Health inspection·December 5, 2025

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few think LVN A was trying to hurt her. She said she did not say anything to anyone. She said she told her supervisor the following afternoon because she had personal issues going on. She said she reported things to everyone all the time. She said the Abuse coordinator was the ADM. She said she was not reporting to the Abuse Coordinator because she had personal issues going on, and she just went home on [DATE], the day of the incident. She said the ADM told her she should have called him, no matter what. She said she forgot they were supposed to report things right away. Observation of Resident #4 on 10/07/25 at 9:15 am revealed she was self-propelling slowly in her wheelchair. She was smiling at nothing or no one in particular. She touched the furniture, other residents', and/or their wheelchairs as she rolled down the hallway and in the dining area. Resident #4 was easily redirected by staff. In an interview with RN E on 10/07/25 at 9:16 am, she said Resident #4 tried to get up a lot, unassisted, and often fell. She said Resident #4 could be aggressive with other staff and residents. She said sometimes, Resident #4 did not answer, but seemed to understand because she could be redirected. She said she knew LVN A and worked with him several times. She said she never saw LVN A being aggressive, but rather, had seen him being nothing but kind and patient with the residents. In an interview with LVN A on 10/07/25 at 10:50 am, he said he was the only nurse in the unit on 10/02/25 with 2 CNAs. He said CNA B was bathing residents; CNA D was in another room assisting another resident. He said he was documenting at the desk, saw the resident trying to stand from her wheelchair, and he was able to verbally redirect her. He said the resident propelled herself in her wheelchair. He said she got up again and started walking around the dining table. He said he followed her closely behind with her wheelchair in case she fell. He said the resident did this several times, and he followed her with her wheelchair each time. He said the next time she got up; he quickly had to lock the chair and position himself in front of the wheelchair and the resident because the resident was getting a little wobbly. He said he told the resident to sit down, but she became rigid and would not sit down. He said she walked some more, he followed with her wheelchair, and this time he was able to guide her back into her chair by placing his hands in her axillary and lowering her to the wheelchair seat because she was about to fall and he barely caught her to get her back in the chair. He said it was better to get her in the chair than to let her fall. He said there was not anyone else in the unit other than himself, the residents, and the 2 CNAs. He said the resident did not vocalize or act in any different way than her norm. He said he received Alzheimer's training upon hire in August and has had dementia/Alzheimer's training throughout his career since 2020. Interview with CNA B on 10/07/25 at 1:07 pm, she said Resident #4 required a lot of redirecting. She said she did not see LVN A walking behind her with a wheelchair, but remembered the resident being very agitated on 10/02/20. She said she was performing showers, and the incident happened during rounds at shift change, around 6:30 pm. She said she helped the resident back to her chair a couple of times as well. She said HSK C was not in the unit at the time of the incident on 10/02/25, but saw her come out of the unit around 8:00 pm. She said she heard 2 days later, LVN A was rough with the resident. She said she never saw LVN A be rough with anyone. She said he was a nice guy- he was quiet. She said abuse should be reported immediately to the nurse or the ADM, who was the abuse coordinator.In an interview with CNA D, on 10/07/25 at 1:40 pm, she said she was working 10/02/25, the day of the incident, in the locked unit and denied ever seeing LVN A being rough with anyone. She said abuse should be reported immediately to the nurse or the ADM, who was the abuse coordinator.In an interview with the DON on 10/07/25 at 1:45 pm, she said Resident #4 had an unwitnessed fall several days before the incident on 10/02/25, and they could not determine if the spot on Resident #4's chest was from the unwitnessed fall or the incident. Record review of safe surveys dated 10/02/25 and 10/03/25 revealed no (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455528 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 455528 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/05/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Laredo West Nursing and Rehabilitation Center 1200 Lane Laredo, TX 78043 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 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete identified concerns. All residents said they felt safe. Record review of LVN A's Personnel file revealed a hire date of 08/08/25. No counseling reports other than the suspension on 10/02/25 for this intake.Record review of the facility policy dated 07/11/25 titled Abuse, Neglect, and Exploitation under VII. Reporting/Response: A. 1. Reporting of all alleged violations to the Administrator, state agency, adult protective services and to all other required agencies (e.g. law enforcement when applicable) within specified timeframes: 1a. A. Immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or b. Not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury. Event ID: Facility ID: 455528 If continuation sheet Page 3 of 3