Health inspection·January 5, 2023

F 0575 Level of Harm - Potential for minimal harm Residents Affected - Many dementia, Alzheimer's and were forgetful. The DON stated the Administrator was responsible for postings. The DON stated the postings were located in the South side High hallway. The DON stated she guessed that during admissions that residents and families were informed about where the postings are were located at. The DON stated she was not sure if the residents knew where to see the postings other than during new admission. The DON stated residents who are were in the wheelchairs probably were not able to see the posting/policies towards the top of the wall. The DON stated all the staff oversaw and make made sure residents in wheelchairs were able to see the policies/postings. The DON stated residents probably may not be able to see the fine print since she was not able to without her glasses. The DON stated that the other residents of the far hallways might have issues with viewing and seeing the policies/posting. The DON stated the risk to the residents was they might not know how to contact the Ombudsman or know who the abuse coordinator was. Interview with the Administrator on 01/05/2023 at 11:41 a.m., the Administrator stated the facility had residents with dementia, Alzheimer's, and were very forgetful. The Administrator stated that himself and the HR clerk were responsible for the policy postings and were audited quarterly. The Administrator stated the postings were located in the South Side High hallway. The Administrator stated the Activities Director and Champions (Champions are Department head that go around the facility speaking to residents and seeing if they had any concerns and if they were alright) ensured residents know knew where the postings are were located at. The Administrator stated residents should know where the postings were. The Administrator stated if residents were to ask, the facility staff could take them to those postings and maybe they could ask their family members. The Administrator stated because of dementia the residents might know or might not know where the postings were located. The Administrator stated he would hope that the residents in the wheelchair would be able to see the postings towards the top of the wall. The Administrator stated he would not be able to answer who oversaw if the residents were able to see the fine print on the postings. The Administrator stated the risk to residents not being able to see the postings would be that they would not be able to know who to contact in regard to anything they might want to ask. Record review of the, undated, facility Mandatory Postings Sheet indicated the postings required to be posted and if they were posted or not. The posting Sheet also showed the expiration of two certain posting. Record review of the facility policy of Resident's Rights Sheet, dated 11/28/2016, indicated on information and communication #9. The resident has the right to examine the results of the most recent survey of the facility conducted by Federal or State surveyors and any plan of correction in effect with respect to the facility; and received information from agencies acting as clients advocates and be afforded the opportunity to contact these agencies. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 2 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0577 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Level of Harm - Potential for minimal harm Based on observation, interview and record review the facility failed to post in a place readily accessible to residents, and family members and legal representatives of residents, the results of the most recent survey of the facility conducted by Federal or State surveyors, and failed to have reports with respect to any surveys made respecting the facility during the 3 preceding years, and any plan of correction in effect with respect to the facility, available for any individual to review upon request for one of three (2021) preceding surveys reviewed for survey results. Residents Affected - Many The facility failed to ensure the facility notebook which contained the survey results from previous surveys contained reports for the survey of 10/21/2021 which included plans of corrections in effect. This failure could place residents at risk of not knowing corrective actions the facility was to take to address past deficiencies and violations. Findings include: Observation and record review on 01/05/2022 at 3:45 PM in the facility reception area revealed a binder labeled as containing recent survey outcomes. Examination of the contents of the binder revealed there was no information regarding the specific deficiencies or violations identified during, or plans of correction developed, in response to the previous federal and state survey ending 10/21/2021. In an interview and observation on 01/05/2023 at 04:01 PM, the Administrator said the binder from the facility reception area was the one for family and resident review regarding of recent survey outcomes. He said the binder did contain the summary of areas of deficiency (3630) from the last survey in 2021. He said it did not contain documentation of the facility's plans of correction for the last survey in 2021. He said he was not aware making these documents available for review was required. He said if documents showing the facility deficiencies and plans of correction were not available to residents and families, they would not know what to look for in terms of what was going on in the facility with different types of deficiencies. Record review of the facility policy Resident Rights, dated 11/28/2016, documented .the resident had the right to examine the results of the most recent survey of the facility conducted by Federal or State surveyors and any plan of correction in effect with respect to the facility. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 3 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights,that included the services to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial need that were identified in the comprehensive for 3 of 13 residents (Residents #29, #186 and #41) reviewed for comprehensive person-centered care plans. 1. The facility failed to ensure positioning care for tube feeding was included in Residents #29 and #186 care plan. 2. The facility failed to ensure Resident #41's contracture of his right leg was addressed in the care plan. These failures could place residents at risk of not attaining or maintaining their highest practicable wellbeing, loss of range of motion and capacity to perform ADLs. Findings include: 1. Record review of Resident #29's face sheet, dated 1/4/23, revealed a [AGE] year-old male readmitted to the facility on [DATE]. Record review of Resident #29's history and physical, dated 9/7/22, revealed a diagnosis which included dysphagia, oropharyngeal phase (oropharyngeal or dysphagia is characterized by difficulty initiating a swallow). Record review of Resident #29's physician order, dated 1/13/22, revealed every shift head of bed up at least 30 degrees during administration of enteral formula or water. Record review of Resident #29's care plan, dated 12/6/22, revealed [Resident #29] requires tube feeding related to dysphagia [difficulty swallowing foods or liquids, arising from the throat or esophagus, ranging from mild difficulty to complete and painful blockage] with no interventions on head of bed elevated. Observation on 01/03/23 at 08:54 AM revealed Resident #29 was lying bed. The head of the bed was raised 30 degrees but Resident #29's torso was leaning against the wall and not sitting up right to 30 degrees. Resident #29 G-tube was running at 80ml/hr. Observation on 01/04/23 at 08:35 AM revealed Resident #29 was lying bed. The head of the bed was raised 30 degrees but Resident #29's torso was leaning against the wall and not sitting upright to 30 degrees. Resident #29 G-tube was running at 80ml/hr. 2. Record review of Resident #186's face sheet, dated 1/4/23, revealed a [AGE] year-old female readmitted to the facility on [DATE]. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 4 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Record review of Resident #186's local hospital history and physical, dated 10/4/22, revealed diagnoses which included hypercholesterolemia (high amounts of cholesterol in the blood) and hypertension (condition in which the force of the blood against the artery walls is too high). Record review of Resident #186 admission MDS assessment, dated 10/18/22, revealed BIMS score of 08, which indicated moderate cognitive impairment; section G: functional status bed mobility required extensive assistance with one-person physical assist; section I: active diagnosis: Dysphagia, Oropharyngeal Phase. Record review of Resident #186's physician order, dated 12/29/22, revealed every shift Head of bed up at least 30 degrees during administration of enteral formula or water. Record review of Resident #186 care plan, dated 11/14/22, revealed no documentation to include focus or interventions on g-tube feeding and positioning. Observation on 01/04/23 at 9:41 AM revealed Resident #186's head of bed was elevated about 30 degrees, but Resident #186 torso was flat on the bed. The G-tube ran at 50ml/hr and water flush of 160ml/6hr. Observation on 01/04/23 at 10:22 AM revealed Resident #186's head of bed was elevated about 30 degrees, but Resident #186 torso was flat on the bed. The G-tube ran at 50ml/hr and water flush of 160ml/6hr. Observation on 01/04/23 at 11:39 AM revealed Resident #186's head of bed was elevated and the resident laid flat with pillows under her left shoulder and hip. Observation on 01/04/23 at 1:40 PM revealed Resident #186's head of bed was elevated about 30 degrees, but Resident #186's torso was flat on the bed. The G-tube ran at 50ml/hr and water flush of 160ml/6hr. Interview on 1/5/22 at 2:44 PM, the DON stated MDS nurses were the ones in charge of updating and revising care plans. The DON sated nursing administration was in charge of overseeing care plans. The DON stated care plans were updated and revised quarterly or if an acute change in condition occurred. The DON stated MDS nurses refered to physician orders to revise care plan. The DON stated interventions for residents receiving g-tube care included head of the bed elevated, observations for aspiration and observe for leaks. The DON stated it was pertinent for the head of bed to be included due to the position being a prevention to prevent aspiration. 3. Record review of Resident #41's Face Sheet (admission Record), dated 01/05/2022, revealed a [AGE] year-old male who was initially admitted to the facility on [DATE] and readmitted on [DATE]. He had diagnoses which included acquired absence of left leg above the knee, and paraplegia (partial or complete paralysis of the lower half of the body). Record review of Resident #41's admission Nurse Note, dated 01/25/2019, documented in part the resident had an AKA (above the knee amputation) of the left leg. He had no contractures or limited range of motion. Record review of Resident #41's Annual MDS, dated [DATE], documented the residents BIMS was 15, which indicated Resident #41 was cognitively intact. He required extensive assistance from two people (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 5 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some to move in bed, and to transfer between surfaces. He required extensive assistance from one person to move around the facility in a wheelchair, to dress, to use the toilet and for his personal hygiene. He required supervision from one person to eat. He had a functional limitation in range of motion of one lower extremity. No physical therapy treatment was documented. No restorative nursing was documented. Record review of Resident # 41's quarterly MDS, dated [DATE], documented his BIMS was 15 which indicated the resident was cognitively intact). He required extensive assistance from two people to move in bed, transfer between surfaces and use the toilet. He required extensive assistance from one person to move around the facility in a wheelchair, to dress, eat and for his personal hygiene. He had a functional limitation in range of motion of one lower extremity. No physical therapy treatment was documented. No restorative nursing was documented. Record review of Resident # 41's Order Recap Report for physician's orders, from 01/01/2022 through 01/05/2023, documented no orders related to therapy evaluation or treatment for right leg contracture. Record review of Resident #41's Care Plan, dated 12/04/2020 (revised on 07/29/2021), documented the resident was at risk for bowel incontinence and falls due to limited range of motion to both lower extremities. No care plan to focusing on limited range of motion of the lower extremities was found it the care plan. In observation and interview on 01/03/2023 at 8:58 AM, Resident #41's lower body was observed to be covered with a blanket, with absence of his left leg and with his right leg bent up so his right heel was higher than his knee. Resident #41 stated he was missing his left leg and said he was not able to straighten out his right leg. He said he did not remember anyone doing any exercises to straighten his leg or putting anything on his leg to keep it from bending more or to help straighten it out. In observation and interview on 01/05/23 at 10:21 AM, LVN K helped Resident #41 try to stretch out his right leg. The resident, with assistance from LVN K, was not able to stretch his right leg enough to form a 90-degree angle. LVN K said he had not noted any change in the resident's baseline in terms of range of motion. He said NAs would bring changes in resident's functioning to his attention but no changes had been reported regarding Resident #41. He said he did not know how to see the care plan for residents. In an interview on 01/05/23 at 02:04 PM, the ADON said NAs monitored residents for changes in condition and would report if a resident was not able to do what they had been able to do before. Also, nurses doing weekly skin assessments would notice changes. The ADON said when Resident #41 received showers he wanted to go to bed right away and rarely agreed to sit in the wheelchair. This might have limited the staff's opportunities to assess the status of how the leg looks. In an interview on 01/05/23 at 06:03 PM, the DON said nurses monitored and assessed residents for range of motion and if NAs noticed a change, they would notify the nurse. Changes in range of motion would result in a referral to therapy. The risk to a resident of not having a contracture identified and addressed though treatment was that the contracture could get worse, and that contractures could result in discomfort and pain. Record review of the facility policy titled Resident Assessment, dated 2003, documented in part (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 6 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0656 comprehensive assessments would be used to develop and revise the resident's comprehensive care plan. Level of Harm - Minimal harm or potential for actual harm Record review of the, undated, Comprehensive Care Planning policy revealed the facility will develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment. Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 7 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to ensure that a resident who entered the facility without limited range of motion did not experience reduction in range of motion unless the resident's clinical condition demonstrated that a reduction in range of motion was unavoidable and a resident with limited range of motion received appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion for one of six residents (Resident #41) reviewed for range of motion. The facility failed to ensure Resident #41 did not develop a contracture of his right leg, which he did not have when he entered the facility. This failure could put residents at risk of decreased range of motion of their extremities thus reducing their quality of life and their capacity to care for themselves. Findings include: Record review of Resident # 41's Face sheet dated 01/05/2023, documented a [AGE] year-old male who was initially admitted to the facility on [DATE] and again on 05/16/2021. His diagnoses included acquired absence of left leg above the knee, and Paraplegia (partial or complete paralysis of the lower half of the body). Record review of Resident # 41's admission Nurse Note, dated 01/25/2019, documented the resident had AKA (above the knee amputation of the left leg). He had no contractures or limited range of motion. Record review of Resident # 41's Annual MDS, dated [DATE], documented his BIMS was 15 which indicated the resident was cognitively intact. He required extensive assistance from two people to move in bed, and to transfer between surfaces. He required extensive assistance from one person to move around the facility in a wheelchair, to dress, to use the toilet and for his personal hygiene. He required supervision from one person to eat. He had a functional limitation in range of motion of one lower extremity. No physical therapy treatment was documented. No restorative nursing was documented. Record review of Resident # 41's quarterly MDS, dated [DATE], documented his BIMS was 15, which indicated he was cognitively intact. He required extensive assistance from two people to move in bed, transfer between surfaces, and use the toilet. He required extensive assistance from one person to move around the facility in a wheelchair, to dress, eat and for his personal hygiene. He had a functional limitation in range of motion of one lower extremity. No physical therapy treatment was documented. No restorative nursing was documented. Record review of Resident # 41's Order Recap Report for physician's orders, from 01/01/2022 through 01/31/2023, documented no orders related to therapy evaluation or treatment for right leg contracture. Record review of Resident #41's Care Plan, dated 12/04/2020 (revised on 07/29/2021), documented the resident was at risk for bowel incontinence and falls due to limited range of motion to both lower extremities. No care plan focusing on limited range of motion of the lower extremities was found it (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 8 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0688 the care plan. Level of Harm - Minimal harm or potential for actual harm In observation and interview on 01/03/2023 at 8:58 AM revealed Resident #41's lower body was observed to be covered with a blanket, with absence of his left leg and with his right leg bent up so his right heel was higher than his knee. He stated he was missing his left leg and said he was not able to straighten out his right leg. He said he did not remember anyone doing any exercises to straighten his leg or putting anything on his leg to keep it from bending more or to help straighten it out. Residents Affected - Some In an interview on 01/05/23 10:13 AM, NA C said Resident #41's leg was bent permanently. She had never seen a brace or device for the purpose of keeping the leg from pulling up. He did have some pain to his right hip, so staff would put a folded sheet under his hip to keep him comfortable. She said she saw staff (unidentified) give him some exercises to stretch out his right leg but could not remember when she had last saw this. She did not remember receiving any special instructions regarding the movement of his right leg. In an observation and interview on 01/05/23 at 10:21 AM, LVN K was observed to help Resident #41 try to stretch out his right leg. The resident, with assistance from LVN K, was not able to stretch his right leg enough to form a 90-degree angle. LVN K said he had not noted any change in the resident's baseline in terms of range of motion. He said NAs would bring changes in resident's functioning to his attention but no changes had been reported regarding Resident #41. He said if changes in a resident's range of motion were noticed, Physical Therapy would assess the resident to see if there was a change in the resident's baseline functioning and initiate therapy as needed. He said he did not know how to see the care plan for residents. In an interview and record review on 01/05/23 at 11:21 AM, the Director of Rehabilitation said Resident #41 had not been seen for physical therapy in the past year. She said prevention of contractures was part of the function of physical therapy. She stated Resident #41 was fitted for a prosthetic device two years ago and that was the last time she remembered him being on the PT case load. In an interview on 01/05/23 at 02:04 PM, the ADON said NAs monitored residents for changes in condition and would report if a resident was not able to do what they had been able to do before. Also, nurses doing weekly skin assessments would notice changes. The ADON said when Resident #41 received showers he wanted to go to bed right away and rarely agreed to sit in the wheelchair. This might have limited the staff's opportunities to assess the status of how the leg looked. In an interview on 01/05/23 at 06:03 PM, the DON said nurses monitored and assessed residents for range of motion and if NAs noticed a change, they would notify the nurse. Changes in range of motion would result in a referral to therapy. The risk to a resident of not having a contracture identified and addressed was the contracture could get worse, and contractures could result in discomfort and pain. In an interview on 01/05/23 at 06:06 PM, the Director of Rehabilitation said the last time Resident #41 received physical therapy was in October of 2020. He had not been assessed for physical therapy since then. Record review of the facility policy Resident Assessment, dated 2003, documented .comprehensive assessments would be completed at admission and annually, and a Resident Assessment Instrument would be completed every three months and as needed. Assessments would address a number of areas including but not limited to medically defined conditions and prior medical history, medical status (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 9 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0688 Level of Harm - Minimal harm or potential for actual harm measurements, physical functional status, physical impairments, special treatments. The assessment would be used to develop and revise the resident's comprehensive care plan. Record review of the facility policy Immobilization Devices, Splints/Slings/Collars/Straps, dated 2003, documented .splints could be used to treat contractures. Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 10 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0693 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and record review the facility failed to ensure a resident who was fed by enteral means received the appropriate treatment and services to restore, if possible, oral eating skills to prevent complications of enteral feeding including but not limited to aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, and nasal-pharyngeal ulcers for 5 of 6 residents (Residents #70, #287, #29, #61 and #186) reviewed for gastrostomy tube care. The facility failed to ensure Resident #70, Resident #287, Resident #29, Resident #61, and Resident #186 were positioned at a 30-degree angle during enteral feeding. This failure could place residents at risk for aspiration, pneumonia, dehydration, and metabolic abnormalities which could result in additional treatment and a decline in the residents' health if not positioned correctly. Findings include: Record review of Resident #70's face sheet, dated 12/02/2022, indicated the resident was a [AGE] year old male admitted to the facility on [DATE] and had a diagnosis diagnoses which included of dysphagia (Difficulty swallowing foods or liquids, arising from the throat or esophagus, ranging from mild difficulty to complete and painful blockage), pneumonia (Infection that inflames air sacs in one or both lungs, which may fill with fluid), and gastrostomy status (an opening into the stomach from the abdominal wall, made surgically for the introduction of food). Record review of Resident #70's Care Plan, dated 12/02/2022 , indicated the resident requires required tube feeding and with the HOB being elevated to 30 degrees during and thirty minutes after tube feeding. Record review of Resident #70's Physician Order, dated 12/02/2022, states stated every shift, Head of bed is was to be up at least 30 degrees during administration of enteral formula or water. Observation on 01/03/2023 at 09:40 AM revealed Resident #70 was in bed lying flat and not in at an angle. Resident #70 was seen and heard coughing. Resident #70 was attached to a feeding tube but was unknown if the feeding tube was on at the time the resident was lying flat instead of a 30-degree angle. 2. Record review of Resident #287's, face sheet, dated 12/28/2022 revealed the resident was a [AGE] year old male admitted to the facility on [DATE] and had a diagnoses which included of gastro-esophageal reflux disease (occurs when stomach acid repeatedly flows back into the tube connecting your mouth and stomach) without esophagitis (inflammation of the esophagus) and gastrostomy (an opening into the stomach from the abdominal wall, made surgically for the introduction of food). Record review of Resident #287's Care Plan, dated 12/29/2022, indicated the resident required tube feeding due to Dysphagia (Difficulty swallowing foods or liquids, arising from the throat or esophagus, ranging from mild difficulty to complete and painful blockage) and requires the resident needed to have the HOB elevated 30 degrees during and thirty minutes after tube feedings. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 11 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0693 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Observation on 01/03/2023 at 8:50 AM revealed Resident #287 was in bed asleep. Resident #287 was slouched downwards, torso was not elevated 30 degrees. It was unknown if HOB was at a 30-degree angle but elevated. The resident needed to be repositioned upwards. Do not have observation on g-tube running. Observation on 01/03/2023 at 2:48 PM revealed Resident #287 was in bed that and HOB was elevated but was still slouched downwards, torso not elevated at 30 degrees. Resident #287 looked like he needed to be repositioned upwards. Do not have observation on g-tube running. Interview with LVN H on 01/04/2023 at 09:38 AM, the LVN stated residents were supposed to be in bed elevated beds if they were on tube feeding and if they were flat, they were at high risk for aspiration. LVN H stated residents were to be at thirty degrees or higher. LVN H stated the way they verified that it is was thirty degrees was with an angle measuring finder. LVN H sated the CNAs normally placed the beds in the thirty-degree position. LVH H stated the nurses were who oversaw the CNAs were positioning the beds correctly for the residents. LVH H stated that they did not have anything to measure the degrees but as long as the patients head was elevated. LVN H stated for Resident #287 she would not know if his head or the head of the bed was thirty degrees, but it was okay as long as the head was elevated. 3. Record review of Resident # 29's face sheet, dated 1/4/23, revealed a [AGE] year-old male who was readmitted to the facility on [DATE]. Record review of Resident # 29's history and physical, dated 9/7/22, revealed a diagnosis of which included dysphagia, oropharyngeal phase (oropharyngeal or dysphagia is characterized by difficulty initiating a swallow). Record review of Resident # 29's physician order, dated 1/13/22, revealed every shift Head of bed up at least 30 degrees during administration of enteral formula or water. Record review of Resident # 29's care plan, dated 12/6/22, revealed Resident # 29 requires tube feeding related to dysphagia (difficulty swallowing foods or liquids, arising from the throat or esophagus, ranging from mild difficulty to complete and painful blockage) with no documented interventions on head of bed elevated. Observation on 01/03/23 at 08:54 AM revealed Resident #29 was lying bed. The head of the bed was raised 30 degrees but Resident #29's torso was leaning against the wall and not sitting upright to 30 degrees. Resident #29's G-tube was running at 80 ml/hr. Observation on 01/04/23 at 08:35 AM revealed Resident #29 was lying bed. The head of the bed was raised 30 degrees but Resident #29's torso was leaning against the wall and not sitting upright to 30 degrees. Resident #29's G-tube was running at 80 ml/hr. Observation and interview on 01/04/23 at 08:39 AM revealed Resident #28 was lying in bed. The head of the bed was raised 30 degrees but Resident #29 was not sitting up at 30 degrees. The ADON stated Resident #29 could be repositioned and raised to head of the bed. The ADON stated CNAs and nurses were the ones in charge of overseeing the g-tube residents were upright daily. The ADON stated she was not sure how often they received training regarding g-tube bed positioning. The ADON stated by not being positioned upright could potentially put the resident at risk of aspiration (happens when food, liquid, or other material enters a person's airway and eventually the lungs by accident). (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 12 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0693 Level of Harm - Minimal harm or potential for actual harm 4. Record review of Resident # 61's face sheet, dated 1/4/23, revealed an [AGE] year-old male who was readmitted to the facility on [DATE]. Record review of Resident # 61's history and physical, dated 7/5/22, revealed a diagnosis of which included gastronomy (tube inserted through the wall of the abdomen directly into the stomach) status. Residents Affected - Some Record review of Resident # 61's physician order, dated 9/16/22, revealed every shift Head of bed up at least 30 degrees during administration of enteral formula or water. Observation on 01/03/23 at 08:30 AM revealed Resident #61 was in bed, the head of the bed was elevated about 30 degrees, but Resident #61 was not positioned upright at 30 degrees. 5. Record review of Resident # 186's face sheet, dated 1/4/23, revealed a [AGE] year-old female who was readmitted to the facility on [DATE]. Record review of Resident # 186's local hospital history and physical, dated 10/4/22, revealed diagnoses which included of hypercholesterolemia (High amounts of cholesterol in the blood) and hypertension (high blood pressure). Record review of Resident # 186's admission MDS assessment, dated 10/18/22, revealed a BIMS score of 08, which indicated moderate cognitive impairment; section G: functional status bed mobility requires extensive assistance with one-person physical assist; section I: active diagnosis: Dysphagia, Oropharyngeal Phase (Dysphagia is defined as a subjective sensation of difficulty or abnormality of swallowing. Oropharyngeal or transfer dysphagia is characterized by difficulty initiating a swallow). Record review of Resident # 186's physician order, dated 12/29/22, revealed every shift Head of bed up at least 30 degrees during administration of enteral formula or water. Record review of Resident # 186 care plan, dated 11/14/22, revealed no focus or interventions on g-tube feeding and positioning. Observation on 01/04/23 at 9:41 AM revealed Resident #186's head of bed was elevated about 30 degrees, but Resident #186's torso was flat on the bed. The G-tube was running at 50 ml/hr and water flush of 160 ml/6hr. Observation on 01/04/23 at 10:22 AM revealed Resident #186's head of bed was elevated about 30 degrees, but Resident #186's torso was flat on the bed. The G-tube was running at 50 ml/hr and water flush of 160 ml/6 hr. Observation on 01/04/23 at 11:39 AM revealed Resident #186's head of bed was elevated, and the resident was lying flat with pillows under her left shoulder and hip. Observation on 01/04/23 at 1:40 PM revealed Resident #186's head of bed was elevated about 30 degrees, but Resident #186's torso was flat on the bed. The G-tube was running at 50 ml/hr and water flush of 160 ml/6hr. Observation and interview on 01/04/23 at 1:43 PM, LVN B stated she received training regarding providing care for residents on g-tube feedings. LVN B stated she was trained to monitor for any leaks (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 13 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0693 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some from the tube, discharge around stoma, symptoms of infection, and the head of the bed be elevated at 30-45 degrees while receiving feeding every 2 hours. LVN B stated Resident #186's bed frame was elevated at 30 degrees. LVN B stated Resident #186 was lying flat on her back. LVN B stated the air mattress played a role on the position. LVN B stated the head of the bed should be elevated higher at 45 degrees for Resident #186 to be elevated as well. LVN B stated the purpose of the head of the bed being elevated was for Resident #186's head to be elevated to prevent aspiration. LVN B stated Resident #186 had history of pneumonia (infection that inflames air sacs in one or both lungs, which may fill with fluid). LVN B stated if Resident #186 was not positioned at 30-45 degrees it could place her at risk of aspiration and pneumonia. Interview on 01/04/23 at 1:55 PM, CNA C stated she received training regarding providing care for residents receiving g-tube feedings upon hire and annually. CNA C stated residents who received g-tube feedings were required to be positioned at a 30-degree angle when in bed. CNA C stated positioning was a crucial intervention to prevent aspiration. CNA C stated CNAs and nurses were in charge of ensuring residents who received g-tube feedings were positioned correctly. CNA C stated she was trained to conduct at least rounds every 2 hours. CNA C stated she was responsible for Resident #186. Interview with the DON on 01/05/2022 at 2:00 PM, she stated nursing staff were trained on tube feeding and positioning. The DON stated nursing staff were trained yearly on skills, through in-services, and as needed on tube feeding and (re)positioning. The DON stated residents who were tube feeding, their beds needed to be at a thirty-degree angle. The DON stated whoever (staff), the CNAs, Nurses, and Therapist may reposition the resident if they were working or doing something with them regarding the bed. The DON stated all of the staff were responsible for making sure the residents who had tube feedings had their beds elevated to thirty degrees and correctly positioned. The DON stated they did not have a device to measure the angle of the bed. The DON stated not having the beds at a thirty-degree angle could place the residents at risk of aspiration or they could get pneumonia. Record review of the Gastronomy Tube Care policy, dated 2/13/2007, revealed 10. Maintain the resident in a semi to high fowler's position for 45-60 minutes following a feeding. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 14 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0695 Provide safe and appropriate respiratory care for a resident when needed. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and record reviews the facility failed to ensure that residents who needed respiratory care were provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals and preferences for 1 of 6 residents reviews for respiratory care. Residents Affected - Few The facility failed to ensure an oxygen sign was hung outside of Resident's #289's room, who received oxygen. This failure could place resident(s) at risk of hazardous exposures such as explosions and being flammable that may led to physical harm. Findings include: Observation on 01/03/2023 at 09:08 a.m. revealed, Resident #289, in his room on in his wheelchair using oxygen. It was noted there was not sign posted outside of his room telling patients, staff, or visitors oxygen was in use. Interview with LVN F on 01/03/2023 at 9:13 a.m., LVN F stated the oxygen sign up on the side of the doors meant there was oxygen in use. LVN F stated every resident who used oxygen had to have one posted outside their rooms. LVN F stated even if it was not continuous, as long as oxygen was in the room. LVN F stated the risk to residents was that if it made contact the oxygen could explode or go up into flames. LVN F stated a lot of the residents who smoked had concentrator with the oxygen inside of it and if contact was made with the [NAME] the oxygen could explode. Interview with the DON on 01/05/2023 at 2:00 p.m., the DON stated the oxygen signs posted outside of the resident's room and were for people to be aware that the resident was on oxygen. The DON stated the oxygen signs let staff, residents, and family members know to be careful because there was oxygen in use. The DON stated the risk to the residents having no posted sign(s) would be to make sure not to use anything flammable that could cause a fire. The DON stated that every staff was responsible for ensuring the signs were posted. The DON stated the facility had an oxygen policy about bagging but was not sure about the postings. Interview with the Administrator on 01/05/2023 at 11:41 a.m., the Administrator stated the oxygen signs lets the family members, residents, and staff know that oxygen was being used in the room(s). The Administrator stated the oxygen signs posted alerted family, friends, and staff that oxygen was in use. The Administrator stated the facility had an oxygen policy. The Administrator stated he did not see a risk if there were no signs that oxygen was in use because they did not have any residents that who smoked at the facility. The Administrator stated the oxygen orders were posted on PCC (Point Click Care software used to document resident information) for the nurses to see and to follow. The Administrator stated the risk to the residents not having the signs posted would be to alert the families in case they did smoke and vape. The Administrator stated he could not answer the risk because he was not clinical and would not know. Record review of the facility policy Oxygen Administration dated 02/13/2007, states stated on Procedure 11 to place No Smoking signs in area when oxygen is administered and stored. Store oxygen cannister in an area free of flammable substances. Avoid the use of electrical appliances in the area of (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 15 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0695 oxygen use as well. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 16 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Based on observation, interview and record review the facility failed to ensure, in accordance with State and Federal laws, all drugs and biologicals were stored in locked compartments under proper temperature controls and permitted only authorized personnel to have access to the keys for one of two medication rooms (South side medication room) reviewed for medication storage. The facility failed to ensure the South Side medication room door was locked and supervised by staff. This failures could place residents at risk for having access to medications resulting in drug diversion or accidental ingestion. The findings included: During an observation and record review on 01/03/23 at 08:25 AM revealed the medication room door open and unattended in the south side nurses station. The medication room was noted to have several blister pack medications that included Donepezil (treats Alzheimer's disease), Memantine (treats Alzheimer's disease), Simvastatin (treat high cholesterol), Metformin (treats diabetes) and several other medications that belonged to different residents. There was a small refrigerator that also contained medications such as insulin vials and pens. During an interview on 01/04/23 at 09:40AM LVN F said she worked on the south side nurses station where the medication room was located. LVN F said the medication room door was supposed to be kept closed and locked when no one was using it. LVN F said she had never noticed the door not closing when she would let it go. LVN F said the times she would exit the medication room the door would self-close. During an interview on 01/05/23 at 02:25 PM the DON said it was her expectation for the medication room door to be closed and locked if no staff was using it. The DON said the failure occurred because someone failed to make sure the door was closed when they left the medication room. The DON said if the door was not closed then anyone could get enter the room to include residents or visitors. During an interview on 01/05/23 at 02:42 PM the Administrator said the medication room door was expected to be closed if there was no one there. The Administrator said he was not sure why the door was not closed and that they had checked the door and it had been working properly. The Administrator said if the door was not closed then anybody can have access to the medications. Record review of the facility's document titled Pharmacy policy and procedure dated March 2003 indicated in part: All medications and other drugs including treatment items shall be stored in a locked cabinet or room and inaccessible to patients and visitors. Drugs shall be accessible only to authorized personnel, only the authorized personnel will have access to the keys to the medication room and medication carts. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 17 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0803 Level of Harm - Minimal harm or potential for actual harm Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Based on observation, interviews and record review the facility failed to follow menus for 1 of 1 resident meal (lunch) reviewed in that: Residents Affected - Some The facility failed to ensure puree foods were prepared and met the number of puree residents who required puree meals. This deficient practice could place residents who consume food prepared by the facility kitchen at risk of having their nutritional status unmet. Findings include: Observation on 01/04/2023 at 10:00 a.m. revealed, Dietary Staff pureed carrots for 15 residents and did not yield 15 portions but instead 13 servings. Dietary staff scooped out 15 severing from a measuring 4-quart container into 8 inch deep well metal container. Dietary Staff used an ivory scoop to scoop out the portions from the mixture into another 8 inch deep well metal container. Staff counted out loud 13 servings. It was observed/heard staff tried again to recount and the outcome was the same with 13 scoops. Interview with Director of Food and Nutrition J on 01/05/2023 at 09:02 a.m., stated for the puree from yesterday (01/04/2023) he knew he did not come out with the correct servings it was because the ticket has had a comment for suggested portion sizes, and we were used the wrong scoops. DOFN J stated the risk to the resident if staff were not trained there was a risk of the residents getting sick. DOFN J stated all his staff were trained on/in the kitchen. Record review of the facility's recipe for the honey Glazed Carrots, dated 01/04/2023, indicated the recipe yielded 12 servings and a #10 scoop was to be used. The recipe indicated to get actual serving size, puree the number of portions needed, adding adequate liquid needed to achieve desired consistency as appropriate for resident, then divide the total amount equally by the number of portions pureed. Record review of facility's resident's weights and vital exceptions, dated 01/04/2023, did not indicate any significant weight loss from the past three months. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 18 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on the observations, interviews, and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure food products in the dry storage area were correctly labeled and wrapped. 2. The facility failed to ensure foods products in the dry storage area were not expired. These failures could place residents at risk of food borne illness and malnutrition. Finding include: Observation on 01/03/2023 at 08:30 a.m. revealed, garlic bread packaged in the fridge sitting on the shelve was not labeled. Nuggets packaged in a big clear bag which sat on the shelve in the freezer were not labeled. The refrigerator had expired cilantro, dated 12/02/2022, that looked wet/slimy. Observation on 01/04/23 at 11:41 a.m. revealed, a whole apple pie cut was left on the steel counter and was not covered or dated. Two maintenance staff and other dietary staff passed by the uncovered pie. There was a bit of pie on a bowl that was not covered, dated or labeled. Interview with Director of Food and Nutrition J on 01/05/2023 at 09:02 a.m., he stated the Dietary Staff had been trained and have had Food Handlers/Certificates. DOFN J stated he trained the Dietary staff on food preparation on his own. DOFN J stated he had no documentation or in-services to show staff were trained. DOFN J stated it was in their job description and duties in regard to preparation of foods, labeling foods, making sure temperatures were correct, etc. DOFN J stated he trained all his dietary staff on labeling, temperature, infection control and so far. DOFN J stated the risk to the resident if staff were not trained there was a risk of the residents getting sick. DOFN J stated all his staff were trained on/in the kitchen. Interview with Dietary Manager I on 01/05/2023 at 9:25 a.m., she stated she was trained by the Dietary Director and by the Food Handler Course. Dietary Manager I stated in the freezer the meats and other foods had to be label and old stuff came out and new food went in the back. Dietary Manager I stated the risk to the resident was if the food was not labeled then it was old and it could affect residents in their stomach by giving them diarrhea. Dietary Manger I stated she received the curriculum three or four times in a year. Dietary Manger I stated (the dietary staff) got refresher's sometimes when stuff happens. Dietary Manager I stated if staff were not trained the risk to the residents was they could choke or, they could die. Record review of the, undated, facility policy/curriculum indicates indicated the Dietary Training Inventory. Which stated the different topics staff would be trained on such as Dietary services, between meal feedings, food preparation, food service, food storage (labeling and dating), kitchen (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 19 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0812 sanitation, and care and cleaning of kitchen equipment. To include various other topics. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 20 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0840 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to obtain services furnished by outside resources in a timely manner one of six residents (Resident #49) reviewed for timeliness of services provided by outside resources. The facility failed to ensure Resident #49's physician's order to receive paracentesis (removing excess fluid from the abdomen) every two weeks was followed, and arrangements for paracentesis were not made in a timely manner. Which resulted in Resident #49 experiencing discomfort, difficult breathing, pain and increased anxiety. This failure could place residents at risk of not receiving treatments on a timely basis due to delays in having treatment arrangements made. Findings include: Record review of Resident #49's face sheet, dated 01/04/2023, documented a 61- year-old female who was initially admitted to the facility on [DATE] and readmitted on [DATE]. Her diagnoses included hepatic failure (liver failure), cirrhosis of the liver, acute kidney failure, end stage renal (kidney) disease, anxiety disorder, ascites (abnormal build-up of fluid in the abdomen), and acute pulmonary edema (accumulation of fluid in the lungs). Record review of Resident #49's quarterly MDS, dated [DATE], documented her BIMS was 8, which indicted the resident had moderate cognitive impairment. She required extensive assistance from a staff member to move around in bed, to transfer between surfaces, dress, eat, and use the toilet. She required limited assistance from one staff member to move around the facility in her wheelchair and for personal hygiene. She did not have any pain or shortness of breath. Record review of Resident #49's care plan, revised 12/19/2022, documented she had liver failure and ascites. A goal of care was she would not have symptoms of complications related to fluid overload (symptoms include swollen limbs, abdominal bloating, sudden weight gain, difficulty in breathing, or decreased urine output). She had liver disease with interventions which included to monitor, document and report to the physician signs of complications such as ascites and she was to have paracentesis as scheduled. Record review of Resident #49's nurse's progress note, dated 11/30/2022, documented the resident had returned from an appointment for paracentesis. No other notes regarding the resident having received paracentesis were found in review of all other nurse's progress notes from 11/30/2022 through 01/03/2022. Record review of Resident #49's History and Physical, dated 12/13/2022, documented the resident had gone to the hospital because she was vomiting blood and was to transfer back to the facility. Baseline labs were to be ordered. Record review of Resident #49's Laboratory Report documented a laboratory sample was collected on 12/14/2022 and results were released on 12/16/2022. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 21 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0840 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Record review of Resident #49's physician's order, dated 12/14/2022, documented she was to have an Ultrasound guided paracentesis every 2 weeks for 6 months for a diagnosis of abdominal ascites (swelling of the stomach). Record review of Resident #49's nurse's progress note, dated 12/28/2022, documented all necessary paperwork to schedule paracentesis had been sent to the hospital where Resident #49 usually had the procedure, and the hospital said they would call the facility back in about two days. Record review of Resident #49's nurse's progress note, dated 12/30/2022, documented the facility contacted the hospital and the hospital had not yet scheduled an appointment for paracentesis. In observation and interview on 01/03/23 at 09:22 AM, Resident #49 was lying in bed. She said her stomach was very large, and she looked pregnant because of her liver. She pulled back the covers and her abdomen appeared very large. She said because of the swelling sometimes her stomach hurt, and she could not turn over. She said she had gone to the hospital in November (2022) to have the fluid drained out of her stomach but had not gone since then and she was very uncomfortable. She said the staff at the facility had not talked to her about arrangements to go in to have her stomach drained. In observation and interview on 01/04/23 at 09:44 AM, Resident #49 continued to complain of discomfort because of ascites, saying she could not move around easily. She said that she had mentioned her discomfort to staff members. She said her doctor told her she should go for paracentesis every two weeks. It was observed the resident had difficulty breathing when talking, taking breaths after every two or three words. In interview and observation on 01/04/23 at 9:50 AM it was observed Resident #49's abdomen was distended (swollen) to the point her navel was popped out and it was observed that she had difficulty talking because she was short of breath. Resident #49 reported it hurt her to have her stomach touched. She said her pain level was at a level 5 on a scale of 1 to 10 with 10 being the worst. In an interview on 01/04/23 at 10:03 AM, LVN B said about a week prior to the interview Resident #49 told the LVN she felt really full and wanted the water out of her stomach. LVN B said the resident had a standing order to go for paracentesis every two weeks but it had been discontinued in November 2022 because she was doing better and in December 2022 the resident had no more orders for paracentesis. LVN B said the nurses checked Resident #49's abdomen for fluid build-up once a week because it could get a lot fuller in one week. She stated checking the resident's abdomen for fluid build-up was not documented anywhere. LVN B said she started noticing fluid build-up in Resident #49's abdomen about two weeks ago. She said last week LVN G called the hospital where the resident received paracentesis and the facility was waiting for a reply from the hospital to schedule the procedure. LVN B stated if Resident #49's regular schedule of going in every two weeks had been followed she would already have had a paracentesis. She said if a paracentesis was not done quickly enough the resident could go into fluid overload (too much fluid in the body). LVN B said a fluid overload could put pressure on the resident's heart and put her at risk of heart problems. In an interview and record review on 01/04/23 at 10:28 AM, LVN G provided an appointment listing for Resident #49 for paracentesis that showed the resident had been scheduled for paracentesis every two weeks since June with the last being scheduled for 11/23/2022. The LVN stated the resident had a new standing order dated 12/14/2022 to receive paracentesis every two weeks. LVN G said she faxed necessary paperwork, H&P and lab results, to the hospital on [DATE]. She said she called the hospital multiple times since then without success, with the hospital saying they did not have enough staff (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 22 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0840 in the scheduling department to make the appointment. Level of Harm - Minimal harm or potential for actual harm In an interview on 01/04/23 at 02:49 PM, LVN G said Resident #49's new order for paracentesis was received on 12/14/2022. When she contacted the hospital, they said they needed a more recent H&P and labs before they could schedule the appointment. The LVN said although the new H&P was dated 12/13/2022 it was not showing up in the system. She did not know why the H&P would not be showing up in the resident's records. LVN G said Resident #49 had the required lab work done and results were available on 12/16/2022. The H&P and lab work were faxed to the hospital on [DATE]. The LVN said she did not know why the paperwork went out on 12/21/2022 because she was out of the facility for several days during that time. Residents Affected - Some In an interview on 01/05/23 at 02:29 PM, the ADON said she was aware of the delay in getting Resident #49's paracentesis scheduled. She said staff had a hard time getting appointments scheduled since November (2022). In Resident #49's case they needed current labs. She said LVN G got an appointment arranged for paracentesis for Resident #49 on 01/06/2022. She said the risk of delaying paracentesis was fluid overload which could result in wheezing, pressure on the heart and the resident's lungs filling with fluid. In an interview on 01/05/23 at 05:58 PM, the DON said she was aware of the delay in scheduling Resident #49's paracentesis. The plan was to schedule the procedure at the end of December (2022), but the hospital needed a new H&P and labs. The holidays did not help because it was supposed to be done by the end of December. The nurses were responsible for monitoring Resident #49's status by seeing if the resident had trouble breathing, gaining weight, not getting up as usual, and by the resident reporting she was uncomfortable. The risk to the resident of needing paracentesis and not having it included being very uncomfortable, having trouble breathing and cardiac risks which included CHF (Congestive Heart failure heart disease that affects pumping action of the heart) and pulmonary edema (excess fluid in the lungs). Record review of the facility policy Appointments, dated 2003, documented .the facility would assist resident with outside facility appointments to ensure the resident attended any scheduled appointments. Record review of the facility policy Physician's Orders, dated 2015, documented .the nurse receiving the order would contact any external facility as required, and if the order requires documentation, it would be directed to the proper electronic administration record once the order was completed. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 23 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 Provide and implement an infection prevention and control program. 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 maintain 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 for 1 of 2 residents (Resident #18) reviewed for infection control. Residents Affected - Few CNA A failed to change her gloves after they became contaminated during incontinent care while assisting Resident #18. This failure could place resident's at risk for cross contamination and the spread of infection. Finding include: Record review of Resident #18's admission record dated 01/03/23 indicated she was admitted to the facility on [DATE] with diagnoses of age related cognitive decline and muscle weakness. She was [AGE] years of age. Record review of Resident #18's quarterly MDS dated [DATE] indicated in part: BIMS = 08 indicating resident was moderately impaired. Urinary continence = always incontinent. Bowel continence = always incontinent. Record review of Resident #18's care plan dated 08/04/21 indicated in part: Focus: Resident has bowel incontinence. Resident has bladder incontinence. Goal: Resident will remain free from skin breakdown due to incontinence and brief use through the review date, resident will not have any complications related to bowel incontinence. Interventions: Provide pericare after each incontinent episode. During an observation on 01/03/23 at 09:22 AM CNAs A and CNA D performed incontinent care for Resident #18. Both CNAs entered the room, sanitized their hands, put on gloves, closed the door and explained to the resident what they were going to do. CNA A undid the resident's brief and used some wet wipes to wipe the residents front peri-area. Both CNAs then turned Resident #18 on her side. The resident had a bowel movement and started to urinate when they turned her on her side. CNA A took some wet wipes and wiped the urine and bowel movement. The urine and bowel movement came in contact with CNA A's gloves as she wiped the resident's bottom. CNA A removed the soiled brief and placed it in a trash bag. While wearing the same gloves, CNA A took the clean brief and fastened it to Resident #18. While still wearing the same gloves CNA A covered the resident with her blanket, pressed the down button on the bed control to lower the bed and adjusted the call light button. During an interview on 01/04/23 at 02:24 PM CNA A said she was supposed to change her gloves during resident care whenever they became contaminated. CNA A said if she did not change her gloves then that could lead to cross contamination and possible urinary tract infections. CNA A said she should have changed her gloves before applying the new brief on Resident #18. CNA A said she got nervous and forgot to change her gloves after she wiped the resident's peri-area. CNA A said they were trained on infection control and knew she was supposed to have changed her gloves after coming in contact with the urine and bowel movement but just got nervous and forgot. During an interview on 01/05/23 at 02:25 PM, the DON said it was her expectation for the aides to change their gloves when they became contaminated, she said if they did not then that could lead to (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 24 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 cross contamination and infections. The DON said the failure occurred probably because the aide got nervous and forgot to change her gloves once they became contaminated. The DON said she would do random checks on nursing staff to make sure they were following infection control procedures. During an interview on 01/05/23 at 02:42 PM, the Administrator said the staff were expected to change their gloves if they became contaminated to prevent infections. The Administrator said they provided training to the staff regarding infection control. He said the failure probably occurred because the CNA got nervous and forgot to change her gloves. Record review of the facility document titled Fundamentals of infection control precautions dated 2019 indicated in part: A variety of infection control measures are used for decreasing the risk of transmission of microorganisms in the facility. These measures make up the fundamental of infection control precautions. Gloves are worn for three important reasons, to provide protective barrier and prevent gross contamination of the hand when touching blood, body fluids, secretions, excretions, mucous membranes and non-intact skin. The wearing of gloves in specified circumstances will reduce the risk of exposure to bloodborne pathogens and is mandatory for all employees. To reduce the likelihood that hands of personnel contaminated with microorganisms from a resident or a fomite can transmit these microorganisms to another resident, in this situation, gloves must be changed between resident contact, and hands washed after gloves are removed. Wearing gloves does not replace the need for hand washing because gloves may have a small inapparent defects or be torn during use and hands can become contaminated during removal of gloves. Failure to change gloves between resident contacts is an infection control hazard. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 25 of 26 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 675568 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/05/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oasis Nursing & Rehabilitation Center 9001 N Loop El Paso, TX 79907 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 0919 Make sure that a working call system is available in each resident's bathroom and bathing area. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview and record review the facility failed to ensure it was adequately equipped to allow residents to call for staff assistance through a communication system which relayed the call directly to a staff member or to a centralized staff work area for 3 of 3 public restrooms reviewed for resident call systems. Residents Affected - Some The facility failed to ensure 3 public restrooms, that were accessible to the residents, had a call light system. This failure could place residents at risk of being unable to obtain timely assistance for activities of daily living or in the event of an emergency. Findings include: During an observation on 01/05/23 at 10:50 AM revealed 1 public restroom on the south side of the facility and 2 public restrooms on the north side of the facility, 2 of the 3 restrooms were noted to be kept unlocked on several occasions. The restrooms did not have a call light system. These restrooms were in an area where residents had access to them. During an interview on 01/05/23 at 10:58 AM, RN E said he saw some resident's using the public restroom on the south side. RN E said he saw residents use the restroom before that were ambulatory. RN E said the residents normally used the restrooms in their rooms and rarely used the public restroom. RN E said he had not thought about the restroom not having a call light system. During an interview on 01/05/23 at 11:02 AM, LVN G said she had not seen the resident's using the public restrooms on the north side of the facility. LVN G said one of the restrooms self-locked when the door closed but the other one did not and could be opened if no one was using it. LVN G said the residents normally used the restroom in their rooms or the shower room restroom which did have access to a call light. LVN G said she had not considered residents could access the restroom and there was no call light accessible. During an interview on 01/05/23 at 02:25 PM, the DON said it was her expectation for residents to have access to a call light. She said the residents were not supposed to use the public restrooms in the facility and was not aware of them using it. The DON said they would work on keeping the restrooms locked and residents only were allowed to use their own restrooms or the ones in the shower rooms as they had call lights in them. The DON said if a resident used the public restroom and needed assistance, they would not be able to call for help as there were no call lights in those restrooms. During an interview on 01/05/23 at 01:38 PM, the Administrator said they did not have a policy for call lights. During an interview on 01/05/23 at 02:42 PM, the Administrator said he thought the restrooms were kept locked and the residents would use the restrooms in their rooms or shower rooms as they had call light access. The Administrator said they would get that taken care off. The Administrator said he understood how that could be an issue if a resident went in and fell and would not be able to call for help. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675568 If continuation sheet Page 26 of 26