Inspection·February 27, 2026

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some line, trach care and wound care.Record review of Resident #2's order, dated 01/25/26 reflected, Clean the wound to Sacrum with NS, pat dry apply, Collagen, calcium alginate, and cover with Dry dressing daily and PRN. every evening shift for pressure wound. During an observation on 02/27/26 at 3:25 PM, Surveyor observed an enhanced barrier sign on Resident#1's and Resident#2's doors which reflected, a stop signs with the following instructions: EVERYONE MUST: Clean their hands, including before entering and when leaving the room. PROVIDERS AND STAFF MUST ALSO: Wear gloves and gown for the following High-Contact Resident Care Activities. DressingBathing/showeringTransferringChanging LinensProviding HygieneChanging briefs or assisting with toiletingDevice Care use: central line, urinary catheter, feeding tube, tracheostomy.Wound care: any skin opening requiring a dressing.During an observation on 02/27/26 at 3:30 PM, the ADON asked Resident #2 if she was ok with wound care being provided now. Resident #2 stated yes and she wanted to be changed first. CNA B walked in the room and stated she would change Resident #2. The surveyor observed no gowns were in Resident #2's room or outside the door.During an observation on 02/27/26 at 3:40 PM, the surveyor observed an enhanced barrier sign outside of Resident #1's door. Surveyor knocked on Resident #1's door and as surveyor entered observed CNA A providing peri care with no PPE gown. The ADON, PRN-TN and surveyor entered the room. The ADON stood behind Resident #1, PRN-TN provided wound care to Resident #1 back while CNA A stood behind Resident #1 and assisted with pushing Resident #1 forward so PRN-TN could provide care to his wound. CNA A and PRN-TN transferred Resident #1 into bed. CNA A stated he changed Resident #1's linens. Surveyor observed no gowns in Resident#1 room or outside the door. CNA A, the PRN-TN, and the ADON wore gloves and washed their hands. The ADON, PRN-TN and CNA A did not put on disposable gowns while care was provided to Resident #1.During an observation on 02/27/26 at 4:00 PM, the surveyor observed the CNA B and the ADON put on gloves. The ADON and the PRN-TN provided wound care to Resident #2'S sacrum with no PPE gown. The PRN-TN and the ADON wore gloves and washed their hands. The ADON and the PRN-TN did not put on disposable gowns while care was provided to Resident #2.During an interview on 02/27/26 at 4:15 PM, CNA B stated she changed Resident #2 without the yellow gown. CNA B stated the gown was not in the room and she usually wore the gown.During an interview on 02/27/26 at 4:20 PM, PRN-TN stated she did wound care for 4 days. The PRN-TN stated staff wore gowns if the resident had covid, cough, or any kind of upper respiratory condition. The TN-PRN stated she was trained on infection control. The PRN-TN stated staff can transmit different germs/infections to other residents on our clothes and make residents sick. During an interview on 02/27/26 at 4:30 PM, CNA A stated he changed Resident #1's brief and changed his linens without a gown because the resident did not have a contagious infection/virus at this time. CNA A stated he was trained in infection control and did not think a gown needed to be worn. CNA A stated staff always wash hands and put on gloves when care was provided to residents. During an interview on 02/27/26 at 4:35 PM, the ADON stated gowns for residents with indwelling catheters, G-tubes, MDRO, wounds and Covid. The ADON stated gowns are worn to protect residents from cross contamination. The ADON stated all staff are responsible for following infection control policy. During an interview on 02/27/26 at 4:40 PM, Resident #2 stated staff usually wear the gowns when wound care and peri care was provided. Resident #2 stated she believed CNA B was rushed and forgot.During an interview and observation on 02/27/26 at 4:50 PM, the DON showed the surveyor three closets that had disposable gowns. The DON stated carts with PPE were placed outside the resident's door to be used when residents are in isolation. The DON stated the staff had access to the gowns in the closet to use. The DON stated gowns should have been used during wound care to prevent cross contamination. The DON stated the TN ensured PPE was available to staff and the TN was on vacation. The DON completed in service with nursing staff at 4:35 pm which reflected, (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675453 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 675453 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/27/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Collinwood Nursing and Rehabilitation 3100 S Rigsbee Rd Plano, TX 75074 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 - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Enhanced barrier precaution (EBP) a set of infection control measures on nursing homes designed to reduce the spread of multi drug resistive organism before surveyor exited. During an interview on 02/27/26 at 5:15 PM, the Admin stated the TN was out for the past week and the usual staff were not here. The Admin stated the facility does work hard to provide the best care to the residents.Record review of the facility policy, titled Infection Control Guidelines for All Nursing Procedures, revised 11/23 reflected, .2. EBPs employ targeted gown and gloves use during high contact resident care activities when contract precautions do not otherwise apply.3. Examples of high contact resident care activities requiring the use of gown and gloves for EBPs include: a)dressing .e) changing linens;.f) changing briefs or assisting toileting; g)device care or use (central line, urinary catheter, feeding tube, etch); wound care(any skin opening requiring a dressing). Event ID: Facility ID: 675453 If continuation sheet Page 3 of 3