Inspection·December 9, 2025

F 0880 Provide and implement an infection prevention and control program. 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 establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 4 (Resident #1) residents reviewed for infection control.The facility failed to ensure the treatment nurse changed gloves and washed her hands while providing wound care for Resident #1 on 10/07/2025.This failure could place residents at risk of cross-contamination and development of infections.The findings included:Record review of Resident #1's Face Sheet, dated 10/07/2025, reflected the resident was an [AGE] year-old male who admitted on [DATE]. Resident #1 had diagnoses which included aftercare following surgery of a closed left femur (bone in upper leg) fracture (crack or break in bone) with routine healing, hypertension (high blood pressure), and chronic kidney disease (kidneys are damaged and do not filter like they should). Record review of Resident #1's Quarterly MDS Assessment, dated 08/29/2025, reflected severely impaired cognition with a BIMS score of 05. Section M (Skin Conditions) indicated Resident #1 was treated for one pressure wound that was present on admission Record review of Resident #1's Comprehensive Care Plan, dated 07/15/2025, reflected Resident #1 had a pressure wound to the left heel. One intervention was to provide treatment as ordered by the physician. During an observation and interview on 10/07/2025 at 9:58 AM, the treatment nurse provided wound care for Resident #1. The treatment nurse parked the treatment cart outside of Resident #1's door. The treatment nurse put on gloves and removed a sanitizing wipe from a container on top of the treatment cart. She entered Resident #1's room and wiped the top of his bedside table. She removed the gloves and returned to the treatment cart. She did not used hand sanitizer. She put on a pair of gloves and placed a piece of wax paper on top of the treatment cart. She removed a tube of medicated ointment from the cart and squeezed the ointment into a small medicine cup on the wax paper. She removed gauze and dressings from the cart and placed them on the wax paper. She did not remove the gloves. The treatment nurse carried the wax paper with supplies into Resident #1's room and placed it on the bedside table. Resident #1 was sitting in a wheelchair with a foam boot on his left foot. Resident #1 agreed to the surveyor observing wound care. The treatment nurse removed the foam boot and sock from Resident #1's left foot. She removed the dressing from his left heel and used gauze with wound cleanser to clean his left heel. She removed the gloves and put on clean gloves. She did not use hand sanitizer. She applied the medicated dressing and bordered gauze to cover the wound. She removed her gloves, took a marker from her pocket to initial and date the dressing and returned the marker to her pocket. She did not use hand sanitizer between changing gloves. She applied gloves and put the sock and foam boot on Resident #1's left foot. She closed the bag of trash and washed her hands in the resident's restroom before exiting the room. The treatment nurse stated she should have washed her hands or used hand sanitizer between glove changes. She stated she usually had hand sanitizer with her. She stated it was important to prevent Residents Affected - Few (continued on next page) 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 REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 455573 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 455573 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/09/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Texoma Healthcare Center 1000 Hwy 82 E Sherman, TX 75090 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)