Health inspection·January 16, 2026

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Resident #1 and #2 were spoken to, they plead their innocence to the incident claiming they did not know drugs were entering the facility. No further actions were conducted. During an interview on 1/15/2026 at 2:09 p.m. Resident #2 stated on an unknown date she wanted to buy a cross for a friend who was leaving the facility. Resident #2 said she was sick, so she sent Resident #1, who is blind, to go get it but the nurse, RN A thought the package looked suspicious and intercepted the package. Resident #2 stated Resident #1 was blind and could not see. Resident #2 stated they ordered the package from a man who was the friend of another resident (unknown name) that no longer lived at the facility and had not lived there for a while. She stated the friend sent her an unsolicited text message asking if she wanted to buy a homemade cross his mother made. She stated he delivered the package with the cross. She stated it was a beautiful cross, in a nice decorative box. Resident #2 stated the next thing she knew the police were at the facility grilling them. Resident #2 stated she was upset and realized she could have gotten in trouble or been arrested. She stated she blocked the visitor from her phone and had no further contact. She stated she had never been in trouble a day in her life and had never done drugs. Resident #2 stated the man did not charge her for the cross. He said it was a donation for homeless people. She stated she provided the police with his contact information and as much information as she could. She stated the next day, a Monday the Administrator came to her room to talk to her about what happened. She denied using drugs and denied knowing anyone at the facility using drugs. During an observation and interview on 1/15/2026 at 2:28 p.m., Resident #1 was observed maneuvering his wheelchair around objects in his room. He stated he was blind but was able to see light and dark and the edges of shadows only. He denied using drugs or having any knowledge about anyone at the facility using drugs. He stated the cross incident was a misunderstanding. Resident #1 stated it started with a man's (visitor's) who was giving away her homemade crosses to homeless people[SP1] . He stated he paid $10 dollars for the cross, and the lady was supposed to bring the cross to him. Instead, she sent her family member. Resident #1 stated he asked RN A to help him get the delivery since he was blind. He stated he wanted to make sure he got the cross in the package. Resident #1 stated RN A saw something suspicious with the package, took it and saw drugs. He stated he did not know what type of drugs they were. Resident #1 stated he thought the man delivered the wrong package. He stated the cops came to visit. He stated he told the cops it was a mistake, that he just wanted a cross. He stated he doesn't do stuff like that (drugs) and never did. He stated he believed it was all a misunderstanding. During an interview on 1/15/2026 at 2:51 p.m., RN A stated he was the weekend supervisor on an unknown date in December. He stated around 9-10 p.m., Resident #1 was waiting for a package. He stated Resident #1 asked him to assist with the front door. RN A stated a man said he had a gift for Resident #2. RN A stated the man gave the gift to Resident #1, who in turn gave the man a bag of chips. RN A stated Resident #1 asked him to check the package for the cross. RN A stated he checked the package and saw the cross. He stated under the cross there were approximately 3 dime sized baggies of a white powdery unknown substance. RN A stated he asked Resident #1 about it. He said Resident #1 said he had no idea what it was, that it was supposed to be just a cross. RN A stated he confiscated it and notified the DON and Administrator and told them he was calling the cops. He said both the DON and Administrator gave him the green light. RN A stated he wore gloves when handling the baggies and put them in the DONs office and then waited for the cops. He stated his shift was over before the cops came, so he reported off to RN B. He stated he did believe Resident #1 did not know anything about the drugs. He stated he did not interview or talk to Resident #2. He stated neither resident had any known behaviors. RN A declined knowing any resident or staff member who was using drugs at the facility. Attempted interview on 1/15/2026 at 2:59 pm with RN B. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455754 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 455754 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/16/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Northeast Rehabilitation and Healthcare Center 603 Corinne St San Antonio, TX 78218 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 FORM CMS-2567 (02/99) Previous Versions Obsolete No return call received prior to exit. During an interview on 1/16/2026 at 9:30 p.m., the DON stated she was called during the middle of the night about the incident with the cross on an unknown date. She stated it was reported by RN A that a person never seen before at the facility had delivered a package with a rosary or a cross with a little baggie. She stated she told him to notify the police. She stated she was unsure if it was ever positively identified as drugs. She stated the front door to the facility was kept locked and only opened by staff. She stated all packages by an unknown source were to be opened in the presence of the resident, that come into the facility. She stated the only exception to that was a package that comes from a reliable source, such as from the USPS, or other delivery service. She stated the staff responded exactly how they were supposed to. She stated the package was reported as being very suspicious looking. The DON stated Resident #1 had requested help from staff to open the package. The DON stated neither Residents #1 nor #2 had a history of leaving the facility on pass and neither resident was on her radar for drug use. The DON stated both residents refused a drug test. She stated they did monitor their cognition and neither showed any alterations. She stated the Administrator completed the investigation for this event. During an interview on 1/16/2026 at 12:29 p.m., the Administrator stated he was notified the night the incident happened by RN A (unknown date). He stated RN A told him he went to pick up a package for Resident #1, opened it and saw a substance. The Administrator stated RN A did not know what the substance was but called the police. The Administrator stated he made sure no residents got any drugs, that they were secured and they were handed over to police. He stated he had not received any updates from the police department about the substance. The Administrator stated he conducted an internal investigation. He stated both residents' stories collaborated the others and his conclusion was there was a mix up with the package which was intended for someone else. He stated he did not have any evidence to the contrary and there was no signs of drug use from either resident. The Administrator stated he did not report the incident to HHSC. He stated he did not report because the facility uses the provider letter for reporting. He stated there was nothing in the provider letter to indicate he needed to report. He stated neither resident ever had any contact with the drugs and there was not a concern for the residents health or safety. Record review of the facility's Abuse Prevention policy, undated, revealed: Reporting/Response: Alleged violations will be reported via phone or email to the State Licensing Agency. Event ID: Facility ID: 455754 If continuation sheet Page 3 of 3