Inspection·December 18, 2025

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. 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 necessary services to maintain good grooming and personal hygiene for 1 (Resident #51) of 5 residents reviewed for activities of daily living. -The facility failed to remove unwanted facial hair from Resident #51's chin area and above resident's mouth observed on 12/16/2025 and 12/17/2025.This failure placed residents at risk for psychological embarrassment, sadness, and decrease in quality of life. Record review of Resident #51's face sheet dated 12/17/2025, she was a [AGE] year-old female originally admitted on [DATE] and last re-admitted on [DATE] with medical diagnoses included type 2 diabetes mellitus (high blood sugar), dementia (declining brain function related to thinking and judgement that is severe enough to impact daily life), generalized anxiety disorder (prolonged excessive worry), and hypertension (high blood pressure).Record review of Resident #51's care dated 09/01/2023 for ADL self-care performance deficit, with interventions including personal hygiene/oral care requiring staff participation with personal hygiene and oral care. There was no refusal of ADLs and personal grooming or shaving documented in Resident #51's care plan.Record review of Resident #51's November and December 2025 shower sheets, Resident #51 refused a shave on 11/21/2025. Resident #51 refused a shave on 12/01/2025, 12/05/2025, 12/08/2025 and 12/15/2025 and signed by LVN C. CNA A documented on 12/10/2025, Resident #51 received a shower and refused to be shaved. Observation and interview with Resident #51 on 12/16/2025 at 9:23a.m., she was in her room sitting on her wheelchair in her briefs. Resident #51 had a 1 cm length of facial hair on either side of the upper corners of her lips and some facial hair on both sides of her chin. Resident #51 had contractures on both hands. On 12/17/2025 at 9:10a.m., Resident #51 was observed in her room with the facial hair and at 9:47a.m., Resident #51 said that she did not feel good with her beard and that it made her feel like a man. Resident #51 said it had been 6 to 8 months since someone helped her shave. When asked if she talked to any staff about her concern, Resident #51 said she told people but could not remember who or when she last told. On 12/17/2025 at 12:30p.m., Resident #51 was observed in the dining room with no facial hair. Interview with ADON A on 12/17/2025 at 9:47a.m., she said aides shaved residents on Sundays. ADON A said she did not know why aides did not shave Resident #51 since when she looked at Resident #51 she would see the resident and not her beard. Staff do not expect to shave a man. ADON A said Resident #51 did not tell staff how she was feeling or Resident #51's beard. ADON A expected aides to shave residents if residents asked for it or if the aides saw the facial hair. ADON A said she was going to inform the aide to check in on Resident #51 and shave her facial hair.Interview with the DON and Administrator on 12/17/2025 at 3:19p.m., the DON said aides shave residents on Sundays if they were in the facility. Normally, staff would check residents for body hair on shower days. The DON said she would look into if the resident could get an electric razor to shave herself. The DON said not getting shaved could affect a female resident's self-image.Attempted interview with Resident #51's RP on 12/18/2025 at 8:25a.m., no returned calls. Attempted interview with LVN C on 12/18/2025 at 10:00a.m., there were no returned communications. Interview with CNA A on 12/18/2025 at 11:28a.m., CNA A said she never saw Resident #51 with facial hair. If she saw residents including female residents with facial hair, CNA A said she would ask them if they wanted to be shaved, especially if it was their shower day. CNA A said she never documented Resident #51 refusing a shave because CNA A never saw facial hair. Resident #51 never reported wanting a shave but CNA A would ask Resident #51 since CNA A did not think Resident #51 could shave herself. CNA A said the last time she worked with Resident #51 was 1-2 weeks ago.Interview with the WCN on 11/18/2025 at 9:10a.m., the WCN checked off of Resident #51's shower sheets and said that Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676081 If continuation sheet Page 2 of 6 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 676081 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE East View Healthcare 15880 Wallisville Road Houston, TX 77049 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 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete aides reported she was refusing shaves. The WCN told Resident #51's nurse but did not remember the name of the nurse. The WCN said Resident #51's family were aware that she refused shaving. On 11/18/2025 at 11:33a.m., the WCN said she was Resident #51's ambassador (someone assigned to the resident to check in on them) and visited Resident #51's room daily. The WCN said she never heard Resident #51 complain of her facial hair before and she did not know if someone brought it up to the resident or not. Interview with MDS A on 12/18/2025 at 11;18a.m., she said Resident #51 needed staff assistance with other ADLs. MDS A said aides were normally pretty good at doing room rounds and that aides would assist residents with shaving facial hair. MDS A was not aware that Resident #51 refused to shave. Staff would need to ask Resident #51 and provide options, such as having someone else go in to shave and if she still refused then document and care-plan that behavior. MDS A said that Resident #51's facial hair should not have been there and that she would feel the same way as Resident #51. Interview with the DON on 12/17/2025 at 3:19p.m., the DON said normally staff checked residents needing a shave on shower days and Sundays were designated shave days. The DON did not know why staff did not notice Resident #51's facial hair. The [NAME] said having facial hair on a female resident could affect their self-image. The DON staff knew and were educated on checking for facial hair for female residents during shower days. In a later interview on 12/18/2025 at 1:34p.m., the DON said Resident #51 did have a care plan for ADL refusals and should have one. The DON said she would provide it, and as of exit no plan has been provided.Interview with LVN A on 12/18/2025 at 3:14p.m, LVN A said that she did not notice Resident #51's facial hair and the last day she worked was on 12/16/2025. If LVN A saw facial hair on Resident #51 she would have asked the resident if she wanted a shave. Resident #51 never brought it up to her. LVN A reviewed Resident #51's shower sheets and signed off on them and said never reported Resident #51 having facial hair. Record review of the facility's policy on ADL services last revised January 2020, it read in part, It is the policy of this facility that residents are given the appropriate treatment and services to maintain or improve his/her abilities .2. Residents who are unable to carry out activities of daily living (ADL) will receive necessary services to maintain: . Grooming Personal hygiene . Event ID: Facility ID: 676081 If continuation sheet Page 3 of 6 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 676081 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE East View Healthcare 15880 Wallisville Road Houston, TX 77049 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 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate administration of all drugs and biologicals) to meet the needs of each resident for 1 (Resident #51) of 5 residents reviewed for pharmacy services. -Resident #51 did not receive Ozempic on 11/12/2025 and 12/17/2025 as ordered by the physician.The deficient practice could place residents at risk of not receiving the therapeutic effects from their medications as intended by the prescribing physician order. Record review of Resident #51's face sheet dated 12/17/2025, she was a [AGE] year-old female originally admitted on [DATE] and last re-admitted on [DATE] with medical diagnoses included type 2 diabetes mellitus (high blood sugar), dementia (declining brain function related to thinking and judgement that is severe enough to impact daily life), generalized anxiety disorder (prolonged excessive worry), and hypertension (high blood pressure).Record review of Resident #51's care plan captured on 12/17/2025, Resident #51 had diabetes mellitus care-planned on 09/16/2024 with interventions including educating regarding medications and importance of compliance, discussing meal times and dietary restrictions and snacks allowed in daily nutritional plan and compliance with nutritional regimen, diabetes medication as ordered by doctor and Ozempic (.25 or .5 MG/Dose) 2 MG/3ML solution pen-injector Inject subcutaneously 0.5 mg 1 time a week on Wed. Record review of Resident #51's MAR for November and December 2025, on 11/12/2025 Ozempic subcutaneous solution pen-injector was parked as a 7, which meant other/see nurse notes. Resident #51's blood sugars were the following: 11/12/2025 at 8am was 98 (normal range) and at 4pm was 261 (elevated), 11/13/2025 at 8am was 98 (normal) and at 4pm was 216 (elevated). Resident #51 had Ozempic administered on 11/05/2025 and 11/19/2025 by LVN B. On 12/17/2025, Ozempic subcutaneous solution pen-injector was parked as a 7, which meant other/see nurse notes. Resident #51's blood sugars for December 2025 were the following: 12/17/2025 at 8am was 138 (elevated) and at 4pm was 143 (elevated), and 12/18/2025 at 8am was 137 (elevated). Resident #51's last dose was 12/10/2025 by LVN A.Record review of Resident #51's Order Summary dated 12/18/2025, she had Ozempic .25 or .5mg/dose subcutaneous (below the skin) solution pen-injector inject 0.5 mg subcutaneously one time a day every Wed for DM with a start date of 09/10/2025.Record review of Resident #51's progress notes, LVN A documented on 11/12/2025 at 9:39am that Ozempic was on order. Resident #51 was not documented as having Ozempic administered for the dose scheduled on 11/12/2025. On 12/17/2025 at 7:28a.m., LVN B wrote that medication not available in house, request for refill sent. On 12/18/2025 at 1:43p.m., LVN B wrote, Resident scheduled for Ozempic weekly. Medication noted to need a refill. Refill requested and delivered. Md notified and order was obtained to administer medication. Medication administered to the abdomen in the right lower quadrant. Resident tolerated well. Record review of Resident #51's physician visit note dated 12/17/2025 and provided by the facility on 12/18/2025, it read in part, Nurse notified me that Ozempic has not been delivered from the pharmacy. Told them it was okay to give when medication arrived. The document did not state who was the physician who wrote the note. It was signed by MD A. Observation and interview with Resident #51 on 12/16/2025 at 9:23a.m., she was in her room sitting on her wheelchair in her briefs. Resident #51 had food on her tray table. Resident #51 appeared comfortable and well-groomed. Resident #51 said she had no concerns with her medications.Attempted interview with Resident #51's RP on 12/18/2025 at 8:25a.m., no returned calls. Attempted interview with LVN C on 12/18/2025 at 10:00a.m., there were no returned communications. Interview with the DON on 12/18/2025 at 1:34p.m., she said that Resident #51's Ozempic was not delivered. The facility received medication from the pharmacy and there was no other system for medication delivery. Ozempic (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676081 If continuation sheet Page 4 of 6 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 676081 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE East View Healthcare 15880 Wallisville Road Houston, TX 77049 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 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete was not in the on-site Pixus machine (a machine that can dispense medication with a pharmacy access code if a resident's medication was not in the facility). The DON said the nurse who administered the Ozempic's final dose was responsible for calling in the new order. The DON was not aware that Resident #51's Ozempic was not in the facility on 12/17/2025 for her scheduled dose. In a later interview on 12/18/2025 at 2:14p.m., the DON said Resident #51 was documented as having a missed dose of Ozempic but the pharmacy said there was a 5-day limit without having to restart Resident #51's medications. The DON said there were no negative effects from Resident #51 missing the dose. The DON said the nurse failed to document medication administration in the notes regarding documentation and she expected nurses to order medications timely and notify the physician if the medication was not available so the physician could hold the medication until it was available or to order the resident be given another medication. Interview with the facility's pharmacist on 12/18/2025 at 1:50p.m., the pharmacist said they delivered Resident #51's medications on 11/12/2025 and 12/17/2025. Each delivery contained a month's supply for Resident #51. The pharmacist said she did not see the resident but did not think there was a risk to Resident #51 not having her Ozempic administered since the medication's instructions stated missed doses should be administered within 5 days and the facility was within the 5 days of Resident #51's scheduled dose. Interview with LVN B on 12/18/2025 at 2:07p.m., she said when nurses used the last of a medication, they were supposed to request a refill. When LVN B noticed there was no Ozempic, she requested the refill then told NP A who worked under MD A. Interview with the MD on 12/18/2025 at 3:00p.m., she said that she was notified Resident #51 did not receive her Ozempic medication yesterday and she told the nurse to give the medication when it arrived. The MD said there were no negative effects and no harm from Resident #51 not getting the Ozempic as scheduled. The MD said LVN B notified her the previous day. The MD was at the facility on 12/18/2025 and was aware that staff administered it. When asked if she was notified of the both missed dose on 11/12/2025 and 12/17/2025, the MD confirmed that she was notified of the last missed dose on 12/17/2025. Interview with LVN A on 12/18/2025 at 3:14p.m., she said that after the dose on 12/10/2025 she reordered Ozempic through the facility portal. If the medication was not delivered, she would call the pharmacy and if she did not get it the medication was still not delivered, she would notify the doctor and report this in the morning meeting. LVN A said if Resident #51 missed the dose she could have seen an increase in her blood sugar and that nurses were already monitoring Resident #51 for high and low blood sugar twice a day. Record review of the facility's policy on medication administration, undated, read in part, .p. Medications are administered within (60 minutes) of scheduled time, except before or after meal orders, which are administered (based on mealtimes). Unless otherwise specified by the prescriber, routine medications are administered according to the established medication administration schedule for the facility .4) Signature or initials of person recording administration and signature or initials of person recording effects, if different from the person administering the medication. aa. If a dose of regularly scheduled medication is withheld, refused, or given at other than the scheduled time (for example, the resident is not in the facility at scheduled dose time, or a starter dose of antibiotic is needed), (the space provided on the front of the MAR for that dosage administration is initialed and circled. An explanatory note is entered on the reverse side of the record provided for PRN documentation) .Record review of the facility's policy on ordering medications last revised 11/13/2018, read in part, Repeat medications (refills) are . ordered as follows: a) Reorder medication (seven) days in advance of need to assure an adequate supply is on hand . Event ID: Facility ID: 676081 If continuation sheet Page 5 of 6 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 676081 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE East View Healthcare 15880 Wallisville Road Houston, TX 77049 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 0814 Dispose of garbage and refuse properly. Level of Harm - Minimal harm or potential for actual harm Based on observation and interview and record review, the facility failed to dispose of garbage and refuse properly for 1 of 3 dumpsters (Dumpster #2) reviewed for garbage disposal.-The facility failed to close the facility dumpster when not in use on 12/16/2025 when the outside dumpster #2's right sliding door was left open. This failure could place residents at risk of contact with pests and associated diseases. Observation and interview on 12/16/2025 at 8:45a.m., the right sliding door of Dumpster #2 was open. MS A said the dumpster doors should have been closed. When asked what kind of negative effects it could cause, he did not answer the question. Interview with the Dietary Manager on 12/16/2025 at 10:40a.m., she said that the dumpster doors should have been closed. Animals and rodents could get in the trash.Interview with the DON and Administrator on 12/17/2025 at 3:19pm, the DON said the dumpster doors should not have been open. The Administrator said it was infection control. When asked if there could be any risks to residents, she said no and that she did not see residents in that area. Record review of the facility's policy on waste disposal last revised May 2021, it read in part, .All dumpsters' lids and doors shall be closed or sealed at all times. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676081 If continuation sheet Page 6 of 6