Inspection·January 20, 2026

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately, not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures for 1 of 4 residents (Resident #1) reviewed for neglect reporting.The facility failed to report an allegation of neglect and abuse to the State Agency when an allegation was made on 11/28/2025 that Resident #1's brief had not been changed in 5 hours.This failure could place residents at risk for not having allegations of neglect reported which could lead to injuries or worsening of condition.Review of Resident #1's MDS assessment, dated 12/10/25, reflected he was an [AGE] year-old male admitted to the facility on [DATE]. The resident had a BIMS score of 15 which indicated an intact cognitive status. His diagnoses included congestive heart failure (a chronic condition where the heart is unable to pump blood effectively, leading to fluid buildup in the lungs and other body parts), Type II Diabetes (a condition where the body can't properly use sugar for energy, leading to high blood sugar and possible complications), hyperlipidemia (like cholesterol or triglycerides in the blood, which can raise the risk of heart disease and stroke), major depressive disorder (severe, persistent sadness and loss of interest that interferes with daily life), and hypertension (blood pressure is consistently too high, which can strain the heart and blood vessels). The resident mobilized with a manual wheelchair and required one person assist for transfers, turning, positioning, and dressing. The resident had frequent bowel incontinence and required staff assistance with toileting and incontinent care. Record review of a complaint report dated 11/28/2025 revealed law enforcement responded to the facility at 8:55 AM for elder abuse. The complaint stated that Resident #1 reported staff had not changed him in over 5 hours. An observation and interview on 1/20/26 at 10:18 AM with Resident #1 revealed he was sitting in his wheelchair, brushing his teeth and appeared well-groomed. He reported he had called the police because it took 5 hours before someone showed up to change his brief. He reported he was changed before breakfast and later used his call light for help changing his brief. He said someone came in his room to bring his meal, but they did not change him during that time. An interview on 1/20/26 at 1:45 PM with the DON revealed he was at the facility the day law enforcement responded to Resident #1's call and spoke to the officer directly regarding the allegations of abuse. The DON stated he then spoke to the administrator about the reported abuse and neglect. He stated the administrator was the abuse coordinator who would call and report any allegations to HHSC. The DON denied that Resident #1 was left for 5 hours without incontinent care. The DON reported the resident was changed before breakfast and again (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: 455861 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 455861 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/20/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Landmark of Plano Rehabilitation and Nursing Cente 1621 Coit Rd Plano, TX 75075 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)