Health inspection·February 21, 2026

F 0603 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some impairment on both sides of upper and lower extremities. Resident #1 ambulated in wheelchair. She was dependent ( helper does all of the effort. Resident does not of the effort to complete the activity or the assistance of 2 or more helpers was required for the resident to complete the activity) on staff for mobility. Resident #1 was dependent on staff for the following: personal hygiene, showers , oral hygiene, toileting hygiene, upper and lower body dressing, putting on/ taking off footwear, shower transfers and chair to bed /bed to chair transfers. Resident #1 was not able to sitting on side of bed or walk. She required Supervision or touching assistance with eating- helper provides verbal cues and /or touching /steadying and / or contact guard assistance as resident completes the activity. Review of Resident #1's Comprehensive Care Plan, revised on 01/02/2026 reflected: Resident #1 preferred to remain in wheelchair and out of bed at all times. She had severely poor posture in wheelchair. Resident #1 had history of not sleeping in bed prior to admission. Interventions: Assist Resident #1 to shift weight frequently throughout the day and night. Custom wheelchair provided to resident. Monitor for signs and symptoms of pain every shift. Resident #1 will scream out when upset and refused medications. Interventions: Notify MD/NP of refusal of medication. Medication review by MD to alter form of medication from tablet to liquid. Resident #1 had an ADL self-care performance deficit related to muscle wasting and atrophy of right and left shoulder. Interventions: Resident #1 used a wheelchair for mobility requiring extensive assistance ( a care level where an individual requires hands-on, weight-bearing support, or full assistance for ADL tasks) from staff for purposeful locomotion Contractures- Resident #1 had contractures of bilateral hands. Resident #1 refuses to wear palm protectors to bilateral hands and required custom wheelchair. Transfers: Resident #1 required extensive assistance with 2 staff to move between surfaces. OT contracture management began on 01/23/2026. Resident #1 cusses out loud, name calling, and hollers out in a disruptive manner. ( Resident #1 behavior increase in stressful situations when encountering new/ unfamiliar people or surroundings). Intervention: Analyze Resident #1's key times, places , circumstances, triggers, and what de-escalates behaviors and document. Assess Resident #1's coping skills and support system. Assess Resident #1's understanding of the situation, allow time for Resident #1 to express self and feelings toward the situation. Offer Resident #1 reassurance in new settings/ situations or moving from place to place. Resident #1 was a high risk for falls related to unsteadiness on feet, lack of coordination, abnormal gait and mobility, poor posture, need for assistance with elimination, use of medications and poor safety awareness. Interventions: Custom wheelchair provided for proper body alignment and comfort. Resident #1 needs prompt response to all request for assistance. Observation on 02/20/2026 at 10:53 pm, this surveyor was walking down 100 hall where Resident #1 resided. Surveyor heard a strange noise at the end of 100 hall. At 10:55 pm surveyor entered a vacant room (#118) and observed Resident #1 sitting in the bathroom. Her wheelchair was facing the wall in perfect straight position, and the middle section of the wheelchair was aligned sideways by the door leading into the bathroom. Resident #1 was making loud sounds (not yelling) but moaning/ chanting like sounds. She continuously stated, I am cold get me out of here. Resident #1 was tearful and was shaking. She had on a dirty clothing protector covered with food. Resident #1 was very upset. The room was cold when surveyor entered the room and bathroom. The temperature in the vacant room (room [ROOM NUMBER]) was 60.2 and this temperature was taken 1:10 am.Interview on 02/20/2026 at 10:58 pm LVN B stated, am I going to lose my license (when surveyor asked LVN B her name). LVN B hands were shaking, and she was going from one subject to another subject such as I need to get Resident #1 out of the bathroom where is her things, we going to get a blanket, etc. LVN B was not making complete sentences at the beginning of the interview. LVN B stated the room was vacant and no one was assigned to room [ROOM NUMBER]. She (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675799 If continuation sheet Page 2 of 8 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 675799 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/21/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Brenham Nursing and Rehabilitation Center 400 E Sayles St Brenham, TX 77833 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 0603 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some stated to Resident #1 you are cold and shaking. LVN B stated to Resident #1 calm down I am going to get you out of this bathroom. LVN B began to attempt to get the food off the clothing protector. LVN B stated Resident #1 was very anxious and her body was shaking. LVN B stated, I don't know if it is because it is cold in this room or because she is so anxious. She stated to Resident #1 she would get Resident #1 a blanket and assist her somewhere else. LVN B constantly attempted to reassure Resident #1 stating it will be ok you need to relax, and I will get you out of this bathroom. LVN B stated to surveyor Resident #1 was cold and was very anxious. LVN B stated Resident #1 has anxiety and she was extremely anxious and needed to assist her as soon as possible out of the bathroom and get her to somewhere warm.Interview on 2/20/2026 at 11:45 pm LVN B stated she came to work around 6:00 pm. She stated Resident #1 was sitting in the common area approximately 6:30 pm. She stated Resident #1 does have behaviors where she makes grunting / moaning loud sounds and this was her baseline. LVN B stated Resident #1 became calmer when she was assisted out of the bathroom and she was assisted to shower and LVN B changed her clothes. LVN B stated Resident #1 rarely slept in her bed. She would stay up all night and sleep in her wheelchair this was more comforting to her than her being in bed. LVN B stated no one reported to her of Resident #1 being found in vacant room ( room [ROOM NUMBER]). She stated am I going to lose my license? LVN B stated she did not know why she asked about her license. She stated she did make rounds every two hours . LVN B stated she informed CNA A to assist Resident #1 to her room and clean her and assist her to bed. LVN B stated she thought maybe Resident #1 would want to go to bed. She stated Resident #1 rarely went to bed at night and she usually slept in her chair in the common area. She stated Resident #1 was calmer at night if she slept in her chair in common area instead of her bed. LVN B stated she did not know what she gave the instructions to assist Resident #1 to bed. She stated, will I be reported to nurses licensing about tonight? LVN B stated it was around 9:30 pm the last time she observed Resident#1 in the common area and did not see her again until surveyor walked into the facility and she saw Resident #1 around 11:00 PM. LVN B stated she needed to go make rounds and walked away from surveyor.Interview on 02/20/2026 at 11:15 pm CNA A stated he clocked in approximately 6:00 pm. He stated he went to the 100 and 200 hall nurses' desk and begin making his rounds. CNA A stated meal cart was delivered to the common area in front of the nurse's desk, and he stated it was approximately 6:30 pm. He stated he had Resident #1's meal tray and noticed she was not sitting in the common area. He stated she was always sitting in the common area for supper and especially on the night shift. CNA A stated he went to Resident #1's room and she was not in her room. He stated he heard sounds from the end of the hall, and it sounded like Resident #1. CNA A stated he went 2 doors down and found her in vacant room (room [ROOM NUMBER]) and she was sitting in the bathroom. He stated she was making the same loud sounds as she normally made, and he did not notice if she was cold or anxious. He did state it was difficult assisting her out of the bathroom related to how she was positioned and bathroom was small. He stated he assisted Resident #1 to the common area in front of the nurses desk for supper approximately 6:30 pm. CNA A stated he informed LVN B where he found Resident #1. He stated he explained to LVN B Resident #1 was in the bathroom in room [ROOM NUMBER]. CNA A stated Resident #1 was eating her meal in the common area in front of nurses desk. He stated she continued to make her weird sounds. CNA A stated LVN B threw up her hands and informed him to take Resident #1 back to where he found her. He stated he assisted Resident #1 to the vacant room ( room [ROOM NUMBER]) and put her in the bathroom. He stated he did assist her sideways where side of her wheelchair was beside the door and she was facing the wall in front of her. CNA A stated if he had disobeyed the LVN B's orders he would have been written up, reported to DON and possibly fired. He stated he notified the nurse supervisor, and he thought this was (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675799 If continuation sheet Page 3 of 8 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 675799 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/21/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Brenham Nursing and Rehabilitation Center 400 E Sayles St Brenham, TX 77833 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 0603 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some all he needed to do. He stated he had been in-service on abuse and neglect. He did not recall the date. He stated the Administrator was abuse coordinator. The DON became closer to CNA A during interview, and he stopped answering questions about calling the abuse coordinator and if he thought the incident with Resident #1 was abuse or neglect. Interview on 02/21/2026 at 1:00 am, CNA A stated he realized he should have called the Administrator and spoke to him about the directive he received from LVN B, and he should not have assisted Resident #1 back to the bathroom. He stated this was isolating Resident #1 and was against her resident rights. CNA A stated he had been in serviced on abuse , neglect, and resident rights. He stated he did not recall the dates of the in-services. CNA A stated he did not know what CNA C was doing during this time. He stated he was not assigned to Resident #1 CNA C was assigned to her.Observation on 02/20/2026 at 11:25 pm Resident #1 was in common area, and she was calm and was not anxious. She was not shaking, and she stated no when asked her if she was cold. Resident had blanket over her and was not chanting or making loud sounds. She was calm and relaxed (not making loud sounds and was not saying she was afraid and to move her).Interview on 02/20/2026 at 11:30 pm CNA C stated she was late coming into work. She stated she arrived to facility approximately 6:20 pm. CNA C stated she was usually assigned to 100 hall. She stated when she entered the common area in front of the nurse's desk on 100 and 200 halls, she observed CNA A assisting Resident #1 down the hall to the common area for supper. She stated she was assigned to Resident #1. CNA C stated Resident #1 frequently stayed in the common are and does better when she sleeps in her chair and sit in common area. She stated Resident #1 did not prefer to lay down in bed very often and preferred to stay in chair all night in the common area in front of the nurses desk. She stated she went down the hall assisting residents with their supper meal and was making her rounds. CNA C stated she did not recall the last time she saw Resident #1. She stated she was expected to make rounds every 2 hours. CNA C stated she made rounds around 8:00 but did not remember where Resident #1 was located when she made rounds. CNA C stated she never saw Resident #1 propel herself. She stated from her understanding Resident #1 was unable to propel herself because of her contracted hands. CNA C stated she was not aware Resident #1 was found in bathroom of room [ROOM NUMBER]. She stated she continued to pick up meal trays and assist residents. CNA C stated she was not aware of anyone assisting Resident #1 to a bathroom and leaving her in a bathroom. She was totally dependent on staff for all mobility and transfers. She stated she had an hour for supper break and took her break at approximately 10:15 pm and had just returned from her supper break. She stated no one had reported to her about Resident #1 being in the bathroom in room [ROOM NUMBER]. CNA C stated Resident #1 does make weird sounds and can be very loud and this was her baseline. She stated Resident #1 does talk sometimes.Interview on 02/20/2025 at 11:59 pm LVN D stated she was working 200 hall. She stated she was assigned to 200 hall majority of the time and she did work the night shift (6pm to 6am). She stated she did not hear any conversation between LVN B and any CNAs. She stated Resident #1 does make strange loud sounds and was disruptive to other residents at times. She state if staff gives her a snack it usually helps Resident #1. LVN D stated Resident #1 preferred to sleep in her chair in the common area. LVN D stated Resident #1 does not prefer to sleep in her bed. She stated she had always observed Resident #1 sleeping in her wheelchair in the common area. She stated she had not noticed Resident #1 until around 11:30 pm sitting in the common area. LVN D stated she usually worked 200 hall and did not recall seeing Resident #1 earlier than approximately 11:30 pm. She stated she was not aware of any staff assisting Resident #1 to a vacant room. She did state she never witnessed Resident #1 propelling self. She stated staff always assisted her with propelling Resident #1's wheelchair. LVN D stated she did not know very much about Resident #1 and did not have any further information to provide to (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675799 If continuation sheet Page 4 of 8 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 675799 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/21/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Brenham Nursing and Rehabilitation Center 400 E Sayles St Brenham, TX 77833 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 0603 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some surveyor. LVN D stated she had been in-service on abuse, neglect and resident rights, however, she did not recall the date of the in-services. She stated if she saw any resident abused or neglected she was expected to contact the administrator. She stated the administrator is the abuse coordinator.Interview on 02/21/2026 at 12:15 am CNA E stated she usually worked on 200 hall on the night shift. She stated there were a few times she did work on 100 hall. She stated she never witnessed Resident #1 propelling herself. She stated Resident #1 was unable to propel self. CNA E stated she has something wrong with her hands and they are contracted. CNA E stated she had witnessed Resident #1 sitting in the common area at night and sleeping in her chair. She stated from her understanding Resident #1 did not prefer to sleep in her bed. CNA E stated she had not witnessed any staff assisting Resident #1 to a bathroom or empty room and leaving her in that room or bathroom. She stated she had not heard any staff reporting this to anyone. CNA E stated she did not witness any conversation from LVN B and CNA around supper time. She stated she was down 200 hall assisting resident with meals. CNA E stated if she witnessed any resident being abused or neglected it did not matter what time of day or night she would call the administrator who was the abuse coordinator. She stated she had been in-service on abuse, neglect and resident rights. She did not recall the date of the in-services.Interview on 02/21/2026 at 12:30 am LVN B stated last time she saw Resident #1 was in the common area around supper time, and she did not see Resident #1 again until surveyor entered the facility. She stated she instructed CNA A to assist Resident #1 to get a shower. LVN B stated she did not instruct CNA A to lay Resident #1 in her bed due to Resident #1 prefers to sleep in her wheelchair in the common area. She stated she did not check and ensure CNA A gave Resident #1 a shower. She stated she was expected to make rounds every 2 hours. LVN B stated she was busy getting blood sugar checks and blood pressures the rest of the night until Surveyor entered the facility. She stated she was doing this on 100 hall from around 7:00 pm until 10:50 pm. LVN B stated she did not know how many residents on 100 hall was diabetic and how many needed their blood pressure checked. She stated she had been suspended and was leaving the facility at this time. LVN B asked if she was going to be referred to board of nurses. When asked LVN B why did she ask about losing her license in earlier interview and now asking about being referred to board of nurses, she stated well you just never know these days what will happen. She exited the room where surveyor was interviewing her. She stated she had been in-serviced on abuse and neglect. She stated she did not recall the date of the in-service.Interview on 2/21/2026 at 1:30 am CNA C stated she did not hear any conversation between LVN B and CNA A of directions of where to assist Resident #1 to after she finished her supper on 2/21/2026. She stated if she saw anyone neglect a resident or abuse a resident she would immediately call the administrator who was the abuse coordinator.Observation on 02/21/2026 at 2:00 am the temperature in room [ROOM NUMBER] was 60.2. The temperature was obtained by surveyor with a room infrared thermometer.Observation on 02/21/2026 at 2:30 am Resident #1 was sitting in the common area across from the 100 and 200 nurses' desk asleep in her chair. She was still in her chair while sleeping.Interview on 02/21/2026 at 2:30 am The Director of Nurses stated no one had reported to her of Resident #1 or any resident being assisted to a bathroom in a vacant room tonight or in the past. She stated this was her first knowledge of this occurring in the facility. The Director of Nurses stated the administration was in the process of conducting a full investigation. She stated Resident #1 was isolated in the vacant room on 100 hall ( room [ROOM NUMBER]). She stated this was involuntary isolating of a resident. The Director of Nurses did not respond to any further questions about the Resident #1 and the observation made on 02/21/2026 at 11:55 pm. Interview on 02/21/2026 at 3:30 am The ADON stated she was not aware of any incident with Resident #1 being assisted to a bathroom in a vacant room until tonight (02/21/2026). (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675799 If continuation sheet Page 5 of 8 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 675799 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/21/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Brenham Nursing and Rehabilitation Center 400 E Sayles St Brenham, TX 77833 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 0603 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some She stated no one had reported to her of any incident similar to this situation with Resident #1. She stated anytime a Resident was left in a bathroom without their permission it was considered isolating that resident from other residents and would be considered seclusion. The ADON stated if a resident did not agree to be left in the bathroom it would be considered against Resident #1's preference. The ADON did view the MDS and stated on the MDS it was coded Resident #1 was dependent on staff for ambulation in her wheelchair. ADON stated she did not have anything else to add about the situation with Resident #1.Interview on 02/21/2026 at 4:30 a.m. The Administrator stated what he considered the incident with Resident #1 being found sitting in a vacant room's bathroom, was involuntary seclusion. He stated there was a possibility Resident #1 may have increased anxiety and being afraid. The Administrator stated there was potential for Resident #1 to be affected emotionally (he did not elaborate on what he considered emotionally). He stated there was potential harm for all residents if left alone. He stated he could not comment on exactly what happened and the condition Resident #1 was in when found in the vacant room because he was not present when she was found on 02/20/2026 around 11:00 pm. He stated his expectations was all staff was to make rounds every 2 hours at a minimum. The Administrator stated he was investigating the incident with Resident #1, and he suspended CNA A, LVN B and CNA C. Observed Resident #1 at 4:45 am in her specialized wheelchair asleep in the common area across from the nurses desk on 100 and 200 halls. She was calm and still while sleeping.Interview on 02/21/2026 at 6:09 am Med Aide F stated she did work 6 am to 6 pm on 02/20/2026. She stated she gave medications on 100 and 200 halls. Med Aide F stated she was aware of Resident #1 making loud strange sounds. She stated Resident #1 preferred to sit in the common area and did not enjoy being in her room. Med Aide F stated she did not recall the last time she saw Resident #1 on 02/20/2026. She stated she had not witnessed or heard of Resident #1 being isolated anywhere in the facility. Med Aide F stated if she saw any resident being abused or neglected she would report it immediately to the Administrator who was the abuse coordinator. She stated she had been in-service on abuse, neglect and resident rights. She stated if a resident was placed in an empty room without the resident permission it would be considered isolating that resident against their will. She stated she was never involved in the assignments of the CNAs that was nurses responsibility. Interview on 02/21/2026 at 6:15 am LVN G stated she was at the facility working on 02/20/2026 from 6am to 6pm. She stated she was in the dining room around 4:30 pm to 5:00 pm assisting residents into the dining room and assisting with meal service. LVN G stated she usually worked on 100 and 200 hall. She stated she did not recall the last time she observed Resident #1 on 02/20/2026 between 6 am and 6pm. LVN G stated she exited the dining room approximately 5:50 pm and entered into the nurses station on 100 and 200 hall. She stated she did not recall seeing Resident #1, however, she was focused on giving report to oncoming nurse ( when asked the name of the oncoming nurse she did not specify). LVN G stated she left the facility at the end of her shit approximately 6:10 pm. LVN G stated she had not witnessed or heard of anyone assisting Resident #1 to an empty bathroom and leaving her in the bathroom for long periods of time. She stated Resident #1 was not able to propel herself. LVN G stated Resident #1 was totally dependent on staff for ambulation in her specialized wheelchair. She stated Resident #1 both hands was contracted. LVN G stated Resident #1 did enjoy sitting in the common area and she did have behaviors of making loud sounds. She stated giving her snacks usually helped with Resident #1's behaviors. LVN G stated it had been reported in the past of Resident #1 not wanting to go to bed and sleep in her chair while sitting in common area. She stated she did not remember who was assigned to Resident #1 on 02/20/2026 from 6am to 6pm Interview on 02/21/2026 at 6:22 a.m. CNA H stated she was on duty at the facility on 02/20/2026 from 6am to 6pm. She stated she worked 200 hall. CNA H stated (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675799 If continuation sheet Page 6 of 8 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 675799 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/21/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Brenham Nursing and Rehabilitation Center 400 E Sayles St Brenham, TX 77833 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 0603 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some she did not recall the last time she saw Resident #1. She stated she stayed on 200 hall majority of her shift. CNA H stated she was not familiar with Resident #1 except she did make loud weird sounds and could be disruptive to other residents. She stated she did not know any other information on Resident #1. CNA H stated she had never witnessed Resident #1 propelling herself when she observed her in the common area across from the 100 and 200 nurses desk. She stated if she witnessed any resident being abused or neglected she would report it immediately to the administrator. She stated the administrator was the abuse coordinator. She stated she did not know who was assigned to Resident #1 on 02/20/2026 from 6am to 6pm. Interview on 02/21/2026 at 6:35 am CNA I stated she did work 100 and part of 200 hall on 02/20/2026 during the 6am to 6 pm shift. She stated she did not know who was assigned to Resident#1 on 2/20/2026 during the day shift. CNA I stated she did not recall the last time she saw Resident #1. She stated when it was near supper time it was a busy time of assisting residents to the dining room passing out trays in dining room. She stated the meal trays had not come on the hall prior to her clocking out around 6:00 pm. CNA I stated Resident #1 does prefer to sit in the common area most of the time. She stated she did not prefer to be laid down in bed. CNA I stated she preferred to sleep in her wheelchair, and she been informed by nurses and other CNAs ( did not state the nurses and CNAs names when asked) of Resident #1 staying in her wheelchair at night in the common area and would not go to bed. She stated she had observed many mornings when she arrived to work at 6:00 am Resident #1 would be sitting in the common area across from the 100 and 200 hall nurses desk. She stated she was not aware of Resident #1 or any resident being isolated against their will in a vacant room or anywhere in the facility. CNA I stated she had been in-service on abuse, neglect and resident rights. She did not remember the date of the in-services. Record review on 02/21/2026 for the nursing schedule for 02/20/2026 for 6 am to 6pm and it did not indicate who was assigned to Resident #1. Attempted interview on 02/21/2026 at 7:05 am with LVN J and she refused to interview with surveyor. Attempted interview on 02/21/2026 at 7:30 am with CNA K ( she worked day shift on 2/20/2026) via phone and she did not answer the phone. Surveyor left message and CNA K did not return phone call. Attempted interview on 02/21/2026 at 7:40 am with CNA L ( she worked 6am to 6pm on 02/20/2206) via phone and she did not answer the phone. Surveyor left message and CNA L did not return phone call. Reviewed the Facility Policy on Abuse, Neglect and Exploitation, dated 07/15/2025, reflected Involuntary Seclusion refers to separation of a resident from other residents or from his/her room or confinement to his/her room against the resident's will or the will of the resident's legal representative. The Administrator was notified on 02/21/2026 at 5:20 am that an Immediate Jeopardy had been identified due to the above failures and an IJ template was provided. The following POR was accepted on 02/21/2026 at 12:16 pm. Letter of Credible Allegation For the Removal of Immediate Jeopardy Attention Sir or Madam On February 21, 2026, the Facility was notified by the surveyor that immediate jeopardy had been called and the Facility needed to submit a Plan of Removal. The Facility respectfully submits this Letter for a Plan of Removal pursuant to Federal and State regulatory requirements. The alleged immediate jeopardy allegations are as follows: F603- Free from Involuntary Seclusion The facility failed to ensure that the resident was from involuntary seclusion.The facility failed to ensure Resident #1 was not placed in a vacant bathroom. Actions for Resident Involved On 02/20/2026 and by 02/20/2026, Resident #1 was removed from room [ROOM NUMBER] by the Licensed Nurse (LVN B). Resident #1 was assisted to the shower room via wheelchair and soiled clothing changed. Blankets were placed around Resident #1. Resident #1 was assessed by the Licensed Nurse ( LVN B) related to abuse and neglect, as well as psychosocial status with no concerns noted. On 02/21/2026, an allegation of potential seclusion was reported to HHSC as well as Law Enforcement for Resident #1 by the (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675799 If continuation sheet Page 7 of 8 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 675799 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/21/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Brenham Nursing and Rehabilitation Center 400 E Sayles St Brenham, TX 77833 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 0603 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Facility Administrator. An investigation into the incident was immediately initiated by the Facility Administrator, which included interviews with facility staff on duty on 02/202/2026. On 02/21/2026, the Licensed Nurse ( LVN B) and the two Certified Nursing Assistants ( CNA A and CNA C) assigned to 100 hall on the 6 pm-6 am shift on 02/20/2026 were suspended pending investigation outcome by the Facility Administrator. Identify residents who could be affected: On 02/21/2026, the Administrator and/ or designee conducted facility rounds in all rooms to observe for the presence of abuse and/or neglect, to include potential seclusion with no concerns noted. Observations included ensuring residents were present in their assigned rooms and beds, as well as observing for residents unattended in bathrooms and/or resident areas; and/or visibly noted or reporting symptoms of distress. Findings were documented on a resident room roster and facility map. On 02/21/2026 and by 02/21/2026, the Administrator and /or designee interviewed interviewable residents related to abuse and neglect, to include involuntary seclusion with no concerns noted. Interviews consisted of abuse and neglect questions and documentation on a questionnaire for each resident.On 2/21/2026 and by 2/21/2026, the Director of Nursing and/ or designee assessed residents with a BIMS score below 13 head to toe related to abuse and neglect and psychosocial status, with no concerns noted. Findings were documented in the resident's progress note.On 2/21/2026 and by 2/21/2026, the Director of Nursing and/ or designee reviewed the resident progress notes for the last 30 days to ensure concerns related to abuse and neglect, to include potential seclusion were identified. No additional concerns were identified. Progress note review was completed and documented using printed progress notes for each current resident.On 2/21/2026 and 2/21/2026, the Administrator and/ or designee completed temperature checks in all resident rooms and resident use areas. All temperatures were found to be within the required temperature of 71 - 81 degrees Fahrenheit. The audit findings were documented on an audit tool and will continue daily Monday to Friday. Action Taken/ System Change: Effective 2/21/2026, any facility staff on FMLA, Leave of Absence, non-scheduled workday or PTO will be reeducated by the Administrator and/or designee and/ or Director of Nursing and/ or designee on all reeducation detailed below prior to the start of their next scheduled shift. On 2/21/2026, the Regional [NAME] President of Operations reeducated the Facility Administrator (Abuse Coordinator) and Director of Nursing on the facility's abuse and neglect policy and procedure to include involuntary seclusion. Reeducation included examples of actions that would meet the criteria for i[TRUNCATED] Event ID: Facility ID: 675799 If continuation sheet Page 8 of 8