Health inspection·August 8, 2024

F 0600 was slow but he answered questions appropriately. Level of Harm - Minimal harm or potential for actual harm Attempts to interview MED AIDE A were unsuccessful, three attempts were made to reach her by telephone on 7/23/24 at 9:30 am 11:18 am and 1:00 PM. No return call was received. Residents Affected - Few Review of the facility investigation reflected the incident was reported on 6/24/24 and occurred on the evening of 6/23/24. Review of the incident report reflected Resident #1 was told by MA A I am punishing you for last night for being on the light. The Resident's room mate Resident #5 gave a statement to the administrator on 6/24/24 the Med Aide A left Resident #1 up in his chair until 10 PM on 6/23/24. On interview by the Administrator Resident #1 corroborated the statement. Resident #1 stated he had back pain . Assessment of Resident #1 showed no signs of physical injury. In a follow-up interview on 08/08/2024 at 11:18 AM Resident #1 up in w/c in room he stated he was ok and voiced no complaints about care or staff at the facility. When asked about MED AIDE A he stated 'who then was able to recall the incident he stated she did put him in bed at 10:00 pm because he was on his light last night and then she said if you do I will not put you to bed until 1:00 PM tomorrow. When asked if he felt abused and how the incident made him feel he stated, I feel like she was in a bad mood. Then stated no to being abused but yes to feeling threatened. He stated he felt safe at the facility and was happy with how the facility handled the situation. He stated did not have pain but did not want any pain medicine. He stated he usually went to bed at 6 or 7 pm. He stated MED AIDE A had taken care of him before and he stated he had not had any problems with her before. Review of facility investigation dated 07/01/2024 revealed the administrator and Social Worker interviewed Resident #1 individually as part of the facility investigation. Psych services conducted a brief interview and no adverse issues were reported. Review of Med Aide A Termination Statement dated 07/01/24 revealed Med Aide was suspended on 06/24/24 and terminated on 07/01/24. Review of a Statement from Resident #1 dated 6/24/24 reflected he had been kept up until 10 PM on 6/23/24 and the med Aide A threatened to keep him up until 1:00 am if he used the call light too much. Review of a Statement from Resident #5 dated 6/24/24 reflected he had overheard Med Aide A tell his roommate Resident #1 I am punishing you for last night for being on the light. Review of the Facility Policy on Abuse Neglect dated 3/29/2018 reflected the resident has a right to be free from abuse, neglect and misappropriation. Examples of verbal abuse in the policy include threats to harm or frighten a resident. Review of Abuse, Neglect and Exploitation Inservice dated 06/24/24 revealed all staff inserviced on abuse, negelct and exploitation. Review of Med Aide A's employee record reflected she was hired 4/15/2022 back ground check completed, her last abuse prevention training was done 5/29/24 no disciplinary actions. An observation on 08/08/2024 at 9:35 AM revealed staff interacting at the facility respectfully with residents. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455589 If continuation sheet Page 2 of 3 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 455589 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/08/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Fortress Nursing and Rehabilitation 1105 Rock Prairie Rd College Station, TX 77845 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 In an interview on 08/08/2024 at 9:55 AM Resident #10 stated he thought the staff were competent and felt safe at the facility. He denied any abuse. In an interview on 08/08/2024 at 9:57 AM Resident #11 stated she felt safe and had no concerns for abuse or neglect. Residents Affected - Few In an interview on 08/08/2024 at 11:00 AM RN G stated she was educated regarding the facility abuse and neglect policy and would notify their abuse coordinator, the administrator. If she did not feel the situation was addressed by the abuse coordinator she would notify HHSC. Review of Satisfaction Rounds by the Social Worker dated 06/27/2024 revealed the social worker completed satisfaction rounds with all residents with no additional concerns revealed. Review of Resident #1's Care plan dated 06/25/2024 revealed Resident #1's care plan was updated for recent trauma related to abuse for incident with MED AIDE A. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455589 If continuation sheet Page 3 of 3