Health inspection·April 19, 2025

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few signs & health condition as indicated. Notify PCP & RP of any change in condition as clinically indicated. See nurse for any care related questions or concerns. Record review of the facility's Provider Investigation Report regarding Resident #1 dated 01/17/2025 revealed Description of the allegation: staff reported a concern regarding the attitude of a nurse toward a resident. The housekeeper stated that she observed [Resident #1] calling for assistant and felt the nurse responded with a rough attitude. Was the incident reported to the police yes case number 2025-001298. Record review of Resident #1's local law enforcement police report printed timestamped 04/22/2025 at 8:21AM revealed case number 2025-00011298, report detailed that event occurred from 01/14/2025 at 12:00AM to 01/14/2025 at 8:00PM. Additionally, facility reported date and time: 01/21/2025 at 11:29PM which revealed the facility reported the allegation of abuse 7 days after the allegation was made. Narrative on January 21, 2025, police responded to [facility] to incident report. During an interview on 04/19/2025 at 10:28AM dispatcher for the local law enforcement agency stated case number 2025-001298 was not a case number and stated 2025-00011298 was called in by the facility administrator on 1/21/2025 around 11:29AM, which was 7 days after the allegation was made on 01/14/2025. During a phone interview on 04/19/2025 at 11:28AM the local law enforcement officer who responded to the 01/21/2025 call regarding Resident #1 stated when he initiated his onsite investigation on 01/21/2025, he was notified by the administrator that the incident regarding Resident #1 had transpired several days before the administrator called in the allegation of abuse. The local law enforcement officer stated he interviewed Resident #1 and other staff members but did not find any definitive evidence that the allegation of abuse occurred. The local law enforcement officer stated he filled out a report shortly after he completed his facility on-site visit on 01/21/2025 and the report he completed would accurately depict the timeframe of when the facility called in the allegation of abuse. During an interview on 04/19/2025 at 2:19PM the Administrator and DON stated their protocol was to suspend LVN A pending investigation results. Both stated they gathered information from the housekeeper on 01/14/2025 and commenced a head-to-toe assessment for Resident #1 and notified Resident #1's [family member]. Both stated they called the police department within 24 hours when the allegation was made on 01/14/2025. Both stated they never found any definitive evidence of abuse as Resident #1 never verbalized any allegation of abuse or mistreatment nor did they find any skin irregularities or behavioral abnormalities. Both stated the investigation took roughly 5 days to complete. Both stated they commenced their investigation with residents on 01/14/2025 thru 01/15/2025, followed by staff members. Both stated they treated the allegation as abuse and notified the proper entities including state agencies and local law enforcement. Both did not verbalize a definitive answer of what potentially could occur if the local law enforcement agency is not called within 24 hours. Both reiterated the facility notified the local law enforcement within 24 hours after the allegation of abuse was made. The Administrator said it was his responsibility for reporting any allegation of abuse to the state agency and local authority. Record review of the facility's Abuse and Neglect in-service dated 01/15/2025 revealed Reviewed the process of reporting all allegations of abuse and neglect. Understanding the process of preventing, identifying, and reporting all allegations/suspicions. [facility] policy for preventing, identifying, and timely reporting all suspicions and/or allegations of abuse and neglect, the [state agency] guidance/provider letter and adhering to the timely reporting per regulation. Community has a 2-hour (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675030 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 675030 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/19/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE LA Frontera Nursing & Rehabilitation 7001 McPherson Rd Laredo, TX 78041 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 reporting window on certain abuse and neglect allegations. Level of Harm - Minimal harm or potential for actual harm Record review of the facility's Abuse Guidance: Preventing, Identifying and Reporting policy and procedures date/revised January 2024 documented, Residents Affected - Few Report alleged or suspicions of abuse to HHSC by email reporting or via TULIP reporting within the designated time frames in accordance with HHSC's 19-17 are reported immediately, Not later than 24hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, State authorities should be notified of reports of abuse described above which alleges that: 4. A resident has been a victim of any act or attempted act of abuse or neglect. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675030 If continuation sheet Page 3 of 3