Health inspection·April 24, 2025

F 0558 -Transfers were total assistance with 2 person with Hoyer Lift, and Level of Harm - Minimal harm or potential for actual harm -was frequently incontinent of bowel and bladder. Record review of Resident #71's care plan, dated 04/15/25 and revised 04/22/25, revealed: Residents Affected - Few FOCUS: o Behavioral Problem: Resident #71 has a behavior problem as evidenced by: exiting his room, and sitting in wheelchair with no clothing on. Resident crawling on floor, yelling and screaming, arguing with room mate and using foul language. Throws call light on floor Date Initiated: 09/13/2023 Revision on: 04/22/2025 GOALS: o The resident's behavior will not interfere with the delivery of care or services, or result in harm to self or others through the next review date. Date Initiated: 09/13/2023 Revision on: 01/17/2025 INTERVENTIONS/TASKS: o Administer medications as ordered. Monitor and document for effectiveness and potential adverse side effects. Date Initiated: 09/13/2023 CN SW o Monitor behavior episodes and attempt to determine underlying cause. Consider location, time of day, persons involved, and situations. Document behaviors and interventions in behavior log. Date Initiated: 09/13/2023 CN o Assess and anticipate resident's needs: food, thirst, toileting needs, comfort level, body positioning, pain, etc. Date Initiated: 09/13/2023 CN C.N.A. o Give a clear explanation of daily care activities prior to and as they occur during each contact. Encourage as much participation and interaction by the resident as possible. Date Initiated: 09/13/2023 CN C.N.A. o When resident becomes agitated intervene before the agitation escalates by guiding away from source of distress, engaging calmly in conversation, or attempting to other interventions. If response is aggressive then approach at a later time after ensuring the safety of the resident and nearby residents. Date Initiated: 09/13/2023 CN C.N.A. o Intervene as necessary to protect the rights and safety of others. Remove resident to an alternate location when needed to protect the rights and safety of others. Date Initiated: 09/13/2023 CN C.N.A. In an observation and interview on 04/22/25 at 09:37 AM Resident #71's call light was seen on the floor at the left side of his bed. Resident stated they had not given him a call light yet. He said he has not had one. In an interview on 04/22/25 at 09:46 AM CNA A stated the call lights were supposed to be within the resident's reach. CNA A stated if the resident did not have the call light within reach, the resident would not be able to call for help if they needed it. In an interview on 04/24/25 at 10:35 AM CNA E stated the resident's call light needs to be within the resident's reach in case they need something. CNA E stated if the call light were not within reach, the resident could fall, or something could happen, and the CNAs would not know. CNA E stated anything could happen. 04/24/0 2:31 PM The DON stated the call light needed to be within the resident's reach while in bed otherwise the resident would not be able to get help when they needed it, and their needs may not be met in a timely manner. The DON stated the CNAs rounded every two hours or as needed. The DON stated the charge nurse, LVNs, Quality of Life (department heads), and she were the ones who monitor the CNAs. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675044 If continuation sheet Page 2 of 10 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 675044 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/24/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Colonial Manor Advanced Rehab & Healthcare 1100 W Minnesota Rd Pharr, TX 78577 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 0558 Level of Harm - Minimal harm or potential for actual harm In an interview on 04/24/25 at 03:16 PM The administrator stated the resident's call light was to be within reach of the resident while they were in bed or if the resident had a preference for it to be somewhere else, it would be care planned. She said if the call light were not in reach, the resident's needs may not be met. Record review of the facility's policy on, Call Light/Bell Response, dated 08/11/13 revealed: Residents Affected - Few Purpose: To provide an audio and, or visual system to alert staff when patient assistance is needed. Guideline: -Place call light/bell within patient's reach regardless of patient location such as: *in bed *on commode *unaccompanied in sitting area FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675044 If continuation sheet Page 3 of 10 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 675044 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/24/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Colonial Manor Advanced Rehab & Healthcare 1100 W Minnesota Rd Pharr, TX 78577 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 0641 Ensure each resident receives an accurate assessment. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews, and record review the facility failed to ensure the assessment accurately reflected the resident's status for 1 (Resident #79) of 6 residents reviewed for accuracy of assessments. Residents Affected - Few The facility failed to identify Resident #79 was receiving Dialysis on his Quarterly MDS assessment dated [DATE]. This failure could place residents at risk for receiving inadequate care and services based on inaccurate assessments. The findings included: Record review of Resident #79's admission record dated 03/05/25 reflected a [AGE] year-old female admitted to the facility on [DATE] with diagnoses of Dependence on Renal Dialysis, End Stage Renal Disease (a long-term condition where the kidneys gradually lose their ability to filter waste products from the blood), and Type 2 Diabetes Mellitus (a disease that occurs when your blood glucose, also called blood sugar, was too high). Record review of Resident #79's Quarterly MDS dated [DATE] revealed: BIMS score of 03 indicating Resident #79 was severely cognitively impaired. Section O0110 - Special treatments, Procedures, and Programs - section J2, Hemodialysis b. While a Resident, was not checked. Record review of Resident #79's comprehensive care plan revised on 04/01/25 revealed Resident #79 receives Dialysis r/t renal failure with interventions to check shunt site for bleeding if bleeding was present notify the physician. Check dialysis shunt for thrill and bruit (high blood flow sound) every shift for hemodialysis. Observe the resident upon return from dialysis. Notify the physician of any abnormal findings. Monitor/document/report to physician any signs or symptoms of infection at the access site such as redness, swelling, warmth, pain, or purulent (pus) drainage. In an interview on 04/24/25 at 2:06 p.m. MDS C stated that it was important for the MDS assessment to be accurate to make sure they pinpoint care levels that were needed to portray that to the staff and for continuity of care. She stated that MDS G was the one responsible for completing Resident #79's MDS assessment dated [DATE]. The negative outcome for not completing the MDS assessment accurately would be incorrect reporting to the state of the care to the patient. In an interview on 4/24/25 at 2:12 p.m. with MDS G she stated that she was responsible for completing the quarterly MDS assessment for Resident #79 and she did not mark Dialysis on the MDS. She stated it was an oversight. She stated that it was important for Resident #79's MDS assessment to be completed accurately for reimbursement purposes and for the facility to know how to take care of the patient. MDS G also stated that the state and federal personnel need this information to know what was going on with the patient. In an interview on 04/24/2025 at 02:32 p.m. the DON stated that MDS C and MDS G were responsible for completing the MDS assessments. She stated that it was important for the MDS assessments to be (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675044 If continuation sheet Page 4 of 10 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 675044 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/24/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Colonial Manor Advanced Rehab & Healthcare 1100 W Minnesota Rd Pharr, TX 78577 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 0641 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few completed accurately because it reflects the level of care the residents require. This information gets communicated with the IDT when a resident has an access port and that they were on dialysis. The MDS generates the care plan, and they communicate with the team the plan of care. The DON stated that she and MDS G oversee the MDS. The negative outcome for not being accurately completed was that it was a form of communicating the level of care the patient needs. She stated that the staff was able to give the appropriate care since it was care planned. Record review of the CMS's RAI Version 3.0 Manual dated October 2024, revealed section: O0110: Special Treatments, Procedures, and Programs Check all of the following treatments, procedures, and programs that were performeda. On Admission, b. While a Resident, c. At Discharge Check all that apply. Other J1. Dialysis J2. Hemodialysis J3. Peritoneal dialysis Code Peritoneal or renal dialysis which occurs at the nursing home or at another facility . FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675044 If continuation sheet Page 5 of 10 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 675044 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/24/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Colonial Manor Advanced Rehab & Healthcare 1100 W Minnesota Rd Pharr, TX 78577 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 0695 Provide safe and appropriate respiratory care for a resident when needed. 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 that residents who needed respiratory care were provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 5 (Resident #22) residents reviewed for respiratory care. Residents Affected - Few The facility failed to ensure Resident #22's oxygen was administered at the correct setting of 2 liters per minute on 04/22/2025 as ordered by the physician. This deficient practice could place residents who receive respiratory care at an increased risk of developing respiratory complications and a decreased quality of care. The findings included: Record review of Resident #22's admission record dated 04/22/2025 reflected an [AGE] year-old female with an admission date of 10/01/2019. Pertinent diagnoses included Shortness of Breath, Muscle Wasting and Atrophy (loss of muscle tissue), Alzheimer's Disease (a brain disorder that slowly destroys memory and thinking skills), Dementia, Dysphagia (difficulty swallowing), and Type 2 Diabetes Mellitus. Record review of Resident #22's MDS quarterly assessment, dated 04/09/2025 reflected oxygen therapy. Resident #22's BIMS score of 09, indicated she was moderately cognitively impaired. Record review of Resident #22's person-centered care plan, revised date 02/09/2024 reflected Resident #22 used oxygen therapy routinely and is at risk for ineffective gas exchange related to shortness of breath. Intervention included Administer oxygen therapy per physician's orders. Record review of Resident #22's physician order summary, dated 04/22/2025, reflected oxygen at 2 L/min via nasal cannula continuous every shift. During an observation of Resident #22 on 04/22/2025 at 10:05 a.m. the oxygen level on the oxygen concentration machine was at 1.5L/min via nasal cannula. Observed Resident #22 in bed with head of the bed slightly elevated. No signs of respiratory distress noted. In an interview on 04/22/2025 at 10:05 a.m. LVN E, stated she was the nurse for Resident #22. LVN E verified that the O2 setting was set at 1.5L/min. She stated the setting was supposed to be at 2L/min. LVN E stated that she checked Resident #22's oxygen setting this morning when she checked her blood sugar, and it was correct. She stated her shift started at 6:00 a.m. LVN E stated that she does a second check at around 11:00-11:30 a.m. LVN E stated the negative outcome to keeping Resident# 22's oxygen setting at 1.5L/min was that her oxygen levels can be low. In an interview on 04/22/2025 at 4:18 p.m. the DON, stated that the charge nurse and the ADONs were responsible for checking the resident's oxygen setting. The DON stated they were to follow oxygen settings on physician orders. The DON stated the nurse should check the oxygen setting each shift at the beginning and end of shift. She stated that training was provided for oxygen administration annually. The DON stated that the negative outcome to keeping Resident#22's oxygen setting at 1.5L/min was that she can go into respiratory distress. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675044 If continuation sheet Page 6 of 10 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 675044 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/24/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Colonial Manor Advanced Rehab & Healthcare 1100 W Minnesota Rd Pharr, TX 78577 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 0695 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few In an interview on 04/25/2025 at 4:10 p.m. ADON F stated the charge nurses, the managers, and herself were responsible for checking the resident's oxygen setting. She stated she did not check it today due to working the floor as a medication aide. ADON F stated the charge nurses were to check the oxygen setting each shift and every time they go into the room throughout the day. She stated they were to follow oxygen settings that were on the eMAR. ADON F stated the negative outcome to keeping Resident#22's oxygen setting at 1.5L/min was that her oxygen level would drop, and she would get short of breath. Record review of the facility's policy subject titled, Oxygen Administration, dated 09/12/2014, revealed, Policy: To describe methods for delivering oxygen to improve tissue oxygenation. Procedure: Verify Physician Order. Record review of the facility's policy subject titled, Following Physician Orders, dated 09/28/2021, revealed, Policy: The policy provides guidance on receiving and following physician orders. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675044 If continuation sheet Page 7 of 10 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 675044 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/24/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Colonial Manor Advanced Rehab & Healthcare 1100 W Minnesota Rd Pharr, TX 78577 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 establish and maintain an infection prevention and control program, designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections, for one resident (Resident #37) of 1 observed for incontinent care, in that: Residents Affected - Few CNA A did not use one wipe per swipe on the penile area during incontinent care on Resident #37. This failure could place residents at risk for infections and cross contamination. The findings included: Record review of Resident #37's admission Record, dated 04/22/25, revealed Resident #37 was 87 years-old hospice resident and was admitted to the facility on [DATE]. Resident #37's diagnoses included type 2 diabetes mellitus (happens when the body cannot use insulin correctly and sugar builds up in the blood), Chronic Obstructive Pulmonary Disease (a group of lung diseases that cause airflow obstruction and breathing problems), atrial fibrillation (irregular and often rapid heartbeat, where the heart ' s upper chambers beat chaotically and out of sync with the lower chambers), congestive heart failure (a condition where the heart cannot pump enough blood to meet the body ' s needs), and dementia (a group of thinking and social symptoms that interferes with daily functioning). Record review of Resident #37's Quarterly MDS assessment, dated 04/14/25, revealed Resident #37: -was usually understood by others, -was sometimes able to understand others, -BIMS was 03 which means he was severely cognitively impaired, and -was always incontinent of bowel and bladder. Record review of Resident 37's care plan, dated 04/15/25, revealed: FOCUS: · Incontinence: Resident #37 is incontinent of bowel/bladder related to weakness, dementia, BPH (a condition in which the prostate gland, located below the bladder in men, enlarges without being cancer. The enlargement can compress the urethra, leading to urinary symptoms such as difficulty urinating, frequent urination, and a weak urine stream) Date Initiated: 04/07/2024 Revision on: 05/29/2024 GOALS: · The resident will be clean and odor free through next review date. Date Initiated: 04/07/2024 Revision on: 04/18/2024 Target Date: 06/30/2025 INTERVENTIONS/TASKS: · (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675044 If continuation sheet Page 8 of 10 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 675044 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/24/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Colonial Manor Advanced Rehab & Healthcare 1100 W Minnesota Rd Pharr, TX 78577 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 INCONTINENT: Check frequently for wetness and soiling, and change as needed. Date Initiated: 04/07/2024 C.N.A. CN · Briefs or incontinence products as needed for protection. Apply barrier cream to skin after incontinent episodes. Date Initiated: 04/07/2024 C.N.A. CN · Residents Affected - Few Monitor for and report to MD s/sx UTI: pain, burning, blood tinged urine, cloudiness, no output, deepening of urine color, increased pulse, increased temp, urinary frequency, foul smelling urine, fever, chills, altered mental status, change in behavior, change in eating patterns. Date Initiated: 04/07/2024 ADON CN · Weekly skin checks to monitor for redness, circulatory problems, breakdown, or other skin concerns. Report any new skin conditions to the physician. Date Initiated: 04/07/2024 CN Observation on 04/22/25 at 10:03 AM of CNA A and CNA B performed incontinent care on Resident #37. During incontinent care, CNA A used 1 wipe wiping downward on shaft three times with same wipe. CNA A used 1 wipe 3 times on scrotum. In an interview on 04/22/25 at 10:20 AM CNA A stated she should use one wipe and throw it away when doing incontinent care. CNA A stated she thought she had. CNA A stated cross-contamination could happen if she used the wipe more than once. CNA A stated had been in-serviced on incontinent care two or three weeks ago. CNA stated the incontinent care in-service included the check-off. In an interview on 04/22/25 at 10:35 AM the MDS C stated CNAs should use one wipe per swipe because contamination can occur if this was not happening. The MDS C stated infection or cross-contamination can occur when CNAs do not change gloves and wash hands. The MDS C stated the ADONs and the DON do the in-services on incontinent care. The MDS C stated she was not in charge of check-offs but she thought the last in-servicing included a check-off. In an interview on 04/23/25 at 09:42 AM LVN D stated during incontinent care, a wipe should be used only once - one wipe one swipe. LVN D stated if a wipe were used more than once, it would be an infection control issue. In an interview on 04/24/25 at 10:35 AM CNA E stated a wipe should be used one time and thrown away during incontinent care. She stated if a wipe was used more than one time, infection control or cross-contamination could happen. She said they were in-serviced once a month on incontinent care and also checked-off once a month with the DON checking them off on the skill. In an interview on 04/24/25 at 2:31 PM The DON stated during incontinent care 1 wipe should be used at a time. The DON stated if a wipe were used more than once, there was a risk for cross-contamination and infection. She said the nurses and CNAs are in-serviced on incontinent care monthly or every 60 days or as the need arises with concerns or grievances. The DON stated either she or the ADONs gave the in-services. The DON stated the charge nurse, LVNs, Quality of Life (department heads), and she were the ones who monitor the CNAs. In an interview on 04/24/25 at 03:16 PM The administrator stated during incontinent care a wipe was to be used only once and if it were used more, there was a risk of infection. The administrator said incontinent care in-services were held quarterly and as needed. She said two weeks ago in-services on incontinent care were done with return demonstration. She said it was the DON and ADONs who held (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675044 If continuation sheet Page 9 of 10 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 675044 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/24/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Colonial Manor Advanced Rehab & Healthcare 1100 W Minnesota Rd Pharr, TX 78577 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 the in-services. Level of Harm - Minimal harm or potential for actual harm Review of the facility's Incontinent Care policy dated 04/17/14 with last revision 02/14/20 revealed: Policy: Residents Affected - Few To outline a procedure for cleansing the perineum and buttocks after an incontinence episode. Policy Explanation and Compliance Guidelines: 11. Cleanse peri-area and buttocks with cleansing agent wiping from front of perineum toward rectum. Turn patient side to side to cleanse entire affected area, as needed. Rinse with water, if needed or per incontinent product manufacturer ' s instructions. (Policy did not include 1 wipe 1 swipe during incontinent care) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675044 If continuation sheet Page 10 of 10