Inspection·February 20, 2026

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few ARE PRESENT. WANDERING/ELOPEMENT: PROVIDE REDIRECTION WHEN RESIDENT EXPRESSES DESIRE TO LEAVE. OFFER REASSURANCE AND ORIENTATION AS TOLERATED. Review of progress notes for Resident #1 from 02/10/2026 to 02/19/2026 reflected the following:02/10/2028 (3:58 PM) by RN A Resident with confusion, this evening observed out in hallway and in another residents room, redirection to her room, effective. 02/10/2026 (4:38 PM) by RN A Observed bruise left inner ankle, bruise to RLE, and blanchable redness around right great, RP DON WCN and Hospice notified. No complaint of pain. 02/11/2026 1:47 AM by LPN Q Resident C/O pain to her right inner calf and left inner ankle. Resident has a bruise to right inner calf 3 X 1.5 X 0.1 and bruise to left inner ankle 3.5 X 3 X 0.1. This nurse questioned resident about the bruises and resident does not know how they were received. Notified adon and will notify RP in the AM. 02/13/2026 8:31 AM by DON Nurse spoke with Responsible Party regarding the resident's increased confusion and discussed the possible intervention of relocating the resident closer to the nursing station for closer supervision. (FM) stated that the resident has been in her current room for an extended period and expressed concern that a room change may increase confusion. Nurse explained that staff would assist with reorientation if a move were to occur and that proximity to the nursing station would allow for closer monitoring and assistance. (FM) stated she prefers for the resident to remain in her current room at this time and would like to be involved in any decisions regarding a potential room change. Nurse reassured her that she will be notified of and included in any recommendations prior to implementation. 02/14/2026 (7:00 PM) by LPN C Resident brought to nurses station by a women stating that she found resident outside of facility on the street behind the facility. Reports resident fell out of wheelchair and her and her husband assisted resident back into wheelchair and brought her back into facility. Resident reports that she was looking for her sister. Resident is alert and answering questions per her baseline, reports dizziness and a headache at this time. VS WNL, no s/s of distress noted. skin assessment performed resident noted to have bruising to left ankle and right knee. No skin laceration noted. ROM WNL. Unable to confirm if resident hit her head due to witness story changing andresidents history of dementia and sun downers. Sn reported assessment to NP, orders given to send resident out for further evaluation. Family at residents bedside and aware of situation. DON, ADON and administrator aware. 02/15/2026 (12:24 AM) by LPN C Resident returned from ER. No new orders given. resident is alert and oriented per her baseline, No s/s of distress noted. Assisted into bed x2 assist. Call light within reach, bed in lowest position. 02/15/2026 (5:35 PM) by DON Type of Event : Follow up from elopementVitals : BP 126/78 HR 76 RR 18 Temp 98.2Full Range of Motion Assessment findings (i.e., wnl for resident, or describe abnormal findings) : WNL for residentLevel of Consciousness : Alert and confused. Able to make needs knownDescribe any new injuries or complaints of new pain or enter none: No new pain notedCompliance with Interventions to reduce risk of reoccurrence of event: compliant with Q15 mins checks. Interventions used and able to beredirectedHead to toe skin check findings (note no new findings, changes to initial findings or NO new issues) : No new findingsPain Level : See EMARTreatment for injuries/pain r/t event responding to treatment or resolving : Treatment in place. Appears effectiveProvider notified of new issues identified on assessment- Enter provider name if applicable : N/AName of resident representative notified if applicable : N/ANew orders received/New treatments initiated : N/A 02/15/2026 (07:03) by DON Type of Event : FOLLOW UP FROM ELOPEMENTVitals : BP 143/71 HR 77 RR 18 TEMP 97.1Full Range of Motion Assessment findings (i.e., wnl for resident, or describe abnormal findings) : WNL FOR RESIDENTLevel of Consciousness : ALERT AND CONFUSEDDescribe any new injuries or complaints of new pain or enter none : NO NEW INJURIES/COMPLAINTS NOTEDCompliance with Interventions to reduce risk of reoccurrence of event: COMPLIANT WITH Q 15MINS CHECKS. INTERVENTIONS USEDAND ABLE TO MAKE NEEDS KNOWNHead to toe (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675458 If continuation sheet Page 2 of 8 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 675458 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/20/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Parkview Nursing and Rehabilitation Center 1501 S Main St Lockhart, TX 78644 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 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few skin check findings (note no new findings, changes to initial findings or NO new issues): NO NEW FINDINGSPain Level: SEE EMARTreatment for injuries/pain r/t event responding to treatment or resolving: TREATMENTS IN PLACE APPEARS EFFECTIVEProvider notified of new issues identified on assessmentEnter provider name if applicable: N/AName of resident representative notified if applicable: N/ANew orders received/New treatments initiated: NO NEW ORDERS 02/16/2026 (10:57 AM) completed by ADON Name of IDT participating in review: AdministratorDONADONMDSDOR*Event Being Reviewed: Unwitnessed fall*Root Cause Analysis for event: Cognition impairment*Interventions initiated and residents response/compliance with Intervention: Fall assessment, pain assessment, Head to toe assessment,and Neurological assessment*PT/OT involvement if applicable: Receives all therapy services*New Interventions suggested following current IDT review: Purposefully rounding, monitoring bruising, encourage/remind/assist with puttingon shoes properly.*MD and family notification following new Interventions if applicable: Yes 02/16/2026 (5:30 PM) written by DON Staff reports resident continues with exit seeking behaviors, including actively searching for doors. Per staff, resident is adamant that she needs to leave the building. NP contacted regarding 1:1 order. 02/16/2026 (5:32 PM) written by ADM Spoke with (FM) regarding finding alternative placement for resident due to continued exit seeking behaviors. (FM) consented to start the process of searching for potential locked unit placement. 02/16/2026 (10:00 PM) written by LPN P Resident continues on 1:1 d/t elopement. No attempts to leave at this time. Currently in bed. Bed in lowest position and call light within reach. 02/17/2026 (1:54 PM) written by RCS **IDT Follow-up: IDT meet to review the continued need for 1:1 supervision. At the time of review, the resident is not exhibiting active exit seeking behaviors (i.e., attempting to access exits, testing doors, or verbalizing immediate plans to leave the facility). However, the resident continues to demonstrate ongoing confusion. The resident has made statements of going home, which indicates continued potential for elopement risk no active exit seeking behaviors. D/t resident history and cognitive status, the IDT determined that discontinuing 1:1 supervision at this time would present an increased risk for unsafe wandering or elopement. Therefore, 1:1 supervision will remain in place as a preventative safety intervention. Review of results of a urinalysis for Resident #1 collected on 02/15/2026 and received on 02/17/2026 reflected that she was positive for several bacterial species indicating a urinary tract infection. Review of a facility-reported incident investigation initiated on 02/15/2026 and completed on 02/19/2026 reflected the following: Provider Response:Facility immediately ensured all other residents were safe and accounted for. Facility made sure all doors functioned properly. 1 of 10 Doors were found not functioning properly. A CNA was placed on doorwatch until the door was fixed. Resident was assessed with no adverse effects noted. Resident was sent out to the hosptial for further eval. Notifications were made to the family, physician, DON, andadministrator. Elopement risk assessments for all residents were completed with elopement binder and care plans updated. Wander guard system was purchased and pending arrival for installation. Door alarmswere purchased and installed. Outside surroundings near 200 hall door was assessed for any hazards with none noted.Investigation Summary: On 2/14/26 at approximately 3:22 PM the lights in the facility flickered on and off. 9/10 doors were reset and functioning properly. The door on 200 hall near the dining room was not reset or checked. Atapproximately 5:00 pm on 2/14/26, (Resident #1) arrived in the dining room for dinner. She stayed late eating per her baseline. Staff checked on her continuously throughout her time in the dining room. Atapproximately 6:25pm (Resident #1) self propelled from the dining and exited the facility out of the door on 200 hall. At approximately 6:55pm, Resident #1) was returned to the facility by a passerby. Thepasserby stated (Resident #1) was on the street near our trash area. Review of physician orders dated 02/16/2026 reflected one on one continuous monitoring every (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675458 If continuation sheet Page 3 of 8 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 675458 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/20/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Parkview Nursing and Rehabilitation Center 1501 S Main St Lockhart, TX 78644 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 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few shift. Review of elopement drills for the facility from November 2025 to February 2026 reflected a missing person drill was conducted on 11/24/25 and signed by 11 staff. Review of a work order history report from 11/22/2025 to 02/17/2026 reflected doors, locks, and alarms were tested with no issues by MAINT D weekly. During an observation and interview on 02/19/2026 at 11:34 AM, an egress door between the dining room and Resident #1's bedroom with a coded alarm, a functioning door closer (aluminum part affixed to the top of the door which pulls the door closed when it is opened and let go), a red light-up button next to the door with the light off, and octagonal alarm attached to the door just above the lock was observed. The door was observed have a delayed-egress with a magnetic lock. During an interview MAINT D stated the magnetic lock deactivated when there was a power outage or the smoke alarm activated so that the door could be used as dictated by the facility's evacuation plan. He stated that all staff had the code to the door and frequently used the door to take the trash to the dumpster, so there was concern staff could exit out the door and not ensure the door closed all the way. He stated they discovered the problem was partially related to the red button on the wall next to the door. He stated he also discovered the door closer was old and did not pull the door closed as designed. He stated before leaving the facility on 02/14/2026, he change the code on that door so nobody could use it until he was able to fix the door closer. He stated he bought the replacement door closer and installed it on 02/15/2026. He stated he received a call the night of 02/14/2026 that there was an elopement, and the door between the dining room and Resident #1's room was disengaged. He stated he came to the facility around 8:00 PM that night and reset all the passcodes for the doors. He stated before he left that night, he made sure all the locks were re-engaged and locked. He stated he checked outside to see if there were any obstacles or debris that might injure a person outside around the facility. He stated the facility added the additional red alarms on 02/16/2026 to be even more cautious. He stated they were waiting on approval for a wander guard system that he and MAINT S would install the system on all doors once it arrived. During an observation and interview on 02/19/2026 at 10:40 AM, Resident #1 was observed seated in her recliner with her FM present. During an interview Resident #1 stated she was fine and did not recall the elopement incident. No visible injuries were observed. During an interview 02/19/2026 at 11:44 AM, CNA I stated she worked the 6 AM-2 PM shift, but picked up evening or overnight shifts sometimes. She stated she was working with CNA L on the evening of 02/14/2026 on the hall Resident #1's resided on. She stated she saw Resident #1 eating in the dining room and told CNA L they would need to take her right to bed when she was done eating, because Resident #1 had a tendency to wander off in the facility if they did not. She stated Resident #1 took a long time to eat and was the last resident in the dining area, drinking her milkshake. CNA I stated CNA L was with Resident #1 at the dinner table, and she (CNA I) was called at 5:45 PM (showed text requesting the assistance at this time) to assist an aide on another hall to change a resident. She stated that took 30 minutes or a little longer, and she continued helping residents get in bed and forgot about Resident #1 for a little while. She stated she found out Resident #1 had eloped after she got back in the facility, and her charge nurse (LPN C) informed her about the door being unsecured. CNA I stated there had been a storm that day (02/14/2026), and the power had gone out for a second. She stated her understanding was the doors came unlocked when that happened. She stated she was not there when that happened, but her charge nurse told her about it to make sure everyone knew about it in case it happened again. CNA I stated she frequently worked with Resident #1, and Resident #1 had tried to go out the door between her room and the dining room at 3:00 AM a day or two prior to the elopement. She said she could not remember the exact day of the incident but she redirected Resident #1. She stated she reported the behavior to the charge nurse but (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675458 If continuation sheet Page 4 of 8 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 675458 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/20/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Parkview Nursing and Rehabilitation Center 1501 S Main St Lockhart, TX 78644 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 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few could not remember who the charge nurse was that night. She stated staff was aware Resident #1 liked to roam the halls. She stated she was not aware of exactly what interventions were in Resident #1's care plan prior to the elopement. She stated after the elopement, she received in-services about the following topics: ensuring doors were completely closed, checking for the red light on the door code pad, checking to ensure the red button next to the door by Resident #1's room was not lit, watching for behaviors such as pacing, wandering, exit-seeking, and saying they want to leave and ensuring they are reported to the charge nurse, missing resident procedures, and abuse/neglect. During an interview on 02/19/2026 at 12:26 PM, LPN C stated she had begun her shift at 06:30 PM on Saturday 02/14/2026. She stated she received her verbal report from the outgoing nurse (RN A) and was preparing to begin her rounds when a community member arrived at the facility with Resident #1 in her wheelchair. LPN C stated she understood from the community member that Resident #1 was found on the ground next to her overturned wheelchair on a small side road that led out of the back facility parking lot and out to the main road through town. She stated she sent her aides to immediately begin checking all egress doors for security and went to assess Resident #1 for injuries while also calling Resident #1's FM. LPN C stated she called the ADM and the DON and notified them of the situation. She stated Resident #1 had no obvious injuries or reports of pain, but the community member had stated she might have hit her head, so she called EMS to have her sent out and be assessed at the emergency room. She stated Resident #1 could not tell her what had happened. Resident #1's FM arrived at the facility and went with Resident #1 in the ambulance to the hospital. LPN C stated at that point, she rechecked all egress doors and found that the door between the dining room and Resident #1's room was unsecured. She stated she assigned an aide to stand at the door, and shortly after the MAINT D arrived. She stated the MAINT D reset all the codes in the facility but the door next to Resident #1's room was still not secure. She stated she noticed the button on the wall next to the door was lit and asked the MAINT D what it meant. She stated the MAINT D pressed the button, the light went off, and after that the door was secured. She stated the MAINT D was concerned about the door opener, so he changed the code on the door temporarily so that no one could go in and out unless there were an emergency that caused the lock to automatically release. She stated she was not aware of what else had been done, because she had not been back to the facility since. She stated she did receive a phone call from the DON to take her statement about what happened and to receive an in-service about procedures. She stated the in-service did not include any new information with the exception of the aides seeing every resident each one hour instead of each two hours, and that Resident #1 would be on one-to-one supervision until further notice. She stated she was already familiar with the other processes. She stated they did address the red button next to the door in the in-service. She stated they explained that button was leftover from the facility's now defunct secure unit. LPN C stated she had worked at the facility PRN for two years and worked different shifts, usually on the weekends. She stated she worked evening and overnight shifts as needed and was called in to work frequently. She stated she had noted a mental decline in Resident #1 during the previous months and believed facility management was working with the FM to address the increased need for supervision. During a telephone interview on 02/19/2026 at 12:54 PM, RN B stated he worked during the day on 02/14/2026 when the power blinked out twice during a thunderstorm. He stated the facility was split that day between RN A and him in that he had responsibility for half and she had responsibility for the other half, and he had checked all the doors for security on his side of the facility. He stated he and HA O had divided the task of checking door security that day. He stated he was in charge of a section of the facility that included Resident #1's room. He stated he had not documented his checks of the doors on (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675458 If continuation sheet Page 5 of 8 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 675458 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/20/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Parkview Nursing and Rehabilitation Center 1501 S Main St Lockhart, TX 78644 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 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few 02/14/2026. He stated he or HA O would have checked the door between the dining room and Resident #1's room, but he could not recall if he had and did not know for certain if HA O had. He stated he had not been to work since but had received a phone call from the DON with in-service material on securing egress doors, elopement procedures, signs and symptoms of elopement risk, Resident #1 being on one-to-one supervision, and abuse/neglect/exploitation. During a telephone interview on 02/19/2026 at 1:01 PM, LPN D stated he was working as a medication aide the day Resident #1 eloped. He stated he had no idea what happened on the day of the elopement, because he was on the other side of the facility, but after she had returned, he found out about it. He stated he usually worked as the weekend supervisor, so when the power went out that day and the doors demagnetized, he coordinated the effort to reset codes, check all doors, and take a head count of residents. He stated he did not document the effort, and other people helped (RN A, RN B, and HA O) so he did not check every single door himself. He stated after the elopement, he was in-serviced on elopement, exit-seeking/wandering behaviors, checking the doors, and head counts every hour. He stated he was also notified that Resident #1 would be on one-to-one supervision about a day later. Observation on 02/19/2026 at 01:10 AM revealed Resident #1 in a seated exercise activity with the AD and three other residents. There was an additional staff member present providing one-to-one supervision for Resident #1. During a telephone interview on 02/19/2026 at 01:12 PM, HA O stated she was assigned to check doors including the two front doors, hall 100, and hall 200. She stated she looked at the door between the dining room and Resident #1's room but it said Emergency Exit so she was afraid if she checked it the alarm would go off, and the code pad was lit red, so she thought it was secured. She stated she did not know anything at the time about the red button on the wall perpendicular to the door but she was re-educated after the elopement. She stated she was not in the building when the elopement occurred. She stated she was in-serviced on elopement procedures, how to know when someone might elope or the signs such as packing their bags, following family members, pressing on the doors. She stated they were taught if there was a missing resident they would go ask the charge nurse for an assignment of where to look. She stated they received an in-service on abuse and neglect and on how to fully and properly check all doors, including the red button next to that door near Resident #1's room. During an interview on 02/19/2026 at 01:34 PM, CNA J stated she worked the 6 AM-2 PM shift at the facility. She stated she was informed about Resident #1's elopement. She stated she received in-servicing and retraining on what to do if there was a power outage, which was to get an assignment from the charge nurse, and someone would be assigned to each door to go and check manually that it was secured and the alarm would sound if it was opened. She stated they were to perform a headcount every hour on their assigned residents until further notice. She stated they were trained to notice and report if residents were saying wanted to leave or trying to get out, because eventually they would try to get out and especially people with dementia. She stated she knew the residents who were likely to exit-seek, and some of them could not get up on their own any more but others could. She stated Residents #2, 3, 4, and 5 were at risk for elopement and they were also listed in the elopement binders that were housed at each of the two nurse's stations. During an interview on 02/19/2026 at 01:42 pm, CNA K stated she worked 6 AM-2 PM but also picked up 10 PM-6 AM shifts sometimes. She stated she was not present when Resident #1eloped but had worked at the facility for several years. She stated Resident #1 had declined physically and cognitively. CNA K stated Resident #1 would not actively exit-seek but she might say she had been somewhere that she clearly had not been and was confused about her whereabouts and direction. CNA K stated they had an emergency in-service and team meeting on 02/15/2026 where they were retrained on exit seeking behaviors and securing the doors. She stated they learned about (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675458 If continuation sheet Page 6 of 8 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 675458 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/20/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Parkview Nursing and Rehabilitation Center 1501 S Main St Lockhart, TX 78644 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 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few procedures for missing residents and general abuse and neglect prevention. She stated they were informed they would be doing residents head counts every hour instead of every two hours. A telephone interview with LPN P was attempted on 02/19/2026 at 1:50 PM. A voicemail was left but not returned. During an interview on 02/19/2026 at 1:52 PM, the PCP stated he had been notified of Resident #1's elopement and had ordered one-to-one supervision. He stated he had not been directly notified about Resident #1's increased wandering behavior prior to the elopement, but as he understood it, the incident happened suddenly. He stated he rarely came to any of his facilities, but other physicians and nurse practitioners visited frequently. He stated the facility was very good about communicating with him. During a telephone interview on 02/19/2026 at 03:17 PM, CNA L stated she had worked with Resident #1 on 02/14/2026. She stated she was employed by a staffing agency and not the facility, but had worked at the facility before. She stated during dinner on 02/14/2026, Resident #1 was at the table finishing her milkshake, and the kitchen staff were present. CNA L stated she was busy and walked through the dining room approximately 6:00 PM and did not see Resident #1. She stated that CNA I had told her they would need to put Resident #1 to bed right away after she finished dinner because Resident #1 liked to wander. CNA L stated the significance of Resident #1 being gone from the dining table did not dawn on her due to being so busy at that hour. She stated she was aware the power had gone out briefly earlier in the day and the door codes had to be reset. CNA L stated she was not aware that the egress door between the dining room and Resident #1's room was unsecured, because she had not been a part of checking the doors for security after the power outage. She stated she found out afterward the door was unsecured when she and the charge nurse went to the door and it swung open and would not latch closed. She stated the charge nurse posted her (CNA L) at the door until someone arrived to fix the problem. She said she thought it was around 8:00 PM when the MAINT D arrived and began working on the door. She stated the ADM and the DON came to the facility that night, and she was instructed to do headcounts of all her residents every hour instead of every two hours. She stated she had not been back to the facility since then. During an interview on 02/19/2026 at 03:56 PM, MA G stated she had worked as the medication aide for Resident #1 on 02/14/2026. She stated Resident #1 had been wandering about the building earlier in the evening, before dinner. She stated she had found Resident #1 on the 400 hall, brought her to dinner, and then gave her medications at 5:56 PM while she was in the dining room by herself, finishing her dinner. She staed she was not aware of anything that happened after that, because she left for the day. She stated the next day, they were called in to a meeting with the ADM and received in-servicing on door checks, door security including how to identify a door that was unsecured, signs that a resident might elope, elopement/missing resident procedures, and abuse/neglect. During an interview on 02/19/2026 at 03:34 PM, CNA P stated she worked the 2 PM-10 PM shift at the facility and had received in-servicing recently related to the elopement of Resident #1. She stated they were told Resident #1 would be on one-to-one supervision and was asked to pick up shifts for that. She stated they were trained on the abuse and neglect procedure, how to notice signs of elopement, what to do if there was a missing resident, resident rights, and door security. During an interview on 02/19/2026 at 04:14 PM, the MAINT S stated he came to the facility after Resident #1's elopement, but the MAINT D was already there, so he left the building. He stated he came back on 02/16/2026 and helped install the octagonal red alarms the facility bought for extra security to the door. He stated he had written out a request for a wander guard system. He said he had the email request but was not sure if the request had been approved by corporate yet. During a telephone interview on 02/19/2026 at 04:23 PM, LPN E stated she worked 6 PM to 6 AM and had received in-servicing a few days prior (did not recall exact date but it was a day or two after the (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675458 If continuation sheet Page 7 of 8 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 675458 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/20/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Parkview Nursing and Rehabilitation Center 1501 S Main St Lockhart, TX 78644 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 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete elopement) on elopement procedures, Resident #1 and her exit-seeking and one-to-one supervision, making sure the doors were all secured every shift, rounding on all residents each hour, and abuse/neglect/exploitation. During an interview on 02/19/2026 at 04:25 PM, RN A stated they were checking doors and all residents each hour. She stated she had several in-services and other than one-to-one supervision for Resident #1, it was not new information to her. She stated the information was on elopement procedures, door security, abuse and neglect, and residents who were exhibiting wandering behaviors or were at risk for elopement. During an interview on 02/19/2026 at 04:42 PM, the DON stated she received a call from LPN C that Resident #1 was found by a community member and brought back to the facility on [DATE] after getting out. The DON stated she went to the facility and they checked all the doors and found the one door closest to Resident #1's room was not secure. She stated Resident #1 had been declining cognitively and was not as safety aware as she had been, so the DON had tried to engage the FM in decisions to protect Resident #1's safety. The DON stated she had suggested that Resident #1 be moved closer to the front of the hall where she would be near to the nurse's station instead of at the very end of the hall, but her FM declined that suggestion. She stated this conversation with the FM happened the day before the elopement. She stated Resident #1 had chronic and frequent UTIs and was tested for a UTI the day after the elopement and received a positive result, so that could have also played a part in her unusual behavior. The DON stated the failure was a combination of the malfunctioning egress door and Resident #1's increased cognitive impairment. She stated the RCS had been at the facility all week and had in-serviced her and the ADM on procedures and best practices in a situation like this to make sure it never happened again. She stated Resident #1 was assessed and had no injuries after the incident. She stated they were investing in a wander guard system for the facility and would have Resident #1 on one-to-one supervision at the facility's expense until the wander guard was installed. She stated all residents received updated elopement risk assessments and revised care plans if applicable. She stated Residents #2, 3, 4, 5, 6, 7, 8, 9, 10, and 11 each had their care plans updated. She stated she was in-servicing the entire staff and also had materials prepared for agency staff. She stated in-services were on door security, behaviors indicating risk of elopement, head counts once per hour, missing resident procedures, and abuse/neglect/exploitation. Observation and interview on 02/19/2026 at 04:55 PM, revealed a driveway extending from the back of the facility and exiting into the main road. The DON stated Resident #1 was found close to the area of th Event ID: Facility ID: 675458 If continuation sheet Page 8 of 8