Inspection·March 18, 2025

F 0677 -02/13/25- physical help limited to transfer only (activity occurred) Level of Harm - Minimal harm or potential for actual harm -02/14/25-02/26/25- activity did not occur -02/27/25- physical help in part of bathing activity (activity occurred) Residents Affected - Some -02/28/25-03/13/25- activity did not occur -03/14/25- physical help in part of bathing activity (activity occurred) -03/15/25-03/17/25- activity did not occur -03/18/258- physical help in part of bathing activity (activity occurred) Record review of Resident #1's shower sheets, 02/01/24-03/18/25, provided by the DON reflected the following: -02/14/25- [Resident #1] refused shower -03/14/25- [Resident #1] received a bed bath There were no shower sheets provided for other days during this time period. In an interview and observation on 03/18/25 at 12:00 PM, Resident #1 was lying in bed. He was dressed and appeared to be well-groomed with no odors. Resident #1 stated he was happy because he finally received a bed bath this morning after about 2 weeks. Resident #1 stated he had been at the facility since 12/2024 and only received 3-4 bed baths and had never been in the shower. He stated he would beg for a bath at least once a week and the staff would always give an excuse like the water was not hot or there were no towels available. Resident #1 stated his family had to buy him some personal hygiene wipes and would visit almost daily to wipe him off the best she could as she was unable to move him completely. Resident #1 stated he became so frustrated with the staff that he stopped asking for a bath and would just wait for them to offer it, which rarely happened. Resident #1 stated not receiving regular baths made him feel ashamed, uncomfortable, and frustrated. Resident #1 stated he believed he was not receiving baths because he needed a lot of assistance due to his paralysis. He stated his roommate received his baths with no issues. He stated he was just waiting for his insurance to approve home health so that he could return home . In an interview on 03/18/25 at 12:45 PM, Resident #1's family stated her biggest complaint about the facility was that they did not shower the resident. She stated she would ask the staff why Resident #1 was not being bathed and she could never get a straight answer. The family stated the staff would always pass the blame to others stating Resident #1 was not scheduled for a bath during their shift or they would state he refused, which was not true. She stated Resident #1 would always say he wanted a bath and she tried to visit daily to assist him with his hygiene. She stated she bought wet wipes and other toiletries because the facility was also always out of supplies. In an interview on 03/18/25 at 04:27 PM, CNA A stated he worked at the facility for about 3 years. CNA A stated he worked with Resident #1 and the resident was scheduled to receive his showers during the morning shift on Mondays, Wednesdays, and Fridays. CNA A stated Resident #1 never refused a shower with him; however, he did not always receive them because the facility would not have clean (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675112 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 675112 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Coral Rehabilitation and Nursing of Arlington 1112 Gibbins Rd Arlington, TX 76011 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 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some towels available. CNA A stated he found that towels were available today, so he made sure Resident #1 received a bed bath today and the resident was very thankful. CNA A stated the staff have to document all showers and baths on shower sheets and in the electronic health records. In an interview on 03/18/25 at 04:45 PM, CNA B stated she worked at the facility for 3 years. She stated she worked with Resident #1, but she did not shower or bathe him because his baths were scheduled during the week, and she did weekend showers. She stated Resident #1 sometimes looked disheveled and had an odor and she would report to the nurse that it seemed he was not getting his scheduled showers. CNA B described Resident #1 as alert and able to express wants and needs. She stated Resident #1 was mostly quiet and did not ask for much. She stated he never refused care from her. In an interview on 03/18/25 at 05:41 PM, the DON stated staff were expected to shower/bathe all residents on their scheduled days. The DON stated if a resident refused, the staff were expected to notify the nurse and if the refusals were continuous the family would also be notified. The DON stated all showers/baths were expected to be documented on shower sheets and in the POC in the electronic health records, including refusals. She stated the shower sheets were supposed to match the POC; however, she found that staff were not documenting consistently, and she was starting an in-service on it. The DON stated Resident #1 received bed baths due to mobility issues, but he often refused them. She stated residents had the right to refuse showers. She stated refusing care was included in Resident #1's care plan. The DON stated the resident's refusals should have been documented; however, she could not provide documentation of all the refusals. The DON stated the risk of residents not receiving regular showers/baths could be uncleanliness and infections. The facility's policy on ADL Care was requested from the Administrator and he stated that he could not find one. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675112 If continuation sheet Page 3 of 3