Health inspection·December 4, 2025

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few made her feel because they were untrue.During an interview on 10/02/25 at 3:07 PM, the SW stated she had participated in care plan meetings for Resident #30 but was unsure of the exact date of the latest meeting. She stated the most recent meeting was held to address whether Resident #30 was able to make her own decisions about what she wanted in place. The SW stated Resident #30 sometimes exhibited behaviors in which she became fixated on one issue. She stated that even after an issue was resolved, Resident #30 might approach another staff member as if it had not been addressed. The SW described Resident #30 as manipulative, clarifying that she did not say this directly to her but used the term because Resident #30 would tell one staff member one thing and another staff member something different to achieve a desired outcome. The SW provided an example, stating that Resident #30 had said her resident representative (K, MPOA) was not legitimate and later denied making that statement. The SW stated she had never heard Resident #30 describe herself as picky or manipulative. During an interview on 10/03/25 at 9:34 AM, Resident Representative K stated she had participated in Resident #30's care plan meetings, most recently by telephone. She stated that during the meetings, medications and eating habits were discussed and the meetings were typically held in Resident #30's room. She stated she had never seen or received a copy of the care plan. Resident Representative K stated Resident #30 was particular about her food, which was discussed during meetings. She stated she would not use the words picky or manipulative because Resident #30 was quadriplegic and unable to manipulate much. She stated Resident #30 did not have a way of doing things for herself. Resident Representative K stated Resident #30 had sometimes blamed people for things they had not done, but she did not know the details. She stated she had heard the terms manipulative and picky used to describe Resident #30 but did not disclose by whom. She stated she disagreed with those terms, explaining that Resident #30 was simply doing what she needed to do to have her needs met. She stated she was unsure if Resident #30's recent untruthful behavior was due to staff interactions or a natural progression of her condition. She stated Resident #30 had recently become increasingly paranoid, which she attributed to her situation. She stated Resident #30 had never described herself using the words argumentative, picky, or manipulative and would not like those words being used to describe her. During an interview on 10/03/25 at 10:03 AM, CNA C stated he had provided care for Resident #30 and had worked at the facility for a year and a half. He described her as really respectful and stated he would not describe her as manipulative, picky, or argumentative. He stated Resident #30 knew what she wanted, and he assisted her even when she was specific. He stated he did not consider her manipulative and had never heard anyone describe her that way. He also stated he had never heard her describe herself that way. He stated those words ( manipulative, picky, and argumentative) sounded bad and that he would not want to be described in such a way.During an interview on 10/03/25 at 10:07 AM, CNA D stated she had worked at the facility for about two years and had provided care for Resident #30. She stated Resident #30 knew what she wanted and needed regarding her care and communicated well with the staff. She stated she would not describe Resident #30 as picky or manipulative because those words would paint [Resident #30] in a bad way. She stated those words would not make her feel good if used to describe her. She stated she had never heard Resident #30 describe herself as picky or argumentative.During an interview on 10/03/25 at 10:11 AM, CNA E stated she had worked at the facility for 17 years. She stated she would describe Resident #30 as picky and manipulative, but clarified she would not have chosen those words on her own and only used them because of the interview. She stated she would never call Resident #30 those words to her face because she had too much respect for her. She stated Resident #30 was particular about her food and would send it back if it was not up to her standards. She stated she had never heard staff or Resident #30 use the words picky or (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 2 of 13 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 12/04/2025 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 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few manipulative.During an interview on 10/03/25 at 10:15 AM, MA F stated she had worked at the facility for four years and had provided care for Resident #30. She described Resident #30 as sweet and very picky, explaining that she liked things a certain way and did not like change. She stated Resident #30 was very polite but could be passive-aggressive. She stated Resident #30 could be manipulative but that she would never say those things directly to her. She stated the word picky was not a nice term and that she preferred to say Resident #30 was misunderstood. She stated she had never heard anyone call Resident #30 those words directly or heard her describe herself that way.During an interview on 10/03/25 at 11:22 AM, the Activity Director stated she had attended care plan meetings for Resident #30 but was unsure of the date of the last one. She stated department heads and sometimes family members attended, and meetings were typically held in Resident #30's room. She stated the care plan was reviewed during meetings, which were led by the DON, who ensured completion and signatures. She stated residents' exact wording should be used, especially when quoted, and was unsure whether quotation marks were used consistently. She stated Resident #30 did not exhibit behaviors but did speak her mind and wanted to be heard, which she did not consider a behavior problem. She stated she had never heard Resident #30 use the terms manipulative or picky and would not use them herself. The Activity Director stated she believed staff should not express personal opinions about residents. She stated she hoped she had never made Resident #30 feel bothersome or described her negatively. She stated that if Resident #30 knew such words were used, it would make her feel bad, as no one wanted to be described that way. She stated she had not observed those words in the care plan or heard staff use them. She stated the DON and SW were responsible for care plans and that Resident #30 could request to view her care plan in its entirety.During an interview on 10/03/25 at 11:44 AM, the ADM stated she attended care plan meetings that included department heads such as the DM, Activity Director, DON, and sometimes family members via phone. She stated the DON reviewed the care plan for accuracy and that resident wording should be used, especially I statements. She stated residents and families could receive copies of the care plan upon request, identical to what the HHSC investigator reviewed. She stated she did not recall behaviors being discussed for Resident #30 and was unsure who had chosen the wording manipulative and picky. She stated she would not allow her staff to use such language and would not want to be described that way herself. The ADM stated that although Resident #30 could be difficult, she would have preferred constructive wording focused on solutions. She stated she believed Resident Representative K might have used those words, which RN I then included. She stated she was familiar with the facility's policies on Resident Rights, Dignity, and Care Planning and was unaware that those words had been placed in the care plan. She stated the DON was responsible for reviewing and ensuring person-centered care plans, as the facility did not have an MDS Coordinator.During an interview on 10/03/25 at 12:21 PM, the DON stated she attended care plan meetings that included department heads, such as the Activity Director and SW, along with the resident. She stated she reviewed the care plans herself and expected them to be personalized. She stated that I am statements indicated the resident's own words. She stated that residents and families typically did not receive copies unless requested, but if they did, they would receive the same version reviewed by the HHSC investigator. She stated Resident #30 sometimes exhibited behaviors involving Resident Representative K, including saying one thing and later denying it. She stated she had never heard Resident #30 use the words argumentative, picky, or manipulative. She stated Resident #30 was particular about how she wanted her phone and food arranged but stated that calling her those words would be disrespectful. The DON stated she was unaware that those words had been included in the care plan and that doing so could upset Resident #30. She stated care plans were reviewed quarterly and should (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 3 of 13 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 12/04/2025 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 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete reflect residents' needs in a dignified way. She stated she had received training on Resident Rights, Care Planning, and Dignity and that she was responsible for care plans.During an interview on 10/03/25 at 12:45 PM, the SW stated she had been unaware that the words picky, argumentative, and manipulative had been used in Resident #30's care plan. She stated she was familiar with the facility's Dignity, Resident Rights, and Care Plan policies. She stated Resident #30 could request a copy of her care plan if desired and would likely be upset if she saw those words. The SW stated she expected care plans to reflect the resident's needs in a dignified manner. She stated she sent care plan invitations, while the DON conducted the meetings. She stated she had not heard Resident #30 use those words but had heard Resident Representative K describe her that way, though she did not provide details.During an interview on 10/03/25 at 12:59 PM, RN I stated she had used the words manipulative, picky, and argumentative in the care plan because she believed they described Resident #30's behaviors and were meant to inform the care team. She stated it was her understanding that care plans were to be person-centered. She stated she believed Resident #30 and Resident Representative K had previously reviewed the care plan in its entirety when discharge was being discussed. She stated the Ombudsman was also aware, as she assisted with an appeal at that time. RN I stated she believed the wording had never been an issue before and was unsure how it might make Resident #30 feel, though she might not like it. She stated she used the words so staff would know how to approach Resident #30, as she sometimes changed details when speaking with different staff members.During an interview on 10/07/25 at 9:26 AM, the Ombudsman stated she had attended care plan meetings for Resident #30 in the past. She stated recent meetings were more informal and included the DON, ADM, and Resident #30, sometimes with Resident Representative K present. The Ombudsman stated she had never seen the care plan and was unaware that it contained the words picky, manipulative, and argumentative. She stated Resident #30 did not describe herself that way and would be highly upset if she knew those words were used. She stated that even if the words were true or accurate, Resident #30 would deny them because she saw herself as kind and loving. The Ombudsman stated she only reviewed care plans if an issue arose and the residents gave permission to view the care plan.Record review of the facility policy, Quality of Life-Dignity, Revised February 2020, revealed: Policy Statement: Each resident shall be cared for in a manner that promotes and enhances his or her sense of wellbeing, level of satisfaction with life, feeling of self-worth and self-esteem.Policy Interpretation and ImplementationResidents are treated with dignity and respect at all times.The facility culture is one that supports and encourages humanization and the individuation of residents, and honors resident choices, preferences, values and beliefs. This begins with the initial admission and continues throughout the resident's facility stay.Staff speak respectfully to residents at all times, including addressing the resident by his or her name choice and not labeling or referring to the resident by his or her room number, diagnosis, or care needs.Demeaning practices and standards of care compromise dignity are prohibited. Staff are expected to promote dignity and assist residents.Staff are expected to treat cognitively impaired residents with dignity and sensitivity; for example: Not challenging or contradicting the resident's beliefs or statements.Record review of the facility policy, Resident Rights, Revised December 2016, revealed: Policy Statement: Employees shall treat all residents with kindness, respect and dignity.Policy Interpretation and Implementation:Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to:A dignified existence.Be treated with respect, kindness, and dignity Event ID: Facility ID: 675716 If continuation sheet Page 4 of 13 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 12/04/2025 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 0644 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record reviews, the facility failed to ensure all Pre-admission Screening and Resident Review (PASRR) Level I residents with mental illness were provided with an accurate PASRR Level I for 2 of 16 residents (Resident #2 and Resident #3) reviewed for PASRR screening, in that: 1. Resident #2 did not have an accurate and updated PASRR Level 1 assessment reflecting a diagnosis of mental illness. 2. Resident #3 did not have an accurate and updated PASRR Level 1 assessment reflecting a diagnosis of mental illness. These failures could place residents, with an inaccurate PASRR Level 1 and no PASRR Level 2 Evaluation, at risk of not receiving care and services to meet their needs.The findings included:Resident #2 Record review of Resident #2's electronic face sheet dated 10/01/2025 revealed an [AGE] year-old male initially admitted to the facility on [DATE]. The face sheet included the following diagnoses: Parkinsonism (A group of movement symptoms found in several conditions, including Parkinson's disease. These symptoms include slow movements, stiffness, tremors, and problems with walking and balance.), Primary, with an onset date of 05/20/2025. Anxiety Disorder (excessive, ongoing worry that is hard to control), Admission, with an onset date of 05/21/2025. Major Depressive Disorder Single Episode, Severe without Psychotic Features (a mood disorder that causes a persistent feeling of sadness and loss of interest), no classification, with an onset date of 09/29/2025. Vascular Dementia, Moderate, with mood disturbance (loss of mental functions severe enough to affect daily life and activities) Secondary, with an onset date of 09/29/2025.The document did not indicate Resident #2 had a primary diagnosis of dementia. Record review of Resident #2's admission MDS dated [DATE], revealed under Section C Cognitive Patterns, Resident #2's MDS revealed a BIMS of 03, indicating the resident was significantly, cognitively impaired. There was not an option chosen on Resident #2's MDS, under section I Psychiatric/Mood Disorder, related to a Mood Disorder. Record review of Resident #2's care plan with a last Care Plan review date of 09/27/2025, under Diagnoses, indicated Resident #2 had a diagnosis of Major Depressive Disorder. Record review of Resident #2's Preadmission Screening and Resident Review (PASRR) Level One (PL1) form dated 05/19/2025 revealed under section C0090 Primary Diagnosis of Dementia an answer of YES, indicating the resident had a primary diagnosis of dementia. Additionally, under section C0100 Mental Illness an answer of NO, indicating the resident does not have a mental illness. There were no additional PL1 screenings provided by the facility for Resident #2. There were no additional documents provided to suggest Resident #2 had a completed PASRR Level 2 Evaluation. Resident #3 Record review of Resident #3's electronic face sheet dated 10/03/2025 revealed a [AGE] year-old male initially admitted to the facility on [DATE]. The face sheet included the following diagnoses: Atherosclerotic heart disease (progressive narrowing and hardening of coronary arteries due to the deposition of atheroma (fatty deposits).) Primary, with an onset date of 01/31/2025. Cognitive Communication Deficit, Unspecified Classification, with an onset date 01/31/2025. Major Depressive Disorder Single Episode, Severe without Psychotic Features (a mood disorder that causes a persistent feeling of sadness and loss of interest), no classification, with an onset date of 02/12/2025.The document did not indicate Resident #3 had a primary diagnosis of dementia. Record review of Resident #3's Quarterly MDS dated [DATE], revealed under Section C Cognitive Patterns, Resident #3's MDS revealed a BIMS of 13, indicating the resident was cognitively intact. There was not an option chosen on Resident #3's MDS, under section I Psychiatric/Mood Disorder, related to Mood Disorder. Record review of Resident #3's care plan with a last Care Plan review date of 02/26/2025, under Diagnoses, indicated Resident #3 had a diagnosis of Major Depressive Disorder. Additionally, the care plan included a focus area that began on 02/26/2025 which stated, I (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 5 of 13 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 12/04/2025 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 0644 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few require antidepressant medication (Specify Lexapro) for diagnosis of (Major) Depression, with a goal that stated, I will verbalize/communicate and understanding of the discharge plan and describe the desired outcome by the review date., with the Interventions/Tasks that included the following: Encourage the resident to discuss feelings and concerns with impending discharge. Monitor for and address episodes of anxiety, fear, distress; Evaluate and discuss with the resident/family/caregivers the prognosis for independent or assisted living. Identify, discuss and address limitations, risks, benefits, and needs for maximum independence. Record review of Resident #3's Preadmission Screening and Resident Review (PASRR) Level One (PL1) form dated 01/31/2025 revealed under section C0100 Mental Illness an answer of NO, indicating the resident does not have a mental illness. There were no additional PL1 screenings provided by the facility for Resident #3. There were no additional documents provided to suggest Resident #3 had a completed PASRR Level 2 Evaluation. During an interview on 10/03/2025 at 11:25 AM the DON stated she was currently responsible for entering a Resident's PASRR, upon admission. The DON stated she was also responsible for reviewing the PASRR to ensure accuracy. The DON stated the PASRR was usually completed prior to the resident admitting to the facility, and she assumed they were completed correctly. The DON verified Resident #2 and Resident #3 both had an active diagnosis of Major Depressive Disorder. The DON stated, to her knowledge, major depressive disorder should have qualified a Resident for a positive PASRR Level 1 screening. The DON stated Resident #2 and Resident #3 did not have a primary diagnosis of dementia. The DON stated if a resident received a new diagnosis of mental illness, the facility notified their Local intellectual and developmental disability authorities (LIDDAs) representative to have a new PASRR screening completed for the resident. The DON stated she was not aware Resident #2 and Resident #3 received a new diagnosis of a mental illness, Major Depressive Disorder, after admitting to the facility. The DON stated she would ensure both residents were referred for new PASRR Level 1 screening. The DON stated she did not recall receiving training pertaining to PASRR. The DON stated it was important for a Resident to have an accurate PASRR to ensure the Resident was receiving services related to their mental illness. During an interview on 10/03/2025 at 12:08 PM the ADM stated the DON was currently the person responsible for entering PASRR screenings when a resident was admitted to the facility. The ADM stated the DON was responsible for checking the PASRR screening to ensure it was accurate. The ADM stated if a new diagnosis of mental illness was received for a resident a referral was made to their Local intellectual and developmental disability authorities (LIDDAs) representative to have a new PASRR screening completed for a resident. The ADM stated she was not aware Resident #2 or Resident #3 received a new diagnosis of Major Depressive Disorder since being admitted to the facility. The ADM stated a resident could potentially miss out on services available to them if their PASRR Level 1 screening was not accurate. Record review of the facility's policy titled, Pre-admission Screening & Resident Review (PASRR),, undated, revealed the following: GuidelineIt is the intent of Post Nursing and Rehab Center to meet and abide by all State and Federal regulations that pertain to resident Preadmission and Screening Resident Review (PASRR) Rules.PurposeThe intent of this guideline is to identify residents with Mental Illness (MI), Intellectual Disability (ID) or Developmental Disability (DD)/Related Conditions (RC) and to ensure they are properly placed, whether in community or in a Nursing Facility (NF) and to ensure they receive the services they require for their MI, or ID/DD. P ASRR Level 1 Screen (PL1) The community Admissions Coordinator or designee will ensure the referring entity provides a copy of the PL1 upon admission. In the event the facility is considering admission from the community (home, homeless shelter, jail, group home, off the street etc.) and if the facility Interdisciplinary Team (IDT) suspects any MI, ID or DD the community Admissions Coordinator prior to admission (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 6 of 13 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 12/04/2025 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 0644 Level of Harm - Minimal harm or potential for actual harm will contact the LIDDA and follow the preadmission process: 1. When it is determined that an individual's diagnosis was changed and/or a state surveyor determines the PL1 was incorrect, the social worker or designee will complete and submit a form 1012 (MI) or new PLl (ID/DD). A subsequent positive PLl will be entered according to 1012 findings. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 7 of 13 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 12/04/2025 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 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on 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 (Kitchen A) reviewed for dietary services, in that: From 10/1/25 to 10/3/25, the facility failed to properly cover and store resident cups and drinks, exposing the rims of the glasses to the underside of serving trays. From 10/1/25 to 10/2/25, the facility failed to ensure food items (resident drinks, bread, frozen bread and frozen broccoli) in the dry pantry and freezer were labeled with received or use-by dates. On 10/1/25, the facility failed to maintain hot food items (spaghetti) at the required serving temperature of 165 F. From 10/1/25 to 10/3/25, the facility failed to separate dented cans from undamaged cans. These failures could place residents at risk for food contamination and foodborne illness. The findings included: The following observations were made on 10/1/25 in Kitchen A: On 10/1/25 at 11:20 AM, 38 glasses of fluid prepared for resident consumption were stored unsanitary with a serving tray placed directly on top, exposing the rims of the glasses to the underside of the serving tray. On 10/1/25 at 11:25 AM, seven resident drinks in the kitchen refrigerator were uncovered and unlabeled. Staff member DA G was observed placing a serving tray on top of the glasses, exposing the rims of the glasses to the underside of the tray. On 10/1/25 at 11:27 AM, hot food (spaghetti including ground beef) was observed with the temperature of 141.0 F being served below the required temperature of 165 F. On 10/1/25 at 11:32 AM, three loaves of bread and one package of hamburger buns were unlabeled (Did not include a manufactured used by date). At the same time, two of five dented cans (Chicken of the Sea tuna cans, dated 9/19/25) were stored with undamaged canned goods. On 10/1/25 at 11:34 AM, multiple food items in the freezer were unlabeled (no manufactured used by date observed), including 24 loaves of bread, six packages of hot dog buns, five packages of hamburger buns, and three packages of frozen broccoli. The following observations were made on 10/2/25 in Kitchen A: On 10/2/25 at 9:16 AM, 29 glasses of fluid prepared for resident consumption were stored unsanitary with a serving tray placed directly on top, exposing the rims of the glasses to the underside of the serving tray. On 10/2/25 at 9:18 AM, a dented can (Chicken of the Sea tuna can, dated 9/19/25) was observed stored with undamaged canned goods. One of the dented cans identified on 10/1/25 was observed stored on the bottom of a wire rack in the same dry pantry. On 10/2/25 at 9:20 AM, multiple food items in the freezer remained unlabeled (no manufactured used by date observed), including 24 loaves of bread, six packages of hot dog buns, five packages of hamburger buns, and three packages of frozen broccoli. On 10/2/25 at 9:21 AM, three loaves of bread and one package of hamburger buns were again observed without labels (no manufactured used by date observed). The following observations were made on 10/3/25 in Kitchen A: On 10/3/25 at 9:20 AM, a dented can (Chicken of the Sea tuna can, dated 9/19/25) was observed stored with undamaged canned goods. One of the dented cans identified on 10/1/25 was observed stored on the bottom of a wire rack in the same dry pantry. On 10/3/25 at 9:20 AM, one loaf of bread and one package of hamburger buns were observed without labels (no manufactured used by date observed). On 10/3/25 at 9:22 AM, multiple food items in the freezer remained unlabeled (no manufactured used by date observed), including 24 loaves of bread, six packages of hot dog buns, and five packages of hamburger buns. (The 3 frozen packages of frozen broccoli were no longer in the freezer). On 10/3/25 at 9:23 AM, 20 empty glasses prepared for resident liquids were stored unsanitary with a serving tray placed directly on top, exposing the rims of the glasses to the underside of the serving tray. Observed the [NAME] preparing to pour liquid in the cups. During an interview on 10/03/25 at 10:25 AM, the [NAME] stated that resident (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 8 of 13 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 12/04/2025 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 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many drinks should have been individually covered with plastic wrap. She stated that dented cans should not have been stored with undamaged cans. The [NAME] stated that she and DA H were responsible for unloading the truck on Tuesday (09/30/25). She stated she would have been responsible for labeling the frozen items, while DA H was responsible for placing dented cans in the appropriate area. The [NAME] stated that regarding food temperature, she should have removed the spaghetti from the steam table and reheated it to 165 F, then returned it to the steam table once it reached the correct temperature. She stated she was familiar with food storage and labeling requirements and had been employed at the facility for 22 years. She stated the potential negative outcome for not properly covering drinks was exposure to germs, which was unsanitary. She stated that serving food below the required temperature of 165 F could cause residents to become ill. She stated she did not know the potential negative outcome of storing dented cans with undamaged ones. The [NAME] stated she was aware of the uncovered cups observed on 10/03/25 that were exposed to the underside of serving trays. She stated she had filled those cups with liquid for breakfast service. She stated that on 10/01/25, she observed drinks that had been filled and covered with the bottom of serving trays but did not intervene because that was the way it had been done for years, and she tried not to interfere with others' work. She stated she knew the spaghetti was not at the correct temperature but did not reheat it because she was unsure whether she was allowed to do so while the HHSC investigator was present. She stated she proceeded to serve the meal as it was. The [NAME] stated she believed she had labeled the bread when it was received but noted that frozen items were difficult to label. She stated that not labeling food could negatively affect residents because old or expired food could be served, possibly leading to illness or mold growth. She stated she became aware of the dented can on 10/01/25 when the DM asked her why she had not moved or used it. She initially stated she thought the DM had told her to use the dented can of tuna but later clarified she was unsure whether the DM meant she should use the can for salmon patties or move it elsewhere. She stated the system in place to prevent such issues included not stacking serving trays on resident cups, using plastic wrap to cover individual or grouped drinks, and labeling drinks stored in the refrigerator. She stated plastic wrap was available for staff use. She stated food items, such as bread and broccoli, were to be labeled as they were received. She stated dented cans were typically reported to the DM and not placed on shelves. The [NAME] stated the procedure for food temperatures was to check the temperature 10 minutes before serving and reheat if needed. She stated she had received training when first hired and participated in refresher training as required. She stated she expected kitchen tasks to be performed the correct way, including labeling all food items and maintaining proper food temperatures. She stated everyone was responsible for ensuring food was served safely and explained that the identified failures occurred because things just slipped through the cracks, but they did the best they could.During an interview on 10/03/25 at 10:46 AM, the DM stated that DA H was unavailable because she was on break, and DA G was unavailable because she had been terminated earlier that morning for reasons unrelated to dietary deficiencies. The DM stated that DA G had been scheduled to return to work on 10/02/25 but was excused due to scheduling issues. The DM stated spaghetti could remain at 140 F on the steam table but acknowledged that milk and bread had never been labeled because they were used quickly, and it had never been an issue. She stated that after 10/01/25, she moved one dented can of tuna and later noticed another dented can after the HHSC investigator's visit. She stated that on 10/03/25, while reviewing policy, she learned of a new system for monitoring dented cans, which required taking a picture, notifying the vendor, and discarding the dented item. She stated the kitchen policy provided to the HHSC investigator was the only policy addressing labeling and storage. The DM stated she had been (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 9 of 13 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 12/04/2025 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 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many trained to label food with a received date. She stated drinks should have been individually wrapped in plastic and dated. She stated that while practices had changed over the years, staff should never have covered cups with the bottom of a serving tray-it was only acceptable to use the tray upside down. The DM stated the potential negative outcome of using the underside of trays to cover drinks was contamination, which could make residents ill. She stated dented cans should not be stored with undamaged cans because of the risk of botulism (a rare and serious poisoning caused by neurotoxins). She stated she would never instruct staff to use dented cans and always directed them to remove damaged ones. She stated staff were expected to refer to posted cooking temperatures, noting that most food must reach 165 F. She stated she was unaware of the failures observed and did not know the [NAME] had served food at 141 F. She stated the [NAME] should have reheated the food until it reached 165 F. The DM stated she had monitored the kitchen in the past but had not recently, as she worked evenings and was rarely present during cooking hours. She stated she had never observed the identified issues or inaccuracies in the temperature logs and had believed that temperatures above 140 F were acceptable. She stated there was no written policy for food temperatures, but they used the log for reference. She stated she was unaware that uncovered, unlabeled drinks were stored in the refrigerator and that staff should have individually wrapped and dated them. She stated staff should have labeled food upon receipt and that dented cans should have been removed. She stated the DM was responsible for monitoring compliance, the [NAME] for food temperatures, and dietary aides for labeling and covering food properly.During an interview on 10/03/25 at 11:44 AM, the ADM also stated she was familiar with the kitchen policy, confirming it was the only policy related to the identified failures. She stated she had been unaware of uncovered and unlabeled drinks, improperly labeled food, incorrect food temperatures, or dented cans stored with undamaged ones. She stated potential negative outcomes included contamination of drinks, residents becoming ill, or food being served past its expiration. She stated dented cans could cause illness but believed staff would not use them once identified. She stated she expected the DM to monitor compliance and ensure policies were followed, including covering drinks with plastic, labeling food with the date received, and removing dented cans. She stated the DM was responsible for preventing the identified issues and did not have a reason why they occurred.Record review of the DM's food handler training revealed that she completed the food handler training program on 5/16/23.Record review of the DM's Dietary Manager credential revealed that she completed the credentialing examination and met the qualifications on 2/6/20.Record review of the Cook's food handler training revealed that she completed the food handler training program on 3/13/25.Record review of DA G's food handler training revealed that she completed the food handler training program on 11/05/24.Record review of DA H's food handler training revealed that she completed the food handler training program on 7/15/25.Record review of facility posting, Time and Temperature Control (Listed appropriate Food temperatures), undated, revealed:155 F: Ground MeatRecord review of facility posting, untitled, undated, revealed:Juice Poured should be labeled with the date dispensed and should be used within 7 days.Bread (Frozen) should be labeled with the date dispensed and should be used within 7 days.Record review of the facility's temperature log, dated 10/1/25, revealed:The alternative meal (Spaghetti) had a temperature of 141 F.Record review of the facility policy, Food Receiving and Storage, Revised July 2014, revealed:Policy Statement: Foods shall be received and stored in a manner that complies with safe food handling practices.Policy Interpretation and Implementation:Dry foods that are stored in bins will be removed from original packaging, labeled and dated (use by date). Such foods will be rotated using a first in- first out system.All foods stored in the refrigerator or freezer will be covered, labeled and dated (use by date).Other opened containers must be (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 10 of 13 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 12/04/2025 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 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many FORM CMS-2567 (02/99) Previous Versions Obsolete dated and sealed or covered during storage. Record review of 2022 Food Code U.S. Food and Drug Administration revealed:Preface: Foodborne illness in the United States is a major cause of personal distress, preventable illness and death, and avoidable economic burden. It is estimated that foodborne diseases cause approximately 48 million illnesses, 128,000 hospitalizations, and 3000 deaths in the United States each year.Epidemiological outbreak data identified major risk factors related to employee behaviors and preparation practices that contribute to foodborne illness: Improper holding temperatures and food from unsafe sources.Labeling- Use-by dateThe use-by date must be listed on the principal display panel in bold type on acontrasting background for any product sold to consumers.Any label on packages intended for consumer sale must contain a combination of a sell-by date and use-by instructions which makes it clear that the product must be consumed within the number of days determined to be safeFood (Condition) Safe, Unadulterated, and Honestly Presented:FDA considers food in hermetically (completely airtight) sealed containers that are swelled or leaking to be unadulterated and actionable under the Federal [NAME], Drug, and Cosmetic Act. Depending on the circumstances, rusted and pitted or dented cans may also present a serious potential hazard.Proper Cooking time and temperatures: The cooking temperatures of foods must be measured to determine compliance or noncompliance.Internal Cooking Temperature Specifications (165 F): MeatPreventing Contamination from the premises (Food Storage):Food shall be protected from contamination by storing food: Where it is not exposed to splash, dust, or other contamination. Event ID: Facility ID: 675716 If continuation sheet Page 11 of 13 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 12/04/2025 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 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 establish and 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 2 of 6 (Resident #17 and Resident #4) residents reviewed for infection control. 1. CNA A failed to utilize hand hygiene between glove changes during foley catheter care for Resident #4.2. CNA B failed to utilize hand hygiene between glove changes during incontinence care for Resident #17. These failures could place residents at risk for cross contamination and infection.The findings include:Record review of Resident #4's undated face sheet revealed a [AGE] year-old male originally admitted to the facility on [DATE]. Resident #4 had a medical history of paraplegia (a condition characterized by paralysis or loss of movement in both legs), neuromuscular dysfunction (a group of disorders that affect the nerves and muscles, impairing their communication and function), and tubulointerstitial nephritis (a condition that affects the kidneys). Record review of Resident #4's quarterly MDS dated [DATE], Section C- Cognitive Patterns revealed a BIMS score of 11 which indicated Resident #4 had moderate cognitive impairment. Section H- Bladder and Bowel revealed Resident #4 had an indwelling catheter (a thin, flexible tube inserted into the bladder to drain urine continuously) and was incontinent of bowel. Record review of Resident #4's physician orders revealed an order for Cath care every shift and PRN with a start date of 1/16/2023. Record review of Resident #4's care plan revealed a risk for catheter associated urinary tract infection or trauma with interventions for Cath care as needed, with a start date of 1/13/2022. During an observation of Resident #4's foley care on 10/1/2025 at 2:15pm, CNA A cleaned Resident #4's foley catheter and doffed (removed) contaminated gloves. CNA A failed to utilize hand hygiene between the glove change and donned (put on) clean gloves. CNA A turned Resident #4 onto his right side and cleaned Resident #4's bottom. CNA doffed contaminated gloves and donned clean gloves and placed a clean brief on Resident #4. CNA A did not utilize hand hygiene between the glove change. Record review of Resident #17's undated face sheet revealed am [AGE] year-old female originally admitted to the facility on [DATE]. Resident #17 had a medical history of dementia, chronic obstructive pulmonary disease (a group of lung diseases that cause persistent airflow obstruction and breathlessness), hypertension (high blood pressure), and muscle weakness. Record review of Resident #17's quarterly MDS dated [DATE], Section C- Cognitive Patterns revealed a BIMS score of 04 which indicated Resident #17 had severe cognitive impairment. Section H- Bladder and Bowel revealed Resident #17 was always incontinent of bowel and bladder. During an observation of Resident #17's incontinence care on 10/1/2025 at 3:07pm, CNA B cleaned Resident #17's front, doffed contaminated gloves and donned clean gloves. CNA B did not utilize hand hygiene between the glove change. CNA B turned Resident #17 onto her right left side and cleaned her bottom. CNA B doffed contaminated gloves and donned clean gloves. CNA B did not utilize hand hygiene between the glove change. During an interview on 10/02/2025 at 1:00pm with CNA A, she stated the DON was the infection preventionist. She stated she had been trained on infection control and the last training was approximately two months ago. She stated she was trained to utilize hand hygiene between glove changes. CNA A stated she did not use hand hygiene between glove changes because she forgot her hand sanitizer and she was nervous being observed. She stated the potential negative outcome of not utilizing hand hygiene between glove changes could be a chance of infection or spreading infection. During an interview on 10/02/2025 at 1:04pm with CNA B, she stated the DON was their infection preventionist. She stated she had been trained on infection control and hand hygiene last week. CNA B stated the training did cover utilizing hand hygiene between glove changes. She Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675716 If continuation sheet Page 12 of 13 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 12/04/2025 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 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete stated she did not utilize hand hygiene between glove changes because she was nervous and forgot. She stated the potential negative outcome of not utilizing hand hygiene between glove changes could be spreading infection or causing sepsis (condition that occurs when the body's immune system overreacts to an infection). During an interview with the DON on 10/03/2025 at 10:15AM, she stated she is the infection preventionist. She stated she had been at this facility for a few months and had been training staff on infection control and catheter care. The DON stated there was an in-service in September 2025 on infection control. She stated she was not aware of staff not utilizing hand hygiene between glove changes. She stated compliance with infection control practices and hand hygiene are monitored through competencies, and those are done quarterly. She stated the potential negative outcome of not utilizing hand hygiene between glove changes could be spreading infection. During an interview with the ADM on 10/03/2025 at 11:15AM, she stated the DON was the infection preventionist. She stated in-services on infection control and hand hygiene are done quarterly and as needed. She stated she was not aware of staff not utilizing hand hygiene between glove changes. The ADM stated hand hygiene is covered during infection prevention training. She stated the potential negative outcome of not utilizing hand hygiene between glove changes could be spreading infection and cross contamination. She stated compliance with infection control practices is monitored through competencies where staff are visually monitored during incontinence care and are corrected as needed. Record review of facility policy titled Handwashing/ Hand Hygiene last revised 8/2015 revealed; 7. Use an alcohol-based hand rub containing at least 62% alcohol; or, alternatively, soap (antimicrobial or non-antimicrobial) and water for the following situations. m. After removing gloves. 8. Hand hygiene is the final step after removing and disposing of personal protective equipment. Event ID: Facility ID: 675716 If continuation sheet Page 13 of 13