Health inspection·August 17, 2023

F 0552 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few During an interview on 08/17/23 at 11:40 AM, the DON stated Resident #11 did not have a consent for melatonin. Resident #19 Record review of Resident #19's face sheet, dated 08/15/23, revealed a [AGE] year-old-male was admitted to the facility on [DATE] with diagnoses to include paraplegia (paralysis in the legs), schizoaffective disorder (mental disease), major depressive disorder (mental health condition that causes a persistently low or depressed mood and a loss of interest in activities), and insomnia (sleep disorder). Record review of Resident #19's order summary report dated 08/15/23 revealed the following orders: Melatonin 10mg at bedtime related to insomnia dated 07/17/23. Record review of comprehensive MDS assessment dated [DATE] revealed Resident #19 was understood (clear comprehension). The MDS revealed Resident #19 had a BIMS of 09 which indicated the resident's cognition was moderately impaired. Record review of a care plan for Resident #19 dated 08/10/23 revealed a focus for use of sleep aid related to insomnia, with an intervention to administer Melatonin. Record review of Resident #19's medication administration record undated for the month of August 2023 revealed resident received Melatonin 10 mg orally at bedtime August 1st through August 17th. Record review of Resident #19 electronic medical record revealed no consent for melatonin. During an interview on 08/17/23 at 11:40 AM, the DON stated Resident #19 did not have a consent for melatonin. During an interview on 08/17/23 11:40 AM with the DON, she stated that melatonin was used for sleep at night. She stated she was responsible for obtaining psychotropic medication consents. She stated medication consents where to be obtained when medication was ordered. She verified there was no consents for melatonin in the EMR for Resident #11 and #19. She stated she was not aware melatonin needed a consent but that it was used for sleep. She stated the potential negative outcome could be family members not made aware of side effects it could cause and if family is not aware medication could be administered without consent. She stated that she has had training on obtaining psychotropic consents. During an interview on 08/17/23 11:52 AM with the ADM, she stated the DON was responsible for obtaining medication consents. She stated consents should be obtained at the time of the medication order. She stated she does not know why the consents were not obtained. She stated melatonin was given to residents having trouble falling asleep or request by the doctor. She stated the potential negative outcome could be it might mix with other medications, not being aware sleeping was a behavior or sleeping too much. Record review of the facility's policy titled Informed Consent, undated revealed: 1. The facility will protect and promote the resident's right to informed consent regarding all medications, treatments, and care and right to refuse medications, treatments, and care . (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 2 of 10 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 675716 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/17/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Post Nursing & Rehab Center 605 W 7th St Post, TX 79356 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 0552 4. The Unit Nurse will: Level of Harm - Minimal harm or potential for actual harm a. Inform The resident and designated family member of any new or changed order for medication, treatment, or care when the order is received . Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 3 of 10 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 675716 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/17/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Post Nursing & Rehab Center 605 W 7th St Post, TX 79356 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 0578 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure all residents had the right to formulate an advance directive for 4 of 14 residents (Residents #12, #15, #16, and #30) reviewed for advanced directives, in that: Residents #12, #15, #16 and #30 was listed as a DNR (Do Not Resuscitate) but had an Out-of-Hospital Do Not Resuscitate (OOH-DNR) forms that were incorrectly filled out or missing required information. These failures could place residents at risk for not having their end of life wishes honored and incomplete records. Findings included: Resident #12 Record review of Resident #12's face sheet, dated 08/16/23, revealed an [AGE] year-old-female was admitted to the facility on [DATE] with diagnoses to include hypertension (high blood pressure), anxiety (feeling of fear and worry), major depressive disorder (mental health condition that causes a persistently low or depressed mood and loss of interest in activities) and insomnia (sleep disorder). The face sheet also revealed under the advance directive section - DNR-Do Not Resuscitate. Record review of Resident #12's physician order summary dated 08/16/23 revealed the following order: DNR-Do Not Resuscitate dated 06/20/23. Record review of Resident #12's care plan, dated 07/03/23, revealed care plan for DNR. Record review of Resident #12's Out of Hospital Do Not Resuscitate form dated 06/19/23 revealed under the declaration of the adult person no selection of male or female. Resident #15 Record review of Resident #15's face sheet, dated 08/16/23, revealed an [AGE] year-old-female was admitted to the facility on [DATE] with diagnoses to include Alzheimer's disease (cognitive loss), muscle weakness, major depressive disorder (mental health condition that causes a persistently low or depressed mood and loss of interest in activities), and anxiety (felling of fear and worry). The face sheet also revealed under the advance directive section - DNR-Do Not Resuscitate. Record review of Resident #15's physician order summary dated 08/16/23 revealed the following order: DNR dated 02/14/22. Record review of Resident #15's care plan, dated 07/20/23, revealed care plan for DNR. Record review of Resident #15's Out of Hospital Do Not Resuscitate form dated 02/14/22 revealed no witness 2 signature. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 4 of 10 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 675716 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/17/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Post Nursing & Rehab Center 605 W 7th St Post, TX 79356 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 0578 Resident #16 Level of Harm - Minimal harm or potential for actual harm Record review of Resident #16's face sheet, dated 08/16/23, revealed an [AGE] year-old-female was admitted to the facility on [DATE] with diagnoses to include dementia (cognitive loss), hypertension (high blood pressure), major depressive disorder (mental health condition that causes a persistently low or depressed mood and loss of interest in activities), and anxiety (felling of fear and worry). The face sheet also revealed under the advance directive section - DNR-Do Not Resuscitate. Residents Affected - Some Record review of Resident #16's physician order summary dated 08/16/23 revealed the following order: DNR dated 11/20/22. Record review of Resident #16's care plan, dated 07/27/23, revealed care plan for DNR. Record review of Resident #16's Out of Hospital Do Not Resuscitate form dated 11/29/22 revealed under the declaration by a qualified relative section no selection of qualified relative. Resident #30 Record review of Resident #30's face sheet, dated 08/15/23, revealed an [AGE] year-old-male was admitted to the facility on [DATE] with diagnoses to include major depressive disorder (mental health condition that causes a persistently low or depressed mood and loss of interest in activities), hypertension (high blood pressure) and hemiplegia and hemiparesis (mild or partial loss of strength to one side of the body). The face sheet also revealed under the advance directive section - DNR-Do Not Resuscitate. Record review of Resident #30's physician order summary dated 08/15/23 revealed the following order: DNR-Do Not Resuscitate dated 10/03/22. Record review of Resident #30's care plan, dated 07/27/23, revealed care plan for DNR. Record review of Resident #30's Out of Hospital Do Not Resuscitate form dated 03/24/22 revealed missing guardian/agent/proxy/relative signature. During an interview on 08/17/23 11:40 AM with the DON, she stated OOH DNR was not valid if it's not filled out correctly. She stated the social worker was usually the one who obtained the OOH DNR and then she reviews them. She verified missing information on OOH DNR for Resident #12, #15, #16 and #30. She stated there was no system for monitoring OOH DNR for accuracy. She stated, she will just review them as they are signed. She stated the reason the DNR's were not complete was human error. She stated the potential negative outcome could be somebody sent out to emergency room without a valid OOH DNR and could be worked as a full code. She stated she had been trained on how to complete OOH DNR and her expectations were for them to be filled out completely and right. During an interview on 08/17/23 11:57 AM with the ADM, she stated the OOH DNR was not valid if not filled out correctly. She stated nursing was responsible for making sure the OOH DNR was completed accurately. She stated they do not have a system in place to monitor OOH DNR for accuracy. She stated the DON reviews them once they are completed. She verified missing information on OOH DNR for Resident #12, #15, #16 and #30. She stated she does not know why they information is missing. She stated the potential negative outcome could be not doing the request of our residents. She stated her expectations were that the OOH DNR was done correctly to make sure they are valid. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 5 of 10 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 675716 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/17/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Post Nursing & Rehab Center 605 W 7th St Post, TX 79356 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 0578 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Record Review of the Instructions for Issuing An OOH-DNR Order (Revised July 1, 2009) revealed the following: INSTRUCTIONS FOR ISSUING AN OOH-DNR ORDER PURPOSE Section A - If an adult person is competent and at least [AGE] years of age, he/she will sign and date the Order in Section A. Section B - If an adult person is incompetent or otherwise mentally or physically incapable of communication and has either a legal guardian, agent in a medical power of attorney, or proxy in a directive to physicians, the guardian, agent, or proxy may execute the OOH-DNR Order by signing and dating it in Section B. In addition, the OOH-DNR Order must be signed and dated by two competent adult witnesses, who have witnessed either the competent adult person making his/her signature in section A, or authorized declarant making his/her signature in either sections B, C, or E, and if applicable, have witnessed a competent adult person making an OOH-DNR Order by nonwritten communication to the attending physician, who must sign in Section D and also the physician's statement section. Optionally, a competent adult person or authorized declarant may sign the OOH-DNR Order in the presence of a notary public. However, a notary cannot acknowledge witnessing the issuance of an OOH-DNR in a nonwritten manner, which must be observed and only can be acknowledged by two qualified witnesses. Witness or notary signatures are not required when two physicians execute the OOH-DNR Order in section F. The original or a copy of a fully and properly completed OOH-DNR Order or the presence of an OOH-DNR device on a person is sufficient evidence of the existence of the original OOH-DNR Order and either one shall be honored by responding health care professionals. Record review of the facility's policy titled Advance Directives, undated revealed no information regarding the OOH DNR. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 6 of 10 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 675716 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/17/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Post Nursing & Rehab Center 605 W 7th St Post, TX 79356 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 0679 Provide activities to meet all resident's needs. 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 provide an ongoing program to support residents in their choice of activities, facility-sponsored group, designed to meet the interest of and support the physical, mental, and psychosocial well-being of 3 of 14 residents (Residents #4, #12 and #24) reviewed for activities. Residents Affected - Some The facility: 1. Failed to engage in activities at scheduled times. 2. Failed to offer engaging activity replacement for scheduled activities that were cancelled or not completed. This failure could affect Residents of the facility by not addressing their physical, mental, and psychosocial needs for each to attain or maintain their highest practicable physical, mental, and psychosocial outcome. The findings include: Observation of the dining room and the commons area (television room) on 8/15/23 beginning at 3:15pm, revealed the scheduled activity at 3:00pm was Wahoo, there were 3 residents sitting in the commons area and three residents sitting in the dining area, the AD was not present. The residents in the commons area informed surveyor they were waiting for Wahoo to start. The residents in the dining room also stated they were waiting for Wahoo to start; all 6 residents informed surveyor they had not seen the AD. Continued observation of the dining room and commons area at 3:23pm revealed the residents in the dining room left; the three residents in the common area remained in the commons area and stated they assumed the activity was not going to happen, they had not seen the AD. Observation of the dining room and the commons area (television room) on 8/16/23 at 1:10pm, revealed the scheduled activity was Papacures, there were two male residents in the dining room who informed this surveyor they were waiting for the activity. The residents informed the surveyor they had not seen the AD. Continued observation of the dining room at 1:25pm revealed the same three male residents waiting for the activity; the residents informed this surveyor they had not seen the AD and nothing was set up for the activity. Observation of the dining room on 8/16/23 at 2:03pm, revealed the scheduled activity was painting, there was nothing set up for the activity and no residents were in the dining room. Continued observation of the dining room at 2:10pm revealed Resident #24 was in the dining room, Resident #24 stated she was looking for the Painting activity scheduled for 2:00pm. Resident #24 stated she guessed the activity was not going to happen. Surveyor informed Resident #24 she would attempt to find the AD and find out if the activity was going to happen. 8/16/2023 at 2:17pm ADM asked Surveyor if she was looking for something; Surveyor stated she and Resident #24 were looking for the scheduled painting activity. The ADM had Surveyor walked with her down the hall to an office with 5 staff members in the office. The ADM asked the AD if she was going to have the Painting activity, AD stated, No, I am going to stay in here. The ADM looked at Surveyor and shrugged her shoulders, then ADM walked the in the office with the 5 staff members. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 7 of 10 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 675716 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/17/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Post Nursing & Rehab Center 605 W 7th St Post, TX 79356 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 0679 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Observation of the dining room and the commons area on 8/17/23 at 10:10am revealed there were 3 residents in the dining room and 3 residents in the commons area; the AD was not in the area. Surveyor asked Resident #4 and Resident #24 if the 10:00am scheduled activity of walking around the block was going to happened as scheduled; both residents informed Surveyor they were waiting for the walk; however, they had not seen the AD since the 9:00am activity ended. Continued observation of the dining room and commons area at 10:25am revealed the same 3 residents in the dining room and the same 3 residents in the commons areas. Residents #4 and #24 both told Surveyor the activity did not happen as scheduled and the residents had not seen the AD. Resident #4 Record review of Resident #4's electronic face sheet revealed a [AGE] year-old female most recently admitted to the facility on [DATE]. The face sheet listed under Diagnoses Information, anxiety disorder, major depressive disorder, panic disorder, and bipolar disorder. Record review of Resident #4's Quarterly MDS dated [DATE], revealed under Section C Cognitive Patterns, the MDS revealed a BIMS of 15 indicating the resident was cognitively intact. Record review of Resident #4's most recent care plan, undated, revealed a focus area including activities; the care plan stated Resident #4 enjoys participating in activities, at times Resident may enjoy observing activities, the AD will encourage and remind Resident to attend scheduled activities, and the AD will praise the Resident for attending activities of her choice. Interview with Resident #4 on 8/17/2023 revealed activities often did not occur as scheduled; there are no alternative activities offered, there was often no activity offered at the scheduled time, and the AD was not present in the dining room or the commons area during the scheduled activity time. Resident #4 stated she had been told the AD was pulled away from activities to perform other duties. Resident #4 stated the AD cannot perform the scheduled activities because she was asked to perform many other duties. Resident #4 stated she attempted to attend the Wahoo activity at 3:00pm on 8/15/23, but the activity did not occur. Resident #4 stated she attempted to attend the Painting activity on 8/16/23 at 2:00pm, that activity did not occur. Resident #4 stated she waited in the commons area for the walk around the block activity at 10:00am on 8/17/23, the activity did not occur. Resident #4 stated it makes her feel forgotten and not important when activities did not happen as scheduled. Resident #4 stated she needed to interact with other residents to help with her depression and when the activities did not occur, she missed the interaction with her peers. Resident #24: Record review of Resident #24's electronic face sheet revealed an [AGE] year-old female most recently admitted to the facility on [DATE]. The face sheet listed under Diagnosis Information a diagnosis of Age-related Cognitive Decline, Cognitive Communication Deficit, and Muscle Weakness. Record review of Resident #24's Quarterly MDS dated [DATE], revealed under Section C Cognitive Patterns, the MDS revealed a BIMS of 7 indicating the resident was slightly cognitively impaired. Record review of Resident #24's most recent care plan, undated, revealed a focus area with problem onset date of 07/30/21 which read in part that Resident #24 was prescribed antidepressant medication for a history of depression. In addition, Resident #24 was also prescribed anti-anxiety medication for a history of anxiety, this area of concern had an onset date of 11/15/2022. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 8 of 10 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 675716 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/17/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Post Nursing & Rehab Center 605 W 7th St Post, TX 79356 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 0679 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Surveyor interviewed Resident #24 on 8/17/2023 at 2:33pm, Resident #24 stated she had noticed more often activities did not occur as scheduled on the activities calendar and the AD was not present during the scheduled activities. Resident #24 stated she was unsure why the AD was not around, and she was not hosting scheduled activities. Resident #24 stated she felt disappointed when the activities did not occur as scheduled. Resident #24 stated she looked forward to the scheduled activities, especially any art activity, Resident #24 felt down when the painting activity did not occur today as she had been looking forward to it all day. Resident #24 stated the art activities helped with her muscle loss in her hands and she felt the activities help her to be motivated to get out of her room. Resident #12: Record review of Resident #12's electronic face sheet dated 8/17/23 revealed an [AGE] year-old female most recently admitted to the facility on [DATE]. The face sheet listed under diagnosis indicated diagnoses of MDD, Anxiety Disorder, and Age-related Cognitive Decline. Record review of Resident #12's Quarterly MDS dated [DATE], revealed under section C Cognitive Patterns, the MDS revealed a BIMS of 15 indicating the resident was cognitively intact. Record review of Resident #12's most recent care plan, undated, revealed a focus area involving activities; Resident #12 will be invited and encouraged to attend activities, especially activities involving exercise and being outdoors. Resident #12 will be provided with an activities calendar, and she will be informed of any changes to the activities. Surveyor interviewed Resident #12 on 8/17/23 at 10:45am, Resident #12 stated she attended the 9:00am Sittercise activity and then remained in the commons area to attend the Walk Around the Block activity. Resident #12 stated the AD held the 9:00am activity; however, she never returned to the commons area to host the Walk Around the Block Activity. Resident #12 stated she looked forward to the activities involving exercise, especially activities that involved going outside. Resident #12 stated she had noticed several activities had not been held as scheduled over the past two weeks. Resident #12 stated there were no alternative activities offered when the scheduled activity did not occur. Resident #12 stated she felt disappointed when activities on the schedule did not occur as planned. Resident #12 stated she planned her day based on attending the activity she enjoyed; therefore, it was a let down when the scheduled activity did not occur. Interview on 8/17/2023 at 12:35pm with the ADM, ADM stated her expectation was for the AD to follow the scheduled activities calendar when there are no circumstances that interfered with the activity. The ADM stated her Human Resources staff quit last week, so she had pulled the AD from performing activities. The ADM stated she needed the AD to perform other duties. The ADM said no other staff have been assigned to hold the activity when the AD was taken away from her normal duties. The ADM stated she expected her AD to go to the rooms to personally invite Residents to the scheduled activity if no residents showed up to the activity. The ADM stated she expected the AD to change the activity if there was no interested in the scheduled activity. The ADM stated there was no potential negative outcome to the residents if the scheduled activity was cancelled. The ADM stated the Residents can entertain themselves with the access they have to books, art supplies, and magazines. Interview on 8/17/2023 at 1:15PM, AD said she has been employed at the facility for 25 years, the AD stated she had been pulled by her ADM several times in order to perform alternate duties, especially Human (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 9 of 10 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 675716 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/17/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Post Nursing & Rehab Center 605 W 7th St Post, TX 79356 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 0679 Level of Harm - Minimal harm or potential for actual harm Resources duties. The AD stated she did not announce or leave announcements for the Residents when an activity was cancelled. The AD stated she did not ask other staff to cover the activity for her when she could not attend Residents Affected - Some the activity. The AD stated she walked around and invited residents to activities when there was no resident in attendance for an activity. The AD stated she will change a scheduled activity if there was no interest in the scheduled activity. The AD was asked why the calendar was not followed on 8/15/23 at 3:00pm, 8/16/23 at 1pm and 2pm, and 8/17/23 at 10:00am; the AD stated she assisted with other duties as requested by the ADM. The AD stated she added activities to the calendar that are requested by Residents. The AD stated she thinks Residents feel disappointed when activities did not happen as scheduled. The AD stated the potential negative outcome for residents when activities did not occur as planned was a loss in quality of like and the Residents will be bored which can potentially increase behaviors. Record Review indicated the AD completed an online training and was a licensed AD. Record Review of facility activity calendar policy dated 2020 reflected the following: Both large and small group activities are part of the activity program. The calendar will state all activities available for the entire month, which may also include scheduled in-room activities. The activity calendar will be displayed in high-visibility ad high traffic areas. Activities will be scheduled 7 days a week including holidays. The AD will be properly trained and be licensed to perform activity duties. Individual activities and room visit policy program will be provided for those residents whose situation or condition prevents participation in other types of activities, and for those residents who did not wish to attend group activities. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 10 of 10