Health inspection·December 9, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete In an interview on 9/21/25 at 3:38pm, LVN C said he did notice brown water from some of the sinks in the resident's rooms and he let the water run clear before washing his hands. In an interview on 9/21/25 at 4:30pm, the ADM said he did not think to check the water in the sinks on Friday after the pipes were worked on. He said he should have checked them before he left to ensure the water was clear.Record review of the facility's policy and procedure on Maintenance Service with no dates, read in part: Maintenance service shall be provided to all areas of the building, grounds, and equipment. The Maintenance Department is responsible for maintaining the buildings, grounds, and equipment in a safe and operable manner at all times. Functions of maintenance personnel include, but are not limited to: Maintaining the building in compliance with current federal, state, and local laws, regulations, and guidelines. Maintaining the building in good repair and free from hazards.Establishing priorities in providing repair service.Providing routinely scheduled maintenance service to all areas. Others that may become necessary or appropriate. The Maintenance Director is responsible for developing and maintaining a schedule of maintenance service to assure that the buildings, grounds, and equipment are maintained in a safe and operable manner. A copy of the maintenance schedule shall be provided to each department director so that appropriate scheduling can be made without interruption of services to residents. Maintenance personnel shall follow established infection control precautions in the performance of their daily work assignments. Event ID: Facility ID: 675557 If continuation sheet Page 2 of 4 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 675557 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/09/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis at Pearland 3400 E Walnut Pearland, TX 77581 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 observation, interview, and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received necessary services to maintain grooming and personal hygiene for 1 out of 5 residents (Resident #1) reviewed for ADLs.- The facility failed to provide scheduled showers, three times a week to Resident #1 for the weeks of 8/25/25-8/30/25, 9/1/25-9/6/25, and 9/15/25-9/20/25.This failure could place residents at risk of skin breakdown, infection, and reduced feelings of self-worth.Findings included:Record review of Resident #1's undated face sheet revealed he was a [AGE] year-old male admitted [DATE], with diagnoses of complete paraplegia (unable to move arms or legs), type 2 diabetes (body does not produce insulin or resists it), heart failure (heart does not pump effectively), stage 4 pressure ulcer of the sacrum (pressure ulcer of the tailbone that exposes bone, tendon, or muscle), neurogenic bowel (nerve damage disrupts normal bowel function), and neuromuscular dysfunction of bladder (problems with storing and emptying urine).Record review of Resident #1's admission MDS assessment dated [DATE], revealed a BIMS score of 15 out of 15 which indicated normal cognition. According to the MDS, the resident had impairment on both sides of his upper and lower extremities and was dependent (helper does all of the effort and Resident does none of the effort) for all mobility and selfcare. The resident had an indwelling catheter (tube into bladder to drain urine). The Resident was admitted with 3 Stage 3 (fat is exposed but bone, tendon, or muscle is not) pressure ulcers.Record review of Resident #1's Care Plan dated 7/31/25, revealed a Focus: Resident is at risk for decline in ADL functions and injury r/t paraplegia and weakness (Initiated: 8/18/25). The goal was to be well dressed, groomed, clean, odor free, and have no decline in ADL functioning over the next 90 days (Initiated: 8/18/25, Target: 11/13/25). The interventions included providing total care assistance for bathing, providing total care assistance for personal hygiene/grooming, and providing oral care daily and as needed.Record review of Resident #1's H&P dated 8/14/25 at 9:17pm from MD P revealed, .History of Present Illness.Otherwise, the patient's only other complaint is that he has not had a bath or shower since he has been here. I told him we would address that to get that taken care of and resolved.Review of Systems.PSYCHIATRIC- No depression, No anxiety, No mood swings, No sleep disturbances, No changes in memory or concentration.SKIN- No rashes, No itching, No skin discoloration, No bruising, Has stage 4 sacral wound, Reports not having bath or shower since admission.Assessment and Plan.Patient is bedbound and requires assistance with feeding and activities of daily living.Patient reports not having had a bath or shower since admission; will address this with nursing staff to ensure proper hygiene care is provided.Record review of Resident #1's Progress Notes from 7/31/25-9/11/25 revealed no refusals of baths and/or showers.Record review of Resident #1's Shower Logs revealed the following:8/25/25-8/30/25: He received 1 bath on 8/25- 9/1/25-9/6/25: He received no baths.- 9/15/25-9/20/25: He received 1 bath on 9/17/25.Record review of Resident #1's Skin Monitoring Comprehensive CNA Shower Review revealed the following:- He had a bath on 9/8/25- He had a bath on 9/10/25- He had a bath on 9/12/25- He had a bath on 9/17/25In an interview and observation on 9/21/25 at 12:08pm, Resident #1 was lying on his back in bed with a gown on. He had bilateral hand contractures, long yellow nails, and a big, bushy beard. He said he had 2 bed baths since he had been at the facility. He said he would like to have his beard trimmed but no one had ever asked him, so he thought there was no way to trim it.In an interview on 9/21/25 at 3:25pm, the Nurse Supervisor said they had a Shower Tech during the week and the Nurse Aide's did them on Saturday. She said they did not perform showers/baths on Sunday.In an interview on 9/21/25 at 3:35pm, Med Aide T said they had a Shower Tech during the week and on the weekends. She said if a Resident did not Residents Affected - Some (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675557 If continuation sheet Page 3 of 4 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 675557 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/09/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis at Pearland 3400 E Walnut Pearland, TX 77581 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 receive showers/baths they could smell bad or itch.In an interview on 9/21/25 at 3:38pm, LVN C said they had a Shower Tech, or the Aides gave them. He said they usually had several aides at one time giving showers/baths. He said he had Residents complain before about not getting showers, but it was usually because they initially refused it and then wanted it later in the shift when they did not have time. He said if a Resident did not receive a shower, it could cause skin breakdown.In an interview on 9/21/25 at 4:06pm, the ADON said the CNAs gave the showers on Saturday, and there were 4. She said there was 1 Shower Tech during the week who gave showers and bed baths to problem Residents needing baths. She said the CNAs did the other bed baths during the week. The ADON said Resident #1 was one of the problem Residents that the Shower Tech would do during the week because he refused to get a bath sometimes.In an interview on 9/21/25 at 4:18pm, the ADON said the talk about Resident #1 during morning rounds because he will refuse baths/showers and then request them later in the shift when staff were unable to give it. She said she was going to look for something that said he refused showers/baths.In an interview on 9/21/25 at 4:40pm, the ADON said Resident #1 had a bed bath according to the POC, which the Investigator did not have access to, on 9/3/25, 9/14/25, 9/16/25, 9/17/25, 9/18/25, and 9/19/25. She did not give physical proof of these dates, only verbal confirmation. She said she found the shower sheets somewhere and they did not keep shower sheets that went back to August 2025.In an interview on 9/21/25 at 5:19pm, Resident #1 said he only received a bed bath at the most once a week. He said he did not get one yesterday (9/20/25) or Friday (9/19/25). He said, He was not lying about it because he had nothing to gain from it. He also said, They were falsifying documentation and that he had Never refused a bed bath or said he wanted one later on in the shift. The Resident said when staff came to him and asked him if he wanted a bath, he told them Let's go!In an interview on 9/21/25 at 5:31pm, the DON said she expected Residents to receive showers/baths when they were scheduled and PRN. She said if Residents do not receive a shower/bath they could be at risk of infection or skin breakdown.Record review of the facility's policy and procedure on Activities of Daily Living (ADLs), Supporting (Qtr 3, 2018) read in part: Residents will [be] provided with care, treatment and services as appropriate to maintain or improve their ability to carry out activities of daily living (ADLs). Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene.Appropriate care and services will be provided for residents who are unable to carry out ADLs independently, with the consent of the resident and in accordance with the plan of care, including appropriate support and assistance with: Hygiene (bathing, dressing, grooming, and oral care). Event ID: Facility ID: 675557 If continuation sheet Page 4 of 4