Health inspection·November 19, 2025

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few equipment was a form of high contact with the resident on EBP that required wearing a gown and gloves. She said the risk of not wearing appropriate PPE was increased risk of infection and possible cross contamination to the residents. In an interview over the phone on 11/04/25 at 11:04 AM, CNA C revealed she was a hospice Aide, that had been coming to the facility to render hospice service to Resident #1. She stated she only put on gown whenever she was giving shower to Resident #1, and today she did Resident #1 morning care and got her ready to transfer from bed to wheelchair. She stated when she stepped outside the room with gloved hands, she was looking for help with Resident #1's mechanical transfer. She said the risk of not wearing appropriate PPE was increased risk of infection and possible cross contamination to the residents.2-Record Review of Resident # 2's Quarterly MDS assessment dated , 09/24/25, reflected Resident #2 was a [AGE] year-old female admitted [DATE], and readmitted [DATE]. Resident #2 had a BIMS score of 09, indicated she had moderately impaired cognition. She was incontinent with bowl and bladder. Resident #2's active diagnoses included hypertension (high blood pressure ), Type 2 diabetes (elevated blood sugar), cerebrovascular accident (a medical emergency that occurs when blood flow to the brain is interrupted, causing brain tissue damage), and non-Alzheimer's dementia (a group of cognitive disorders that cause memory loss, confusion, and other cognitive impairments similar to Alzheimer's disease but have different underlying causes and characteristics).Review of Resident #2's care plan, dated 09/17/25, reflected, Problem: [Resident #2] is on enhanced barrier precautions related to history of ESBL in urine. Goal: Resident remains on enhanced barrier precautions related to history of ESBL in urine. Approach: All staff and visitors will wash their hands prior to entering and prior to leaving resident room. New Personal Protective Equipment (PPE) will be placed outside of resident room including hand sanitizer, gowns, and gloves. PPE will be donned and doffed 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.During an observation on 11/04/25 at 10:08 AM, CNA B entered Resident #2's room to do her incontinent care. There was EBP signage on both sides of the door frame, and a PPE supplies (Gown, gloves.) stored on the door-mounted organizers and caddies. CNA B washed hands, wore gloves but did not wear a gown. CNA B opened Resident #2's brief, cleaned the residents front area using disposable wipes. CNA B changed gloves without any form of hands hygiene, helped Resident #2 turn to her left side. CNA B cleaned Resident #2's buttocks area, removed the dirty brief put it in the trash can. CNA B changed gloves without any form of hands hygiene. CNA B put the clean brief on Resident #2, removed gloves, washed hands, and exited the room.In an interview on 11/04/25 at 10:13 AM, CNA B demonstrated an understanding of EBP signage, explaining that personal protective equipment was required for any resident with wounds, catheters, or external devices. She stated, she had the impression that the EBP signage and supplies was for Resident #2's roommate who had an external device. She stated she was supposed to sanitize her hands after removing the gloves, but the hand sanitizer dispenser was outside the room. She stated the risk of not wearing appropriate PPE, and not following proper hands hygiene was increased risk of infection and possible cross contamination to the residents .In an interview on 11/04/25 1:20 PM, ADON stated she was also the Infection Preventionist of the facility. She stated her expectation was for all EBP residents, appropriate PPE should be worn at all times when providing close contact resident care. She stated dressing residents and transferring residents were some examples of close contact care. She added she expected all her nursing staff to perform adequate hand hygiene before and after completing care with residents and each time they changed gloves. She added the risk of not wearing appropriate PPE or not performing hand hygiene could lead to serious lapses in infection control and cross contamination. She stated as the Infection Preventionist, she provided frequent (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676319 If continuation sheet Page 2 of 3 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 11/19/2025 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 - Few FORM CMS-2567 (02/99) Previous Versions Obsolete in-services regarding infection control including the signages to look for in front of the residents with EBP. She further stated if the two residents in the same room were on EBP there would be EBP signage on both sides of the door.In an interview on 11/04/25 at 1:32 PM, the DON revealed EBP signage was outside the residents' rooms who needed them. The DON revealed her expectation was all nursing staff should be wearing appropriate PPE and perform adequate hand hygiene while providing close contact care activities to residents that are on EBP. She stated transferring residents with a Mechanical lift and dressing residents was a part of close contact activities. She stated all the nursing staff was trained in infection control. The DON stated she expected the staff to perform hand hygiene before donning and after doffing gloves. She stated there was no excuse not to wear gloves or wash hands before and after patient care. She added the risk of not wearing PPE, not performing hand hygiene before and after patient care, and between gloves change was infection for residents and cross contamination . Record review of facility policy titled, Infection prevention and control policies and procedures revised May 15, 2023, reflected, Subject: Hand Hygiene/ hand washing. Before patient/resident contact.After patient/resident contact. 2. Hand hygiene is performed immediately after gloves are removed, before contact with another person or items in the environment. Subject: PPE Requirements for Employees, Contracted Staff, Consultants and Visitors. The facility will implement precautions and practices to protect and maintain the health and well-being of residents, families, and staff within the facility. The facility will implement processes to mitigate the occurrence of infectious diseases by providing PPE to those employees, contracted employees and consultants entering the facility as appropriate.5. The facility will adhere to additional PPE requirements based on the individual needs, [such as], transmission-based precautions. Event ID: Facility ID: 676319 If continuation sheet Page 3 of 3