Inspection·February 17, 2026

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interviews, the facility failed to ensure that the resident received adequate supervision and assistance with devices to prevent accidents for 1 (Resident #1) of 6 residents reviewed for accidents and hazards.The facility failed to ensure Resident #1 did not elope from the facility on 1/10/2026, Resident #1 eloped was found in the alley behind the facility, attempting to get to the end of the alley where a coffee shop was located.This failure could result in serious injuries to residents and potentially death.The noncompliance was identified as PNC. This failure resulted in an identification of an (IJ) Immediate Jeopardy on January 10th, 2026, at 11:06 am. The IJ template was provided to the ADM and DON on February 17th, 2026, at 05:05 pm. The IJ was removed on January 11th, at 08:30 am, due to the facility implementing interventions to ensure the safety of the residents A record review on February 17th, 2026, of Resident #1's face-sheet reflected that Resident #1 was a 60year-old-male who was admitted to the facility on [DATE] and re-entered on 11/06/2025 with diagnoses of cerebral infarction, chronic obstructive pulmonary disease, mild intermittent asthma, hemiplegia and hemiparesis, aphasia, and depression. Record review of Resident #1's quarterly MDS dated [DATE], reflected that Resident #1's BIMS score was a 01 and he was not interview able due to severe cognitive impairment. Record review of Resident #1's care plan dated 11/12/2025 reflected that Resident #1 had potential for behavioral problems and impulsiveness. The care plan also reflected that Resident #1 was an elopement risk with history of elopement from previous nursing facility. Interventions were assessing fall risk, redirect, document wandering behaviors, and provide structured activities. During an observation on February 17th, 2026, of the back patio, it was noted that the entire back is in a secure locked area with a long alleyway directly in the back. Interview on 02/12/26 at 12:56 p.m., the DON revealed that Resident #1 is a special resident. She stated that staff previously brought him coffee from the local coffee shop (across the street). On January 10th, 2026 (a Saturday), there was a fill-in receptionist who forgot to get Resident #1, coffee and he became agitated. She stated that she was told that while the facility housekeeper was outside throwing trash out, Resident #1 caught the door and rolled his wheelchair out of the gate towards the alley. The DON stated that he did not make it to the coffee shop and had not left the premises. A psych eval was completed by ADON who also completed an elopement, skin and pain assessment. No harm or injury was found. The DON stated that Resident #1 was on 1 on 1 until psych was able to see him. (48hours later) In-services on making sure the door is closed and locked, emergency drill, elopement risk (Code pink), and where the elopement binder is kept and the nurse station. Interview on 02/17/26 at 09:52 a.m., the facility's housekeeper revealed after taking some trash out to the dumpster she failed to ensure that the gate locked behind her. She stated once she returned to the 100 hall another resident told her that a resident had escaped she stated she immediately yelled code Pink and ran outside. She stated once she arrived outside, she noticed a nurse was already outside talking with Resident #1. (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 2 Event ID: 455637 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 455637 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/17/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wellington Rehabilitation and Healthcare 1802 S 31st Temple, TX 76504 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)