During an interview on 12/04/25 at 6:40 am Resident #3 stated Resident #4 left the facility, got lost and Resident #3 believed the police brought her back. Resident #3 stated after that happened the residents could not go outside and sit on the patio. Resident #3 stated Resident #1, Resident #2 did not have any problems sitting outside on the front patio. Resident #3 stated the only time the residents can go outside in front was when MA B went outside for 30 minutes. Resident #3 stated it was not fair they are being treated this way and being punished because of Resident #4. During an interview on 12/04/25 at 6:53 am Resident #2 stated he goes outside now with a nurse. Resident #2 stated he would like to go outside more like before. During an interview on 12/04/25 at 8:45 am, LVN C (with the DON present) stated Resident #4 signed out and left the patio without letting staff know. The facility got a call from the hospital and stated Resident #4 was there and wanted x-rays. Resident #4 was transported back to the facility. LVN C stated it was common for residents to be outside on the front patio by themselves. During an interview on 12/04/25 at 9:04 am, the DON stated Resident #4 signed herself out, did not have to tell the facility where she went. The DON stated Resident #4 had a BIMS of 14 and was able to sign out. The DON stated MA B took the residents out for 30 minutes after her lunch break. The DON stated that residents with BIMS less than 13 could not go outside by themselves. During an interview on 12/04/25 at 9:30 am, the Administrator and the DON stated residents with a BIMS score of less than 13 must go outside with staff. The Administrator stated the temperature change limited the residents from going outside. The Administrator stated staff went outside with the residents and she would watch residents from her window. The DON stated Resident #1 was now on continuous oxygen and needed supervision to prevent him from running out of oxygen. The DON stated Resident #1 used to be a truck driver and liked the outdoors. The DON stated that Resident #2 had a change in condition with his asthma which was bad and needed to have staff with him. The DON stated Resident #3 did not like to sit outside by herself and liked to go outside with staff or other residents. The DON stated Resident #1, Resident #2 did not have to sign out/in because they were not able to go outside by themselves. The DON stated residents could not go outside unsupervised because of their BIMS scores, weather conditions and for the residents' safety they did not feel comfortable leaving the residents outside by themselves. Record review of Resident #4's progress notes dated 10/01/25 reflected, [local hospital nurse] (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455494 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 455494 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Glenview Wellness & Rehabilitation 7625 Glenview Dr North Richland Hills, TX 76180 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 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete stated [Resident #4] was at the ER. [Resident #4] asked if she could sit outside and get some fresh air but decide to wheel herself to the hospital.[Resident #4] checked herself in and stated nobody knows that she is at the ER, she was released to go back to the facility, but she got lost and was taken back to [local hospital] by a passerby.[LVN C] called family . Family member stated Resident #4 called while she was in the facility, and he told the resident she could go outside and get some fresh air [sic] written by LVN CRecord review of Resident #4's sign in and out sheet revealed she signed out on 10/01/25 at 12:00pm and signed herself back in at 1:57 pm.During an interview on 12/04/25 at 9:54am RA D stated Resident #1, and Resident #3 had complained about not being able to go outside. RA D stated that when it started getting too hot or too cold MA B would take the residents out on the front patio. During an interview on 12/04/25 at 9:55 am, MA B stated she took residents out to the front patio after her break and sometimes during her break for about 30 minutes. MA B stated she started taking residents out to the front patio with the weather change. During an interview on 12/04/25 at 11:30 am, Resident #1 stated that he wanted to leave the facility because he wanted to go outside and he was not a little kid. During an interview over the phone on 12/04/25 at 1:13pm the NP stated Resident #1, Resident #2, and Resident #3 were not exit seeking residents and she did not see a concern for the residents to sit out front at the patio. During an interview on 12/04/25 at 1:20pm, the Administrator (in-person), the DON (in-person) and the Regional Director (over the phone) were present at the exit conference. The Administrator stated the residents had always gone outside with staff. The Administrator stated Resident#1, Resident#2, Resident#3 did not have the cognition to go outside by themselves because their BIMS was less than 13. The Regional Director stated he received an IJ 2 1/2 years ago because a resident left the facility and got sunburn. The Regional Director stated in the past he was told by a surveyor that residents with a BIMS score less than 13 were not cognitive enough to go outside by themselves. The surveyor asked what assessments the facility used to determine that the residents could not sit outside unsupervised. The Administrator and DON stated the assessment that they complete to determine if the residents were able to be unsupervised was the residents' BIMS. The DON stated she was going to check with Resident #1, Resident #2 and Resident #3 to see what was said. Surveyor observed the DON exit from the office. During an interview on 12/04/25 at 3:30 pm, family member #5 returned phone calls and stated Resident #1 used to be able to go outside anytime on the front patio. Family member #5 stated the only activity he liked to do was sit outside. During an interview on 12/05/25 at 11:10 am, family member #6 returned phone call and stated Resident #3 was always complaining about something. Family member #6 stated Resident #3 wanted to go outside more and went outside for 30 minutes every day. During an interview on 12/08/25 at 8:10 am family member #7 returned phone calls and stated Resident #2 liked to go outside. Family member #7 stated she had not been to the facility for two weeks. Family member #7 stated he would be on the front patio without staff, and she did not have any concerns with him being outside unsupervised. Record review of facility policy titled out on pass, revised 08/2020 revealed, To provide residents with the opportunity to participate in family and community life in ways that support well- being and optimal functioning.It is the policy of the Facility to meet residents' physical and psychosocial needs to go out on pass. The facility will make reasonable efforts to ensure the resident safety and uphold resident rights. Event ID: Facility ID: 455494 If continuation sheet Page 3 of 3