Inspection·July 16, 2025

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few hand was tangled up in straps, so I went in there and took care of that then went and changed a couple more residents that were asking for help then came back to (the roommate's) room to change her. As I was finishing with her, (LVN B) came into the room and asked what was going on, being rude to me. So, I told her what happened, and she said I was rude, so I just walked out of the room. I stopped to get my linen barrel, and (Resident #1) was behind me talking about me and saying things under her breath and being confrontational, so I said, (Resident #1) go in your room and leave me alone. The statement was not signed. Record review of a typed statement indicated LVN B was interviewed by the DCO and ADCO on 07/07/25. The statement indicated the date of the incident was 07/05/25. The statement indicated, .After lunch I was sitting at the nurses' station with the other nurse and (Resident #1) came up to the nurses' station and told the other nurse she needed to report something. The other nurse told her that was sitting right there, and (Resident #1) said she wanted (LVN C) to be witness in case something didn't get done about it. She then started telling me that her roommate was in bed with a lift pad over her face. When we got there the door was closed and she said, Well I guess she is in there fixing it now. I entered the room, and (RCP A) was in there finishing her incontinent care. I asked her what was going on and she started telling me that the resident had pulled the lift pad over her face and that her hand was kind of tangle up in it but it was fixed now. As we walked out of the room, (RCP A) was behind me and I heard her say You need to get out of my face and go back to your room. I informed (RCP A) that she can not talk to residents like that. (RCP A) walked away and I spoke with (Resident #1) who was not in any distress afterwards and told her that I would report the incident to the DCO, which I did but I never said anything about it being abuse. If I felt like it was abuse, I would have reported it right away to (the EDO). The statement was not signed.Record review of a typed statement by the Business Office Manager dated 07/07/25 indicated, (Resident #1) approached me.at my office door around 10:10 a.m. She then asked me if I heard about her and (RCP A). I replied, No ma'am. She then told me that (Resident #1's roommate) was in the lift pad with it over her head and her arms were through the hole in the pad. She then told (RCP A) Why did you leave (Resident #1's roommate) like that? She said (RCP A) smiled at her, and (Resident #1) went down to the nurses station to tell (LVN B). She stated she was upset and couldn't get her words out, and (LVN B) pushed her down the room to see what she was upset about. (RCP A) was in there and everything was then normal with the lift pad. (Resident #1) said (RCP A) laughed at her, and (Resident #1) said something to her (unsure of what exact words were) and (RCP A) then told her to Shut up and let me do my job. (Resident #1) said (LVN B) approached her after this statement and told her that was abuse and she was going to report it. The statement was signed by the Business Office Manager.Record review of an In-Service and Education Record dated 07/07/25 indicated the ADCO educated 23 staff members on Types of Verbal Abuse and the Effects It Can Have on our Residents and Families. RCP A was not in attendance. The in-service indicated, .Verbal abuse is the use of spoken words to cause emotional harm or anguish to the victim. It includes both the words that are spoken and the way they are spoken.Includes any use of speech that is meant to accomplish any of the following against an individual.scare.undermine.belittle.humiliate.discredit.Perpetrators may us manipulation to convince victims they deserve the abuse.Judging - The use of you statements for the purpose of casting judgement on the victim's character or person.Blaming - Statements that claim the victim is a fault for negative occurrences that are beyond the victim's control.Record review of a Disciplinary Action Record dated 07/10/25 indicated RCP A was given a Final warning. The facts regarding the incident indicated, Rudeness to resident and coworkers. Unprofessional behavior towards charge nurses when asked to complete task. Expectations for team member behavior indicated, Employee will remain professional (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675293 If continuation sheet Page 2 of 13 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 675293 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Linden 1201 W Houston St Linden, TX 75563 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 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few towards residents and co-workers. Employee will treat everyone with dignity and respect. Corrective action to be taken indicated, Final write up. Further customer service issues will lead to termination. The record indicated RCP A refused to sign. The record was signed by the DCO and EDO. Record review of an undated Provider Response indicated, (Resident #1) made an allegation that the CNA providing care to her roommate told her to shut up and let me do my job. The CNA named in the allegation was asked to provide and statement and suspended pending the outcome of the investigation. The CNA said she told (Resident #1) go in your room and leave me alone. The investigation did not confirm the allegation of abuse. The investigation did confirm an incident of very poor customer service. The employee received disciplinary action for this incident as her statement to the resident was unprofessional and represented poor customer service. The employee will no longer be assigned to provide care to that resident.During an interview on 07/14/25 at 3:03 p.m., Resident #1 said on 07/05/25 she had come back to her room after lunch. She said her roommate had her arm tangled into her lift pad. She said she left out of her room to tell RCP A that her roommate needed help. She said RCP A was just down the hall near the linen cart. Resident #1 said she told RCP A that her roommate needed help and RCP A did not respond. She said she waited awhile, and RCP A never came. She said she peeped out the door and RCP A was still by the linen cart. She said she headed to the nurse's station to get LVN B. She said she had a hard time telling LVN B what was going on. She said LVN B came back to her room with her. Resident #1 said when they got back to the room, RCP A was in the room and had her roommate back like she was supposed to be. She said LVN B went in the room and closed the door. She said she did not know what was said between them. She said when they came out of the room RCP A looked at her and laughed at her. Resident #1 said she raised her voice and told RCP A it was not funny. The resident said RCP A told her, That's why we can't get along because you won't mind your own business and let me do my job. She said RCP A then told her, Shut up and go back to your room. She said LVN B told her RCP A could not talk to her that way because it was verbal abuse. She said later LVN B came to her and told her that she had reported the way RCP A talked to her. She said she had not seen RCP A since the incident. When Resident #1 was asked about what RCP A had said to her, Resident #1 said, absolutely it was abusive. Resident #1 said, I don't want her on this hall. During an attempted interview on 07/15/25 at 9:50 a.m., a call was placed to RCP A. There was a recording, The subscriber you have dialed is not in service.During an interview on 07/15/25 at 10:56 a.m., LVN B said on 07/05/25 Resident #1 came to the nurse's station. Resident #1 said her roommate was in the bed with the lift pad stuck over her head and her hand was stuck in the pad. LVN B said she went to the room with Resident #1. LVN B said when she got there the door was closed. She said RCP A was in the room. LVN B said RCP A had an attitude with her. She said when she walked out, Resident #1 said something to RCP A. She said she could not hear what Resident #1 said. LVN B said she was walking up the hall when she heard RCP A say, you better get out of my face and get back in your room. She said she was approximately four doors away. LVN B said she told RCP A she could not talk to Resident #1 like that. LVN B said RCP A said, did you not hear what she said to me?. LVN B said she told RCP A, I don't care what she said to you, this her home and you cannot talk to her like that. LVN B said she never told Resident #1 it was verbal abuse. LVN B said she just told Resident #1 that RCP A could not talk to her like that and it had been reported to the DCO. LVN B said what RCP A said was rude and she felt like it was abuse. LVN B said RCP A's tone was hateful. She said she would not want RCP A to talk to her grandmother like that. She said if RCP A had talked to her grandmother that way, she would have a mugshot. During an attempted interview on 07/15/25 at 11:40 a.m., RCP A was called at a different number provided by the Business Office Manager. There was no answer. The surveyor was unable (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675293 If continuation sheet Page 3 of 13 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 675293 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Linden 1201 W Houston St Linden, TX 75563 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 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few to leave a message. During an interview 07/15/25 at 12:15 p.m., the DCO said the incident between Resident #1 and RCP A was reported to her immediately. She said the incident happened on 07/05/25 at the end of RCP A's shift. She said RCP A was suspended on the morning of 07/07/25 and it was reported to the state on the 07/07/25. She said there were several versions of what happened and all that was told to her on the 07/05/25 was that RCP A told Resident #1, just let me do my job. She said she felt this was a customer service issue. She said Resident #1 did not say she felt abused until 07/07/25. She said RCP A did not return to work until 7/10/25. She said this was the only shift RCP A had worked since the incident on 07/05/25. The DCO said she had attempted to call RCP A and there was no answer.During an interview on 07/15/25 at 12:54 p.m., LVN B said on 07/05/25, RCP A's tone was very strong. LVN B said staff had to respect their residents. She said the typed statement dated 07/07/25 was given over the telephone. LVN B said the statement was correct except for the last sentence. LVN B said she never stated, If I felt like it was abuse, I would have reported it right away to (the EDO). During an interview on 07/15/25 at 1:10 p.m., the EDO said she was contacted on the afternoon of 07/05/25. She said the DCO reported to her that Resident #1 was upset and RCP A had said something to the effect of let me do my job. She felt it was rude but not an abuse allegation. The EDO said she was not in the building on the 07/05/25. She said the DCO was in the building. She said things changed on the morning of 07/07/25 when Resident #1 reported the incident to the Business Office Manager. She said that was when it was reported to the state because of what was reported to the Business Office Manager was an allegation of abuse, because she said something different to her than what LVN B said on Saturday, 07/05/25.During an interview on 07/15/25 at 3:12 p.m., Resident #1 said she had not seen RCP A again since the incident on 07/05/25. Resident #1 said she was not afraid of being out of her room. She said if she saw RCP A, she would not be afraid of her, but it would cause her some anxiety.During an interview on 07/15/25 at 3:18 p.m., LVN C said Resident #1 came to the nurse's station on 07/05/25. She said LVN B went down to the room to check on the roommate. She said when they were coming back out into the hallway Resident #1 said something to RCP A, but she could not hear what she said. She said she then heard RCP A say, get out of my face and go back to your room. She said her tone was harsh. LVN C said Resident #1 did not seem afraid or anxious. She said she was present when LVN B called the DCO. She said LVN B explained in detail what had happened. She said she told the DCO that RCP A said, get out of my face and go back to your room. LVN C said LVN B was upset. During an interview on 07/16/25 at 8:15 a.m., the Activity Director said she had seen RCP A have an attitude with other staff but never to any residents. She said since the incident on 07/05/25 between RCP A and Resident #1, Resident #1 had still been attending activities. She said she had not been anxious or afraid. She said, She has not changed a bit.During an interview on 07/16/25 at 8:58 a.m., the Business Office Manager said Resident #1 came into her office on 07/07/25 and asked if she had heard what happened between her and RCP A. She said Resident #1 told her on 07/05/25 her roommate was tangled in her lift pad. She said Resident #1 told her she went to RCP A to ask for assistance and RCP A just brushed her off and continued doing her work. She said Resident #1 told her she went to LVN B. She said Resident #1 told her that LVN B went down to the room and RCP A was in the room. She said Resident #1 told her she said, (RCP A) you know what you did. She said Resident #1 told her RCP A said, Shut up and let me do my job. The Business Office Manager said she gave a statement on what Resident #1 had told her. She said that was not an appropriate thing to say to a resident. She said Resident #1 told her that LVN B heard what was said and told Resident #1 it was verbal abuse, and she would be reporting it. She said she reported what Resident #1 told her to the EDO. She said she felt like what Resident #1 told her was verbal abuse. She said Resident #1 said she did (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675293 If continuation sheet Page 4 of 13 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 675293 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Linden 1201 W Houston St Linden, TX 75563 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 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete not want RCP A to be her aide anymore. She said since 07/07/25 Resident #1 had gone about her normal activities and had not been upset. She said she had not seen RCP A again since the incident. She said RCP A was very stand offish, not friendly, and can be rude. She said she had never seen her be rude to residents.During an interview on 07/16/25 at 12:06 p.m., the ADCO said she did not witness the incident between RCP A and Resident #1. She said it happened before she came into work on 07/05/25. She said she saw Resident #1 on 07/07/25. She said Resident #1 told her RCP A had said to her, That's why we can't get along because you won't mind your own business and let me do my job. She said RCP A then told her, To shut up and go back to her room. The ADCO said she was also on the phone with the DCO when RCP A gave her statement over the phone. The ADCO said RCP A said she was in the next room changing a resident and Resident #1 had come to tell her what happened. She said RCP A admitted to telling Resident #1 to go back to her room. She said if RCP A said Get out of my face and go back to your room in a hateful or harsh tone it was verbal abuse. She said she started in-services on Customer Service and Verbal Abuse on 07/07/25. The ADCO said RCP A could be difficult with other staff. During an interview on 07/16/25 at 2:09 p.m., the DCO said when LVN B called her on 7/5/25 she tried to clarify exactly what words RCP A used toward Resident #1 and it was told to her that RCP A said, leave me alone and let me do my job. She said at the time she did not feel it was abuse. She said that was different than telling the resident to shut up and go to their room. She said she was going to deal with it as a customer service issue until the morning of 07/07/25 when the story had changed and sounded more like abuse. She said that was when Resident #1 made the statement that RCP A had told her to shut up and go back to her room. She said since the incident Resident #1 has been absolutely fine. She said there has been no adverse psychological effects. She said she preferred not to speculate on a negative outcome for the resident. She said RCP A has been reassigned and would not be providing care to Resident #1.During an interview on 07/16/2025 at 2:55 p.m., the EDO said on 07/05/25 she was notified about the incident between RCP A and Resident #1. She said she felt one thing was told to herself and the DCO on 07/05/25 and then something different was reported on Monday, 07/07/25. She said then she felt like what was said on 07/07/25 was reportable. She said if the nurses were saying it was abuse now, they should have been saying in was abuse at the time and it would have been handled differently. She said the situation was not reported to her as abuse. She said as the EDO you can only make a decision on the facts that have been presented to you. She said RCP A was not suspended until Monday because of what was presented to her on Saturday. She used what was presented to her on Saturday to make the judgement call. She said she talked to Resident #1 almost every day. She said she had not said anything else to her about the incident. She said she has not been upset or distraught. She said DCO was in the building on 7/5/25 during the time the two charge nurses were on duty and nothing additional was shared with her. She said Resident #1 had a history of making her concerns and needs known to the DCO and she did not say anything to her on 07/05/25. She said RCP A has been reassigned and would not provide care to the Resident #1.Record review of a facility Abuse Policy last revised on 01/27/20 indicated, .The purpose of this policy is to ensure that each resident has the right to be free from any type of Abuse, Neglect, Intimidation, Involuntary Seclusion/Confinement, and or Misappropriation of property. The facility staff will adhere to the policies and procedures and will follow the guidelines in the written policy and procedure.Residents will not be subjected to abuse by anyone, including, but not limited to community staff.This includes physical, verbal, sexual, physical/chemical restraint. Event ID: Facility ID: 675293 If continuation sheet Page 5 of 13 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 675293 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Linden 1201 W Houston St Linden, TX 75563 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 0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to implement written policies and procedures that prohibit and prevent abuse, neglect, exploitation, or mistreatment of residents for 1 of 7 residents reviewed for abuse and neglect.The facility failed to prevent Resident #1 from being abused when RCP A told Resident #1 You better get out of my face and get back in your room. on 07/05/25 as witnessed by LVN B and LVN C.The facility failed to immediately suspend RCP A. The facility staff failed to immediately interview Resident #1 concerning the allegations. These failures could place residents at risk for continued abuse and neglect due to inappropriate interventions and failure to report the allegations of abuse timely. Findings included:Record review of a face sheet dated 07/14/25 revealed Resident #1 was [AGE] years old and was initially admitted on [DATE] with diagnoses including congestive heart failure (chronic condition where the heart cannot pump enough blood to meet the body's needs), bipolar disorder (a mental illness that causes unusual shifts in mood, energy, activity levels, concentration, and the ability to carry out day-to-day tasks), and anxiety disorder. Record review of an annual MDS dated [DATE] revealed Resident #1 had a BIMS score of 15 which indicated intact cognition. The MDS indicated Resident #1 required supervision to moderate assistance with most ADLs. Record review of a care plan last reviewed on 07/14/25 revealed Resident #1 had a behavior problem related to low frustration tolerance. The care plan indicated Resident #1 got angry with other residents and would yell at them or staff. The care plan indicated Resident #1 made false allegations against staff and other residents. There was an intervention for caregivers to provide opportunity for positive interaction and attention. Record review of a typed statement indicated Resident #1 was interviewed by the DCO and the EDO on 07/07/25. The statement indicated the date of the incident was 07/05/25. The statement indicated, .A while after lunch I had gone to my room and found my roommate, in bed with the lift pad pulled over her face and her left fingers in the straps on the side and she was pulling on them. I went to (RCP A) who was standing in the hallway and told her, and she said that she would come fix it. After a few minutes, I went to see where she was, and she was still standing in the hall. I went to the nurses' station and was telling (LVN B), but I was so upset I couldn't get my words out, so she pushed me down to my room. When we got back to my room, (RCP A) was in there. (LVN B) went into the room, and I stayed in the hallway. They both came out and started walking back towards the nurses station. (RCP A) got about halfway up the hall and turned around and smiled at me. I said loudly (RCP A) its not funny. And she said (Resident #1, that's why we don't get along. You need to shut up and let me do my job. (LVN B) came to my room later and told me that she reported (RCP A) to the DCO because she can't talk to me that way and that it was abuse. The statement was not signed. Record review of a typed statement indicated RCP A was interviewed by the DCO and ADCO on 07/07/25. The statement indicated the date of the incident was 07/05/25. The statement indicated, .After lunch I had put (Resident #1's roommate) in bed from her geri-chair and then walked out of the room to go get my resident out of the dining room and tend to their needs. (Resident #1) came to me while I was pushing another resident to her room and asked me to move (Resident #1's roommate's) chair and told me that (the roommate) had pulled her lift pad over her face and that her hand was tangled up in straps, so I went in there and took care of that then went and changed a couple more residents that were asking for help then came back to (the roommate's) room to change her. As I was finishing with her, (LVN B) came into the room and asked what was going on, being rude to me. So, I told her what happened, and she said I was rude, so I just walked out of the room. I stopped to get my linen barrel, and (Resident #1) was behind me talking about me and saying things under her breath and being confrontational, so Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675293 If continuation sheet Page 6 of 13 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 675293 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Linden 1201 W Houston St Linden, TX 75563 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 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few I said, (Resident #1) go in your room and leave me alone. The statement was not signed. Record review of a typed statement indicated LVN B was interviewed by the DCO and ADCO on 07/07/25. The statement indicated the date of the incident was 07/05/25. The statement indicated, .After lunch I was sitting at the nurses' station with the other nurse and (Resident #1) came up to the nurses' station and told the other nurse she needed to report something. The other nurse told her that was sitting right there, and (Resident #1) said she wanted (LVN C) to be witness in case something didn't get done about it. She then started telling me that her roommate was in bed with a lift pad over her face. When we got there the door was closed and she said, Well I guess she is in there fixing it now. I entered the room, and (RCP A) was in there finishing her incontinent care. I asked her what was going on and she started telling me that the resident had pulled the lift pad over her face and that her hand was kind of tangle up in it but it was fixed now. As we walked out of the room, (RCP A) was behind me and I heard her say You need to get out of my face and go back to your room. I informed (RCP A) that she can not talk to residents like that. (RCP A) walked away and I spoke with (Resident #1) who was not in any distress afterwards and told her that I would report the incident to the DCO, which I did but I never said anything about it being abuse. If I felt like it was abuse, I would have reported it right away to (the EDO). The statement was not signed.Record review of a typed statement by the Business Office Manager dated 07/07/25 indicated, (Resident #1) approached me.at my office door around 10:10 a.m. She then asked me if I heard about her and (RCP A). I replied, No ma'am. She then told me that (Resident #1's roommate) was in the lift pad with it over her head and her arms were through the hole in the pad. She then told (RCP A) Why did you leave (Resident #1's roommate) like that? She said (RCP A) smiled at her, and (Resident #1) went down to the nurses station to tell (LVN B). She stated she was upset and couldn't get her words out, and (LVN B) pushed her down the room to see what she was upset about. (RCP A) was in there and everything was then normal with the lift pad. (Resident #1) said (RCP A) laughed at her, and (Resident #1) said something to her (unsure of what exact words were) and (RCP A) then told her to Shut up and let me do my job. (Resident #1) said (LVN B) approached her after this statement and told her that was abuse and she was going to report it. The statement was signed by the Business Office Manager.Record review of an In-Service and Education Record dated 07/07/25 indicated the ADCO educated 23 staff members on Types of Verbal Abuse and the Effects It Can Have on our Residents and Families. RCP A was not in attendance. The in-service indicated, .Verbal abuse is the use of spoken words to cause emotional harm or anguish to the victim. It includes both the words that are spoken and the way they are spoken.Includes any use of speech that is meant to accomplish any of the following against an individual.scare.undermine.belittle.humiliate.discredit.Perpetrators may us manipulation to convince victims they deserve the abuse.Judging - The use of you statements for the purpose of casting judgement on the victim's character or person.Blaming - Statements that claim the victim is a fault for negative occurrences that are beyond the victim's control.Record review of a Disciplinary Action Record dated 07/07/25 indicated RCP A was suspended after an occurrence that happened on 07/05/25. The occurrence was an allegation of verbal abuse made by a resident. The record indicated RCP A was suspended pending an investigation. The record indicated RCP A was suspended via telephone at 11:50 a.m. The record was signed by the DCO and the ADCO. Record review of a Disciplinary Action Record dated 07/10/25 indicated RCP A was given a Final warning. The facts regarding the incident indicated, Rudeness to resident and coworkers. Unprofessional behavior towards charge nurses when asked to complete task. Expectations for team member behavior indicated, Employee will remain professional towards residents and co-workers. Employee will treat everyone with dignity and respect. Corrective action to be taken indicated, Final write up. Further (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675293 If continuation sheet Page 7 of 13 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 675293 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Linden 1201 W Houston St Linden, TX 75563 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 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few customer service issues will lead to termination. The record indicated RCP A refused to sign. The record was signed by the DCO and EDO.Record review of an undated Provider Response indicated, (Resident #1) made an allegation that the CNA providing care to her roommate told her to shut up and let me do my job. The CNA named in the allegation was asked to provide and statement and suspended pending the outcome of the investigation. The CNA said she told (Resident #1) go in your room and leave me alone. The investigation did not confirm the allegation of abuse. The investigation did confirm an incident of very poor customer service. The employee received disciplinary action for this incident as her statement to the resident was unprofessional and represented poor customer service. The employee will no longer be assigned to provide care to that resident. During an interview on 07/14/25 at 3:03 p.m., Resident #1 said on 07/05/25 she had come back to her room after lunch. She said her roommate had her arm tangled into her lift pad. She said she left out of her room to tell RCP A that her roommate needed help. She said RCP A was just down the hall near the linen cart. Resident #1 said she told RCP A that her roommate needed help and RCP A did not respond. She said she waited awhile, and RCP A never came. She said she peeped out the door and RCP A was still by the linen cart. She said she headed to the nurse's station to get LVN B. She said she had a hard time telling LVN B what was going on. She said LVN B came back to her room with her. Resident #1 said when they got back to the room, RCP A was in the room and had her roommate back like she was supposed to be. She said LVN B went in the room and closed the door. She said she did not know what was said between them. She said when they came out of the room RCP A looked at her and laughed at her. Resident #1 said she raised her voice and told RCP A it was not funny. The resident said RCP A told her, That's why we can't get along because you won't mind your own business and let me do my job. She said RCP A then told her, Shut up and go back to your room. She said LVN B told her RCP A could not talk to her that way because it was verbal abuse. She said later LVN B came to her and told her that she had reported the way RCP A talked to her. She said she had not seen RCP A since the incident. When Resident #1 was asked about what RCP A had said to her, Resident #1 said, absolutely it was abusive. Resident #1 said, I don't want her on this hall.During an attempted interview on 07/15/25 at 9:50 a.m., a call was placed to RCP A. There was a recording, The subscriber you have dialed is not in service.During an interview on 07/15/25 at 10:56 a.m., LVN B said on 07/05/25 Resident #1 came to the nurse's station. Resident #1 said her roommate was in the bed with the lift pad stuck over her head and her hand was stuck in the pad. LVN B said she went to the room with Resident #1. LVN B said when she got there the door was closed. She said RCP A was in the room. LVN B said RCP A had an attitude with her. She said when she walked out, Resident #1 said something to RCP A. She said she could not hear what Resident #1 said. LVN B said she was walking up the hall when she heard RCP A say, you better get out of my face and get back in your room. She said she was approximately four doors away. LVN B said she told RCP A she could not talk to Resident #1 like that. LVN B said RCP A said, did you not hear what she said to me?. LVN B said she told RCP A, I don't care what she said to you this her home and you cannot talk to her like that. LVN B said she never told Resident #1 it was verbal abuse. LVN B said she just told Resident #1 that RCP A could not talk to her like that and it had been reported to the DCO. LVN B said what RCP A said was rude and she felt like it was abuse. LVN B said RCP A's tone was hateful. She said she would not want RCP A to talk to her grandmother like that. She said if RCP A had talked to her grandmother that way, she would have a mugshot. She said the incident happened around 1:40 p.m. She said she reported it immediately to the DCO. She said she called the DCO to talk to her about the incident. She said the DCO told her she would call the EDO. She said she waited for the DCO to call her back, but she never did. She said the incident happened at the end of RCP A's shift (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675293 If continuation sheet Page 8 of 13 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 675293 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Linden 1201 W Houston St Linden, TX 75563 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 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few and she left right after the incident.During an attempted interview on 07/15/25 at 11:40 a.m., RCP A was called at a different number provided by the Business Office Manager. There was no answer. The surveyor was unable to leave a message.During an interview on 07/15/25 at 12:15 p.m., the DCO said the incident between Resident #1 and RCP A was reported to her immediately. She said the incident happened on 7/5/25 at the end of RCP A's shift. She said RCP A was suspended on the morning of 07/07/25 and it was reported to the state on the 07/07/25. She said there were several versions of what happened and all that was told to her on the 07/05/25 was that RCP A told Resident #1, just let me do my job. She said she felt this was a customer service issue. She said Resident #1 did not say she felt abused until 07/07/25. She said RCP A did not return to work until 7/10/25. She said this was the only shift RCP A had worked since the incident on 07/05/25. The DCO said she attempted to call RCP A and there was no answer.During an interview on 07/15/25 at 12:54 p.m., LVN B said on 07/05/25, RCP A's tone was very strong. LVN B said staff had to respect their residents. She said the typed statement dated 07/07/25 was given over the telephone. LVN B said the statement was correct except for the last sentence. LVN B said she never stated, If I felt like it was abuse, I would have reported it right away to (the EDO).During an interview on 07/15/25 at 1:10 p.m., the EDO said she was contacted on the afternoon of 07/05/25. She said the DCO reported to her that Resident #1 was upset and RCP A had said something to the effect of let me do my job. She felt it was rude but not an abuse allegation. The EDO said she was not in the building on the 07/05/25. She said she did not interview the resident on 07/05/25. She said the DCO was in the building. She said things changed on the morning of 07/07/25 when Resident #1 reported the incident to the Business Office Manager. She said that was when it was reported to the state because of what was reported to the Business Office Manager was an allegation of abuse, because she said something different to her than what LVN B said on Saturday, 07/05/25.During an interview on 07/15/25 at 3:18 p.m., LVN C said Resident #1 came to the nurse's station on 07/05/25. She said LVN B went down to the room to check on the roommate. She said when they were coming back out into the hallway Resident #1 said something to RCP A, but she could not hear what she said. She said she then heard RCP A say, get out of my face and go back to your room. She said her tone was harsh. LVN C said Resident #1 did not seem afraid or anxious. She said as a charge nurse they do have the authority to send someone home. She said LVN B called the DCO to clarify what she should do. She said she was present when LVN B called the DCO. She said LVN B explained in detail what had happened. She said she told the DCO that RCP A said, get out of my face and go back to your room. LVN C said LVN B was upset.During an interview on 07/16/25 at 8:15 a.m., the Activity Director said she had seen RCP A have an attitude with other staff but never to any residents. She said since the incident on 07/05/25 between RCP A and Resident #1, Resident #1 had still been attending activities. She said she had not been anxious or afraid. She said, She has not changed a bit.During an interview on 07/16/25 at 8:58 a.m., the Business Office Manager said Resident #1 came into her office on 07/07/25 and asked if she had heard what happened between her and RCP A. She said Resident #1 told her on 07/05/25 her roommate was tangled in her lift pad. She said Resident #1 told her she went to RCP A to ask for assistance and RCP A just brushed her off and continued doing her work. She said Resident #1 told her she went to LVN B. She said Resident #1 told her that LVN B went down to the room and RCP A was in the room. She said Resident #1 told her she said, (RCP A) you know what you did. She said Resident #1 told her RCP A said, Shut up and let me do my job. The Business Office Manager said she gave a statement on what Resident #1 had told her. She said that was not an appropriate thing to say to a resident. She said Resident #1 told her that LVN B heard what was said and told Resident #1 it was verbal abuse, and she would be reporting it. She said she reported what Resident (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675293 If continuation sheet Page 9 of 13 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 675293 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Linden 1201 W Houston St Linden, TX 75563 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 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few #1 told her to the EDO. She said she felt like what Resident #1 told her was verbal abuse. She said Resident #1 said she did not want RCP A to be her aide anymore. She said since 07/07/25 Resident #1 had gone about her normal activities and had not been upset. She said she had not seen RCP A again since the incident. She said RCP A was very stand offish, not friendly, and can be rude. She said she had never seen her be rude to residents.During an interview on 07/16/25 at 12:06 p.m., the ADCO said she did not witness the incident between RCP A and Resident #1. She said it happened before she came into work on 07/05/25. She said she saw Resident #1 on 07/07/25. She said Resident #1 told her RCP A had said to her, That's why we can't get along because you won't mind your own business and let me do my job. She said RCP A then told her, To shut up and go back to her room. The ADCO said she was also on the phone with the DCO when RCP A gave her statement over the phone. The ADCO said RCP A said she was in the next room changing a resident and Resident #1 had come to tell her what happened. She said RCP A admitted to telling Resident #1 to go back to her room. She said if RCP A said Get out of my face and go back to your room in a hateful or harsh tone it was verbal abuse. She said she started in-services on Customer Service and Verbal Abuse on 07/07/25. The ADCO said RCP A could be difficult with other staff.During an interview on 07/16/25 at 2:09 p.m., the DCO said when LVN B called her on 7/5/25 she tried to clarify exactly what words RCP A used toward Resident #1 and it was told to her that RCP A said, leave me alone and let me do my job. She said at the time she did not feel it was abuse. She said that was different than telling the resident to shut up and go to their room. She said she did not interview the resident on 07/05/25. She said she was going to deal with it as a customer service issue until the morning of 07/07/25 when the story had changed and sounded more like abuse. She said that was when Resident #1 made the statement that RCP A had told her to shut up and go back to her room. She said RCP A was suspended on 07/07/25. She said since the incident Resident #1 has been absolutely fine. She said there had been no adverse psychological effects. She said she preferred not to speculate on a negative outcome for the resident. She said RCP A has been reassigned and would not be providing care to Resident #1. During an interview on 07/16/2025 at 2:55 p.m., the EDO said on 07/05/25 she was notified about the incident between RCP A and Resident #1. She said she felt one thing was told to herself and the DCO on 07/05/25 and then something different was reported on Monday, 07/07/25. She said then she felt like what was said on 07/07/25 was reportable. She said if the nurses were saying it was abuse now, they should have been saying in was abuse at the time and it would have been handled differently. She said the situation was not reported to her as abuse. She said as the EDO you can only make a decision on the facts that have been presented to you. She said RCP A was not suspended until Monday because of what was presented to her on Saturday. She used what was presented to her on Saturday to make the judgement call. She said she talked to Resident #1 almost every day. She said she had not said anything else to her about the incident. She said she has not been upset or distraught. She said DCO was in the building on 7/5/25 during the time the two charge nurses were on duty and nothing additional was shared with her. She said Resident #1 had a history of making her concerns and needs known to the DCO and she did not say anything to her on 07/05/25. She said RCP A has been reassigned and would not provide care to the Resident #1.Record review of a facility Abuse Policy last revised on 01/27/20 indicated, .The purpose of this policy is to ensure that each resident has the right to be free from any type of Abuse, Neglect, Intimidation, Involuntary Seclusion/Confinement, and or Misappropriation of property. The facility staff will adhere to the policies and procedures and will follow the guidelines in the written policy and procedure.Residents will not be subjected to abuse by anyone, including, but not limited to community staff.This includes physical, verbal, sexual, physical/chemical restraint.The administrator and/or (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675293 If continuation sheet Page 10 of 13 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 675293 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Linden 1201 W Houston St Linden, TX 75563 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 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete designee are responsible for maintaining ALL facility policies that prohibit abuse, neglect, and misappropriation of funds/personal belongings, involuntary seclusion, or corporation punishment.Identification of possible problems that need investigation.Investigating allegations.Reporting incidents, investigations, and facility response to results of investigation within mandated time frames.Protecting residents during investigation.Upon notification of an allegation of physical or mental abuse, neglect or involuntary seclusion, the facility will conduct interviews that include documented statement summaries from the alleged perpetrator, the alleged victim, .and any staff who worked prior to and during the time of the incident.Investigations will focus on determining if the abuse occurred, the extent of the abuse, and potential cause(s).All events that involve an allegation of abuse.must be reported immediately or not later than 2 hours of alleged violation.Protection: It is utmost important that resident(s) suspected of being abused, and all other resident must be protected during the initial identification, and investigation process. The facility will initiate immediate procedures to ensure that these residents are protected fully from any further harm or potential harm. Upon notification of allegation, the Abuse Coordinator or designee will perform the following.Identify the perpetrator that is identified by eyewitness or during the investigation and remove the perpetrator from further contact with the resident pending outcome of the investigation.When there is no resolution to the suspected abuse, but there is indication that the abuse occurred, the facility will immediately conduct an in-service on abuse, and will notify staff that there is strong suspicion of abuse occurring, and it will not be tolerated. Event ID: Facility ID: 675293 If continuation sheet Page 11 of 13 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 675293 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Linden 1201 W Houston St Linden, TX 75563 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 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, and record review, the facility failed to provide the necessary services to maintain personal hygiene for 1 of 10 residents reviewed for ADLs. (Resident #2)The facility failed to provide Resident #2 with his scheduled showers.This failure could place residents who required assistance from staff for ADLs at risk of not receiving care and services to meet their needs which could result in poor care, risk for skin breakdown, feelings of poor self-esteem, lack of dignity and health.Findings included:Record review of a face sheet dated 07/14/25 revealed Resident #2 was a [AGE] year-old male and was initially admitted to the facility on [DATE] with diagnoses including cerebral palsy (a group of disorders that affect movement and posture, impacting motor skills and muscle tone), personal history of traumatic brain injury (a brain injury that occurs when a sudden trauma to the head disrupts normal brain function), and reduced mobility. Record review of a quarterly MDS dated [DATE] revealed Resident #2 had no speech. The MDS indicated Resident #2 was rarely to never understood and sometimes understood others. The MDS did not indicate a BIMS score. The MDS indicated Resident #2 was dependent on staff for all ADLs, including bathing. Record review of a care plan dated 04/22/25 revealed Resident #2 had a diagnosis of depression. The care plan indicated Resident #2 had an ADL self-care performance deficit related to disease process. The care plan indicated Resident #2 had limited mobility, range of motion, inability to sit unsupported related to cerebral palsy and was dependent on staff for ADLs. There was an intervention that Resident #2 was totally dependent on 2 staff members to provide bath/shower per facility policy and as necessary. Record review of Resident #2's electronic medical record accessed on 07/14/25 - 07/16/25 indicated Resident #2 preferred showers on Monday and Thursday on day shift. Record review of ADL - Bathing documentation for Resident #2 from 06/19/25 - 07/16/25 revealed no documentation for a bath or a shower on Thursday 06/26/25, Thursday - 07/03/25, Monday - 07/07/25, and Monday - 07/14/25. During an interview on 07/15/25 at 8:22 a.m., Family Member A said Resident #2 had recently missed some of his showers due to the facility not having the appropriate lift pad for the mechanical lift. During an interview on 07/16/2025 at 8:15 a.m., the Activity Director said she helped out on the floor as an RCP. She said she had known Resident #2 to have missed one shower because they did not have a lift pad. She said the facility had ordered new lift pads. She said family told her about him missing other showers.During an interview on 07/16/25 at 9:29 a.m., Family Member B said Resident #2 was supposed to be bathed three times a week. Family Member B said he was only showered on Mondays and Thursdays. She said they had to bath him once themselves because he had missed his shower because the facility did not have a shower lift pad. Family Member B said they ended up bringing one from home. Family Member B said this was approximately 3 weeks ago. Family Member B said the wound care doctor had wanted Resident #2 bathed three times a week. Family Member B said it depended on what staff was working if he got his showers. During an interview 07/16/25 at 12:58 p.m., RCP D said Resident #2 had never missed a shower on her shift. She said she could not speak for other aides. She said all of the showers were charted in the resident's electronic medical record. She it was her understanding the family wanted him showered two days a week. She felt some aides were maybe not charting the showers. She said if the family wanted him to be bathed three times a week, he should be bathed three times a week. She said it had always been 2 times a week.During an interview on 07/16/25 at 1:40 p.m., LVN E said she had known Resident #2 to have missed his showers because of not having shower pads. She said he had missed maybe 5 showers. She said his showers had always been two days a week. She said she thought that was what the family wanted. She said when he had missed his showers, she felt like he at least got a bed bath. She said bed baths or Residents Affected - Some (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675293 If continuation sheet Page 12 of 13 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 675293 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Focused Care at Linden 1201 W Houston St Linden, TX 75563 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 FORM CMS-2567 (02/99) Previous Versions Obsolete showers should have been charted in the Resident's electronic medical record. She said if there was no documentation, he did not receive a bath or shower. She said she felt like it was a charting issue. She said a resident not receiving their baths could lead to poor hygiene and infection. She said it was a dignity issue too.During an interview on 07/16/25 at 12:06 p.m., the ADOC said it was never presented to her that family wanted Resident #2 bathed three times a week. She said she felt he did not miss any showers. She felt it was just failure of the staff to document. She said this was an on-going education with the aides. During an interview on 07/16/25 at 2:09 p.m., the DCO said the family had wanted Resident #2 to be bathed only two times a week. She said this was the first she heard of them wanting him bathed three times a week. She said it had not been brought up in care plan meetings. She said she would expect all showers to be documented in the electronic medical record. She said she felt Resident #2 got showers and they were just not documented. During an interview on 07/16/25 at 2:55 p.m., the EDO said she did not have the shower schedule, but she would expect for Resident #2 to be showered on his scheduled shower days. She said she would expect the aide to document each shower or bath in Resident #2's electronic medical record. She said there had been a few times the family had been concerned about him not getting his showers. She said they have had to discard lift pads for resident safety. She said they were now building up their inventory. She said there had been times there was not one available and it would be available later in the day. She said even if it was not available in the morning it should have been available later in the day and Resident #2 should have been showered. She said cleanliness is important, and not being showered could be a dignity issue depending on the resident. During an interview on 07/16/25 at 4:20 p.m., the EDO said the facility did not have an ADL or bathing policy. Event ID: Facility ID: 675293 If continuation sheet Page 13 of 13