Health inspection·September 11, 2025

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few The resident said on 08/10/25 on the 10:00 PM - 6:00 AM shift he pressed his call light to go to the bathroom. The resident said he waited as long as he could and got up to go to the bathroom because staff did not come help him. He said he fell trying to get back in his wheelchair. Resident #1 said he yelled for help, and no one came to help him. He said he reached his phone and call 911. The resident said the fire department came to his room and helped him to get off the floor. The resident said he did not have any injuries. The resident said he was told that both the CNA (unknown) and nurse (unknown) for the hall were on break. An interview on 09/11/25 at 11:50 AM with the DON revealed she investigated the fall for Resident #1 on 08/10/25 but had not interviewed the resident. The DON said she did not always interview residents after falls but would speak to the staff and ADON. The DON said she did not need to speak to the resident because the incident did not need to be investigated further. The DON said she did not know the resident said he called for help, but no help came when he fell. The DON said failing to interview the resident could lead to missed information or a different perspective. An interview on an undisclosed date at an undisclosed time with an Anonymous Person revealed they arrived at the facility on 08/10/25 at 2:30 AM to help Resident #1 off the floor. The Anonymous Person said when they arrived the resident was alone in his room on the floor, and they assisted him off the floor. The Anonymous Person said they saw two staff members seated at the nurse's desk and was told the other staff were at lunch break. An interview was attempted with RN B on 09/11/25 at 2:50 PM. RN B did not return the call of the Surveyor. An interview on 09/11/25 at 3:20 PM with CNA C revealed she was working on the 10:00 PM - 6:00 AM shift on 08/10/25. She said she was not assigned to Resident #1. CNA C said she was on a different hall, and she saw LVN D pacing in the Hall looking for CNA A and RN B. CNA C said CNA A and RN B were on break outside in their cars. CNA C said she saw the paramedics were in the facility and she did not know why. CNA C said CNA A told her that Resident #1 had fallen and called 911 for help. An interview on 09/11/25 at 3:45 PM with CNA A revealed she worked the 10:00 PM - 6:00 AM shift on 08/10/25. CNA A said she was assigned to Resident #1. CNA A said she went to Resident #1's room (unknown time) and asked if he needed anything and he said no. CNA A said she told RN B she was going on lunch break, but did not realize that RN B was going to lunch break at the same time. She said another staff member (unknown) on a different hall came out to her car while she was on break. CNA A said the staff member wanted to know where she and RN B were. CNA A said she stopped her lunch break and went back into the facility. CNA A said the paramedics already had Resident #1 back in his electric wheelchair. CNA A said if both assigned staff members went to lunch break at the same time, residents were at risk for falls. A follow-up interview on 09/11/25 at 4:10 PM with the DON revealed she went and interviewed Resident #1. The DON said there was nothing that stood out with his fall on 08/10/25. The DON said she spoke to staff, but did not contact EMS about the incident. The DON said she spoke to staff but did not know both CNA A and RN B had gone on lunch break at the same time. The DON said the incident was not self-reported because she did not realize the staff assigned were not in the facility when he fell. The DON did say, there were other staff in the building when he fell. An interview on 09/11/25 at 4:20 PM with the Administrator revealed she spoke to Resident #1 about his fall (08/10/25) on 09/11/25. She said the resident told her call light response time was slow. The Administrator said she spoke to RN B who said on 08/10/25 she was out on break when he fell. The Administrator said she did not realize that both CNA A and RN B were on break at the same time. The Administrator said she did not speak to EMS, but Resident #1 told her he called EMS because staff did not respond when he fell. The Administrator said if she had known that both staff were on break when he fell; she would have self-reported the incident as neglect. Review of the facility policy, Abuse, Neglect, Exploitation, or Mistreatment, (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 2 of 7 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 09/11/2025 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 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete not dated, reflected: Policy.2. The Facility shall report immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not result in serious bodily injury to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures. See Also Reporting Reasonable Suspicion of a Crime Policy. Event ID: Facility ID: 676319 If continuation sheet Page 3 of 7 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 09/11/2025 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 0610 Respond appropriately to all alleged violations. 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 in response to allegations of abuse, neglect, exploitation, or mistreatment, the facility had evidence that all alleged violations were thoroughly investigated for 1 of 5 residents (Resident #1) reviewed for abuse/neglect. The facility failed to ensure they investigated an allegation of neglect for Resident #1. Resident #1 fell and had to call EMS to help him get off the floor on 08/10/25. This failure could place residents at risk for not having their allegations for neglect investigated which could lead to additional neglect. The findings included:Record review of Resident #1's admission MDS assessment, dated 08/07/25, revealed the resident was a [AGE] year-old male admitted on [DATE]. His BIMS score was 15 indicating his cognitive ability was intact. His diagnoses included non-Alzheimer's disease and unsteadiness on feet. The resident required maximum assistance to transfer between surfaces.Record review of Resident #1's Care Plan, dated 08/26/25, reflected:Resident was at risk for falling related immobility, muscle weakness, diabetes, and chronic pain.Facility interventions included:Keep call light in reach at all times.Record review of Resident #1's Incident Report, dated 08/10/25 at 3:00 AM, and signed by the DON reflected:Resident #1 was found on the bathroom floor with no injuries. The resident was alert and oriented and said he did not hit his head. Resident started on neurological checks.Findings included: Resident did not call for assist with transferring and resident was possibly drowsy due to pain management and narcotics. Resident required supervision.Follow-up steps taken: educate resident on calling for help especially when taking narcotics. Review of Resident #1's Falls Investigation Worksheet, dated 08/10/25, not signed, reflected:Resident was using his electric wheelchair, his call light was within reach, and he did not call for assistance to transfer. Resident #1 needed to be toileted.Review of Resident #1's Nurse Notes, dated 08/10/25, reflected:08/10/25 at 2:55 AMPatient had fall in bathroom while attempting to transfer from chair to toilet independently. Patient then called 911 for assistance instead of pulling the call light for assistance. Patient is alert and oriented x4 and able to make needs known. EMT s/Fire Department was able to transfer patient back to electrical wheelchair. Patient education on call light system and to use call light before attempting to transfer. Patient refused to go to emergency room for further evaluation. Neurological checks initiated. Vital signs assessed and stable at this time. No new acute complaints of pain voiced. - RN BAn observation and interview on 09/11/25 at 10:45 am with Resident #1 revealed he was awake, alert, and oriented. He was seated in his electric wheelchair. The resident said on 08/10/25 on the 10:00 PM - 6:00 AM shift he pressed his call light to go to the bathroom. The resident said he waited as long as he could and got up to go to the bathroom because staff did not come help him. He said he fell trying to get back in his wheelchair. Resident #1 said he yelled for help, and no one came to help him. He said he reached his phone and call 911. The resident said the fire department came to his room and helped him to get off the floor. The resident said he did not have any injuries. The resident said he was told that both the CNA (unknown) and nurse (unknown) for the hall were on break. An interview on 09/11/25 at 11:50 AM with the DON revealed she investigated the fall for Resident #1 on 08/10/25 but had not interviewed the resident. The DON said she did not always interview residents after falls but would speak to the staff and ADON. The DON said she did not need to speak to the resident because the incident did not need to be investigated further. The DON said she did not know the resident said he called for help, but no help came when he fell. The DON said failing to interview the resident could lead to missed information or a different perspective.An interview on an undisclosed date at an undisclosed time with an Anonymous Person revealed they arrived at the facility on 08/10/25 at 2:30 AM to help Resident #1 off the floor. The Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 4 of 7 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 09/11/2025 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 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Anonymous Person said when they arrived the resident was alone in his room on the floor, and they assisted him off the floor. The Anonymous Person said they saw two staff members seated at the nurse's desk and was told the other staff were at lunch break.An interview was attempted with RN B on 09/11/25 at 2:50 PM. RN B did not return the call of the Surveyor. An interview on 09/11/25 at 3:20 PM with CNA C revealed she was working on the 10:00 PM - 6:00 AM shift on 08/10/25. She said she was not assigned to Resident #1. CNA C said she was on a different hall, and she saw LVN D pacing in the Hall looking for CNA A and RN B. CNA C said CNA A and RN B were on break outside in their cars. CNA C said she saw the paramedics were in the facility and she did not know why. CNA C said CNA A told her that Resident #1 had fallen and called 911 for help. An interview on 09/11/25 at 3:45 PM with CNA A revealed she worked the 10:00 PM - 6:00 AM shift on 08/10/25. CNA A said she was assigned to Resident #1. CNA A said she went to Resident #1's room (unknown time) and asked if he needed anything and he said no. CNA A said she told RN B she was going on lunch break, but did not realize that RN B was going to lunch break at the same time. She said another staff member (unknown) on a different hall came out to her car while she was on break. CNA A said the staff member wanted to know where she and RN B were. CNA A said she stopped her lunch break and went back into the facility. CNA A said the paramedics already had Resident #1 back in his electric wheelchair. CNA A said if both assigned staff members went to lunch break at the same time, residents were at risk for falls.A follow-up interview on 09/11/25 at 4:10 PM with the DON revealed she went and interviewed Resident #1. The DON said there was nothing that stood out with his fall on 08/10/25. The DON said she spoke to staff, but did not contact EMS about the incident. The DON said she spoke to staff but did not know both CNA A and RN B had gone on lunch break at the same time. The DON said the incident was not self-reported because she did not realize the staff assigned were not in the facility when he fell. The DON did say there were other staff in the building when he fell.An interview on 09/11/25 at 4:20 PM with the Administrator revealed she spoke to Resident #1 about his fall (08/10/25) on 09/11/25. She said the resident told her call light response time was slow. The Administrator said she spoke to RN B who said on 08/10/25 she was out on break when he fell. The Administrator said she did not realize that both CNA A and RN B were on break at the same time. The Administrator said she did not speak to EMS, but Resident #1 told her he called EMS because staff did not respond when he fell. The Administrator said if she had known that both staff were on break when he fell; she would have self-reported the incident as neglect.Review of the facility policy, Abuse, Neglect, Exploitation, or Mistreatment, not dated, reflected: Policy.3. The facility's Leadership will conduct a prompt investigation of any allegation received of suspected abuse, neglect or exploitation or mistreatment and will implement immediate action to safeguard resident. Event ID: Facility ID: 676319 If continuation sheet Page 5 of 7 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 09/11/2025 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 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 5 residents (Resident #1) reviewed for accident hazards. The facility failed to provide adequate supervision for Resident #1. Resident #1 fell and had to call EMS to help him get off the floor on 08/10/25. This failure could place residents at risk for injury for not having adequate supervision. The findings included: Record review of Resident #1's admission MDS assessment, dated 08/07/25, revealed the resident was a [AGE] year-old male admitted on [DATE]. His BIMS score was 15 indicating his cognitive ability was intact. His diagnoses included non-Alzheimer's disease and unsteadiness on feet. The resident required maximum assistance to transfer between surfaces. Record review of Resident #1's Care Plan, dated 08/26/25, reflected: Resident is at risk for falling related immobility, muscle weakness, diabetes, and chronic pain.Facility interventions included:Keep call light in reach at all times. Record review of Resident #1's Incident Report, dated 08/10/25 at 3:00 AM, and signed by the DON reflected:Resident #1 was found on the bathroom floor with no injuries. The resident was alert and oriented and said he did not hit his head. Resident started on neurological checks. Findings included: Resident did not call for assist with transferring and the resident was possibly drowsy due to pain management and narcotics. Resident required supervision.Follow-up steps taken: Educate resident on calling for help especially when taking narcotics. Review of Resident #1's Falls Investigation Worksheet, dated 08/10/25, not signed, reflected:Resident was using his electric wheelchair, his call light was within reach, and he did not call for assistance to transfer. Resident #1 needed to be toileted. Review of Resident #1's Nurse Notes, dated 08/10/25, reflected:08/10/25 and 2:55 AMPatient had fall in bathroom while attempting to transfer from chair to toilet independently. Patient then called 911 for assistance instead of pulling the call light for assistance. Patient is alert and oriented and able to make needs known. EMTs/Fire Department was able to transfer patient back to electrical wheelchair. Patient education on call light system and to use call light before attempting to transfer. Patient refused to go to emergency room for further evaluation. Neurological checks initiated. Vital signs assessed and stable at this time. No new acute complaints of pain voiced. - RN B An observation and interview on 09/11/25 at 10:45 am with Resident #1 revealed he was awake, alert, and oriented. He was seated in his electric wheelchair. The resident said on 08/10/25 on the 10:00 PM - 6:00 AM shift he pressed his call light to go to the bathroom. The resident said he waited as long as he could and got up to go to the bathroom because staff did not come help him. He said he fell trying to get back in his wheelchair. Resident #1 said he yelled for help, and no one came to help him. He said he reached his phone and call 911. The resident said the fire department came to his room and helped him to get off the floor. The resident said he did not have any injuries. The resident said he was told that both the CNA (unknown) and nurse (unknown) for the hall were on break. An interview on 09/11/25 at 11:50 AM with the DON revealed she investigated the fall for Resident #1 on 08/10/25 but had not interviewed the resident. The DON said she did not always interview residents after falls but would speak to the staff and ADON. The DON said she did not need to speak to the resident because the incident did not need to be investigated further. The DON said she did not know the resident said he called for help, but no help came when he fell. The DON said failing to interview the resident could lead to missed information or a different perspective. An interview on an undisclosed date at an undisclosed time with an Anonymous Person revealed they arrived at the facility on 08/10/25 at 2:30 AM to help Resident #1 off the floor. The Anonymous Person said when they arrived the resident was alone in his (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 6 of 7 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 09/11/2025 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 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete room on the floor, and they assisted him off the floor. The Anonymous Person said they saw two staff members seated at the nurse's desk and was told the other staff were at lunch break. An interview was attempted with RN B on 09/11/25 at 2:50 PM. RN B did not return the call of the Surveyor. An interview on 09/11/25 at 3:20 PM with CNA C revealed she was working on the 10:00 PM - 6:00 AM shift on 08/10/25. She said she was not assigned to Resident #1. CNA C said she was on a different hall, and she saw LVN D pacing in the Hall looking for CNA A and RN B. CNA C said CNA A and RN B were on break outside in their cars. CNA C said she saw the paramedics were in the facility and she did not know why. CNA C said CNA A told her that Resident #1 had fallen and called 911 for help. An interview on 09/11/25 at 3:45 PM with CNA A revealed she worked the 10:00 PM - 6:00 AM shift on 08/10/25. CNA A said she was assigned to Resident #1. CNA A said she went to Resident #1's room (unknown time) and asked if he needed anything and he said no. CNA A said she told RN B she was going on lunch break, but did not realize that RN B was going to lunch break at the same time. She said another staff member (unknown) on a different hall came out to her car while she was on break. CNA A said the staff member wanted to know where she and RN B were. CNA A said she stopped her lunch break and went back into the facility. CNA A said the paramedics already had Resident #1 back in his electric wheelchair. CNA A said if both assigned staff members went to lunch break at the same time, residents were at risk for falls. A follow-up interview on 09/11/25 at 4:10 PM with the DON revealed she went and interviewed Resident #1. The DON said there was nothing that stood out with his fall on 08/10/25. The DON said she spoke to staff, but did not contact EMS about the incident. The DON said she spoke to staff but did not know both CNA A and RN B had gone on lunch break at the same time. The DON said CNA A and RN B were not supposed to be at break at the same time. The DON said staff were supposed to communicate with each other regarding lunch breaks. An interview on 09/11/25 at 4:20 PM with the Administrator revealed she spoke to Resident #1 about his fall (08/10/25) on 09/11/25. She said the resident told her call light response time was slow. The Administrator said she spoke to RN B who said on 08/10/25 she was out on break when he fell. The Administrator said she did not realize that both CNA A and RN B were on break at the same time. The Administrator said she did not speak to EMS, but Resident #1 told her he called EMS because staff did not respond when he fell. Review of the only facility policy made available for falls reflected: Fall Management, revised May 2023: POLICY:1. The facility will identify each patient/resident who is at risk for falls and will plan care and implement interventions to manage falls.5. Qualified staff evaluates patient/resident for injury from a fall, identify and treat for pain related to fall, and determine contributing causes, including ascertaining what the resident was trying to do before he or she fell, addresses the risk factors for the fall such as the resident's medical conditions(s), facility environment issues, or staffing issue; and determines interventions to prevent future falls and completes a Fall Investigation Worksheet.7. Neurological evaluations will be performed for a resident who sustains an unwitnessed fall, regardless of the resident's cognitive status at the time of the incident.8. The physician and family are promptly notified, and an incident report is completed.9. Post fall nursing documentation for 72 hours, every shift will be completed to monitor the development of late effect or complications of the fall. Event ID: Facility ID: 676319 If continuation sheet Page 7 of 7