Health inspection·October 18, 2025

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few to do things yourself. RN-B was observed walking up to CNA-A and telling him You need to tone it down. State is in the building and standing right over there, to which CNA-A looked up toward the nurses' station and replied I don't care. It's called tough love. In an interview on 10/16/2025 at 11:40 AM, the DON stated CNA-A could be loud when he spoke to the residents, but she had never heard him scream or yell or speak down to them. She stated if she had ever heard CNA-A act this way in the past, she would have started an investigation for abuse and probably terminated him. The DON stated CNA-A was suspended immediately for this incident, and he was not answering his phone, as she had attempted to contact him to discuss suspension and termination with him. In an interview on 10/16/2025 at 11:55 AM, the SW stated raising your voice and speaking down to the residents was considered verbal abuse. She stated she had never had any reports or grievances from residents regarding CNA-A, but he could be very loud at times. The SW stated when CNA-A first started working here, he used a lot of curse words around the residents, and he was really loud. He had to be told to tone it down multiple times, and he had toned it down a lot. In an interview on 10/16/2025 at 12:04 PM, Resident #1 shook his head up and down (yes) when asked if the language and tone CNA-A used with him made him feel sad and embarrassed. He was observed to be shaking his head yes and saying Si [meaning yes in the spanish language]. He was also observed to be looking down and his eyes watering while answering the questions. In an interview on 10/16/2025 at 12:15 PM, the Administrator stated he had never heard CNA-A yell at the residents before, but the bottom line was this was verbal abuse, which was why he walked out of his office when he heard him yelling, and he had already suspended CNA-A and planned to terminate him. The Administrator stated actions like these were not okay and would not be tolerated. In an interview on 10/16/2025 at 12:15 PM, RN-B stated even though Resident #1 could not verbalize very well since his stroke, he was able to answer simple yes and no questions well. She stated she had never seen CNA-A yell at residents in the past, but he was loud. RN-B said the tone and verbiage used by CNA-A was considered verbal abuse and could cause mental or psychosocial harm to a resident. She stated CNA-A had been told to tone it down in the past. In an interview on 10/16/2025 at 2:50 PM, Resident #5 stated he liked CNA-A and got along well with him. Resident #5 denied CNA-A ever talking down to him or yelling at him. Resident #5 stated CNA-A tried to get people to help themselves, but he denied any abuse by CNA-A or the facility in general. In an interview on 10/16/2025 at 2:55 PM, Resident #6 stated CNA-A has never yelled at him or talked down to him. He stated he and CNA-A picked on each other, but not in a mean or abusive way. He denied any abuse by CNA-A or the facility. In an interview on 10/18/2025 at 1:47 PM, CNA-C stated she typically worked the 200 hall and had worked with CNA-A in the past. CNA-C stated CNA-A was not typically loud, but she could hear him yelling the other day, 10/16/2025. She stated she had heard him tell residents to do it yourself in the past and stated the tone he used and the words used could have been considered verbal abuse. CNA-C stated since the incident on 10/16/2025, she had been in-serviced over resident rights, abuse, neglect and reporting abuse, as well as staff and care-giver burnout. She stated if she had witnessed the incident on 10/16/2025, and if it had not already been witnessed and reported, she would have reported CNA-A for verbal abuse to the Administrator and DON. In an interview on 10/18/2025 at 2:39 PM, LVN-D stated residents should be treated with respect and not spoken down to or yelled at. She stated since the incident on 10/16/2025 she had been in-serviced over resident rights, abuse and neglect, and staff burnout. LVN-D stated she would have made the Administrator and the DON aware if she had witnessed any type of abuse or neglect. In an interview on 10/18/2025 at 3:13 PM, LVN-E stated she was in-serviced over employee burnout and stress, abuse and neglect, and resident rights last night. LVN-E stated if she witnessed abuse or neglect, she would have intervened to stop the abuse, separated (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455557 If continuation sheet Page 2 of 15 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 455557 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Palms Nursing & Rehabilitation 5607 Everhart Rd Corpus Christi, TX 78411 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 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete any staff and residents involved, then reported immediately to the Administrator, the DON and/or the ADON. In an interview on 10/18/25 at 3:21 PM, CNA-F stated she was in-serviced over the past couple of days regarding abuse and neglect and when and how to report it. She stated if she witnessed abuse or neglect, she would have reported to the ADON, the DON, and the Administrator. CNA-F was also in-serviced on staff burnout and resident rights, and she stated she was a people person and loved what she did, and yelling at or speaking down to a resident was never appropriate. Record review of the facility's Abuse and Neglect and Resident Rights in-service, dated 10/16/2025, revealed A CNA may be reported for an act, or acts, in violation of a resident's rights. An act may involve abuse, neglect, and/or misappropriation of the resident's property. CNAs must have a clear understanding of these terms and their definitions. A CNA must also understand that the severity of penalties involved if a violation is reported, investigated, and proven. Abuse is the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish. Neglect is the failure to provide goods or services. Patient expectations: In addition, allowing residents the basic rights afforded to them, CNAs must also work to ensure that the environment practices respect, safety, and ensures privacy of each resident. Record review of the facility's Statement of Resident Rights, dated 07/20/2019, revealed you, as a resident, do not give up rights when you enter a nursing facility. The facility must encourage and assist you to fully exercise your rights. Any violation of these rights is against the law. It is against the law for any facility employee to threaten, coerce, intimidate or retaliate against you for exercising your rights. Dignity and Respect: You have the right to be free from abuse, neglect and exploitation. Record review of the facility's Abuse Prevention Policy, no implementation or revision date noted, revealed Our residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. This includes but is not limited to freedom from corporal punishment, involuntary seclusion, verbal, mental, sexual or physical abuse. As a part of the resident abuse prevention, the administration will: 1. Protect our residents from abuse by anyone including, but not necessarily limited to: facility staff, other residents, consultants, volunteers, staff from other agencies, family members, legal representatives, friends, visitors, or any other individual. Event ID: Facility ID: 455557 If continuation sheet Page 3 of 15 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 455557 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Palms Nursing & Rehabilitation 5607 Everhart Rd Corpus Christi, TX 78411 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 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to ensure all alleged violations involving abuse, neglect, exploitation, and/or mistreatment were reported immediately, but not later than 2 hours after the allegation was made if the allegation involved abuse or resulted in serious bodily injury, or no later than 24 hours if the allegation did not involve abuse and did not result in serious bodily injury, to the administrator of the facility and to other officials (including the State) in accordance with state law for 1 of 5 residents (Resident #2) reviewed for abuse and neglect. The facility failed to ensure all alleged possible violations or allegations involving abuse for Resident #2 were reported to the proper entities immediately or as required by law on 10/08/2025. This failure could place residents at an increased risk for abuse or further potential for abuse due to unreported allegations of abuse and neglect.Record review of Resident #2's face sheet, dated 10/14/2025, revealed a [AGE] year-old male who was admitted to the facility on [DATE]. Pertinent diagnoses included dementia (a condition which affects memory, thinking, and the ability to perform daily activities), cognitive communication deficit (difficulties in communication which arise from impaired cognitive processes, such as attention, memory, organization, and executive functioning), bipolar (a mental health condition characterized by extreme mood swings which include emotional highs and lows), alcohol induced persisting dementia (a condition in which years of excessive alcohol use damages the brain, leading to cognitive deficits), depression (a mood disorder which causes a persistent feeling of sadness and loss of interest and could interfere with daily living). Record review of Resident #2's quarterly MDS assessment, dated 07/25/2025, revealed a BIMS score of 04, which indicated severely impaired cognition. In section C0300, Temporal Orientation (to include year, month, and day) Resident #2 missed the current year by greater than 5 years, or no answer. Resident #2 missed the current month by greater than one month, or no answer, and Resident #2 was not able to determine what the correct day of the week was. Record review of Resident #2's most recent nurse's note, dated 10/13/2025 at 6:00 PM, revealed the nurse was following up on Resident #2 after a room change. Resident #2 was redirected to his room multiple times. This nurse's note did not give any details as to why Resident #2 was moved to a different room, when he was moved to a different room, or if Resident #2 or his RP were made aware of the room change and/or why. Prior to this note, there were no other nurse's notes since 08/21/2025. Record review of Resident #2's care plan dated 06/30/2023, and revised 06/11/2025, revealed Resident #2 had impaired cognitive function related to Schizophrenia, Bipolar, and Alcohol Induced Persisting Dementia, to include impaired short-term memory, impaired long-term memory, and moderately impaired decision-making abilities. The care plan also revealed Resident #2 was unable to retain information and continuously asks the same questions multiple times and becomes agitated easily. Record review of Resident #3's face sheet, dated 10/15/2025, revealed a [AGE] year-old male who was admitted to the facility on [DATE]. Record review of Resident #3's quarterly MDS assessment, dated 09/03/2025, revealed a BIMS score of 13, which indicated intact cognition. Record review of Resident #3's care plan, dated 06/06/2025, revealed Resident #3 had impaired cognitive functioning further impacted by mental illness and Schizophrenia. Resident #3 had impaired short-term and long-term memory, impaired decision making, impaired problem solving, and he was forgetful and often confused. Resident #3 exhibits disorganized thinking and a history of medication noncompliance secondary to inability to understand consequences and adverse effects suffered by noncompliance. Record review of Resident #4's face sheet, dated 10/14/2025, revealed a [AGE] year-old male with an admission date of 08/23/2025. Record review of Resident #4's quarterly MDS assessment, dated 08/27/2025, revealed a BIMS (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455557 If continuation sheet Page 4 of 15 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 455557 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Palms Nursing & Rehabilitation 5607 Everhart Rd Corpus Christi, TX 78411 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 score of 15, which indicated intact cognition. Record review of a statement dated 10/08/2025 and written by CNA-G revealed she saw Resident #4 sitting outside of his bedroom around 9:30 PM. Resident #4 was upset and told her he did not want to go into his room because they were in there making noises, and he did not want to be part of this. CNA-G then went back to his room and saw Resident #2 standing in the dark, against the wall, with his hands over his private area. CNA-G then went and reported back to the nurse. CNA-G stated she had not heard any noises or seen the men engaging in any activities. She only saw both men in the room in the dark. Record review of a statement dated 10/08/2025 and written by RN-H revealed she came back from her break and was informed Resident #4 did not want to go into his room. RN-H read the statement CNA-G had already written (regarding finding the 2 residents alone in the bedroom in the dark with one holding his private area), and she called the DON to come to the facility. The DON and the Administrator both came to the facility. RN-H took Resident #4 downstairs to the Administrator's office. RN-H's written statement continued to reveal the Administrator asked Resident #4 to tell him what he heard. Record review of a statement dated 10/08/2025 and written by the DON revealed the DON was contacted around 10:00 PM by RN-H, who had requested for her to come to the facility because there was an issue. The DON contacted the Administrator right away. The DON and the Administrator questioned Resident #4 who told them he did not hear anything, just voices. The DON and the Administrator proceeded to question Resident #2, and he denied laying in bed with Resident #3, and stated they were watching TV. The DON and the administrator then questioned Resident #3 who denied doing anything but watching TV with Resident #2. Record review of a statement dated 10/08/2025 and written by the Administrator revealed he received a call the night of 10/08/2025 from the DON advising Resident #2 and Resident #3 were having issues. DON was unable to give any other information. The Administrator arrived to the facility at approximately 11:00 PM and met with the DON and interviewed the residents. The statement revealed Resident #4 was questioned by the Administrator, the DON and RN-H. Resident #4 advised the Administrator that he was blind, but he could hear. The Administrator asked Resident #4 what he heard, to which he replied, just them talking. The Administrator asked Resident #4 if he heard any moaning, groaning, or anything out of the ordinary, and Resident #4 replied no. Resident #2 and Resident #3 advised the Administrator they were watching a movie, and they were not doing anything sexual or laying together. The Administrator asked Resident #3 if he and Resident #2 had intercourse, and he advised no, he did not do that. Record review of the incident and accident reports from 06/01/2025 10/14/2025 revealed no incident report done for 10/08/2025 for above residents. There was an incident report completed 10/09/2025 for Resident #4's room change, but there was not one done for Resident #2's room change. During a confidential interview, at an undisclosed date and time, the interviewee stated they had not seen Resident #2 and Resident #3 doing anything, but the roommate (Resident #4) had heard sex type noises and reported it to the charge nurse the night of 10/08/2025. The interviewee stated an incident report was never completed; they also stated Resident #3 had a sexual assault record but stated they had not known the details of the sexual assault. The interviewee also stated Resident #4 stated he was told not to discuss this incident any further with anyone else. In an interview on 10/14/2025 at 10:45 AM, the SW stated she had been told on 10/13/2025 of the incident between Resident #2 and Resident #3 on 10/08/2025, as well as Resident #2 and Resident #4 had room changes, but she had not had a chance to follow-up to see what, if anything, actually happened. The SW stated she was not comfortable stating whether or not Resident #2 had the mental capacity or cognitive capacity to give consent for to be touched in a sexual way. She then went on to say based on Resident #2's low BIMS score, diagnoses of Dementia and Cognitive Communication Deficit, and in her professional opinion, she did not think (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455557 If continuation sheet Page 5 of 15 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 455557 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Palms Nursing & Rehabilitation 5607 Everhart Rd Corpus Christi, TX 78411 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 Resident #2 would be able to give consent to be touched in a sexual manner, and she planned to talk to him and interview him regarding the incident, but had not had the chance to do so yet since she just learned about it yesterday (10/13/2025). In an interview on 10/14/2025 at 11:30 AM, CNA-I stated she had worked the 2200 hall and knew Resident #2, Resident #3, and Resident #4 well. She stated she heard the rumor about Resident #2 and Resident #3. CNA-I stated she felt like it should have been investigated because she felt like it happened, and Resident #2 was not able to consent to things, but Resident #3 knew better and did not care. She stated Resident #4 told her he had heard them together previously. In an interview on 10/14/2025 at 1:17 PM, CNA-J stated she had seen Resident #2 go in and out of Resident #3's room many times a day. CNA-J also stated Resident #4 told her he had heard moaning and groaning, and just because he was blind did not mean he was stupid; he knew what sex noises sounded like. She stated she had not reported this to the Administrator or DON because they had already been made aware of the situation. In an interview on 10/14/2025 at 3:43 PM, the DON stated she was called on the night of 10/08/2025 by the charge nurse (RN-H) and was told there was a situation with Resident #2 and Resident #3. She stated she had not known what the situation was other than CNA-G had told the charge nurse Resident #4 would not go into his room to go to sleep because he could hear noises, and CNA-G had written a statement for the charge nurse letting her know she had looked into Resident #3 and #4's room and saw Resident #2 and Resident #3 in the room in the dark together. She notified the Administrator of the situation, and they both met at the facility the night of 10/08/2025. She stated all three residents were questioned. Resident #4 denied ever hearing anything, and Resident #2 and #3 denied anything sexual, or any touching which could be considered sexual in nature. She stated she told Resident #3 to tell her if anything happened because if it did, she would have to call state. The DON stated the incident was not reported to state because all the residents denied anything happened, so the incident was not investigated any further. She stated Resident #2 always went to Resident #3's room to watch movies because he did not have a TV at the time, but he did have one now. The DON also stated RN-H and CNA-G were working the night of the incident and were the ones who reported the incident and behavior of the residents to her. The DON denied reporting any allegations of abuse because she stated she and the Administrator did not investigate the incident any further as abuse or sexual abuse because all residents denied anything happened. The DON stated this was never reported to state since the residents involved denied anything happened. In an interview on 10/14/2025 at 4:26 PM, the Administrator stated he came up the night of 10/08/2025 to investigate the incident and interview all the residents involved. He stated all three residents denied anything happened or there was ever any concern it was sexual in nature. The Administrator stated he was not sure who determined the incident or call had anything to do with abuse, sexual abuse or any sexual allegations at all because it did not come from him, and it was never a concern he had. The DON informed the Administrator RN-H had gotten her information from CNA-G, but he was not sure where CNA-G had gotten her information from. The Administrator stated he interviewed Resident #4 to see if he had heard anything, but he denied hearing or knowing anything. He stated Resident #2 and Resident #3 denied anything happening, and they were just watching a movie together. When asked why Resident #4 wanted to switch rooms, or why Resident #2 was moved to a room on another hall, he stated because Resident #3 was loud, and residents had the right to switch rooms if they wanted to. Switching rooms happened all the time. The Administrator stated this incident was not reported the state as it had not been investigated any further since all residents denied anything happened. In an interview on 10/14/2025 at 2:55 PM, Resident #3 stated he had not done anything sexual with Resident #2, and they were watching a movie. He stated I ain't gay! Leave me alone! In an interview on (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455557 If continuation sheet Page 6 of 15 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 455557 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Palms Nursing & Rehabilitation 5607 Everhart Rd Corpus Christi, TX 78411 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 10/14/2025 at 3:05 PM Resident #2 stated Resident #3 had not tried to touch him in a sexual or inappropriate way. Resident #2 proceeded to have surveyor walk down the hall with him so he could show surveyor his new room. In an interview on 10/14/25 at 5:40 PM, Resident #4 stated he was Resident #3's roommate. He sat outside of the room because he did not want to go in the room because Resident #3 made him uncomfortable and would not leave him alone. He stated Resident #2 and Resident #3 were making noises in his room the night of the alleged incident 10/08/2025. Resident #4 stated he knew what they were doing because it was not the first time he had heard them together. He stated he had not brought it up to the staff because he did not want to be involved or be in the middle of the situation. Resident #4 stated this was one of the reasons he wanted to switch rooms because he knew they had a relationship or something going on. In an interview with Resident #3's family on 10/15/2025 at 11:00 AM, they stated they had not heard of any incidents or allegations involving Resident #3 on 10/08/2025, and to their knowledge he had never been accused of any inappropriate sexual behavior, but then proceeded to say a staff member, unsure who, had told another family member they thought Resident #3 had an inappropriate relationship with another resident previously, but they did not think anything of it because they did not feel it was accurate. In an interview on 10/15/2025 at 2:33 PM, RN-H stated she was working as the charge nurse the night of the incident 10/08/2025. She stated she had just gotten back from break, and CNA-G told her Resident #4 was refusing to go in his room because he was hearing voices. RN-H denied assessing Resident #4 to find out what was wrong; she also denied going to Resident #3's room to assess the situation, as well as denied ever assessing Resident #2 or Resident #3. She stated she did not need to assess the residents or the situation. RN-H stated she already had a picture in her mind of the situation, so she called the DON. When asked what CNA-G had told her, or what was going on in Resident #3's room, she denied knowing anything, but felt like the DON and Administrator needed to be notified just because Resident #4 refused to go to his room to go to bed because he was hearing voices. When asked if she always called the DON and Administrator to the facility during the night because a resident refused to go to his room, she stated she called the DON for anything and everything. When asked again why Resident #4 was upset, and what was going on between Resident #2 and Resident #3 in the room, RN-H again denied knowing anything because she never assessed the situation or the residents. When asked why she did not assess the residents and assess the situation prior to calling the DON so she would be able to better explain the situation to the DON when she called her, RN-H again reiterated she did not need to because she had a picture in her mind of what was going on, which was Resident #4 would not go to bed because he was hearing voices. In another interview with the DON on 10/15/25 at 3:45 PM she stated the charge nurse (RN-H) called her the night of the incident on 10/08/2025, and the DON asked her what was going on, and if it was important because she did not typically come to the facility in the middle of the night just because a resident heard voices or noises or refused to go to his room, but RN-H stated CNA-G had written a statement about the residents and RN-H felt like this was a situation which needed to be addressed. The DON stated since RN-H was the charge nurse on the hall the night of the alleged incident, she should have gone in the room and assessed the situation and the residents. The DON stated what if one of residents was killing the other resident, but RN-H never went in and checked on them, so they did not really know what was going on or happening to them. The DON also stated CNA-G told her and the Administrator she had heard noises, but could not really describe the noises, just she heard noises, and when she looked in the room she saw Resident #2 and Resident #3 on the bed together. In an interview on 10/15/2025 at 4:42 PM, CNA-G stated she saw Resident #4 in the hallway outside of his room and asked him if he was ready to go to bed. Resident #4 told them (CNA-G and RN-H) they (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455557 If continuation sheet Page 7 of 15 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 455557 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Palms Nursing & Rehabilitation 5607 Everhart Rd Corpus Christi, TX 78411 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 (Resident #2 and Resident #3) were making noises in there, and he did not want to be a part of this situation. CNA-G stated she went down the hall and peeked in the bedroom, and at that point had not heard anything going on, but Resident #2 was up against the wall with his hand over his privates and Resident #3 was walking toward her at the door. Resident #3 started asking CNA-G what's wrong? Is something wrong? Did something happen? CNA-G stated at no point had she seen them on the bed together. She stated it was dark in the room, and the only light coming in was from the hall light. CNA-G denied remembering if the TV was on or not, she only remembered the light from the hall. CNA-G stated it was a really weird situation, the residents were acting weird, and she got a really weird vibe, so she did not enter the room. She told RN-H what she witnessed and wrote it in a witness statement and gave it to RN-H before she called the DON. CNA-G stated she felt like the charge nurse (RN-H) should have assessed the situation and the residents because it was reported to her, and it was such a weird situation in which both men were alone in a dark room together, and Resident #4 heard noises coming from the room. In another interview with the DON on 10/16/2025 at 9:15 AM, she stated she and the Administrator came up here the night of 10/08/2025 because RN-H made it seem urgent like it possibly could have been abuse, sexual or otherwise. She stated RN-H should have assessed the situation and the residents in case there was an abuse situation or a resident-to-resident situation. The DON stated the nurses were always supposed to assess the situation and the residents with any incident, whether a fall, physical abuse, sexual abuse or any other incident. She stated RN-H should have done both physical assessments and interviews with each resident to determine the extent of the situation prior to notifying her. The DON brought the Surveyor a copy of the fall packet which was completed by nurses after a fall, and she stated it was the same packet the nurses used for incidents which could involve abuse, injuries or anything else. The DON stated RN-H should have completed this packet the night of the incident 10/08/2025. The DON stated the nurse would just complete the portions which applied to the incident, such as the blank event report, blank event investigation, blank head to toe skin assessment, and a blank in-service form to get an in-service started. Record review of the facility's Abuse Prevention Policy, no implementation or revision date noted, revealed Our residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. This includes but is not limited to freedom from corporal punishment, involuntary seclusion, verbal, mental, sexual or physical abuse. As a part of the resident abuse prevention, the administration will: 1. Protect our residents from abuse by anyone including, but not necessarily limited to: facility staff, other residents, consultants, volunteers, staff from other agencies, family members, legal representatives, friends, visitors, or any other individual. Record review of the facility's Abuse Investigation and Reporting Policy, no implementation or revision date noted, revealed All reports of abuse, neglect, exploitation, misappropriation of resident property, mistreatment, and/or injuries of unknown source shall be promptly reported to local, state and federal agencies (as defined by current regulations) and thoroughly investigated by facility management. Findings of abuse investigation will also be reported. 5. The Administrator will ensure that any further potential abuse, neglect, exploitation, or mistreatment is prevented pending outcome of the investigation. G. Interview staff members (on all shifts) who have had contact with the resident during the period of the alleged incident. H. Interview the resident's roommate, family members, and visitor as applicable to the allegation. J. Review all events leading up to the alleged incident. Reporting: 2. An alleged violation of abuse, neglect, exploitation or mistreatment (including injuries of unknown source and misappropriation of resident property) will be reported immediately, but not later than: A. Two hours if the alleged violation involves abuse or has resulted in serious bodily injury or; B. Twenty-four (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455557 If continuation sheet Page 8 of 15 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 455557 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Palms Nursing & Rehabilitation 5607 Everhart Rd Corpus Christi, TX 78411 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 hours if the alleged violation does not involve abuse and has not resulted in serious bodily injury. 4. Notices will include, as appropriate: name of the resident; number of the room in which the resident resides; type of abuse committed (verbal, physical, sexual, neglect, etc); date and time the alleged incident occurred; name of all persons involved in alleged incident; immediate action taken by the facility. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455557 If continuation sheet Page 9 of 15 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 455557 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Palms Nursing & Rehabilitation 5607 Everhart Rd Corpus Christi, TX 78411 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 0610 Respond appropriately to all alleged violations. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed in response to allegations of abuse, neglect, exploitation, or mistreatment have evidence that all alleged violations were thoroughly investigated and prevented further potential abuse, neglect, exploitation or mistreatment while the investigation was in progress for 1 (Resident #2) of 5 residents reviewed for abuse, neglect, and/or misappropriation. The facility failed to do a thorough investigation to include having the CNA and/or charge nurse perform a thorough assessment of the situation and the environment of the residents identified in the abuse allegation the night of 10/08/2025. The facility also failed to have the charge nurse assess the residents identified in the allegation the night of 10/08/2025. This failure could place residents at risk of not having their allegations investigated thoroughly or timely, as well as the potential for abuse to continue.The findings included: Record review of Resident #2's face sheet, dated 10/14/2025, revealed a [AGE] year-old male who was admitted to the facility on [DATE]. Pertinent diagnoses included dementia (a condition which affects memory, thinking, and the ability to perform daily activities), cognitive communication deficit (difficulties in communication which arise from impaired cognitive processes, such as attention, memory, organization, and executive functioning), bipolar (a mental health condition characterized by extreme mood swings which include emotional highs and lows), alcohol induced persisting dementia (a condition in which years of excessive alcohol use damages the brain, leading to cognitive deficits), depression (a mood disorder which causes a persistent feeling of sadness and loss of interest and could interfere with daily living). Record review of Resident #2's quarterly MDS assessment, dated 07/25/2025, revealed a BIMS score of 04, which indicated severely impaired cognition. Record review of Resident #2's most recent nurse's note, dated 10/13/2025 at 6:00 PM, revealed the nurse was following up on Resident #2 after a room change. Resident #2 was redirected to his room multiple times. This nurse's note did not give any details as to why Resident #2 was moved to a different room, when he was moved to a different room, or if Resident #2 or his RP were made aware of the room change and/or why. Prior to this note, there were no other nurse's notes since 08/21/2025. Record review of Resident #2's most recent skin assessment dated [DATE] did not indicate any skin issues or concerns. Prior to this date, the last skin assessment for Resident #2 was done 10/02/2025. Record review of Resident #2's care plan dated 06/30/2023, and revised 06/11/2025, revealed Resident #2 had impaired cognitive function related to Schizophrenia, Bipolar, and Alcohol Induced Persisting Dementia, to include impaired short-term memory, impaired long-term memory, and moderately impaired decision-making abilities. The care plan also revealed Resident #2 was unable to retain information and continuously asks the same questions multiple times and becomes agitated easily. Record review of Resident #3's face sheet, dated 10/15/2025, revealed a [AGE] year-old male who was admitted to the facility on [DATE]. Record review of Resident #3's quarterly MDS assessment, dated 09/03/2025, revealed a BIMS score of 13, which indicated intact cognition. Record review of Resident #3's care plan, dated 06/06/2025, revealed Resident #3 had impaired cognitive functioning further impacted by mental illness and Schizophrenia. Resident #3 had impaired short-term and long-term memory, impaired decision making, impaired problem solving, and he was forgetful and often confused. Resident #3 exhibits disorganized thinking and a history of medication noncompliance secondary to inability to understand consequences and adverse effects suffered by noncompliance. Record review of Resident #4's face sheet, dated 10/14/2025, revealed a [AGE] year-old male with an admission date of 08/23/2025. Record review of Resident #4's quarterly MDS assessment, dated 08/27/2025, revealed a BIMS score of 15, which indicated intact cognition. Record review of a statement dated 10/08/2025 and written by CNA-G revealed she saw Resident #4 sitting Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455557 If continuation sheet Page 10 of 15 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 455557 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Palms Nursing & Rehabilitation 5607 Everhart Rd Corpus Christi, TX 78411 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 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few outside of his bedroom around 9:30 PM. Resident #4 was upset and told her he did not want to go into his room because they were in there making noises, and he did not want to be part of this. CNA-G then went back to his room and saw Resident #2 standing in the dark, against the wall, with his hands over his private area. CNA-G then went and reported back to the nurse. CNA-G stated she had not heard any noises or seen the men engaging in any activities. She only saw both men in the room in the dark. Record review of a statement dated 10/08/2025 and written by RN-H revealed she came back from her break and was informed Resident #4 did not want to go into his room. RN-H read the statement CNA-G had already written (regarding finding the 2 residents alone in the bedroom in the dark with one holding his private area), and she called the DON to come to the facility. The DON and the Administrator both came to the facility. RN-H took Resident #4 downstairs to the Administrator's office. RN-H's written statement continued to reveal the Administrator asked Resident #4 to tell him what he heard. Record review of a statement dated 10/08/2025 and written by the DON revealed the DON was contacted around 10:00 PM by RN-H, who had requested for her to come to the facility because there was an issue. The DON contacted the Administrator right away. The DON and the Administrator questioned Resident #4 who told them he did not hear anything, just voices. The DON and the Administrator proceeded to question Resident #2, and he denied laying in bed with Resident #3, and stated they were watching TV. The DON and the administrator then questioned Resident #3 who denied doing anything but watching TV with Resident #2. Record review of a statement dated 10/08/2025 and written by the Administrator revealed he received a call the night of 10/08/2025 from the DON advising Resident #2 and Resident #3 were having issues. DON was unable to give any other information. The Administrator arrived to the facility at approximately 11:00 PM and met with the DON and interviewed the residents. The statement revealed Resident #4 was questioned by the Administrator, the DON and RN-H. Resident #4 advised the Administrator that he was blind, but he could hear. The Administrator asked Resident #4 what he heard, to which he replied, just them talking. The Administrator asked Resident #4 if he heard any moaning, groaning, or anything out of the ordinary, and Resident #4 replied no. Resident #2 and Resident #3 advised the Administrator they were watching a movie, and they were not doing anything sexual or laying together. The Administrator asked Resident #3 if he and Resident #2 had intercourse, and he advised no, he did not do that. Record review of incident and accident reports from 06/01/2025 - 10/14/2025 revealed no incident report done for 10/08/2025 for above residents. There was an incident report completed 10/09/2025 for Resident #4's room change, but there was not one done for Resident #2's room change. Record review of the incident and accident reports from 06/01/2025 - 10/14/2025 revealed no incident report done for 10/08/2025 for above residents. There was an incident report completed 10/09/2025 for Resident #4's room change, but there was not one done for Resident #2's room change. During a confidential interview, at an undisclosed date and time, the interviewee stated they had not seen Resident #2 and Resident #3 doing anything, but the roommate (Resident #4) had heard sex type noises and reported it to the charge nurse the night of 10/08/2025. The interviewee stated an incident report was never completed; they also stated Resident #3 had a sexual assault record but stated they had not known the details of the sexual assault. The interviewee also stated Resident #4 stated he was told not to discuss this incident any further with anyone else. In an interview on 10/14/2025 at 10:45 AM, the SW stated she had been told on 10/13/2025 of the incident between Resident #2 and Resident #3 on 10/08/2025, as well as Resident #2 and Resident #4 had room changes, but she had not had a chance to follow-up to see what, if anything, actually happened. The SW stated she was not comfortable stating whether or not Resident #2 had the mental capacity or cognitive capacity to give consent to be touched in a sexual way. She then went on to say based on Resident #2's low (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455557 If continuation sheet Page 11 of 15 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 455557 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Palms Nursing & Rehabilitation 5607 Everhart Rd Corpus Christi, TX 78411 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 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few BIMS score, diagnoses of Dementia and Cognitive Communication Deficit, and in her professional opinion, she did not think Resident #2 would be able to give consent to be touched in a sexual manner, and she planned to talk to him and interview him regarding the incident, but had not had the chance to do so yet since she just learned about it yesterday (10/13/2025). The SW also stated Resident #3 had been through a few roommates because he was very clingy and needy and the roommates had not liked this type of behavior. In an interview on 10/14/2025 at 11:30 AM, CNA-I stated she had worked the 2200 hall and knew Resident #2, Resident #3, and Resident #4 well. She stated she heard the rumor about Resident #2 and Resident #3, and she did not think it had been investigated, but CNA-I stated she felt like it should have been investigated because she felt like it happened, and Resident #2 was not able to consent to things, but Resident #3 knew better and did not care. She stated Resident #4 told her he had heard them together previously. In an interview on 10/14/2025 at 1:17 PM, CNA-J stated she had seen Resident #2 go in and out of Resident #3's room many times a day. CNA-J also stated Resident #4 told her he had heard moaning and groaning, and just because he was blind did not mean he was stupid; he knew what sex noises sounded like. She stated she had not reported this to the Administrator or DON because they had already been made aware of the situation. In an interview on 10/14/2025 at 3:43 PM, the DON stated she was called on the night of 10/08/2025 by the charge nurse (RN-H) and was told there was a situation with Resident #2 and Resident #3. She stated she had not known what the situation was other than CNA-G had told the charge nurse Resident #4 would not go into his room to go to sleep because he could hear noises, and CNA-G had written a statement for the charge nurse letting her know she had looked into Resident #3 and #4's room and saw Resident #2 and Resident #3 in the room in the dark together. She notified the Administrator of the situation, and they both met at the facility the night of 10/08/2025. She stated all three residents were questioned. Resident #4 denied ever hearing anything, and Resident #2 and #3 denied anything sexual, or any touching which could be considered sexual in nature. She stated she told Resident #3 to tell her if anything happened because if it did, she would have to call state. She stated Resident #2 always went to Resident #3's room to watch movies because he did not have a TV at the time, but he did have one now. The DON also stated RN-H and CNA-G were working the night of the incident and were the ones who reported the incident and behavior of the residents to her. In an interview on 10/14/2025 at 4:26 PM, the Administrator stated he came up the night of 10/08/2025 to investigate the incident and interview all the residents involved. He stated all three residents denied anything happened or there was ever any concern it was sexual in nature. The Administrator stated he was not sure who determined the incident or call had anything to do with abuse, sexual abuse or any sexual allegations at all because it did not come from him, and it was never a concern he had. The DON informed the Administrator RN-H had gotten her information from CNA-G, but he was not sure where CNA-G had gotten her information from. The Administrator stated he interviewed Resident #4 to see if he had heard anything, but he denied hearing or knowing anything. He stated Resident #2 and Resident #3 denied anything happening, and they were just watching a movie together. When asked if there was any further investigation or interviews done, the Administrator denied, stating he interviewed the residents involved, and they all denied anything happening, so he had not seen any need to investigate further. When asked why Resident #4 wanted to switch rooms, or why Resident #2 was moved to a room on another hall, he stated because Resident #3 was loud, and residents had the right to switch rooms if they wanted to. Switching rooms happened all the time. In an interview on 10/14/2025 at 5:40 PM, Resident #4 stated he was Resident #3's roommate. He sat outside of the room that night (10/08/2025) because he did not want to go in the room because Resident #3 made him uncomfortable and would not leave him alone. He stated (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455557 If continuation sheet Page 12 of 15 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 455557 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Palms Nursing & Rehabilitation 5607 Everhart Rd Corpus Christi, TX 78411 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 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Resident #2 and Resident #3 were making noises in his room the night of the alleged incident 10/08/2025. Resident #4 stated he knew what they were doing because it was not the first time he had heard them together. He stated he had not brought it up to the staff because he did not want to be involved or be in the middle of the situation. Resident #4 stated this was one of the reasons he wanted to switch rooms because he knew they had a relationship or something going on. In an interview with Resident #3's family on 10/15/2025 at 11:00 AM, they stated they had not heard of any incidents or allegations involving Resident #3 on 10/08/2025, and to their knowledge he had never been accused of any inappropriate sexual behavior, but then proceeded to say a staff member, unsure who, had told another family member they thought Resident #3 had an inappropriate relationship with another resident previously, but they did not think anything of it because they did not feel it was accurate. In an interview on 10/15/2025 at 2:33 PM, RN-H stated she was working as the charge nurse the night of the incident 10/08/2025. She stated she had just gotten back from break, and CNA-G told her Resident #4 was refusing to go in his room because he was hearing voices. RN-H denied assessing Resident #4 to find out what was wrong; she also denied going to Resident #3's room to assess the situation, as well as denied ever assessing Resident #2 or Resident #3. She stated she did not need to assess the residents or the situation. RN-H stated she already had a picture in her mind of the situation, so she called the DON. When asked what CNA-G had told her, or what was going on in Resident #3's room, she denied knowing anything, but felt like the DON and Administrator needed to be notified just because Resident #4 refused to go to his room to go to bed because he was hearing voices. When asked if she always called the DON and Administrator to the facility during the night because a resident refused to go to his room, she stated she called the DON for anything and everything. When asked again why Resident #4 was upset, and what was going on between Resident #2 and Resident #3 in the room, RN-H again denied knowing anything because she never assessed the situation or the residents. When asked why she did not assess the residents and assess the situation prior to calling the DON so she would be able to better explain the situation to the DON when she called her, RN-H again reiterated she did not need to because she had a picture in her mind of what was going on, which was Resident #4 would not go to bed because he was hearing voices. In another interview with the DON on 10/15/2025 at 3:45 PM she stated the charge nurse (RN-H) called her the night of the incident on 10/08/2025, and the DON asked her what was going on, and if it was important because she did not typically come to the facility in the middle of the night just because a resident heard voices or noises or refused to go to his room, but RN-H stated CNA-G had written a statement about the residents and RN-H felt like this was a situation which needed to be addressed. The DON stated since RN-H was the charge nurse on the hall the night of the alleged incident, she should have gone in the room and assessed the situation and the residents. The DON stated what if one of residents was killing the other resident, but RN-H never went in and checked on them, so they did not really know what was going on or happening to them. The DON also stated CNA-G told her and the Administrator she had heard noises, but could not really describe the noises, just she heard noises, and when she looked in the room she saw Resident #2 and Resident #3 on the bed together. In an interview on 10/15/2025 at 4:42 PM, CNA-G stated she saw Resident #4 in the hallway outside of his room and asked him if he was ready to go to bed. Resident #4 told them (CNA-G and RN-H) they (Resident #2 and Resident #3) were making noises in there, and he did not want to be a part of this situation. CNA-G stated she went down the hall and peeked in the bedroom, and at that point had not heard anything going on, but Resident #2 was up against the wall with his hand over his privates and Resident #3 was walking toward her at the door. Resident #3 started asking CNA-G what's wrong? Is something wrong? Did something happen? CNA-G stated at no point (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455557 If continuation sheet Page 13 of 15 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 455557 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Palms Nursing & Rehabilitation 5607 Everhart Rd Corpus Christi, TX 78411 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 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few had she seen them on the bed together. She stated it was dark in the room, and the only light coming in was from the hall light. CNA-G denied remembering if the TV was on or not, she only remembered the light from the hall. CNA-G stated it was a really weird situation, the residents were acting weird, and she got a really weird vibe, so she did not enter the room. She told RN-H what she witnessed and wrote it in a witness statement and gave it to RN-H before she called the DON. CNA-G stated she felt like the charge nurse (RN-H) should have assessed the situation and the residents because it was reported to her, and it was such a weird situation in which both men were alone in a dark room together, and Resident #4 heard noises coming from the room. In another interview with the DON on 10/16/2025 at 9:15 AM, she stated she and the Administrator came up here the night of 10/08/2025 because RN-H made it seem urgent like it possibly could have been abuse, sexual or otherwise. She stated RN-H should have assessed the situation and the residents in case there was an abuse situation or a resident-to-resident situation. The DON stated the nurses were always supposed to assess the situation and the residents with any incident, whether a fall, physical abuse, sexual abuse or any other incident. She stated RN-H should have done both physical assessments and interviews with each resident to determine the extent of the situation prior to notifying her. The DON reiterated a complete investigation was never done and an incident report was never completed since all three residents denied everything. The DON brought the Surveyor a copy of the fall packet which was completed by nurses after a fall, and she stated it was the same packet the nurses used for incidents which could involve abuse, injuries or anything else. The DON stated RN-H should have completed this packet the night of the incident 10/08/2025. The DON stated the nurse would just complete the portions which applied to the incident, such as the blank event report, blank event investigation, blank head to toe skin assessment, and a blank in-service form to get an in-service started. Record review of the facility's Abuse Prevention Policy, no implementation or revision date noted, revealed Our residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. This includes but is not limited to freedom from corporal punishment, involuntary seclusion, verbal, mental, sexual or physical abuse. As a part of the resident abuse prevention, the administration will: 1. Protect our residents from abuse by anyone including, but not necessarily limited to: facility staff, other residents, consultants, volunteers, staff from other agencies, family members, legal representatives, friends, visitors, or any other individual. Record review of the facility's Abuse Investigation and Reporting Policy, no implementation or revision date noted, revealed All reports of abuse, neglect, exploitation, misappropriation of resident property, mistreatment, and/or injuries of unknown source shall be promptly reported to local, state and federal agencies (as defined by current regulations) and thoroughly investigated by facility management. Findings of abuse investigation will also be reported. 5. The Administrator will ensure that any further potential abuse, neglect, exploitation, or mistreatment is prevented pending outcome of the investigation. G. Interview staff members (on all shifts) who have had contact with the resident during the period of the alleged incident. H. Interview the resident's roommate, family members, and visitor as applicable to the allegation. J. Review all events leading up to the alleged incident. Reporting: 2. An alleged violation of abuse, neglect, exploitation or mistreatment (including injuries of unknown source and misappropriation of resident property) will be reported immediately, but not later than: A. Two hours if the alleged violation involves abuse or has resulted in serious bodily injury or; B. Twenty-four hours if the alleged violation does not involve abuse and has not resulted in serious bodily injury. 4. Notices will include, as appropriate: name of the resident; number of the room in which the resident resides; type of abuse committed (verbal, physical, sexual, neglect, etc); date and time the alleged incident (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455557 If continuation sheet Page 14 of 15 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 455557 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Palms Nursing & Rehabilitation 5607 Everhart Rd Corpus Christi, TX 78411 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 0610 Level of Harm - Minimal harm or potential for actual harm occurred; name of all persons involved in alleged incident; immediate action taken by the facility. Record review of the facility's Abuse Resident Examination and Assessment Policy, no implementation or revision date noted, revealed Times Resident Assessment Implemented: 3. Change of Condition; 4. Incident/Accident; 5. Any other situation that would require examination of physical, mental or psychological status for changes. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455557 If continuation sheet Page 15 of 15