Health inspection·May 30, 2025

F 0628 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few nurse returned the call to the new facility for report. Further record review of Resident#170 e-chart revealed no discharge summary. In an interview on 5/29/25 at 12:07 PM with the facility Social Worker revealed she had recently started working at the facility on 5/20/25. She added she followed an IDT (inter disciplinary team) approach for discharges. She added a discharge summary should be a part of resident's EHR and should be provided to the resident's treating physician, home health or any other facility the resident was discharging to. She added failure to complete discharge summary for a resident could lead to lapses in continuity of care. She added she was not able to explain why a discharge summary for Resident #s 69, 170 were missing since she was very new to the facility. During an interview on 05/30/25 at 9:25 AM, the DON said each department was responsible for completing their section in the discharge summary. She added the social worker was responsible to open up the document and the facility followed the IDT (inter disciplinary team) to complete their sections. She also added that the facility did not have a full-time social worker for few months starting January 2025 until May 2025, when the new social worker started with the facility. The DON stated that Resident#69 was a respite resident and his discharged from the facility was anticipated. She further reviewed Resident #69's EMR and said there was not a discharge summary completed nor a progress note depicting the resident's discharge from the facility. The DON stated it was her expectation that a discharge summary be completed for all residents and a copy provided to the resident/family/home health or other entity where the resident was discharging. She said by not completing a discharge summary could place the resident at risk for missing follow up appointments and missed medications and delayed communication. During an interview on 05/30/25 at 1:51 PM, the Administrator said the discharge summary should be completed the day the resident discharged or the day after and should be a part of residents EHR (Electronic Health Record) . The Administrator said the discharge summary included the medications the resident was taking and the home health company as needed. The Administrator said the social worker typically initiated the summary and then each department had a section they were required to complete. The Administrator said failure to complete a discharge summary placed the resident at risk for not knowing what medications they were taking or miss follow up appointments. The facility was accountable to provide discharge summary for continuity of care. Record review of facility policy titled, Social Services Policies and Procedures, Subject: Discharge dated 6/9/2023 reflected, POLICY: The Social Services staff, as part of the Interdisciplinary Team, will participate in the development of a discharge summary when a patient or resident is discharged without anticipated return to a private residence, another nursing facility, or another type of residential facility according to the following time frames and Facility procedures. A discharge summary is also completed when a resident is fully discharged from the facility (such as to another nursing facility, to the community or death) . 2. The Discharge Summary is completed when the patient or resident is permanently discharged for any reason and return to the facility is not anticipated. The completed Interdisciplinary Discharge Summary is part of the patient/resident's closed medical record. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 2 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 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 the necessary services for residents who are unable to carry out activities of daily living to maintain good grooming and personal hygiene for 5 (Resident #20, Resident #59, Resident #51, Resident # , Resident #13 ) of 16 residents reviewed for ADLs. Residents Affected - Some The facility failed to ensure: 1Resident #59 had her fingernails cleaned and trimmed on 5/28/25. 2Resident #20 had her fingernails cleaned and trimmed on 5/28/25. 3Resident #51 had his nails trimmed and cleaned on both hands on 05/28/25. 4Resident #13 had her fingernails trimmed. 5Staff provided consistent showers/baths for Resident #21. These failures could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk for infections and a decreased quality of life. Findings include: 1-Record review of Resident #59's Quarterly MDS assessment dated [DATE] reflected Resident #59 was a [AGE] year-old female admitted to the facility on [DATE] with diagnoses included dementia (a group of thinking and social symptoms that interferes with daily functioning), muscle wasting, and cognitive communication deficit. Resident #59's BIMS score was a 05, which indicated Resident #59's cognition was severely impaired. The MDS assessment indicated Resident #59 required maximal assist with personal hygiene. Record review of Resident #59's Care Plan revised 05/30/25, reflected the following: Problem: [Resident #59] requires assist with ADLs related to diagnosis of dementia . Goal: [Resident #59] will maintain current level functioning in ADLs over the next 90 days. Approach: . Requires maximum assistance with . dressing and showers . In an observation on 05/28/25 at 11:25 AM revealed Resident #59 was lying in his bed. The nails on both hands were approximately 0.3cm in length extending from the tip of his fingers. The nails were (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 3 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 - Some discolored tan and had a dark brown colored residue on the underside and on the nail beds. Resident #59's answers to questions did not make sense. 2-Record review of Resident #20's Quarterly MDS assessment dated [DATE] reflected Resident #20 was a [AGE] year-old female admitted to the facility on [DATE] with diagnoses included cerebral infarction (a condition that occurs when blood flow to the brain is blocked. The blockage can lead to brain tissue death), muscle weakness, and lack of coordination. Resident #20's BIMS score was a 03, which indicated Resident #20's cognition was severely impaired. The MDS assessment indicated Resident #20 was dependent, she required 2 persons assist with personal hygiene. Record review of Resident #20's Care Plan dated 05/24/25, reflected the following: Problem: [Resident #20] has ADL self-care deficit. She requires assistance with ADL's . Goal: [Resident #20] will maintain current level of ADL functioning through next review date . Approach: . total assistance with bathing . In an observation on 05/28/25 at 11:37 AM revealed Resident #20 was lying in his bed. The nails on both hands were approximately 0.3cm in length extending from the tip of his fingers. The nails were discolored tan and had a dark brown colored residue underside and on the nail beds. Resident #20 was unable to answer questions. In an interview on 05/28/25 at 12:18 PM, CNA C stated CNAs were allowed to cut the residents' nails if they were not diabetic. CNA C stated did not see Resident #20 and Resident #59's nails when she did her rounds and provided care. She stated she was busy. She stated she would do it right then. She stated the risk would be infection control and injury. 3- Record Review of Resident #51's Quarterly MDS dated [DATE] reflected that Resident #51 was a [AGE] year-old female readmitted to facility on 05/18/2025 with BIMS Score of 7 that indicated Resident #51 had severe cognitive impairment. Resident #51 had diagnoses of Diabetes mellitus (high blood glucose), Hypertension (high blood pressure), Hyperlipidemia (high lipid levels) , Unspecified dementia with anxiety, Blindness right eye category 5, blindness left eye category (both eye blindness with irreversible blindness with no light perception), other abnormalities of gait and mobility. It also indicated Resident #51 needed assistance for personal hygiene. Record Review of Resident #51 Comprehensive care plan updated 05/30/25 revealed Problem: [Resident #51] requires assist with ADLs related to diagnosis of dementia. Goal: [Resident #51] will maintain current level of functioning in ADLs over the next 90 days. Approach: [Resident #51] Requires set up assist with personal hygiene. In an observation and interview on 05/28/25 11:31 AM with Resident #51 revealed the fingernails on both her hands were at least 0.75 inch - 1 inch long, and jagged. Resident #51 stated he would like staff to trim and clean her fingernails since she could not see very well to clip her own nails. In an interview on 05/29/25 09:30 PM CNA C stated that CNAs were responsible for trimming and cleaning fingernails on shower days and as needed. CNA C stated Resident #51 was a diabetic, hence CNAs did not trim fingernails for diabetic residents. CNA C stated that the resident was blind and could not trim her own fingernails. CNA C stated she did not see Resident # 51 fi ger nails when she provided care. She added the resident's family member visited s the facility and had seen her clean and trim the resident's fingernails. She stated untrimmed and dirty fingernails could cause skin irritation or infection. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 4 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 - Some In an interview on 5/29/25 9:46 AM with RN E revealed Resident #51 was legally blind and needed staff assistance for all ADL care. She added Resident #51 was diabetic, and hence nurses were responsible for clipping fingernails. She added Resident #51 went out with family on pass, and sometimes the resident's family would clip her nails. She stated the risk of not cutting and cleaning nails was lapses in infection control and loss of quality of life. She added that if Resident #51 refused care, they would let the family know about refusals. In an interview on 05/29/25 at 02:38 PM with ADON F revealed nurses were responsible for nailcare for all residents if the resident was diabetic. She added the nailcare task should be triggered on nursing treatment record (TAR) each week, which indicated nurses to check the resident's fingernails and clean or trim them as needed. She added she observed Resident #51's nails were long and clipped her fingernails earlier in the day today. She added the risk of not cleaning or cutting fingernails was spread of infection. She added Resident #51 was legally blind and cannot assist with ADL task specifically for clipping fingernails. 4-Record review of Resident #13's Comprehensive MDS assessment dated [DATE] reflected Resident #13 was an [AGE] year-old female admitted to the facility on [DATE] with diagnoses including hemiplegia (a condition caused by brain damage or spinal cord injury that leads to paralysis on one side of the body), Stiffness of left hand, muscle weakness (generalized), and cognitive communication deficit. Resident #13's BIMS score of 06/15 which indicated severe cognitive impairment. The MDS assessment indicated Resident #13 required maximal assistance with toileting and personal hygiene. Record review of Resident #13's Care Plan dated 02/26/25, reflected the following: Problem: [Resident#13] has ADL Self Care Deficit. She requires assistance with ADL's. Goal Will maintain a sense of dignity by being clean, dry, odor free and well-groomed over next 90 days. Approach. BATHING: Extensive/Total with 1 person assist. In an observation on 05/28/25 at 10:53 AM revealed Resident #13 was lying in her bed. The nails on both hands were approximately 0.5 cm in length extending from the tip of her fingers. Resident #13 stated, she wanted her fingernails trimmed, and she could not do it herself. In an interview and observation on 05/29/25 at 11:23 AM, RN E looked at Resident#13 fingernails and stated, they look long, and Resident #13 liked her fingernail long. When asked, Resident#13 replied that she would like her fingernails trimmed. RN E stated, it was her responsibility and all the direct care staff to make sure residents' fingernails were trimmed, except if the resident was diabetic, it was the responsibility of the nurses to trim their fingernails. RN E stated she was not aware Resident #13's nails were long, and the resident would like them trimmed. She stated she would trim Resident #13's fingernails right then. RN E stated long fingernails could cause skin break down if the residents scratched themselves. In an interview on 05/30/25 at 09:41 AM, the DON stated nail care should be completed as needed and every time aides washed the residents' hands. The DON stated nails should be observed daily. The DON stated nurses were responsible for trimming the nails of residents who were diabetic, and CNAs could trim other residents' nails. The DON stated she expected CNAs to offer to cut and clean residents' nails if they were long and dirty. The DON stated residents having long fingernails could be a skin break down issue. The DON stated the ADONs, and the DON would do the routine rounds to monitor. 5-Record review of Resident #21's MDS assessment, dated 4/07/24, reflected a [AGE] year-old female who was admitted to the facility on [DATE]. She had a BIMS of 13, which indicated the resident was (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 5 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 - Some cognitively intact. She was totally dependent for bathing with 1-person assistance and required maximum assistance of one for personal hygiene. Her active diagnoses included coronary artery disease (damage or disease in the heart's major blood vessels), heart failure, end stage renal insufficiency (the final stage of chronic kidney disease), and diabetes. Record review of Resident #21's care plan, reviewed on 5/30/25, reflected, .assistance with ADL's related to legal blindness, bilateral amputation (surgical removal of two limbs, either both arms or both legs), generalized weakness .Goal: will maintain a sense of dignity by being clean, dry, odor free and well groomed .Approach: assist of total one person. Record review of hall 300 shower schedule for May 2025 reflected Resident #21 was scheduled for a shower on Mondays, Wednesdays, and Fridays. An observation and interview with Resident #21 on 5/25/25 at 11:15 a.m. revealed Resident #21 lying in bed. Resident #21 stated she had not received showers in two weeks and wanted to be showered. Resident #21 stated she was showered on this day. Records review of Resident #21's shower sheets for May 2025 reflected no showers on scheduled days for 5/5/25, 5/12/25, 5/14/25, 5/19/25, 5/21/25, 5/23/25, 5/26/25, and 5/28/25. There were no refusal shower sheets for these dates. Interview with CNA H on 5/29/25 at 1:30 pm revealed showers and refusals were documented on the shower sheets. CNA H stated residents were showered when needed, requested, and on their shower days. CNA H stated refusals were reported to the charge nurse. Interview with CNA L on 5/29/25 at 1:45 pm revealed residents were showered on their assigned shower days unless they refused. CNA L stated residents were asked three times after refusals and are offered bed baths instead. CNA L stated the charge nurse was notified for residents continued refusals and the family notified. CNA L stated residents signed the shower sheet for confirmed refusal. An interview with the DON on 5/30/25 at 9:50 a.m. revealed the CNAs were supposed to inform the charge nurse anytime a resident refused a shower. She stated showers were to be done on the shower days, and if the resident refused, they were to notify the charge nurse as well and they were to document it in the shower sheets. She stated residents signed the showers sheets, if able, when refused. The DON stated charge nurses signed the shower sheets and were expected to ensure residents were showered. She stated lack of personnel hygiene could lead to skin problems and overall dignity. An interview with RN G on 5/30/25 at 2:30 p.m., revealed nurses were responsible for ensuring the residents' showers and ADL care were performed. She stated the CNAs were supposed to let them know if a resident refused ADL care or if they were unable to give the scheduled shower or bath. She stated she had not been notified by any of the CNAs that Resident #21 refused any of her showers and showers had been missed. An interview with LVN D on 5/30/25 at 2:40 p.m., revealed at the end of each month she checked the showers sheets and reported missed showers to the DON. Record review of facility policy titled Activities of Daily Living, Optimal Function, on May 5, 202 reflected, The Facility provides care and services to ensure that a resident's abilities in activities of daily living do not diminish unless circumstances of the individual's clinical condition (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 6 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 demonstrate that such diminution was unavoidable .Activities of daily living (ADLs), refer to tasks related to personal care including, grooming, dressing, oral hygiene, transfer, bed mobility, eating, bathing and communication system .The Facility provides necessary care to all residents that are unable to carry out activities of daily living on their own to ensure they maintain proper nutrition, grooming, and hygiene. Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 7 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed ensure residents receive treatment and care in accordance with professional standards of practice for one of twenty-four residents (Resident #45) reviewed for falls. Residents Affected - Few The facility failed to follow the facility policy and did not promptly notify Resident #45's physician about a fall incident that occurred on 05/12/25 at 8:32 am. This failure could place residents at risk for a delay in treatment and diagnosis of new symptoms resulting in serious illness, hospitalization, and further decline in the resident's condition,. Findings included: Record review of Resident #45's quarterly MDS assessment dated [DATE] reflected Resident #45 was a [AGE] year-old female admitted to the facility on [DATE] with diagnoses of unspecified open-angle glaucoma, muscle wasting and atrophy (the loss or thinning of muscle tissue), polyneuropathy (nervous system disorder), restless legs syndrome, functional dyspepsia (discomfort or pain in the upper abdomen), repeated falls, hypothyroidism (thyroid gland doesn't produce enough thyroid hormone), cognitive communication deficit, and unsteadiness on feet. Resident #25 had a BIMS of 10 indicating she was moderately cognitively impaired. Resident #25 had extensive assistance with ADL's . Review of Resident# 45's care plans revised February 27, 2025 revealed Resident#45 was at was at risk for falls related to a history of falls, decreased mobility, legal blindness, incontinence and use of psychotropic medications. Record review of Resident #45's progress notes dated 5/16/25 at 19:14 pm (7:14 pm) as a late entry for 5/12/25 at 8:32 AM, authored by RN G, reflected [CNA H] was waiting for [Resident #45] at the door of the bathroom, when she looked to see what [Resident #45] was doing, she found [Resident #45] on the floor of the bathroom. When asked what happened, she said that she wanted to pull up her socks when she fell on the bathroom floor . BP (blood pressure ) 122/80, HR (heart rate) 80, T (temperature) 97.9 Pulse oximetry was 97% Resident with a tiny bump on the back of her. No blood noted. Review revealed the family member was notified about the fall. Observation of Resident #45 on 05/28/25 at 10:50am revealed she was sitting up in a wheelchair in her room. Interview revealed she was sitting on the toilet commode and tried to pull up her sock. Resident #45 stated she fell off the toilet commode and onto the floor. Resident #45 stated CNA H and another staff member helped her off the floor. Interview on 5/30/25 at 8:18 AM with RN G revealed she had not notified Resident #45's physician about the fall until the next day after the incident for x-rays. RN G stated it was her first fall and was unaware the physician was to be contacted. RN G stated she was instructed during the morning meeting the day after the incident to contact the physician. RN G stated she was unaware of the fall policy. An interview on 5/30/25 at 9:50 AM with the DON revealed the fall policy and protocol included ensuring the safety of the resident, an assessment, and contacting the physician and following their guidance. The DON stated it would have been RN G's responsibility, as the charge nurse during the incident, to contact the physician. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 8 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Interview on 5/30/25 at 12:50 PM with ADON M revealed after Resident #45's fall, RN G was instructed to obtain vitals, conduct a full assessment, and was given a packet including fall protocol, which included notification of the physician. ADON M stated it was RN G's responsibility to notify the physician immediately after the incident. Review of facility's policy Fall Management Policy revised May 5, 2023, reflected the physician and family are promptly notified, and an incident report is completed . Event ID: Facility ID: 676319 If continuation sheet Page 9 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for one (Resident #31) of two residents reviewed for incontinence care. The facility failed to ensure CNA C provided timely and appropriate perineal care for Resident #31. This failure could place residents at risk for the development and/or worsening of urinary tract infections and skin breakdown. Findings include: Record review of Resident #31's Quarterly MDS assessment, dated 05/13/25, reflected a [AGE] year-old female with an admission date of 12/07/21 with diagnoses included down syndrome (a genetic disorder causing developmental and intellectual delays), dementia (a group of thinking and social symptoms that interferes with daily functioning), and cognitive communication deficit. Resident #31 had a BIMS score of 03 which indicated cognition was severely impaired. Resident #31 required moderate assistance of one-person physical assistance with toileting hygiene, and personal hygiene. The resident was always incontinent of urine and bowel. Review of Resident #31's care plan, initiated 12/15/21, reflected .Problem: [Resident #31] has urinary incontinence related to functional impairment (decreased mobility), urgency related to use of diuretic medications, not always aware of need to void. Goal: Resident will not develop skin breakdown related to incontinence through next review date. Approach: Provide incontinence care after each incontinent episode. In an observation on 05/28/25 at 11:56 AM, CNA C entered Resident #31's room to provide incontinence care and change the resident's clothes. CNA C washed her hands and put on gloves and unfastened the brief to reveal the resident had been incontinent of urine. CNA C pushed the soiled brief down between the resident's legs, which were held tightly together, toward her buttocks and cleaned her peri area from front to back but did not separate the labia and clean down the middle. The odor was very strong and foul. CNA C rolled the resident onto her side revealing the resident had soaked through her brief and soaked through the bed sheet. It was noted the resident's skin was wet and red but intact. CNA C continued to provide incontinence care, wiping from front to back, reapplied a clean brief, and changed the resident's clothes. CNA C removed her gloves, and she washed her hands. An interview with CNA C on 05/28/25 at 12:18 PM, CNA C revealed she failed to separate the resident's labia and by missing this step could lead to an infection. She stated she had been in training and knew the importance of properly cleaning a resident in a timely manner. When asked when the last time she had performed incontinent care on Resident #31 she stated she started her shift at 6:00 AM and she did not provide any incontinent care to Resident #31 this morning. She stated she was busy during the shift. She stated she was supposed to do 2-hour checks for incontinent resident's but stated with the number of residents she had to get up she had not yet been to check on Resident #31. In an interview on 05/28/25 at 08:20 AM, the DON stated when providing incontinent care staff were (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 10 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some to clean the peri area including labia for female residents then moving toward the buttocks. She stated by not providing accurate incontinent care it placed residents at risk for urinary tract infections, skin breakdown and overall poor hygiene. the DON stated it was her expectation the CNAs provide incontinence care in a timely manner at least every two hours. She stated the risk factor for not performing timely incontinence care was skin rash, infection, and skin breakdown. She stated she felt there was ample staff to care the current resident census. She stated it was the expectation for the CNAs to come and ask the nurse, medication aide, herself or the ADON if they needed assistance with a resident. According to the CDC Epidemiology and Prevention of UTI a component of preventing a Urinary Tract Infection is to provide good perineal hygiene. Accessed at https://www.cdc.gov/nhsn/pdfs/training/2018/ltcf/epidemiology-prevention-uti-508.pdf accessed on 06/03/25 . Record review of the facility's policy titled, Perineal and Incontinence Care, revised 05/05/23, reflected, Staff will perform perineal/incontinent care with each bath and after each incontinent episode. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 11 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 0695 Provide safe and appropriate respiratory care for a resident when needed. 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 ensure that a resident who needs respiratory care was provided such care, consistent with professional standards of practice for 1 of 2 (Resident #221) residents reviewed for respiratory care, in that: Residents Affected - Few The facility failed to ensure Resident #221's Oxygen humidification bottle and nasal cannula tubing was changed in a timely manner. This failure could place residents at risk for respiratory infection and not having their respiratory needs met. The findings were: Review of Resident # 221's admission MDS assessment dated [DATE] reflected a [AGE] year-old female re-admitted to the facility on [DATE]. Relevant diagnoses include Stroke ( blood supply to the brain interrupted ), Hypertension (high blood pressure), Pneumonia (infection of the lungs ), and Diabetes mellitus (high blood glucose). Resident #221 was on continuous Oxygen therapy on admission to the facility. Resident #221 had BIMS of 15 which indicated intact cognition. Review of Resident #221's care plan updated 05/30/2025 reflected. Problem: [ Resident #221] requires oxygen therapy related to shortness of breath. Goal: [resident #221] Resident will not exhibit signs of hypoxia (cyanosis, tachypnea, dyspnea, confusion, restlessness, nasal flaring, elevated blood pressure, increased respirations, increased pulse). Approach: Administer oxygen at 3 liters via Nasal cannula continuously. Observe oxygen precautions. Review of Resident #221's Physician order dated 4/7/2025 Oxygen at 3 liters per minute via nasal cannula every shift first, second, third. Review of Resident #221's Physician order dated 4/7/2025 reflected, Change oxygen tubing/ nasal cannula/ mask/ humidification system weekly , once a day on Sunday 10 PM - 6 AM shift. In an observation and interview on 05/28/25 at 11:12 AM, Resident #221 had oxygen at 3 liters via nasal cannula. She stated that she had been on oxygen since admission to the facility. The humidification canister and nasal cannula tubing was dated 05/12/25 and there was less than 1/4 water left in the humidification bottle. Resident #221 was unable to tell how often they changed the bottle and tubing. In an interview and observation on 5/28/25 at 3:17 PM, LVN G stated Resident #221 was on continuous oxygen. She stated that the nasal cannula tubing and humidification bottle should be changed every Sunday night at 10 p.m. on the night shift. She stated that nurses were responsible for changing and dating the humidifier bottle and nasal cannula. She stated if oxygen supplies were not dated , it could lead to a risk of infection to the residents. LVN G stated she will change the oxygen tubing and humidification bottle later. In an interview on 05/29/25 at 02:37 PM, ADON F stated that oxygen humidifier bottle and nasal cannula tubing should be changed every Sunday by the evening nurses. She added that weekly oxygen equipment changes should trigger on the nurse's treatment administration record for every Sunday. She (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 12 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 0695 added that risk of not changing respiratory equipment in a timely manner was lapses in infection control. Level of Harm - Minimal harm or potential for actual harm In an interview on 05/30/25 at 09:14 AM, the DON said her expectation was that all oxygen equipment be dated and labeled. She stated that nighttime nursing staff was responsible for changing and dating oxygen supplies every Sunday every week. The DON stated risk to residents for not changing oxygen supplies was a lapses in infection control. She added, as a DON of the facility she or her designee conducted daily clinical rounds in the facility. Residents Affected - Few Record review of Facility policy titled . Respiratory policies and procedures; Subject - Equipment change schedule dated 2/12/2024 reflected, The Facility shall have a schedule for changing disposable equipment at regular intervals as determined by manufacturer recommendations and local community policies .Nasal Cannula Change weekly, when soiled and on an as needed basis or per State regulations. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 13 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 - Some Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Based on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 2 (Hall 200 and 300) of 4 medication carts reviewed for pharmacy services. The facility failed to ensure: RN E responsible for Medication Cart Hall 200, counted controlled drugs every change of shift and singed the narcotic sheet form after the count. RN D responsible for Medication Cart Hall 300, counted controlled drugs every change of shift and singed the narcotic sheet form after the count. These failures could place residents at risk of not having the medication available due to possible drug diversion. Findings Included: Record review of the Medication Cart Hall 200 narcotic count sheet on 05/28/25 at 10:16 AM of , revealed missing signatures for Off duty and On duty for 05/09/25, 05/15/25, 05/21/25, and 05/22/25. Record review of the Medication Cart Hall 300 narcotic count sheet, on 05/28/25 at 10:30 AM revealed missing signatures for Off duty and On duty for 05/12/25, 05/13/25, 05/16/25, 05/17/25, 05/18/25, 05/26/25, and 05/27/25. Interview on 05/30/25 at 12:22 PM, RN E stated she should have signed the narcotic sheet after counting the narcotics on 05/09/25, 05/15/25, 05/21/25, and 05/22/25 because it was the proof that she counted with the other nurse. She stated she might get busy after she counted with the other nurse, and she forgot to go back and sign the count sheet. She stated this failure could potentially cause a drug diversion. She stated she supposed to sign the sheet right after counting. Interview on 05/30/25 at 12:45 PM, RN D stated she should have signed the narcotic sheet before and after counting the narcotics on 05/12/25, 05/13/25, 05/16/25, 05/17/25, 05/18/25, 05/26/25, and 05/27/25. RN D stated, I counted the narcotics, but I assumed only one nurse could sign the narc sheet. RN D stated she was a new nurse and she started working at the facility since April 2025. She stated she received an in-service on signing narcotic sheets by incoming and off-going nurses, this week. RN D stated the risk of not signing the narcotic sheets would be a potential for drug diversion. Interview on 05/30/25 at 08:20 AM, the DON stated she expected nurses to sign the narcotic count sheet at the beginning and at the end of their shift after they completed count with the incoming and off-going nurse. The DON stated if the staff was not signing the narcotic count sheets, she was unable to prove they were counting. The DON stated it was important to ensure a drug diversion did not occur. The DON stated the ADON, and the DON were supposed to check the cart randomly for monitoring . She stated she expected the nurses to sign the narcotic count sheet immediately after counting. Record review of the facility's policy Controlled Substances revised 4/17/2024, reflected the (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 14 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 following: . H. Both staff members (off-going and on-coming) sign the Controlled Substance Shift Change Sheet with the date and time of the shift change. By doing so, both are verifying that the medication counts for all Controlled Substances and that the counts of the number of Controlled Substance cards and /or packaged are accurate at the time of shift change . Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 15 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 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 for the facility's only kitchen. Residents Affected - Some The facility failed to ensure food items in the facility reach in refrigerator were dated, labeled, and covered. These failures could affect residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness, and food contamination. Findings included: Observations on 5/28/25 at 9:30AM in the facility walk-in freezer revealed: Frozen French fries were not dated. Frozen southern style biscuit dough was left uncovered in a plastic bag, that was in an open cardboard box. Observation on 5/28/25 at 9:33 AM in the facility dry storage revealed: 3 hamburger buns wrapped in a plastic bag not dated or labeled. In an interview on 5/29/25 at 12:30 PM, the Dietary Manager revealed she expected all food items in the kitchen should be dated, labeled, and covered and everyone including cooks and herself were responsible for covering, dating, and labeling all food items in the kitchen. She stated her expectation was the staff write open date on food items once opened and removed from original packaging and expiry date before storing the food item. She added that hamburger buns should had been dated and labeled and were tossed out on 5/28/25. She stated all foods should be appropriately covered and sealed, even if placed in a cardboard box. She stated the risk to residents of improper food storage that included dating, labeling, and covering food items was possibility of food borne illness. In an interview on 05/29/25 at 1:30 PM, [NAME] H revealed everyone in the kitchen including cooks, dietary aides, and the dietary manager was responsible for covering, labeling, and dating food items in the kitchen. She added that she was aware all food items needed to have open date and expiry date on them. She added the hamburger buns were initially frozen , and all frozen breads were good for 15 days after taken out of the freezer. She added that the hamburger buns in the dry storage were thrown out since they did not have an open date on it. She added she was not sure who kept the frozen French fries in the refrigerator without dating them. She added , as a cook, she ensured all food items was covered and sealed to prevent any cross contamination. She stated that risk of improper food storage was food spoilage and increased risk of residents being sick. In an interview on 05/29/25 at 01:17 PM, Dietary Aide I revealed all food items in the kitchen should be covered, labeled, and dated. She stated that all food items should had open date and expiry date on them. She stated that everyone in the kitchen including dietary aides, cooks and managers were responsible for appropriate food storage. She added that risk to residents of not appropriately (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 16 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 covering, dating, or labeling food items was residents could get sick. Level of Harm - Minimal harm or potential for actual harm Review of facility's policy titled Food Safety in Receiving and Storage revised 6/20/2023 reflected, .6. Check expiration dates and use-by dates to assure the dates are within acceptable parameters . Place food that is repackaged in a leak-proof, pest-proof, non-absorbent, sanitary container with a tight-fitting lid. Label both the container and its lid with the common name of the contents, the date it was transferred to the new container, and the discard date. Residents Affected - Some Review of the Food and Drug Administration Food Code, dated 2022, reflected, .3-302.12 Food Storage Containers, Identified with Common Name of Food. Except for containers holding food that can be readily and unmistakably recognized such as dry pasta, working containers holding food or food ingredients that are removed from their original packages for use in the food establishment, such as cooking oils, flour, herbs, potato flakes, salt, spices, and sugar shall be identified with the common name of the food 3-305.11 Food Storage.(B) .refrigerated, ready-to eat time/temperature control for safety food prepared and packaged by a food processing plant shall be clearly marked, at the time the original container is opened in a food establishment and if the food is held for more than 24 hours, to indicate the date or day by which the food shall be consumed on the premises, sold, or discarded, based on the temperature and time combinations specified in (A) of this section and: (1) The day the original container is opened in the food establishment shall be counted as Day 1; and (2) The day or date marked by the food establishment may not exceed a manufacturer's use-by date if the manufacturer determined the use-by date based on food safety FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 17 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 maintain an infection control program designed to prevent the development and transmission of infection for 3 resident (Resident #1 and Resident #11, and Resident #44) of 10 residents observed for infection control. Residents Affected - Some 1-The facility failed to ensure MA A disinfected the blood pressure cuff in between blood pressure checks for Resident #1 and Resident #11 on 05/28/25. 2- The facility failed to ensure CNA J and CNA K performed proper hand hygiene when changing gloves during morning care for Resident #44 05/29/25. 3- The facility failed to ensure CNA J and agency CNA K wore appropriate PPE when providing morning care for Resident #44 who supposed to be on EBP on 05/29/25. The failures could place residents at-risk of cross contamination which could result in infections or illness. Findings included: 1.Record review of Resident #1's Quarterly MDS assessment, dated 05/09/25, reflected Resident #1 was a [AGE] year-old female admitted to the facility on [DATE]. Diagnoses included elevated blood pressure, and hypercholesterolemia (a condition characterized by elevated levels of cholesterol in the blood). Resident #1 had a BIMS of 15 which indicated Resident #1's cognition was intact. 2.Record review of Resident #11's Quarterly MDS assessment, dated 04/04/25, reflected Resident #11 was a [AGE] year-old female admitted to the facility on [DATE] with diagnoses included chronic kidney disease, elevated blood pressure and hyperlipidemia (abnormally high amount of lipids in the blood.) Resident #11 had a BIMS of 10 which indicated Resident #11's cognition was moderately impaired. Observation on 05/28/25 at 9:54 AM revealed MA A performing morning medication pass, during which time she checked the blood pressure on Resident #1. MA A did not sanitize the blood pressure cuff before and after using it on Resident #1 and continued to the next resident without sanitizing the blood pressure cuff. MA A then checked Resident #11's blood pressure. MA A did not sanitize the blood pressure cuff before using it on Resident #11. Interview on 05/28/25 at 10:25 AM, MA A stated reusable equipment, like blood pressure cuffs, should be sanitized before and after use on each resident to keep germs from spreading. She stated she forgot to sanitize the blood pressure cuff between resident use because she was nervous, and she was a new MA. In an interview with the DON on 05/30/25 at 08:20 AM, she stated staff had been trained on the expectation of sanitizing blood pressure cuff after each use. She stated to ensure staff were knowledgeable in the sanitation of blood pressure cuff the facility did skills competency checks and she stated she and the ADONs made daily rounds and watched care. 3.Review of Resident #44's MDS, dated [DATE], revealed he was a [AGE] year-old male who was admitted to the facility on [DATE]. His BIMS score was 15 out of 15 which indicated intact cognition. His (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 18 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 - Some diagnosis included quadriplegia (paralysis of all four limbs). Resident#44 was totally dependent on the staff for ADL's and had and indwelling foley catheter. Review of Resident #44's Care Plan, dated 03/18/25, revealed Problem: [Resident#44] remains on Enhanced Barrier Precautions related to medical device (Indwelling Catheter). Goal Resident will remain on Enhanced Barrier Precautions related to Indwelling Catheter. Approach: All staff and visitors will wash their hands prior to entering and prior to leaving resident room. New PPE will be placed outside of resident room including hand sanitizer, gowns, and gloves. PPE will be donned (put on) and doffed (removed) appropriately prior to entering and exiting room. PPE will also be disposed of properly in designated receptacles in the room prior to exiting resident's room. Observation on 05/29/25 at 09:30 AM revealed Resident #44 was on enhanced barriers precautions. There was signage on the left side of the door that informed visitors/staff he was on enhanced barriers precautions, to perform hand hygiene before and after leaving the room, necessary PPE (gown, gloves) to wear hanging at the door, and donning/doffing (put on/remove) information. CNA K got a mechanical lift (ML) to Resident#44's room, and helped the resident pick up his clothes for the day. She sanitized her hands , put on gloves, and she did not wear a gown . CNA K emptied the Foley catheter bag. CNA J came into the room, sanitized hand s, put on gloves but no gown. CNA K changed gloves without any form of hand hygiene and removed Resident #44 boots. Both CNAs put socks on the resident. CNA K put Resident #44's short on his legs. CNA K unfastened Resident #44's brief, got the resident a T-shirt and put it on him with the help of CNA J after removing his gown. CNA K took the dirty gown and put it in a plastic bag and put the plastic bag on the floor. CNA K got deodorant from the nightstand drawer and applied it on Resident #44, and she finished putting the T-shirt on Resident#44 with the help of CNA J. CNA K got the the sling for Mechanical lift , folded the dirty brief, and pushed the brief between Resident #44's legs. CNA K cleaned Resident #44 groin area using wipes. CNA K changed gloves without performing any form of hand hygiene. CNA K, using wipes, cleaned the foley catheter tubing going for insertion site outward. Both CNAs helped Resident #44 turn to his left side. CNA K folded the brief and put it in a plastic bag. CNA K cleaned Resident #44's buttocks using wipes. Resident #44 had a small bowel movement. CNA K changed gloves without performing any form of hand hygiene. CNA K put the sling under Resident #44, and a clean brief. Both CNAs turned Resident #44 to his back and to his right side. CNA J pulled the brief from her side, and both CNAs fastened the brief and finished putting Resident #44's short. Both CNAs turned him to the left, and to the right, finished putting the shorts on him, and pulled the sling under him. CNA J got the mechanical lift, and CNA K put shoes on Resident #44. CNA K changed gloves without performing any form of hand hygiene. Both CNAs hooked the sling to the mechanical lift. Both CNAs maneuvered the mechanical lift well keeping the Foley catheter bag below the Resident#44's bladder and lowered Resident #44 to his wheelchair. CNA J hanged the Foley catheter bag under the wheelchair, removed gloves , took the mechanical lift, and she left the room without completing any form of hands hygiene. CNA K adjusted Resident #44's wheelchair gears for him to use. Resident #44 was paralyzed neck down; he used his chin to maneuver the wheelchair. CNA K changed gloves without performing any form of hand hygiene. CNA K, per Resident#44's request, poured water for him to drink. CNA K removed gloves and did not performing any form of hand hygiene. She left the room and got a washcloth. CNA K put on gloves and wet the wash clothes. CNA K wiped Resident #44's face. CNA K made Resident#44's bed. CNA K took the dirty linens, and the trash bag, left the room, and disposed of them in the biohazard room. Interview with CNA K on 05/29/25 at 10:03 AM revealed she knew that she was supposed to wear a gown for the resident care, but she forgot. She stated she was nervous. She stated she was in-serviced regarding different types of infection. CNA K stated she supposed to perform (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 19 of 20 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 676319 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway Corinth, TX 76208 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 - Some hand sanitizing whenever she changed gloves. She said she was supposed to get a small hand sanitizer bottle with her, but she forgot. She stated she did not know where to put the plastic bag for the linens, and trash. She further stated she did not want to put them on the bed, so she put them on the floor. She stated the risk of not wearing proper PPE in enhanced barriers precautions residents' rooms was exposing herself and others to the development of infection and spreading germs from one resident to another resident. She further said following proper hands hygiene was important to prevent the spread of germs, and the development of infection. Interview with RN E on 05/29/25 at 10:30 AM, she stated all the staff were supposed to wear a gown for the care of residents on EBP, and for Resident #44 because of the Foley catheter. She stated the risk to residents was development of infection. She stated the CNAs were supposed to sanitize their hands before and after donning and doffing the gloves to prevent cross contamination. Interview with CNA J on 05/29/25 at 11:01 AM she stated, she was coming to help CNA K get Resident #44 up from the bed to the wheelchair. She stated, she did not know that she supposed to wear a gown for a resident on EBP, and she did not know that the resident with Foley catheter should be in EBP. She stated for the residents on any type of isolation she was supposed to wear a gown, and she was supposed to sanitize her hands when changing gloves. She stated the purpose was to keep down the germs and prevent cross contamination. Interview with the DON on 05/30/25 at 09:41 AM, she stated enhanced barriers precaution (EBP) was new last year. The DON stated for the EBP they had signage outside the resident's room, and for any high contact activity with the resident on EBP including transfers, peri care .staff should be gowning and gloving. She stated all the staff (CNAs, nurses .) were trained on infection control. The DON further stated training for EBP was done on hire, in monthly staff meetings, and as needed. The DON stated, she expected the staff to perform hand hygiene before donning and after doffing gloves. She further stated gloves were important, but proper hand hygiene was essential at all stages of glove use to ensure maximum protection and prevent cross contamination. The DON stated they used EBP to prevent infection to high-risk residents. The DON stated her expectation for the staff was to put the plastic trash and linen bags at the foot of the bed since they were new and clean; that way they were easily accessible, while avoiding the potential of contaminating other surfaces in the room. Record review of the facility's policy titled, Cleaning, Disinfecting and Sterilizing Patient/Resident Care Equipment revised May 15, 2023, reflected, . Non-critical items are those that come in contact with intact skin but not mucous membranes. Such items include . blood pressure cuffs . Routine cleaning and disinfection of resident care equipment that is shared among resident will be completed. Record review of facility policy titled, Infection prevention and control policies and procedures revised May 15, 2023, reflected, . Wearing gloves, Gowns, masks, and eye protection can significantly reduce health risks for workers exposed to blood and other potentially infectious materials .3. Hand hygiene, including hand washing and alcohol-based hand rub .6. Proper handling of linens, wastes, equipment and supplies . EBP: providers and staff must Wear gloves and a gown for the following high-Contact Resident Care Activities. Dressing. Bathing/Showering. Transferring. Changing linens. Providing Hygiene. Changing briefs .Device care or use: .urinary catheter . FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 20 of 20