Health inspection·December 15, 2025

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few gathered the trash, removed her gloves, placed them in the trash and washed her hands.During an interview on 12/15/2025 at 10:31 a.m., CNA A said Resident #1 was on EBP and she should have worn a gown during the care provided. She said she did not wear a gown because she forgot. She said there was a risk of spreading infections if staff did not follow EBP. She said she was trained on EBP and Resident #1 had a wound that required the staff to wear a gown and gloves when care was provided.Record review of a skills checklist for CNA A, dated 4/30/2025, indicated she was satisfactory with personal hygiene.During an interview on 12/15/2025 at 10:33 a.m., CNA B said she worked for an agency and was assigned this facility from time to time. She said hand hygiene should be performed before and after care was completed, which included hand washing or using hand sanitizer. She said she did not perform hand hygiene before she donned gloves to provide care to Resident #1. She said she forgot to sanitize her hands. She said when she changed tasks after cleaning and removing the dirty brief before she touched clean items, she should have changed her gloves and washed her hands. She said she kept the same gloves on during care and forgot about changing them. She said Resident #1 was on EBP and she should have worn a gown. She said usually PPE was in a container in the hallway and she did not see the sign on the door that indicated the resident was on EBP. She said residents were at risk for infections and cross contamination if staff did not follow infection control practices.During an interview on 12/15/2025 at 2:17 p.m., the ADON said staff received competency checks on hire and yearly thereafter. She said the DON and the IP conducted training on infection control with the staff. She said she conducted training on 12/15/2025 for hand hygiene and EBP with the staff and was aware of the care that was provided to Resident #1. She said Resident #1 was on EBP related to an open wound to his foot and staff should wear a gown and gloves when direct patient contact was provided.Record review of a facility in-service, dated 11/6/2025, on handwashing and hygiene and EBP revealed CNA A was in attendance by her signature on the sign in sheet.During an interview on 12/15/2025 at 2:29 p.m., the DON said he and the IP were both responsible for training staff on infection control and EBP. He said CNA A was present at the last training on EBP and hand hygiene. He said hand hygiene should be performed before and after care and when going from dirty items to clean. He said staff should never touch clean items with dirty gloves and should remove their gloves and wash their hands. He said Resident #1 was on EBP, and staff should have worn a gown and gloves when direct care was provided. He said there was a risk for spreading infections if they did not follow infection control and hand hygiene along with touching clean items with dirty gloves.During an interview on 12/15/2025 at 2:44 PM, the Administrator said the DON, ADON, and IP were all responsible for training staff on infection control. He said he expected the staff to perform and follow infection control practices. He said outside of the rooms of the residents on EBP the posted sign had instructions for the staff to follow.Record review of a facility policy titled Enhanced Barrier Precautions undated indicated, .It is the policy of this facility to implement enhanced barrier precautions for the prevention of transmission of multidrug-resistant organisms. Enhanced barrier precautions (EBP) refer to an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employ targeted gown and gloves use during high contact resident care activities. 4. High-contact resident care activities include: d. providing hygiene; e. changing briefs.Record review of a facility policy titled Hand Hygiene undated indicated, .all staff will perform proper hand hygiene procedures to prevent the spread of infection to other personnel, residents, and visitors. Hand hygiene is a general term for cleaning your hands by handwashing with soap and water or the use of an antiseptic hand rub. 6. A. The use of gloves does not replace hand hygiene. If your task requires gloves, perform hand hygiene prior to donning gloves, and immediately after removing gloves. Hand hygiene table: when (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675691 If continuation sheet Page 2 of 3 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 675691 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Huntsville Health Care Center 2628 Milam Huntsville, TX 77340 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 coming on duty; after handling contaminated objects; before performing resident care procedures. 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: 675691 If continuation sheet Page 3 of 3