Health inspection·June 25, 2025

F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few had been taking the money from Resident #39. He said she resigned in December 2024. The Administrator said they immediately called the police when they found out about the incident and gave law enforcement information that they requested. He said they also reimbursed Resident #39 the full amount of $4,671.22. He said they in-serviced all staff on Abuse, neglect and exploitation and conducted an audit of all residents' finances for the past year and found no concerns. He also said they now have a filling cabinet with lock and key to store all resident's financial information to which only the BOM has access to. In a telephone interview on 06/23/25 at 4:15 p.m. the BOM said Resident #39 asked her for help when he could not access his account via telephone. She said she took him to his bank so he could find out what was going on. She said at that point they found out that the former ABOM was taking money from his account without his permission. The BOM said she was not aware that the former ABOM was doing that. The BOM said that the ABOM had access to Medicaid applications because that was one of her duties to help with. She said she did not know how she was able to take money from Resident #39's account. BOM said that after the incident, she completed an audit of all resident's finances for the past year and found no concerns. She said she also has a cabinet with lock and key to keep all resident's financial information secured and she is the only one with access. 06/24/25 at 9:02 a.m. Attempted to contact former ABOM via telephone, there was no answer, only able to leave voice message. In a telephone interview on 06/24/25 at 10:12 a.m. the Police Investigator said he investigated the incident and found that the former ABOM gained access to Resident #39's bank account information and linked it to her personal Cash App and was transferring money to her account from October 2024 to March 2025. He said when he interviewed her, she admitted to taking Resident #39's money without his consent. He also said she was arrested for this incident. Record review of the facility's policy titled Abuse: Prevention of and Prohibition Against revised on 12/2023 . reflected; Policy It is the policy of this Facility that each resident has the right to be free from abuse, neglect, misappropriation of resident property, exploitation, and mistreatment. The Facility will provide oversight and monitoring to ensure that its staff, who are agents of the Facility, deliver care and services in a way that promotes and respects the rights of the residents to be free from abuse, neglect, misappropriation of resident property, exploitation, or use of technology that would infringe on the resident's right to personal property. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455925 If continuation sheet Page 2 of 9 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 455925 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Veranda Rehabilitation and Healthcare 4301 S Expressway 83 Harlingen, TX 78550 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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to develop and implement a person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 2 of 8 residents (Resident #'s 44, Resident #30) reviewed for comprehensive care plans in that: 1.The facility failed to ensure Resident #44 ' s care plan included his ADL self-performance deficit for eating when Resident #44 needed substantial/maximal assistance and needed to be fed. 2. The facility failed to develop and implement a comprehensive person-centered care plan to address Resident #30's smoking. These deficient practices could place residents at risk of not receiving appropriate treatment and services. The findings included: 1.Record review of Resident #44 admission record dated 06/24/25 reflected an [AGE] year-old male admitted on [DATE], an initial admit date of 06/06/23, and an original admit date of 01/14/22. His relevant diagnoses included dementia (the loss of cognitive functioning, thinking, remembering, and reasoning) muscle weakness, dysphagia, oropharyngeal phase (difficulty in swallowing that originates in the mouth and throat and extends to the upper esophagus), anxiety disorder (intense, excessive, and persistent worry and fear about everyday situations), and bipolar disorder ( a disorder associated with episodes of mood swings ranging from depressive lows to manic highs) . Record review of Resident #44 ' s quarterly MDS assessment dated [DATE] reflected that he had a BIMS score of 02, which indicated his cognition was severely impacted. Further review reflected Resident #44 had a code of 5 (setup and clean-up assistance-helper sets up or cleans up; resident completes activity Helper assist only prior to or following the activity) for eating. Record review of Resident #44 ' s quarterly care plan dated 04/08/25 reflected a focus of assistance with ADLs: setup/clean-up: Eating. His interventions in part included eating peg tube ( a feeding tube inserted through the abdominal wall into the stomach). In an observation on 06/23/25 at 8:45 am, Resident #44 was observed in a sitting position on his bed. His bedside table was positioned over his bed. The breakfast tray was sideways, and his left elbow was observed to be resting in his pureed oatmeal bowl. His spoon had fallen between his contracted legs and was not within reach. Resident #44 kept repeating se me [NAME] y no puedo agararlo (it fell, and I can ' t get it) pointing to the spoon. Shortly after, CNA A was observed as she approached Resident #44 and asked him if he needed assistance with his breakfast, and he answered si (yes). CNA A began feeding Resident #44, and he ate 100% of his meal. In an interview on 06/23/25 at 8:55 a.m., CNA A said Resident #44 ADL for feeding was to set-up/clean-up for eating. She said that meant his meal tray had to be set up (uncover the drinks, making sure the utensils were within reach, and his tray was within reach). She said Resident #44 required assistance with feeding, but there were times in which he refused to be assisted with feeding. She (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455925 If continuation sheet Page 3 of 9 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 455925 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Veranda Rehabilitation and Healthcare 4301 S Expressway 83 Harlingen, TX 78550 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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few said all they could do when he refused was to monitor him. She said Resident #44 had behavioral issues and would spit on them when he did not want to be fed. CNA A said she had set up his breakfast tray earlier that morning but had not checked up on him after that. In an interview on 06/23/25 at 9:00 a.m., MDS H said Resident #44 ' s care plan reflected that he had a feeding tube; therefore, there were no interventions for feeding. In an interview on 06/23/25 at 9:05 am, LVN B said Resident #44 never had a feeding tube. In an interview on 06/23/25 at 10:00 am, the DON approached this surveyor and provided a copy of Resident #44 ' s care plan and said, it was just revised. This surveyor asked what was revised, and her response was, I don't know, I was just told to bring it to you. In an interview on 06/23/25 at 10:05 am, MDS G said she had modified Resident #44 ' s care plan to reflect that he did not have a feeding tube and added x1 for feeding. She said the update meant he needed assistance with feeding. In an interview on 06/24/25 at 9:00 a.m., LVN B said there were days in which Resident #44 was able to eat on his own and days in which he required assistance with feeding. She said Resident #44 had behavior issues and when he did not want help with feeding, he would spit on the CNAs. She said there was no negative outcome for not having his care plan include he was a 1x for eating because the CNA staff were already assisting him in eating but at times he refused. In an interview on 06/24/25 at 9:40 am, the DON said she did not know why Resident #44 ' s care plan reflected he had a feeding tube. She said from what she recalled, Resident #44's ADL for eating was set-up and monitor, which meant a CNA would set up his meal tray and monitor him to see if he needed assistance with anything. This Surveyor asked the DON if set-up/clean-up (as reflected on Resident #44 ' s care plan) was the same as set-up and monitor and she did not respond. She said Resident #44 had behavior problems like spitting and hitting CNAs when they tried to feed him. The DON said there were no negative outcomes to Resident #44 because his care plan did not indicate that he required assistance X1 for feeding, because CNAs would assist with that task whenever he would allow them. 2. Review of Resident #30's Face sheet dated 06/22/2025 revealed an admission date of 05/21/2025. The Resident's diagnoses included Nicotine Dependence, Chronic Obstructive Pulmonary Disease (a progressive lung disease that makes it difficult to breath). Review of Resident #30's most recent comprehensive MDS assessment dated [DATE], revealed the resident's diagnosis of Chronic Obstructive Pulmonary Disease. Resident#30 was cognitively intact with a score of 13. Review of the Resident #30's Care Plan, dated 05/22/2025, revealed the care plan did not identify the resident's smoking interventions. Record Review of facility's smoking list provided by the facility on 6/23/24 Resident #30 was on the list. In an observation and interview on 06/23/25 at 8:45 am, Resident #30 was on his bed, lying down, resident did not have any concerns on abuse and neglect. The room was clean, resident was well (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455925 If continuation sheet Page 4 of 9 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 455925 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Veranda Rehabilitation and Healthcare 4301 S Expressway 83 Harlingen, TX 78550 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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few groomed. during an interview Resident #30 revealed he was a smoker and the facility was facilitating his smoking needs. During an interview on 06/23/25 at 4:30 p.m. The MDS H nurse stated the care plan should have been updated when and by whomever found out that Resident #30 was a smoker. MDS H nurse stated that Resident #30 was very dependent and was able to light up the cigarette by himself. The MDS H nurse stated that a negative outcome was the lack of communication between staff and resident. During an interview on 6/24/25 at 11:20 a.m. The ADON stated that she did not know how was Resident#30's missed as a smoker. ADON stated that was important to have the care plan updated because that way Resident #30 could get the best care. The ADON stated the negative outcome would be not giving the care needed by Resident #30. During an interview on 06/24/25 at 11:50 a.m., the DON stated the care plan had to be updated to give the resident the best care and to verify if the interventions were effective. The DON stated care plans were created upon admission within 48 hours, updated 14 days after admission, quarterly, and upon change of condition. The DON stated Resident #30 was at risk of not receiving a proper care that she required. Record review of the facility ' s Comprehensive Person-Centered Care Planning policy, dated September 2016 revisied April 2025 reflected: Policy: It is the policy of this facility that the interdisciplinary team (IDT) shall develop a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident ' s medical, nursing, mental and psychosocial needs that are identified in the comprehensive assessment. The IDT team will also develop and implement a baseline care plan for each resident, within 48 hours of admission, that includes minimum healthcare information necessary to properly care for each resident ad instructions needed to provide effective and person-centered care that meet professional standard of quality care. Procedure: 3. The facility IDT will develop and implement a comprehensive persons-centered, culturally competent, and trauma-informed care plan for each resident within 7 days of completion of the Resident Minimum Data Set and will include resident ' s needs identified in the comprehensive assessment, any specialized services as a result of PASRR recommendation, and resident ' s goals and desired outcomes, preferences for future discharge and discharge plan. Review of the facility Smoking Policy with a revised date 03/2008 - reflected it is the policy of this facility to provide to its ' residents a smoke free environment. It is also policy to provide those residents who choose to smoke a means in which to do so that does not jeopardize their safety or the safety of others residing in the facility. The results of the evaluation will be placed in the resident ' s chart and the Interdisciplinary Team recommendations will be care planned FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455925 If continuation sheet Page 5 of 9 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 455925 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Veranda Rehabilitation and Healthcare 4301 S Expressway 83 Harlingen, TX 78550 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 0880 Provide and implement an infection prevention and control program. 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 parenteral fluids were administered consistent with professional standards for 1 of 4 residents (Resident #20) reviewed for infection control. Residents Affected - Few The facility failed to ensure the dressing on Resident #20's peripheral intravenous line (a short flexible tube inserted into a vein to administer fluids and medications) was dated and initialed. The failures could affect residents by placing them at risk for infections. Findings included: Record review of Resident #20's electronic face sheet, dated 06/22/2025, reflected the resident was a [AGE] year-old female who was admitted to the facility on [DATE] with an original admission date of 02/11/2017. The resident had diagnoses which included: Cellulitis of Left Foot (skin infection), Alzheimer's Disease (a brain disorder that slowly destroys memory and thinking skills, and eventually, the ability to carry out the simplest tasks), Type 2 Diabetes Mellitus, Dementia, Muscle Weakness, and Age-Related Osteoporosis (causes bones to become weak and brittle). Record review of Resident #20's Quarterly MDS assessment dated [DATE] reflected that she had intravenous access. Resident #20 BIMS score was 0, indicating her cognition was severely impaired. Record review of Resident #20's person- centered care plan, initiated date 06/17/25 reflected resident was on IV Medications related to cellulitis to left foot and IV hydration-initiated date 06/21/2025. Interventions included IV medication as ordered. Check dressing at site daily, monitor PIV line for s/s of infection/infiltration every shift, notify provider if present change intravenous tubing with new IV bag reinsert peripheral IV line. Notify md if unable to reinsert after attempts. Change dressing prn if wet, soiled, saturated or loose peripheral intravenous care. IV fluids as ordered. Record review of Resident #20's physician orders reflected, 0.9% NS at 80mL/Hr x1 Liter one time only for hydration for 1 Day dated 06/21/2025. Linezolid Intravenous Solution 600 MG/300ML (Linezolid) Use 1 dose intravenously every 12 hours for cellulitis to left foot for 7 Days, dated 06/17/2025. An observation on 06/22/2025 at 10:58 a.m. revealed Resident #20 was in her room lying in bed. She had a peripheral intravenous line dressing properly labeled on her left wrist with 0.9% NS running at 80mL/hr. She also had a peripheral intravenous line dressing with no date and no initials on her right hand. There were no signs or symptoms of infection or infiltration noted at both peripheral line sites. In an interview on 06/22/2025 at 11:02 a.m. LVN I, the charge nurse for Resident #20, confirmed the resident had a peripheral IV lock in her right hand covered with a transparent dressing that was not labeled. LVN I stated that she was not the one that initiated it. LVN I stated that the nurse who initiated the IV was responsible for labeling the dressing with the date and initials. She stated that it was important to label the IV sites to know when they needed to be changed. LVN I stated she would remove the one on the right hand because she did not know how long she has had it. She stated she checked the sites that morning and flushed both IV sites but missed the labeling. She stated she (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455925 If continuation sheet Page 6 of 9 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 455925 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Veranda Rehabilitation and Healthcare 4301 S Expressway 83 Harlingen, TX 78550 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 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few knew she was supposed to check the date on the dressing, the site for infection, and the status of the dressing every shift. LVN I stated that it was important to label the dressings because it can cause infection not knowing how long they have had it for. She stated she had done training on IV administration upon hire and once a month. In an interview on 06/22/2025 at 11:15 a.m. the ADON confirmed that Resident #20 had a peripheral IV lock in her right hand with a dressing that was not labeled. She stated that the IV dressings needed to be changed every three days. The ADON stated that it was important to label the dressings because they did not know how long they have had it for, and it can cause infection and infiltration. She stated that the staff was to date and initial the dressings. The ADON stated she does rounds to check after the nurses and ensure IV bags and dressings were labeled with date and initials, but she did not have a chance to go down Resident #20's hall. She stated that the staff was trained in IV administration to meet all criteria. In an interview on 06/22/2025 at 11:25 a.m., the DON stated that the IV dressings were to be labeled with the date and initials and were to be changed every three days. She stated that it was important for the nurse to ensure that it was labeled so they knew when to change it. The DON stated that by not having the dressing labeled the site can develop an infection. She stated the ADON rounds to check after the nurses and ensures the dressings were being labeled. She stated that IV administration trainings were done annually and as needed. Record review of the facility's skill check off record provided revealed LVN I met requirements for Inserting a Peripheral IV on 05/01/2025. Record review of the facility's Competency Checklist Inserting a Peripheral IV blank form revealed: Title: Labeling Description: Place a label with the date of catheter insertion, clinicians' initials. Rationale: Allows for recognition of type of device and length of time that device has been in place. Record review of the facility's Administration of Medication and Fluids, Intravenous policy, dated revised 3/2023, revealed .15. Rotate sites every seventy-two hours. Record review of the facility's Infection Prevention and Control Program Policy date revised 10/2022 revealed: Policy: The infection prevention and control program is a facility wide effort involving all disciplines and individuals and is an integral part of the quality assurance and performance improvement program. The elements of the infection prevention and control program consist of coordination/oversight, surveillance, data analysis, antibiotic stewardship, outbreak management, prevention of infection, and employee health and safety. Goals: Recognize infection control practices while providing care. Ensure compliance with state and federal regulations related to infection control. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455925 If continuation sheet Page 7 of 9 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 455925 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Veranda Rehabilitation and Healthcare 4301 S Expressway 83 Harlingen, TX 78550 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 0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to maintain an effective pest control program so that the facility is free of pests for 1 of 1 kitchen reviewed for environmental conditions. Residents Affected - Some The facility failed to have pest control effectively treat the kitchen for roaches. This deficient practice could place residents at risk of exposure to pests, diseases, infections, and diminished quality of life. Findings included: An observation and follow-up tour of the kitchen with the DM on 06/22/25 at 2:00 p.m., revealed there were roaches coming out of the floor drain under the 2-compartment sink on the north side of the kitchen. The DM said the kitchen had been fumigated last week and stated the roaches started coming out when the new parking lot construction began several weeks ago. She said she had already reported the problem to the facility ' s Maintenance Director and the Administrator. She said the negative outcome for having roaches in the kitchen was an infection control issue. In an interview on 06/22/25 at 2:30 p.m., the Maintenance Director said the DM had told him she had seen roaches in the kitchen. He said the roaches started coming out when they started the construction of their new parking lot in the back of the building. He said the entire facility had been fumigated last week for roaches. He was not able to say what the negative outcome of having roaches in the kitchen would have been. In an interview on 06/23/25 at 2:00 p.m., [NAME] E said the roach problem began a couple of weeks ago, when the construction of the new parking lot started. She said she had seen roaches in the morning when she came in and immediately reported it to the DM. She said the kitchen had been fumigated last week. She said she would only saw couple of roaches a day and said it was not an infestation. In an interview on 06/22/25 at 2:10 p.m., DA F said she had first noticed the roaches in the kitchen when the construction of the new parking lot started. She said the kitchen had been fumigated last week and that it was not like a lot of roaches. She said whenever she saw a roach she would kill it and then report it to the DM. In an interview on 06/22/25 at 4:00 p.m., the Administrator said the entire facility was fumigated at least once a week or more often if needed. He said the hot weather and the construction of the new parking lot behind the kitchen could be the reason the roaches were coming into the kitchen. He said he had already called the exterminator, and they would be coming back to fumigate the kitchen by tomorrow. He was not able to say what the negative outcome of having roaches in the kitchen would be. Record review on 06/22/25 at 3:00 of the facility ' s pest control log reflected the entire facility had been fumigated monthly from 01-25 to 05-25 and twice in 06-30-25 for ants, spiders, roaches, and silverfish. Record review on 06/23/25 of the facility's Infection Control Policy/Procedures: Pest Control Visits revised on May 2007 reflected: (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455925 If continuation sheet Page 8 of 9 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 455925 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/25/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Veranda Rehabilitation and Healthcare 4301 S Expressway 83 Harlingen, TX 78550 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 0925 Policy: Level of Harm - Minimal harm or potential for actual harm It is the policy of this facility to provide an environment free of pests. Procedures: Residents Affected - Some 3. It will allow for additional visits when a problem is detected. 4. Monitoring of the environment will be done by the facility ' s staff. 5. Pest control problems will be reported promptly to the administrator. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455925 If continuation sheet Page 9 of 9