Inspection·July 8, 2025

F 0559 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete changed but did describe the process of a room change for a resident. The DON said either the nurse, or the Social Worker began the process, but notifications were sent by the Social Worker. The DON stated there was a form filled out and the patient representatives or family member was notified with a 30-day notice unless the resident was moved in an emergency like the room being unlivable or an altercation had occurred, and safety was a concern for one of the residents sharing a room. The facility tried to not violate the resident's right to not be relocated except for the facility's regulations. During an interview on 07/08/25 at 5:15 PM, the Administrator stated the facility tried to follow its policy of a 30-day notice before a resident was relocated into another room by sending notification, speaking to a family member/ resident representative, or make a call. The Administrator could not give an answer as to why there was no documentation of the room change for Resident #70 but did say the Social Worker would usually send out the notice and filled out the form to begin the process and usually the nurses initiate the process. The Administrator was able to produce a copy of the policy and procedures and resident rights of the facility. Review of undated Policy titled, Room Change, Transfer & Discharge revealed Room change. Facility reserves the right to change Resident's room or roommate when Facility determines it is appropriate to do so. The ombudsman, resident, and responsible party will be notified 30 days prior to a change and will provide the reasons for transfer or discharge; the statement of a right to appeal in a language the resident or legal representative understands; the date the change will take place; and record the reasons in the resident's clinical record. The facility will comply in accordance with state and federal regulations. Event ID: Facility ID: 455575 If continuation sheet Page 2 of 17 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 455575 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/08/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave Corpus Christi, TX 78405 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 0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. 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 who required dialysis received treatment and care in accordance with professional standards of practice for 1 of 3 residents (Resident #47) reviewed for Dialysis fistula assessment and care. The facility failed to ensure the nurses knew how and were performing the proper technique for assessing Resident #47's dialysis fistula (vascular access used in hemodialysis, which was a treatment for patients with kidney failure) for thrill (a vibration felt over the fistula or shunt) and bruit (swooshing sound cause by blood flow through the fistula or shunt). This deficient practice and failure could place residents at risk for a blockage and/or stenosis (narrowing of the veins and/or arteries) of the fistula site.Record review of Resident #47's face sheet, dated 07/08/2025, revealed a [AGE] year-old male with an original admission date of 09/30/2019, and a current admission date of 03/28/2025. Diagnoses included Alcoholic Cirrhosis of the Liver with Ascites (severe condition resulting from chronic alcohol abuse, leading to liver damage and fluid accumulation in the abdomen), Congestive Heart Failure (long term condition in which the heart cannot pump blood effectively, leading to fluid buildup in the lungs and legs), and End Stage Renal Disease (end stage kidney disease in which the kidneys can no longer function adequately, resulting in accumulation of waste products, fluids, and electrolytes, requiring dialysis). Record review of Resident #47's Quarterly MDS assessment, dated 06/13/2025, revealed a BIMS score of 15, which revealed intact cognition. MDS also revealed an active diagnosis of Dependence on Renal Dialysis. Record review of Resident #47's active physician orders, started 03/13/2024, revealed an order to assess fistula for thrill and bruit every shift. Record review of Resident #47's care plan, initiated 03/15/2024, revealed a care plan related to the need for dialysis due to End Stage Renal Disease with a goal to have no signs or symptoms of complications from dialysis. In an observation on 07/08/2025 at 10:30 AM, LVN-J was noted to have placed the stethoscope appropriately over Resident #47's fistula to listen for bruit, but LVN-J was noted to assess inaccurately above fistula for thrill. In an interview with LVN-J on 07/08/2025 at 10:35 AM, she stated the nurses were supposed to assess the dialysis fistulas each shift for thrill and bruit. She stated she had not done this because she just gets too busy or forgets. She stated she did not think any of the nurses had actually done this because Resident #47 went to dialysis, and the fistula was checked there. In an interview with Resident #47 on 07/08/2025 at 10:40 AM, he stated he was just going to be honest and tell the truth, none of the nurses ever checked his fistula. He stated he did not know they were supposed to check it at the facility since it was checked when he went to dialysis. In an interview with ADON-K on 07/08/2025 at 10:45 AM, she stated the nurses should have and were supposed to know how to assess the dialysis fistula since the orders were to assess it each shift. She stated Resident #47 had a BIMS of 15 and was intelligent, and if he stated it was not getting checked, then she knew it was not getting checked. She stated the nurses were supposed to check for the thrill and bruit because if there was not one, it could mean the fistula had a blockage. In an interview with the DON on 07/08/2025 at 3:50 PM, she stated the nurses knew how and should have been assessing Resident #47's fistula every shift for the thrill and bruit. She stated she was not sure why they had not done it, but it sounded like they were being lazy and just not taking the time to assess it. She stated if the fistula was not assessed appropriately, Resident #47 could have ended up with a blockage in the fistula, which could have stopped the blood flow through the area. She also stated she planned to in-service all the nurses over the importance of assessing the dialysis fistula every shift. Record review of the facility's policy for Writing/Obtaining Orders: Dialysis (AV shunts), no date listed, revealed Obtain orders Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455575 If continuation sheet Page 3 of 17 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 455575 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/08/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave Corpus Christi, TX 78405 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 0698 for days of dialysis, where dialysis would be, Nephrologist name and phone number, to check for thrill and bruit each shift, and to monitor for bleeding upon return from dialysis every shift. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455575 If continuation sheet Page 4 of 17 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 455575 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/08/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave Corpus Christi, TX 78405 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 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Based on observation, interview, and record review, the facility failed to ensure all drugs and biological were labeled and stored in accordance with currently accepted professional principles for 3 of 6 medication carts (2nd Floor Nurse Med-Cart A, 2nd Floor Treatment Cart, 3rd Floor Nurse Med-Cart B, and 3rd Floor Treatment Cart) reviewed for labeling and storage. The facility failed to properly label from 2nd Floor Nurse-Med-Cart-A a vial of insulin Glargine (a long-acting insulin used to treat Type 1 or Type 2 Diabetes), with an open or expiration date. The facility failed to dispose of the medication from 2nd Floor Treatment Cart a container of Hemorrhoidal Pads (a pad used to treat hemorrhoids) 50% which had expired on 03/22/2025. The facility failed to dispose of the medication from 3rd Floor Nurse-Med-Cart-B a card of Promethazine (a medication used to treat nausea) 25 MG which had expired on 05/21/2025. The facility failed to keep the 3rd Floor Treatment Cart free from employee personal items on 07/07/2025 as evidenced by a large, personal, aluminum cup with a straw in it in the bottom drawer of the cart. These deficient practices could place residents at risk of receiving medications or supplies which were both expired and possibly cross-contaminated. In an observation on 07/07/2025 at 9:04 AM of the 2nd floor Nurse-Med-Cart-A it was revealed an approximately 3/4 full, discontinued, expired, and non-dated vial of insulin Glargine which had expired on 6/17/2025 and had never had an opened or expired by date written on it. In an observation on 07/07/25 at 9:13 AM of the 2nd Floor Treatment Cart it was revealed an approximately 1/2 full container of Hemorrhoidal Pads (a pad used to treat hemorrhoids) 50% which had expired on 03/22/2025. In an observation on 07/07/25 at 9:26 AM of the 3rd Floor Nurse-Med-Cart-B a card of Promethazine (a medication used to treat nausea) 25 MG tablet, with 26 tablets left, which had expired on 05/21/2025, as well as a card of Tramadol (a medication used to treat pain) 50 MG, with 9 tablets left, which had expired 06/11/2025. In an observation on 07/07/25 at 9:31 AM of the 3rd Floor Treatment Cart revealed it was not free from employee personal items on 07/07/2025 as evidenced by a large personal aluminum cup with a straw in it in the bottom drawer of the cart. In an interview with LVN-N on 07/07/2025 at 9:35 AM she stated the cup was hers in the treatment cart, and she knew that she was not supposed to have personal items in the cart with resident medications and supplies. She stated the cup could have caused cross-contamination and caused a resident or herself to be exposed to something they would not have been exposed to. In an interview with ADON-L on 07/08/25 at 9:14 AM, she stated the insulin was supposed to be dated when it was opened because it was only good for 28 days. If it was not dated, then it cannot be used because it could possibly be expired. She stated expired meds were removed from the med-carts by the floor nurses at night, as well as the ADONs checked for expired meds weekly. She stated the treatment nurse checked the treatment cart weekly for expired meds. She also stated if a resident was given an expired medication, it could have possibly made them sick, or it may be ineffective and not work. ADON-L stated the nurses' personal effects should not be in the med-carts or treatment carts because it could cause cross-contamination with the medication or the wound supplies. In an interview with LVN-M on 07/08/25 at 9:23 AM, she stated expired medications were removed from the med-carts by the floor nurses who should be checking them daily, and the narcotics were removed by the ADONs who checked the med-carts weekly. She stated if a resident was given an expired medication, it could make them sick or be ineffective and not work. In an interview with LVN-A on 07/08/25 at 9:27 AM, he stated expired medications were removed by the floor nurses who checked the carts daily, as well as by the ADONs who checked the cart weekly. He stated if the medication was a narcotic, it was removed by the ADON. He also stated if a resident was given an expired medication, it could possibly not work or possibly make them sick. Record review of the (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455575 If continuation sheet Page 5 of 17 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 455575 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/08/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave Corpus Christi, TX 78405 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 0755 Level of Harm - Minimal harm or potential for actual harm facility's Medication Administration, implemented 10/24/2022, revealed 1. Keep medication cart clean, organized, and stocked with adequate supplies; 12. Identify expiration date. If expired, notify nurse manager. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455575 If continuation sheet Page 6 of 17 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 455575 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/08/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave Corpus Christi, TX 78405 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 0760 Ensure that residents are free from significant medication errors. 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 to ensure residents were free of significant medication errors for 5 of 10 residents (Resident #23, Resident #47, Resident #66, Resident #74, and Resident #82) reviewed for medication errors. 1. The facility failed to ensure LVN C did not document NA in place of Resident #23's blood pressure and pulse when her blood pressure altering medication was administered on 06/03/25, 06/06/25, 06/07/25, 06/08/25, 06/16/25, 06/25/25, 06/26/26, 07/06/25, 07/07/25, and 07/08/25. The facility failed to ensure LVN C did not document NA in place of Resident #23's BP, temp, pulse, resp, and O2 sats on 06/07/25, 06/16/25, 06/25/25, 06/26/25, 07/04/25, 07/05/25, and 07/06/25 when vital signs were to be documented on every day shift on Saturday (04/12/25 to 06/09/25) then every shift (began 06/13/25) per the two physician's orders. The facility failed to ensure LVN P did not document X or NA in place of Resident #23's BP, temp, pulse, resp, and O2 sats on 06/13/25, 06/14/25, 06/23/25, 06/24/25, 06/27/25, 06/28/25, and 06/29/25 when vital signs were to be documented on every shift (began 06/13/25) per the physician's order. The facility failed to ensure LVN Q did not document X in place of Resident #23's BP, temp, pulse, resp, and O2 sats on 06/16/25, 06/17/25, 06/21/25, 06/22/25, 06/25/25, 06/26/2506/30/25, 07/01/25, 07/04/25, 07/05/25, and 07/06/25 when vital signs were to be documented on every shift (began 06/13/25) per the physician's order. 2. The facility failed to clarify the blood pressure parameters for Resident #47's Midodrine (a medication used to treat hypotension, or low blood pressure) orders for June and July of 2025. The facility failed to administer Resident #47's Midodrine per the recommended and prescribed blood pressure parameters in June and July of 2025. 3. The facility failed to ensure LVN C did not document NA in place of Resident #66's blood pressure when his blood pressure altering medications were administered on 06/06/25, 06/07/25, 06/25/25, 07/04/25, 07/05/25, and 07/06/25. The facility failed to ensure LVN C did not document NA in place of Resident #66's BP, temp, pulse, resp, and O2 sats on 06/07/25 and 07/05/25 when vital signs were to be documented every day shift, every 7 days per the physician's order. 4. The facility failed to ensure MA B did not administer Resident #74's blood pressure/pulse altering medications on 06/01/25 when his blood pressure was not within the required parameters per the two physician's orders. The facility failed to ensure MA B administered Resident #74's blood pressure/pulse altering medication on 06/10/25 when his blood pressure was within the required parameters per the physician's order. The facility failed to ensure LVN Q administered Resident #74's blood pressure/pulse altering medication on 06/16/25, 06/22/25, 06/26/2507/01/25, and 07/05/25 when his blood pressure was within the required parameters per the physician's order. The facility failed to ensure LNV R administered Resident #74's blood pressure/pulse altering medication on 06/18/25 when his blood pressure was within the required parameters per the physician's order. The facility failed to ensure LVN C did not document NA in place of Resident #74's blood pressure when his blood pressure/ pulse altering medications were administered on 07/04/25, 07/05/25, and 07/06/25. The facility failed to ensure LVN C did not document NA in place of Resident #74's BP, temp, pulse, resp, and O2 sats on 06/06/25 and 07/04/25 when vital signs were to be documented every day shift, every 7 days per the physician's order. 5. The facility failed to ensure MA D administered Resident #82's blood pressure altering medication on 06/02/25 and 06/11/25, when there were no required parameters per the physician's order. The facility failed to ensure MA D administered Resident #82's blood pressure altering medications on 06/03/25, 06/07/25, 06/12/25, 06/17/25, 06/21/25, and 06/21/25 per the physician's orders. The facility failed to ensure MA B did not administer Resident #82's blood pressure altering medication on 06/14/25 when her blood pressure was not within the required parameters per the physician's order. The facility failed to ensure Residents Affected - Some (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455575 If continuation sheet Page 7 of 17 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 455575 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/08/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave Corpus Christi, TX 78405 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 0760 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some MA B administered Resident #82's blood pressure altering medications on 07/08/25 per the physician's order. The facility failed to ensure LVN C did not document NA in place of Resident #82's BP, temp, pulse, resp, and O2 sats on 06/03/25, 06/07/25, 06/12/25, 06/17/25, 06/21/25, 06/26/25, 07/01/25, and 07/05/25 when vital signs were to be documented upon return from dialysis every Tue, Thu, and Sat per the physician's order. The facility failed to ensure LVN C did not document NA in place of Resident #82's blood pressure when her blood pressure altering medication was administered on 07/04/25, 07/05/25, and 07/06/25. These failures could place residents who receive blood pressure/pulse altering medications at an increased risk for complications such as decreased blood pressure, decreased pulse, exacerbation of symptoms and disease process, and potential hospitalization.1. Record review of Resident #23's admission record revealed a [AGE] year-old female initially admitted to the facility on [DATE] and most recently admitted on [DATE]. Her diagnoses included cerebral infarction (stroke), essential hypertension (high blood pressure), type 2 diabetes (chronic condition that happens when blood sugar levels are persistently high which can lead to heart disease, kidney disease, and stroke), aphasia (an impairment in the ability to read, write, and speak), dysphagia (difficulty swallowing), moderate protein-calorie malnutrition (an imbalance between the nutrients needed to function and the nutrients received), and vascular dementia (problems with thought processes and memory caused by brain damage from impaired blood flow). Record review of Resident #23's quarterly MDS dated [DATE] revealed no BIMS score as she could not speak and her cognitive skills for daily decision making were severely impaired in that she rarely/never made decisions. Record review of Resident #23's physician's orders on 07/08/25 revealed the following orders: Vital signs q shift. Every shift. Start date 06/13/25. Lisinopril Oral Tablet 10 mg. Give 1 tablet via G-Tube one time a day for hypertension. Hold for BP <100/60. Start date 06/17/25. Record review of Resident #23's June 2025 and July 2025 blood pressure and pulse summaries and June 2025 and July 2025 eMARs reflected the following: 06/03/25, 06/06/25, 06/07/25, 06/08/25, 06/16/25, 06/25/25, 06/26/25, 07/04/25, 07/05/25, and 07/06/25 there was no documentation of Resident #23's blood pressure or pulse in the blood pressure and pulse summaries. LVN C documented she checked Resident #23's 6:00 am vital signs and documented NA in the space for BP, Temp, Pulse, Resp, and O2 sats on the eMAR. LVN C documented she administered Resident #23's 6:00 am dose of Lisinopril and documented NA in both the space for the blood pressure and the space for the pulse on the eMAR. 06/13/25 there was not documentation of Resident #23's blood pressure or pulse the blood pressure and pulse summaries. LVN P documented she checked Resident #23's 6:00 pm vital signs and documented X in the space for BP, Temp, Pulse, Resp, and O2 sats on the eMAR. 06/16/25, 06/21/25, 06/22/25, 06/25/25, 06/26/25, 06/30/25, 07/01/25, 07/04/25, 07/05/25 and 07/06/25 there was no documentation of Resident #23's 6:00 pm blood pressure or pulse in the blood pressure and pulse summaries. LVN Q documented she checked Resident #23's 6:00 pm vital signs and documented X in the space for BP, Temp, Pulse, Resp, and O2 sats on the eMAR. 2. Record review of Resident #47's face sheet, dated 07/08/2025, revealed a [AGE] year-old male with an original admission date of 09/30/2019, and a current admission date of 03/28/2025. Diagnoses included Alcoholic Cirrhosis of the Liver with Ascites (severe condition resulting from chronic alcohol abuse, leading to liver damage and fluid accumulation in the abdomen), Congestive Heart Failure (long term condition in which the heart cannot pump blood effectively, leading to fluid buildup in the lungs and legs), Hypotension (low blood pressure) and End Stage Renal Disease (end stage kidney disease in which the kidneys can no longer function adequately, resulting in accumulation of waste products, fluids, and electrolytes, requiring dialysis). Record review of Resident #47's care plan, initiated 08/21/2023, and revised on 10/03/2023, revealed a care plan related to hypotension. Interventions included give medications (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455575 If continuation sheet Page 8 of 17 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 455575 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/08/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave Corpus Christi, TX 78405 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 0760 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some as ordered. Record review of Resident #47's Quarterly MDS assessment, dated 06/13/2025, revealed a BIMS score of 15, which revealed intact cognition. MDS also revealed an active diagnosis of Orthostatic Hypotension. Record review of Resident #47's active physician orders, started 06/12/2025, revealed an order for Midodrine 10 MG, give one tablet by mouth twice per day related to Hypotension; Hold for blood pressure greater than 120/60. Record review of Resident #47's June 2025 MAR revealed Midodrine 10 MG, give 1 tablet by mouth two times per day related to Hypotension. Administer for blood pressure less than 110/50, started 02/26/2025 and stopped 06/12/2025. Dates when Midodrine was held or given inappropriately included: 06/02/2025 9:00 AM B/P 118/62 Administered 06/02/2025 5:00 PM B/P 124/64 Administered06/03/2025 5:00 PM B/P 110/60 Administered06/08/2025 9:00 AM B/P 124/73 Administered06/08/2025 5:00 PM B/P 115/67 Administered06/11/2025 5:00 PM B/P 115/65 Administered Record review of Resident #47's June 2025 MAR revealed Midodrine 10 MG, give 1 tablet by mouth two times per day related to Hypotension. Hold for blood pressure greater than 120/60, started 06/12/2025. Dates when Midodrine was held or given inappropriately included: 06/14/2025 9:00 AM B/P 130/67 Administered06/16/2025 9:00 AM B/P 133/72 Administered06/18/2025 9:00 AM B/P 116/74 Held06/18/2025 5:00 PM B/P 119/71 Held06/19/2025 5:00 PM B/P 119/66 Held06/20/2025 9:00 AM B/P 122/62 Administered06/22/2025 9:00 AM B/P 117/73 Held06/23/2025 5:00 PM B/P 117/74 Held06/24/2025 5:00 PM B/P 120/62 Held06/25/2025 9:00 AM B/P 137/87 Administered06/27/2025 9:00 AM B/P 120/76 Held06/27/2025 5:00 PM B/P 119/71 Held06/28/2025 9:00 AM B/P 118/75 Held06/28/2025 5:00 PM B/P 116/61 Held Record review of Resident #47's July 2025 MAR revealed Midodrine 10 MG, give 1 tablet by mouth two times per day related to Hypotension. Hold for blood pressure greater than 120/60, started 06/12/2025. Dates when Midodrine was held or given inappropriately included: 07/01/2025 5:00 PM B/P 126/74 Administered07/02/2025 9:00 AM B/P 124/69 Administered07/03/2025 5:00 PM B/P 118/85 Held 3. Record review of Resident #66's admission record revealed an [AGE] year-old male initially admitted to the facility on [DATE] and most recently admitted on [DATE]. His diagnoses included chronic kidney disease stage 3 (when the kidneys are damaged and can't filter blood as well as they should), essential hypertension (high blood pressure), atrial fibrillation (an irregular, often fast heartbeat), vascular dementia (problems with thought processes and memory caused by brain damage from impaired blood flow), and cognitive communication deficit (difficulty with communication). Record review of Resident #66's quarterly MDS dated [DATE] revealed a BIMS score of 7 which indicated severe cognitive impairment. Record review of Resident #66's order summary report on 07/07/25 revealed the following orders: Assess vital signs weekly every day shift every 7 days. Start date 02/25/23. Amlodipine Besylate Oral Tablet 5 mg. Give 2.5 mg by mouth one time a day. Hold if SBP <105. Start date 04/22/25. Lisinopril Oral Tablet 20 mg. Give 1 tablet by mouth one time a day related to essential hypertension. Hold for SBP <100. Start date 04/22/25. Record review of Resident #66's June 2025 and July 2025 blood pressure summary and June 2025 and July 2025 eMARs reflected the following: 06/06/25, 06/07/25, 06/25/25, 07/04/25, 07/05/25 and 07/06/25 there was no documentation of Resident #66's 9:00 am blood pressure in the blood pressure summary. LVN C documented she checked Resident #66's 9:00 am vital signs and documented NA in the space for BP, Temp, Pulse, Resp, and O2 sats on the eMAR (06/07/25 and 07/05/25). LVN C documented she administered Resident #23's 9:00am dose of Amlodipine and Lisinopril and documented NA in both spaces for the blood pressure on the eMAR. 4. Record review of Resident #74's admission record revealed a [AGE] year-old male initially admitted to the facility on [DATE] and most recently admitted [DATE]. His diagnoses included type 2 diabetes mellitus (chronic condition that happens when blood sugar levels are persistently high which can lead to heart disease, kidney disease, and stroke), primary hypertension, end stage renal disease (when the kidneys lose the ability to remove waste and balance (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455575 If continuation sheet Page 9 of 17 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 455575 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/08/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave Corpus Christi, TX 78405 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 0760 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some fluids), and dependence on renal dialysis (process of filtering blood through a machine to remove excess water and toxins in the blood when the kidneys no longer function). Record review of Resident #74's quarterly MDS dated [DATE] revealed a BIMS score of 9 which indicated moderate cognitive impairment. Record review of Resident #74's order summary report on 07/07/25 revealed the following orders: Carvedilol Oral Tablet 6.25 mg. Give 1 tablet by mouth every 12 hours for HTN. Hold for BP <110/60 or pulse <60. Start date 01/02/24. End date 06/14/25. Lisinopril Oral Tablet 2.5 mg. Give 1 tablet by mouth one time a day for HTN. Hold for blood pressure <100/60 o pulse <60. Start date 01/02/24. Dialysis days M, W, F at 11:30am. Start date 04/11/25. Carvedilol Oral Tablet 6.25 mg. Give 1 tablet by mouth every 12 hours for HTN. Hold for SBP <90 or pulse <60. Start date 06/14/25. Record review of Resident #74's June 2025 and July 2025 blood pressure and pulse summaries, June 2025 and July 2025 eMAR, and progress notes dated 05/08/25 to 07/08/25 revealed the following: 06/01/25 at 9:00 am Resident #74's blood pressure was documented as 123/56 in the blood pressure summary. MA B documented she administered Resident #74's 8:00 am doses of Carvedilol and Lisinopril when his blood pressure was not within the required parameters per the two physician's orders. 06/06/25 there was no documentation of Resident #74's 6:00 am blood pressure in the blood pressure summary. LVN C documented she checked Resident #74's 6:00 am vital signs and documented NA in the space for BP, Temp, Pulse, Resp, and O2 sats on the eMAR. 06/08/25 at 7:32 am Resident #74's blood pressure was 98/54. MA D documented she did not administer Resident #74's 8:00 am dose of Carvedilol due to VS outside of parameters for administration but she did administer his 8:00 am dose of Lisinopril when his blood pressure was not within the required parameters per the physician's order. 06/09/25 at 8:35 am Resident #74's blood pressure was documented as 125/74. There was no pulse documented. MA B documented she did not administer Resident #74's 8:00 am dose of Carvedilol when his blood pressure was within the required parameters for administration, but did administer his Lisinopril. There was no documentation in the progress notes for the Carvedilol non-administration. 06/10/25 at 7:12 am Resident #74's blood pressure was documented as 121/69. There was no pulse documented. MA B documented she did not administer Resident #74's 8:00 am dose of Carvedilol when his blood pressure was within the required parameters for administration, but did administer his Lisinopril. There was no documentation in the progress notes for the Carvedilol non-administration. 06/16/25 at 7:09 pm Resident #74's blood pressure was documented as 109/58. There was no pulse documented. LVN Q documented she did not administer Resident #74's 8:00 pm dose of Carvedilol when his blood pressure was within the required parameters for administration. LVN Q did not document a comment in the Carvedilol medication administration note. 06/22/25 at 7:36 pm Resident #74's blood pressure was documented as 101/57. There was no pulse documented. LVN Q documented she did not administer Resident #74's 8:00 pm dose of Carvedilol when his blood pressure was within the required parameters for administration. LVN Q there was no documentation in the progress notes for Carvedilol non-administration. 06/26/29 at 6:39 pm Resident #74's blood pressure was documented as 111/58. There was no pulse documented. LVN Q documented she did not administer Resident #74's 8:00 pm dose of Carvedilol when his blood pressure was within the required parameters for administration. LVN Q did not document a comment in the Carvedilol medication administration note. 07/01/25 at 7:11 pm Resident #74's blood pressure was documented as 101/59. There was no pulse documented. LVN Q documented she did not administer Resident #74's 8:00 pm dose of Carvedilol when his blood pressure was within the required parameters for administration. LVN Q did not document a comment in the Carvedilol medication administration note. 07/04/25, 07/05/26 and 07/06/25 there was no documentation of Resident #74's blood pressure or pulse in the blood pressure and pulse summaries. LVN C documented she checked Resident #74's 6:00 am vital signs and documented NA (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455575 If continuation sheet Page 10 of 17 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 455575 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/08/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave Corpus Christi, TX 78405 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 0760 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some in the space for BP, Temp, Pulse, Resp, and O2 sats on the eMAR. LVN C documented she administered Resident #74's 8:00 am doses of Carvedilol and Lisinopril and documented NA in both the spaces for the blood pressure on the eMAR. 07/05/25 at 7:04 pm Resident #74's blood pressure was documented as 101/58. There was no pulse documented. LVN Q documented she did not administer Resident #74's 8:00 pm dose of Carvedilol when his blood pressure was within the required parameters for administration. LVN Q did not document a comment in the Carvedilol medication administration note. 5. Record review of Resident #82's admission record revealed a [AGE] year-old female initially admitted to the facility on [DATE] and most recently admitted [DATE]. Her diagnoses included type 2 diabetes mellitus, vascular dementia, primary hypertension, end stage renal disease, dependence on renal dialysis, and cognitive communication deficit. Record review of Resident #82's quarterly MDS dated [DATE] revealed a BIMS score of 6 which indicated severe cognitive impairment. Record review of Resident #82's order summary report on 07/07/25 revealed the following orders: Dialysis: Tues/ Thurs/ Sat. Needs to be there by 11:00 am. Start date 10/30/23. Assess vital signs upon return from dialysis T, TH, SAT. Every day shift every Tue, Thu, Sat. Start date 01/23/24. Carvedilol Tablet 12.5 mg. Give 1 tablet by mouth two times a day related to hypertension. (No hold parameters) Start date 01/03/24. Stop date 06/13/25. Carvedilol Tablet 12.5 mg. Give 1 tablet by mouth two times a day related to hypertension. Hold medication for BP <100/60. Start date 06/13/25. Record review of Resident #82's June 2025 and July 2025 blood pressure and pulse summaries, June 2025 and July 2025 eMAR, and progress notes dated 05/08/25 to 07/08/25 revealed the following: 06/02/25 at 9:56 am Resident #82's blood pressure was documented as 122/57. There was no pulse documented. MA D documented she did not administer Resident #82's 9:00 am dose of Carvedilol with comment code 4 which meant, VS outside of parameters for admin, when there were no parameters for administration. MA D did not document a comment in the orders administration note. 06/03/25 there was no documentation of Resident #82's blood pressure or pulse in the blood pressure and pulse summaries. MA D documented she did not administer Resident #84's 9:00am or 5:00 pm doses of Carvedilol with code 9 which meant, other/ see progress notes. MA D documented at 9:25 am in the orders administration progress note, Pt going to dialysis. MA D did not comment in the 5:00 pm orders administration note. 06/03/25 there was no documentation of Resident #82's blood pressure or pulse in the blood pressure and pulse summaries. LVN C documented she checked Resident #82's after dialysis vital signs and documented NA in the space for BP, Temp, Pulse, Resp, and O2 sats on the eMAR. 06/07/25 there was no documentation of Resident #82's blood pressure or pulse in the blood pressure and pulse summaries. MA D documented she did not administer Resident #84's 9:00am or 5:00 pm doses of Carvedilol with code 9 which meant, other/ see progress notes. MA D documented at 1:31 pm in the orders administration progress note, Pt gone to dialysis. MA D did not comment in the 5:00 pm orders administration note. 06/07/25 there was no documentation of Resident #82's blood pressure or pulse in the blood pressure and pulse summaries. LVN C documented she checked Resident #82's after dialysis vital signs and documented NA in the space for BP, Temp, Pulse, Resp, and O2 sats on the eMAR. 06/11/25 at 1:42 pm Resident #82's blood pressure was documented as 113/54 and 106/58 at 4:34pm. There was no pulse documented. MA D documented she did not administer Resident #82's 9:00 am or 5:00 pm doses of Carvedilol with comment code 4 which meant, VS outside of parameters for admin, when there were no parameters for administration. MA D did not document a comment in the orders administration note. 06/12/25 there was no documentation of Resident #82's blood pressure or pulse in the blood pressure and pulse summaries. MA D documented she did not administer Resident #84's 9:00am or 5:00 pm doses of Carvedilol with code 7 which meant, Sleeping- see progress note. MA D documented at 10:14 am in the orders administration progress note, Pt left to dialysis. MA D did not (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455575 If continuation sheet Page 11 of 17 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 455575 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/08/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave Corpus Christi, TX 78405 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 0760 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some comment in the 5:00 pm orders administration note. 06/12/25 there was no documentation of Resident #82's blood pressure or pulse in the blood pressure and pulse summaries. LVN C documented she checked Resident #82's after dialysis vital signs and documented NA in the space for BP, Temp, Pulse, Resp, and O2 sats on the eMAR. 06/14/25 at 9:00 am Resident #82's blood pressure was documented as 108/51. MA B documented she administered Resident #82's 9:00 am dose of Carvedilol when her blood pressure was not within the required parameters for administration per the physician's order. 06/17/25 there was no documentation of Resident #82's blood pressure or pulse in the blood pressure and pulse summaries. MA D documented she did not administer Resident #84's 9:00am or 5:00 pm doses of Carvedilol with code 9 which meant, other/ see progress note. MA D documented at 11:29 am in the orders administration progress note, Pt in dialysis. MA D did not comment in the 5:00 pm orders administration note. 06/17/25 there was no documentation of Resident #82's blood pressure or pulse in the blood pressure and pulse summaries. LVN C documented she checked Resident #82's after dialysis vital signs and documented NA in the space for BP, Temp, Pulse, Resp, and O2 sats on the eMAR. 06/21/25 there was no documentation of Resident #82's blood pressure or pulse in the blood pressure and pulse summaries. MA D documented she did not administer Resident #84's 9:00am or 5:00 pm doses of Carvedilol with code 9 which meant, other/ see progress note. MA D documented at 1:11 pm in the orders administration progress note, Pt in dialysis. MA D did not comment in the 5:00 pm orders administration note. 06/21/25 there was no documentation of Resident #82's blood pressure or pulse in the blood pressure and pulse summaries. LVN C documented she checked Resident #82's after dialysis vital signs and documented NA in the space for BP, Temp, Pulse, Resp, and O2 sats on the eMAR. 06/26/25 LVN C documented she checked Resident #82's after dialysis vital signs and documented NA in the space for BP, Temp, Pulse, Resp, and O2 sats on the eMAR. 07/01/25 LVN C documented she checked Resident #82's after dialysis vital signs and documented NA in the space for BP, Temp, Pulse, Resp, and O2 sats on the eMAR. 07/04/25 there was no documentation of Resident #82's blood pressure or pulse in the blood pressure and pulse summaries. LVN C documented she administered Resident #82's 9:00 am and 5:00 pm doses of Carvedilol and documented NA in both the spaces for the blood pressure on the eMAR. 07/05/25 there was no documentation of Resident #82's blood pressure or pulse in the blood pressure and pulse summaries. LVN C documented she administered Resident #82's 9:00 am and 5:00 pm doses of Carvedilol and documented NA in both the spaces for the blood pressure on the eMAR. LVN C documented she checked Resident #82's after dialysis vital signs and documented NA in the space for BP, Temp, Pulse, Resp, and O2 sats on the eMAR. 07/06/25 there was no documentation of Resident #82's blood pressure or pulse in the blood pressure and pulse summaries. LVN C documented she administered Resident #82's 9:00 am and 5:00 pm doses of Carvedilol and documented NA in both the spaces for the blood pressure on the eMAR. 07/08/25 MA B documented she did not administer Resident #82's 9:00 am dose of Carvedilol with an X in the space for the blood pressure on the eMAR and with code, 5 which meant, Hold/ see progress notes. MA B documented at 8:41 am in the orders administration progress note, resident going to dialysis, medications held. In an interview on 07/08/25 at 2:23 pm LVN A stated it was important to check vital signs before giving blood pressure medications because if it was already low, it could drop it too low and if it was too high the doctor needed to be notified and asked if the medications needed to be changed. LVN A stated it was important to document the vital signs when a medication was given or held so the provider and/ or the next shift could look back to see how the BP had been trending. LVN A stated if it was not documented the provider did not have a way to know if medication changes were needed. LVN A stated it was important to follow the physician orders to achieve the therapeutic effect of the medication. LVN A stated they had in- services on mediation administration/ (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455575 If continuation sheet Page 12 of 17 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 455575 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/08/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave Corpus Christi, TX 78405 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 0760 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some documentation about every month and the last one was about a month ago. LVN A stated before she gave any medication, she read the order, made sure it matched the medication on hand, and made sure it was the right person, right time, right dose, and right reason. In an interview on 07/08/25 at 2:40 pm, the DON stated they were going to have a Back to Basics Nursing 101 class for the nurses and the MAs since she had only been at the facility for two weeks. She stated the documentation of NA or X where vital signs were supposed to be in the eMAR was not acceptable and there was a reason for supplemental documentation on an order. The DON stated she would do a complete one by one audit on each of them the orders/ MARs to make sure everything was ordered and documented correctly. The DON stated nurses and MAs should have had reminders on medication documentation at least monthly and as needed and in-services would be at least every three months and as needed. In an interview with the ADON-K on 07/08/2025 at 3:13 pm, she stated Midodrine was used for residents with low blood pressure. She stated the nurses should be utilizing the parameters in the orders and on the MAR the Midodrine, and if they were not, then they were not following physician's orders. She stated if Midodrine was administered when a resident's blood pressure was already elevated, it could continue to rise, and the resident could possibly have had a stroke. In an interview with the DON on 07/08/2025 at 3:49 PM, she stated Midodrine was used for hypotension and the typical parameters were to hold the medication if the systolic blood pressure was greater than 110 and/or the diastolic blood pressure was greater than 60. She stated these parameters can vary depending on which physician writes the order. She stated if Midodrine was held when a resident's blood pressure was low, the blood pressure could continue to drop and the resident could have had a severe hypotensive crisis, and if it was administered when the residents blood pressure was already high, it could continue to rise and caused the resident to have had a stroke, or even possibly death. In an interview on 07/08/25 at 3:20 pm, MA B stated, it was important to check vital signs because the blood pressure might go lower, and you had to read the parameters to determine if you were allowed to give and it was important to document the vital signs to let the person who reads them know that I checked them. MA B stated if the vital signs were not documented, the provider would not know what the blood pressure was. MA B stated she did not think it was acceptable to put NA where the vital signs went. When asked why she held Resident #82's medication on the morning of 07/08/25, MA B stated there was not an order to hold her BP medications before dialysis but to her, everyone who went to dialysis should not have BP medications before they went because it would drop their blood pressure too low. MA B stated it was not acceptable to hold medications without a physician's order and if a medication was held, the provider needed to be notified. She stated in-services on medication administration were done, but she forgot how often. MA B stated if either of the numbers in a blood pressure was out of parameters, the medication was to be held. MA B stated she did not remember on 06/14/25 if she gave or held the Resident #82's blood pressure medication, but based off the blood pressure that was documented, she would have held it. MA B stated during skills checkoffs with the ADON O they went through the medications, made sure they had the right ones, and asked the physician about parameters if there were not any in the order. In an interview with the LVN-I on 07/08/2025 at 4:22 PM, she stated Midodrine was a blood pressure medicine used for hypotension. She stated she did not remember why she administered the medication outside of parameters, but stated she always took the blood pressure prior to administering the medications. She stated if the resident's blood pressure was already elevated, this medication could cause it to continue to rise, which could cause the resident to have had a stroke or even possibly cause death. Record review of the facility's Medication Administration policy, implemented 10/24/2022, revealed: 8. Obtain and record vital signs, when applicable or per physician's orders. When applicable, (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455575 If continuation sheet Page 13 of 17 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 455575 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/08/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave Corpus Christi, TX 78405 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 0760 hold medication for those vital signs outside the physician's prescribed parameters. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455575 If continuation sheet Page 14 of 17 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 455575 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/08/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave Corpus Christi, TX 78405 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 0912 Level of Harm - Potential for minimal harm Residents Affected - Many FORM CMS-2567 (02/99) Previous Versions Obsolete Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Based on observations, interview, and record reviews, the facility failed to provide the required 80 square feet per resident in 89 of 89 resident rooms (Room numbers: 200, 201, 202, 203, 204, 205, 206, 207, 208, 209, 210, 211, 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 228, 229, 230, 300, 301, 302, 303, 304, 305, 306, 307, 308, 309, 310, 311, 312, 313, 314, 315, 316, 317, 318, 319, 320, 321, 322, 323, 324, 325, 326, 327, 328, 329, 330, 331, 401, 402, 403, 404, 405, 406, 407, 408, 409, 410, 411, 412, 413, 414, 415, 416, 417, 418, 419, 420, 421, 422, 423, 425, 426, 427, 428, 429, 430, 431) observed for room size requirement. All 89 rooms did not account for 80 square feet per resident.This failure could restrict the amount of resident care equipment and resident's personal effects that could be accommodated in these resident rooms and limit the residents' ability to move about the room.Record review of Health and Human Services Form 3740 Bed Classifications, dated 07/07/25, reflected 89 rooms with 2 beds each.Observation beginning on 07/07/25 at 9:30 am during the facility's recertification survey, this surveyor used an agency laser measuring device, obtained measurements for all existing rooms. Rooms with 2 beds measured between 149 and 156.5 square feet.In an interview on 07/07/25 at 10:50 am, the Adm provided a letter requesting a room size waiver for rooms 200, 201, 202, 203, 204, 205, 206, 207, 208, 209, 210, 211, 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 228, 229, 230, 300, 301, 302, 303, 304, 305, 306, 307, 308, 309, 310, 311, 312, 313, 314, 315, 316, 317, 318, 319, 320, 321, 322, 323, 324, 325, 326, 327, 328, 329, 330, 331, 401, 402, 403, 404, 405, 406, 407, 408, 409, 410, 411, 412, 413, 414, 415, 416, 417, 418, 419, 420, 421, 422, 423, 425, 426, 427, 428, 429, 430, 431. The ADM stated there had been no changes to the rooms. Event ID: Facility ID: 455575 If continuation sheet Page 15 of 17 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 455575 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/08/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave Corpus Christi, TX 78405 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 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Based on observation and interview, the facility failed to provide a safe, clean, comfortable, and homelike environment for residents, staff and public in 2 (Elevator 1 and Elevator 2) of 3 elevators reviewed for environment. The facility failed to maintain 2 elevators used by residents, staff, and visitors free from offensive odors. This failure could affect all residents that used common areas and place them at risk for diminished quality of life due to the lack of a well-kept environment. During an observation throughout the day beginning on 07/07/25 08:33 AM, this surveyor smelled a strong foul odor on both Elevator 1 and Elevator 2 most of the day. During an observation throughout the day beginning on 07/08/25 08:10 AM this surveyor smelled a strong foul odor on both Elevator 1 and Elevator 2. In an interview on 07/07/25 at 08:45 AM, a visitor who wished to remain anonymous stated the elevators always smelled foul and smelled of urine and feces. In an interview on 07/07/25 at 03:47 PM, the MDS Coordinator agreed that Elevator 1 and Elevator 2 smelled bad and stated they did not smell as bad as they used to. The MDS Coordinator did not elaborate on how long or what kind of foul odor was observed on Elevator 1 and Elevator 2. The MDS Coordinator stated staff have complained about the foul smells in the elevators. In an interview on 07/08/25 08:12 AM, the WCN stated both Elevator 1 and Elevator 2 smelled bad and believed it was because of the carpet that was installed in Elevator 1 and Elevator 2. The WCN stated the elevators were cleaned frequently, but they still had a foul odor. In an interview on 07/08/25 at 11:26 AM, the HS stated the carpets in Elevator 1 and Elevator 2 were shampooed daily in the morning and throughout the day as needed. The HS agreed the elevators have a foul order and stated it was because residents have accidents in them. The HS stated that the elevators are vacuumed and sprayed with shampoo cleaner throughout the day. The HS stated that staff and family members have complained about the foul odor. The HS stated there was no good reason to keep a log or keep record of when the elevators are vacuumed, cleaned, or shampooed but was going to start a log to track the cleaning. In an interview on 07/08/25 at 01:30 PM with the RD revealed the facility was working on getting an approved vendor to remove the carpet. The RD stated the elevators smelled like urine or old carpet. In an interview on 07/08/25 at 01:31 PM the ADM stated the elevators do have a foul odor and stated the elevators smelled of a combination of urine and old carpet. The ADM stated she has had a few family members complain about the foul odor. The ADM stated there was a resident that had a history of urinating in the elevator and housekeeping was cleaning the carpet daily and as needed to help with sanitation. In an interview on 07/08/25 01:32 PM, the MS stated he was aware of the elevators having a foul odor and had been working on getting a quote with an approved vendor to get the carpet taken out. In an interview on 07/08/25 02:55 PM the SW stated the previous ADM installed carpet in the elevators and there are a few residents that have a history of urinating in the elevators or are just unable to wait to go to the bathroom. The SW stated housekeeping was called over the intercom when such an incident occured. The SW stated housekeeping was seen approximately every other day, if not daily shampooing the carpets. Record review of the facility's General Housekeeping Policies not dated reflected: The facility provides sufficient housekeeping and maintenance personnel, equipment, and supplies to maintain the interior and exterior of the facility in a safe, clean, orderly, and attractive manner. Nursing personnel are not assigned to routine housekeeping duties. All housekeeping personnel utilize the accepted practices and procedures to keep the facility free from offensive odors, accumulations of dirt, rubbish, dust, and hazards as well as participate in ongoing education and training to maintain or increase their competency. Deodorizers are not used to cover up doors caused by unsanitary conditions or poor housekeeping practices. Odor control is achieved by prompt cleansing of bedpans, urinals, and (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455575 If continuation sheet Page 16 of 17 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 455575 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/08/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave Corpus Christi, TX 78405 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 0921 commodes by prompt and proper care of residents and soiled linens. by good housekeeping procedures, and by approved ventilation. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455575 If continuation sheet Page 17 of 17