Inspection·January 14, 2026

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few room, wearing a surgical mask when withing 3-6 feet of the patient, and requiring the patient to wear a mask during transport, that prevent the spread of pathogens (microorganisms or germs) due to influenza order dated 1/13/2026. Record review of Resident #1's nursing progress, note dated 1/13/25 at 12:36 p.m., revealed the NP discontinued droplet isolation precautions. Observation on 1/13/26 at 8:40 am revealed there was not a sign posted next to Resident #1's door and PPE were not outside the resident's room. LVN G and CNA A were observed placing isolation sign next to door and hanging PPE on the door shortly after. During an interview on 1/13/26 at 10:15 a.m., CNA A revealed she provided care for Resident #1 around 6:30 a.m. to change his brief. She said she was familiar with Resident #1, so she wore a gown and gloves because she recalled Resident #1 had a g-tube and on EBP prior to his hospitalization. She said she was informed around 8:30 a.m. that Resident #1 was on isolation/droplet precautions. She said she helped place the sign up and hang the PPE on the door. She said prior to that, while working the 600 hallway, she was not aware Resident #1 was under any isolation precautions. She said she left the facility yesterday (1/12/2026) at 3:00 p.m. and Resident #1 had not returned from the hospital. She said even if it was late in the evening, signs and PPE should be placed as soon as they learned a resident was on isolation precautions. She said normally staff were good at placing signs and PPE immediately after identifying a resident was on isolation because everyone knew where the items for precautions were located. She said they had an infection control in-service yesterday (1/12/2026) and usually had one monthly. She said they went over hand hygiene and EBP versus other precautions. She said if she knew the resident was on isolation/droplet precautions, she would have also worn a mask and a face shield. She said if appropriate precautions were not in place, proper PPE would not be worn, and they could transfer the infection to other residents or take it home. She said she entered a lot of rooms and assisted with breakfast in the dining room prior to learning Resident #1 was on isolation precautions. During an interview on 1/13/25 at 10:43 a.m., CNA B said she did not work 600 hallway this morning (1/13/2026) but heard the signs were not placed. She said usually upon admission, a resident would be placed on proper precautions and signs, and PPE would be placed immediately on the doors. She said the shift that admitted the resident should have placed PPE and signs up. She said she did not know who worked the night shift. She said if there was a delay in placing the precautions signs on the door, staff could enter a resident's room without applying the appropriate PPE for protection and could spread the infection to everyone. She said they had an infection control in-service yesterday (1/12/2026) and they usually had them monthly. She said they went over hand-hygiene and appropriate length of time to complete it. She said they also went over applying appropriate PPE. She said she had worked with Resident #1 prior to entering the hospital. She said Resident #1 was on EBP for feeding tube, so staff usually wore a gown and gloves when provided him care. She said the difference with Resident #1's current isolation/droplet precautions was that they needed to add the face mask and shield. During an interview on 1/13/26 at 11:35 a.m., CNA C said Resident #1 was on air/droplet precautions, so she applied the mask, shield, gloves and gowns when she entered his room. She said she completed hand hygiene prior to and after. She said PPE was usually always located on the linen carts, so she grabbed what she needed to use from there. She said she disposed of the PPE in a bag and sealed it before taking it out of the room. She said a CNA from the prior shift gave her the information since she arrived later than 10:00 p.m She said she believed that if they told her, the other CNAs were informed as well Resident #1 was on droplet precautions. She said she was assigned to the 600 hallway, so she was the only CNA going in and out of Resident #1's room last night. She said if a resident was admitted and they knew the resident was on some type of isolation precautions, they usually posted signs and PPE and informed the staff (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675363 If continuation sheet Page 2 of 6 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 675363 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/14/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Wesla 721 Airport Dr Weslaco, TX 78596 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few right away. She said usually the nurse applied the precaution signs and PPE. She said when she used to work mornings, housekeeping did that or sometimes they told the CNAs to do it. She said while she worked the 600 hallway last night (1/12/2026), there was no PPE or isolation precaution signs in front of Resident #1's room. She said if the proper sign and PPE were not posted, staff that were unaware could provide care without appropriate PPE worn and transfer the infection to another resident. She said if a resident was on isolation/contact precautions, she did not notify someone that the signs and PPE were not there, Because the nurses are supposed to know right? CNA C knew what the precautions were and what PPE she needed to use. She said usually those items were in a locked room, so if they need her to place the precautions, they asked and provided the items. She said they had infection control in-services frequently and were annually trained. She said training included the different types of precautions, how to complete proper hand hygiene, the different types of PPE and proper disposal of PPE. During an interview on 1/13/26 at 12:07 p.m., LVN D said she was working when Resident #1 was admitted . She said she stayed late to assist the floor nurse with his admission. She said she entered Resident #1's room to complete his skin evaluation. She said she received report from the hospital DC nurse, so she was aware he was on droplet precautions. She said she placed a mask, gown, hat, goggles, and gloves on before entering his room. She said she completed hand hygiene before and after. She said she disposed of the PPE in the room, since it had not been set up yet. She said she tied the bag, removed it from the room, and placed new bag. She said she did not place the signs or PPE but did not recall if they were already there. She said she got her PPE from the building, and she had a pack of gowns at the nurse's station. She said it was all the staff's responsibility to place signs and PPE when a resident was on precautions. She said that usually the admitting nurses ensured it got done. She said the signs and PPE were usually always up as soon as they were made aware the resident was on isolation precautions. She said if she was the admitting nurse who received the information that the resident was on droplet precautions, they would had prepared the room, placed all the appropriate precautions, monitored and used appropriate precautions. She said they would also notify the staff. She said she was not the admitting nurse. She said she knew they notified the CNAs for Resident #1. She said she heard the nurses give the report to the CNAs. She said the signs were always located in the nurse's station and not locked up. She said if precaution signs and PPE were not placed it could place staff and others at risk for spreading the droplets. She said the facility had annual infection control training and frequent in-services on infection control. She said they go over hand hygiene, the purpose of wearing PPE, where to get PPE, how to prevent the spread of infection, and the different types of isolation. During an interview on 1/13/25 at 3:50 p.m., RN H said he came in at 5 am this morning. He said LVN E, the night nurse, provided him with report. She said Resident #1 was on isolation precautions because of a virus but we know now it was not a virus. He said he received the results of an x-ray today and the results said it was pneumonia. He said it was actually him that told them there was no precautions up at the resident's room, so they were just getting it on. He said the person responsible for placing all precautions was the admitting nurse. He said if the resident was already in the facility, then the nurse who receives the order should be responsible. He said the signs were located at the nurse's station in a drawer. He said the door was not locked. He said they had them everywhere. He said he was a new employee and he knew where they were located. RN H said he should had been the one to inform the CNAs Resident #1 was on isolation precautions. He said usually the the signs and PPE are already in place upon admission. He said if he was working upon the resident admission, he would have had it all ready before the resident came in because they get report prior to a resident being admitted . He said even though they (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675363 If continuation sheet Page 3 of 6 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 675363 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/14/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Wesla 721 Airport Dr Weslaco, TX 78596 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few knew he did not have flu now, Resident #1 should had been placed on droplet precautions as soon as they got report from the hospital because as far as they were concerned, he had the flu. He said they had in-services and reminders on infection control daily. RN H said the facility informed him of any missed in-services. He said the last infection control in-service was yesterday. He said they went over hand washing greater than 21 seconds, wearing masks, gowns, and gloves. Different types of precautions, such as EBP for dialysis, g-tube and wounds. He said EBP versus droplet precautions includes addition of a mask and shield. He said he wore appropriate PPE when he entered Resident #1's room. During an interview on 1/13/26 at 5:56 p.m., LVN E said she was not the admitting the nurse for Resident #1's admission on [DATE]. She said there was a note that Resident #1 was on droplet precautions, so she was aware she needed to wear the appropriate PPE, such as face mask, face shield, gown and gloves and wore them every time she provided care. She said she performed hand hygiene before she went into the room and before she left. She said she disposed of the PPE in the biohazard bag. She said they did not have the boxes yet, so she placed them in the biohazard bags until the boxes were placed. She said the sign and PPE were not placed by his door at the time. She said they were under lock and key. She said they had gowns, gloves, and facemasks in the carts and biohazard bags were always available. She said she verbally told the CNAs Resident #1 was on droplet precautions and even told the laboratory technician so she could apply PPE before drawing labs. She said upon admission, whoever had the knowledge the resident had precautions must tell housekeeping so they could set up the appropriate precautions in the room. She said at night they didn't have any access to it because they did not have housekeeping. She said she reported the information to her CNA, the incoming nurse, RN H and the incoming CNA, CNA A. She said an outbreak could happen if the precaution signs were not placed on the doors and the staff were not aware of the precautions, which was why they should have access to everything. She said the night shift staff had a little more time to place the precautions up, so there would be no confusion. She said even though she knew now Resident #1 might not have the flu, they still should have had the precautions up, because as far as they knew, he had the flu, and they did not have access to the precautions. She said the facility had infection control in-services once a month and more during flu season. She said they had an in-service this week. She said they went over appropriate PPE to wear, where to locate the PPE, how to disinfect, how to apply and remove PPE so staff did not break infection control, who to report precautions to, and hand hygieneDuring an interview on 1/14/26 at 8:53 a.m., LVN F said she was a floating nurse and helped with Resident #1's admission, but she was not the admitting nurse. She said the admitting nurse was LVN D. She said she did not enter Resident #1's room at all. She said she was made aware Resident #1 was admitted on droplet precautions by LVN D, who received the discharge paperwork prior to admission. She said the information regarding Resident #1's precautions was also on the hospital paperwork the hospital provided in-hand with Resident #1. LVN F said that was when she noticed the isolation precautions for Resident #1. LVN F said she informed CNA C who worked with Resident #1 at the time. She said the normal protocol was prior to admission, the nurse who received the report that the resident was coming with isolation, prepared the room, but it was everyone's responsibility. She said sometimes they did not have access to the bins or certain PPE. She said they did not have any face shields. For some reason they were under lock and key, and they didn't have that key. So usually, they waited until someone showed up with a key. She said they did have access to the signs they must post, gowns, masks, biohazard bags and gloves. She said the night nurse was responsible for informing the morning nurse and she did inform LVN E. She said the night shift CNAs were good about passing information to the next shift CNAs and the morning nurse should notify the CNAs as well, when they received (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675363 If continuation sheet Page 4 of 6 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 675363 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/14/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Wesla 721 Airport Dr Weslaco, TX 78596 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few report. She said a bad outcome of not having appropriate isolation precautions, was it could cause cross-contamination and get everyone else sick. LVN F said she was informed today (1/14/2026) that Resident #1 did not need to be isolated. She said that she felt the precautions still should had been followed because at the time they did not know Resident #1 did not have the flu. She said because if he was positive at the hospital, she felt the precautions should had remained and that was her opinion. She said they had a lot of in-services for infection and believed they had one within the week but could not recall the date. She said they went over hand washing, applying proper PPE before entering rooms, cross contamination and different types of PPE for different precautions. During an interview on 1/14/26 at 3:22 p.m., the DON said they were not expecting Resident #1 until the following day, but the hospital called right before 10:00 p.m. on 1/12/26 he was discharged from the hospital. The DON said LVN D received the report Resident #1 had rhino virus (a group of viruses that are the primary cause of the human common cold and upper respiratory infections that are highly contagious and spreads easily through droplets, contaminated surfaces, and direct contact.)not the flu. LVN D reported to LVN E during shift change Resident #1 was under isolated but was not very clear what it was. They placed Resident #1 in a room alone. She said they had the PPE they needed. The nurses told the staff to wear the mask, gown, and gloves before going in. When the DON got into the facility the next morning, they tried to clarify if Resident #1 had rhino virus or the flu. She said they were told that everything was negative. She said she requested the rest of the laboratory results from the hospital. She said so they were not sure if it was a true isolation. She said the nurses called the NP and she returned the call around noon to discontinue the isolation. The DON said it was less than 12 hours. She said she started an in-service for the nurses. She said she was the IP and they did infection control in-services at least monthly and last one was recent due to flu surge in the state. The DON said she tells staff if they are sick do not come into work. She emphasized hand hygiene, differences with precautions and recently educated staff on droplet precautions. She said they currently did not have any residents on isolation or contact precautions, only EBP. She said if a resident was being admitted on precautions they would now prior to admissions and should start those precautions once they were told. She said she was not sure if Resident #1 was on droplet precautions, she just knew he was on isolation precautions. She said LVN D received report from the hospital nurse and was told Resident #1 had the flu. He was isolated in his with his own room, staff were notified. She said isolation supplies were in a storage room next to RM [ROOM NUMBER] and it was not locked. She said now they had bins with PPE down each hallway. She said signs were at the nurse's station and they were not locked. She said they were on open shelves. She said the bins for sheets and the doff (remove) and don (applying) boxes were usually kept with housekeeping, but for the meantime they used the bins in the rooms until housekeeping arrives. She said she was newer than night staff and she knows where they were located. She said staff usually ask when they need anything. She said the nurses should have clarified the isolation. She said if there were no signs posted at the room, the staff would not know what isolation precautions to follow. She said they could spread it if they went into the room without the appropriate PPE and took care of other residents. She said it was the night shift nurse's responsibility to report the precautions to the next shift. She said she felt they did not receive good enough report from the hospital to make a good determination of what isolation precautions. Because upon further review Resident #1 was negative for everything but pneumonia. She said that it is not a perfect world and if she didn't have the appropriate information and only had information that he had flu/rhino virus to go by, she would still place all the isolation/droplet precautions in place which included the signs and the appropriate PPE.During an interview on 1/14/26 (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675363 If continuation sheet Page 5 of 6 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 675363 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/14/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Windsor Nursing and Rehabilitation Center of Wesla 721 Airport Dr Weslaco, TX 78596 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete at 4:27 p.m., the Administrator said the day before Resident #1 was admitted , they received information from the hospital that the facility was going to receive a new admission possibly on isolation. She asked the RN on 1/13/25, and thought she heard Resident #1 had the flu, but later the RN said it was something else. She said the if a resident was on droplets precautions, they needed the appropriate PPE and the proper signage for the type of isolation. Her understanding was that Resident #1 needed to be on droplet precautions. She said the nurses should ask for clarification. She said they had 24 hours to review the hospital discharge paperwork and if they see the isolation was not needed after review, they would take off the isolation. She said until then appropriate signage, PPE, and isolation precautions should be in place. She said nurses give report to each other. Morning shift would give report to all of us in morning around 8:15 a.m Nurses were also responsible to inform the CNAs. She said if there were no signs and no PPE in place for a resident who was on droplet precautions, they could risk exposure to themselves. She said, but in this case, Resident #1 didn't have the flu, so they did not risk exposure. She said if after her review of the records Resident #1 was positive for flu, they would have risked exposure without proper PPE and signs. Record review of the facility policy, titled Infection Prevention and Control Program, dated 05/13/2023, revealed: PolicyThis facility has established and maintains 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 as per accepted national standards and guidelines.Policy Explanation and Compliance Guidelines:1. The designated Infection Preventionist is responsible for oversight of the program and serves as a consultant to our staff on infection diseases resident room placement, implementing isolation precautions, staff and resident exposures, surveillance, and epidemiological investigations of exposures of infectious diseases. 2. All staff are responsible for following all policies and procedures related to the program. 4. Standard Precautions: .c. All staff shall use personal protective equipment (PPE) according to established facility policy governing the use of PPE.5. Isolation Protocol (Transmission-Based Precautions):a. A resident with an infection or communicable disease shall be placed on transmission-based precautions as recommended by current CDC guidelines. Event ID: Facility ID: 675363 If continuation sheet Page 6 of 6