Inspection·February 9, 2026

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Resident #13 had symptoms on 02/05/2026, and were tested on [DATE], the results were positive for influenza, and they were placed on droplet isolation precautions.1. Record review of Resident #1's Face Sheet, dated 02/09/2026, revealed she was admitted on [DATE], readmitted on [DATE] with diagnoses that included paraplegia (partial paralysis or impairment of use of the lower body and legs), protein-calorie malnutrition (inadequate intake of protein and calories resulting in loss of muscle mass), heart disease, difficulty swallowing, diabetes (chronic elevated levels of sugar in the blood that can cause impairment of tissues), and dementia (cognitive impairment that can affect thought process).Record review of Resident #1's MDS, a quarterly assessment dated [DATE], revealed her cognitive skills for daily decision making were not impaired, and the resident was on isolation for an active infectious disease.Record review of Resident #1's care plan, dated on 10/02/2025, revealed the resident consented and received the influenza vaccine on 10/01/2025 and interventions were to monitor and report to the physician any signs or symptoms of influenza.Record review of Resident #1's care plan, initiated on 01/26/2026, revealed the resident had a respiratory infection (influenza A), and interventions included providing medications as ordered, monitoring of the resident's condition, and droplet-based precautions.Record review of Resident #1's Physician's Order Summary Report, dated 02/09/2026, revealed Geri-Tussin oral liquid 100 mg/5ml (a cough syrup) give 10 ml by mouth every 4 hours for cough times 7 days was ordered on 01/25/2026.Record review of Resident #1's Physician's Order Summary Report, dated 02/09/2026, revealed an order dated 01/25/2026 for Ipratropium-Albuterol Solution (Duoneb) 0.5-2.5 (3) mg/3 ml 1 vial inhale orally four times a day for congestion for 5 days.Record review of Resident #1's Physician's Order Summary Report, dated 02/09/2026, revealed a one-time order for a COVID/Flu A/B test was ordered on 01/26/2026.Record review of Resident #1's Physician's Order Summary Report, dated 02/09/2026, revealed an order on 01/26/2026 for droplet isolation precautions and an order for Isolation for Influenza A single bed occupancy was started on 01/26/2026.Record review of Resident #1's Physician's Order Summary Report, dated 02/09/2026, revealed an order on 01/26/2026 for Oseltamivir Phosphate (Tamiflu-an antiviral medication) oral capsule 75 mg 1 capsule twice a day for 5 days for influenza was started on 01/27/2026.Record review of Resident #1's electronic clinical record immunization section revealed she received the influenza vaccine on 10/01/2025.Record review of Resident #1's Rapid Influenza A test on 01/26/2026 revealed she was positive for Influenza A.Record review of Resident #1's Nurses Notes dated 01/25/2026 by LVN A revealed a Change of Condition was completed due to the resident having cough and congestion. The resident's nurse practitioner was notified who gave orders for geritussin (a cough syrup) 10 ml every 4 hours for 7 days, and DuoNeb (a prescribed inhalation medication administered via nebulizer [a device that converts liquid medication into a fine mist allowing the medication to be inhaled directly into the lungs] to open airways in the lungs).Record review of Resident #1's Nurses Notes dated 01/26/2026 at 10:28 a.m. by LVN B revealed Resident #1 was seen by the nurse practitioner for the resident's cough and congestion with new orders obtained for COVID/Flu A/B test.Record review of Resident #1's Nurses Notes dated 01/26/2026 at 11:26 a.m. by LVN B revealed Resident tested positive for Flu A. Resident has been placed on isolation, end date undetermined at this time. New order for Oseltamivir Phosphate 75 mg PO BID x 5 days.family notified of test results and isolation room change.Observation on 02/08/2026 at 12:48 p.m. revealed Resident #1 was no longer on isolation precautions and was in a room by herself.During an interview on 02/08/2026 at 12:48 p.m., Resident #1 stated when she was diagnosed with the flu, she was moved to the room she was currently in. 2. Record Review of Resident #6's Face Sheet, dated 02/09/2026, revealed she was admitted on [DATE] with diagnoses that included Schizophrenia (a chronic mental disorder with disrupted thoughts, emotions, and behaviors that can involve (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676331 If continuation sheet Page 2 of 8 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 676331 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/09/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hunters Pond Rehabilitation and Healthcare 9903 Hunters Pond San Antonio, TX 78224 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 delusions), high blood pressure, difficulty swallowing, diabetes (chronic elevated levels of sugar in the blood that can cause impairment of tissues), and dementia (cognitive impairment that can affect thought process) and resided a two rooms away from Resident #1.Record review of Resident #6's MDS, a quarterly assessment dated [DATE], revealed a BIMS score of 5 out of 15, her cognitive skills for daily decision making were severely impaired, and the resident was on isolation for an active infectious disease.Record review of Resident #6's care plan, dated 10/30/2024, revealed the resident was at risk for Influenza related to refusal of the vaccine; and under interventions were to monitor and report any signs or symptoms of Influenza to the physician.Record review of Resident #6's care plan, initiated on 01/28/2026, revealed the resident received Tamiflu until 02/02/2026 for diagnoses of Influenza A. Interventions included droplet isolation precautions, administer medications as ordered, and monitor symptoms.Record review of Resident #6's Physician's Order Summary Report, dated 02/09/2026, revealed a one-time order for a COVID/Flu A/B test was ordered on 01/26/2026.Record review of Resident #6's Physician's Order Summary Report, dated 02/09/2026, revealed an order on 01/28/2026 for droplet isolation precautions started on 01/28/2026.Record review of Resident #6's Physician's Order Summary Report, dated 02/09/2026, revealed an order on 01/28/2026 for Tamiflu(an antiviral medication) oral capsule 75 mg 1 capsule twice a day for 5 days for influenza was started on 01/28/2026.Record review of Resident #6's electronic clinical record immunization section revealed she refused the influenza vaccine.Record review of Resident #6's Lab results for Rapid A/B influenza, dated 01/28/2026 revealed she was positive for influenza A.Record review of Resident #6's Nurses Notes dated 01/26/2026 by LVN C revealed a Change of Condition was completed due to the resident had a fever of 100.8F. Resident #6's nurse practitioner was notified, and orders were received to check for the flu.Record review of Resident #6's Nurses Notes dated 01/27/2026 by RN D revealed the resident no longer had a fever or a cough during the shift, vitals were within normal limits, and the flu test result was pending.Record review of Resident #6's Nurses Notes dated 01/28/2026 at 06:05 a.m. by RN D revealed the nurse received a call from the lab that the resident tested positive for influenza A. Resident #6's physician's nurse practitioner was notified, and orders were received for Tamiflu75 mg by mouth twice a day for 5 days. Resident #6 on isolation at this time.Record review of Resident #6's Nurses Notes dated 01/28/2026 at 09:59 a.m. by RN E revealed Resident #6 [was] placed in single occupancy room for Influenza A, isolation as of 01/28/2026, all services to be rendered in room with proper PPE. 3. Record review of Resident #7 Face sheet revealed she was admitted on [DATE], and readmitted on [DATE] with diagnoses that included cerebral infraction (a stroke), hemiplegia and hemiparesis (severe partial paralysis affection one side of the body as the result of a stroke), high blood pressure, diabetes (chronic elevated levels of sugar in the blood that can cause impairment of tissues), swallowing difficulty and dementia (cognitive impairment that can affect thought process); and resided in the same room as Resident #6.Record review of Resident #7's MDS, a quarterly assessment dated [DATE], revealed a BIMS score of 15 out of 15, no impairment with her cognitive skills for daily decision making, and the resident was on isolation for an active infectious disease.Record review of Resident #7's care plan, dated 10/02/2025, revealed the resident consented and received the Influenza vaccine; and under interventions were to monitor and report any signs or symptoms of Influenza to the physician.Record review of Resident #7's care plan, initiated on 01/28/2026, revealed the resident received Tamiflu until 02/02/2026 for diagnoses of Influenza A. Interventions included droplet isolation precautions, administer medications as ordered, and monitor symptoms.Record review of Resident #7's Physician's Order Summary Report, dated 02/09/2026, revealed a one-time order for a COVID/Flu A/B test was ordered on 01/26/2026.Record review of Resident #7's Physician's Order Summary (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676331 If continuation sheet Page 3 of 8 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 676331 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/09/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hunters Pond Rehabilitation and Healthcare 9903 Hunters Pond San Antonio, TX 78224 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 Report, dated 02/09/2026, revealed an order on 01/28/2026 for droplet isolation precautions started on 01/28/2026.Record review of Resident #7's Physician's Order Summary Report, dated 02/09/2026, revealed an order on 01/28/2026 for Tamiflu oral capsule 75 mg 1 capsule twice a day for 5 days for influenza was started on 01/28/2026.Record review of Resident #7's electronic clinical record immunization section revealed she received the influenza vaccine on 10/01/2025.Record review of Resident #7's Lab results for Rapid A/B influenza, dated 01/28/2026 revealed she was positive for influenza A.Record review of Resident #7's Nurses Notes dated 01/26/2026 by LVN C revealed a Change of Condition was completed due to the resident complained of cough and congestion. Resident #7's physician was notified, and orders were received to check for the flu and COVID.Record review of Resident #7's Nurses Notes dated 01/26/2026 by LVN C noted resident was hot to touch at beginning of shift, was given Tylenol, resident's temperature 2 hours later 98.7F, resident had flu swab done and sent to lab.Record review of Resident #7's Nurses Notes dated 01/27/2026 by RN D revealed the resident no longer had a fever or a cough during the shift, vitals were within normal limits, and the flu test result was pending.Record review of Resident #7's Nurses Notes dated 01/28/2026 at 06:07 a.m. by RN D revealed the nurse received a call from the lab that the resident tested positive for influenza A. Resident #7's physician's nurse practitioner was notified, and orders were received for Tamiflu75 mg by mouth twice a day for 5 days. Resident #7 on isolation at this time.Record review of Resident #7's Nurses Notes dated 01/28/2026 at 06:43 a.m. by RN D revealed the resident was on single room isolation.Record review of Resident #7's Nurses Notes dated 01/28/2026 at 10:01 a.m. by RN E revealed Resident #7 [was] placed in single occupancy room for Influenza A, isolation as of 01/28/2026, all services to be rendered in room with proper PPE. 4. Record review of Resident #5's Face Sheet dated 02/09/2026, revealed he was admitted on [DATE] with diagnoses which included anemia (low iron stores in the body), protein-calorie malnutrition (inadequate intake of calories and protein resulting in depletion of muscle), diabetes (chronic elevated levels of sugar in the blood that can cause impairment of tissues), and cognitive communication deficit (difficulty communicating due to cognitive impairment) and was in a private room on the same hall where Resident #1, #6 and #7 resided.Record review of Resident #5's MDS, a quarterly assessment dated [DATE], revealed a BIMS score of 15 out of 15, his cognitive skills for daily decision making were not impaired, and the resident was on isolation for an active infectious disease.Record review of Resident #5's care plan, dated 10/30/2025 and revised on 07/20/2025, revealed he was at risk for influenza related to refusal of the vaccine; and under interventions were to monitor and report any signs or symptoms of influenza to the physician.Record review of Resident #5's care plan, initiated on 01/29/2026, revealed the resident received Tamiflu until 02/03/2026 for diagnoses of Influenza A. Interventions included droplet isolation precautions, administer medications as ordered, and monitor symptoms.Record review of Resident #5's Physician's Order Summary Report, dated 02/09/2026, revealed a one-time order for a flu antigen test was ordered on 01/29/2026.Record review of Resident #5's Physician's Order Summary Report, dated 02/09/2026, revealed an order on 01/29/2026 for droplet isolation precautions started on 01/29/2026.Record review of Resident #5's Physician's Order Summary Report, dated 02/09/2026, revealed an order on 01/29/2026 for Tamiflu oral capsule 75 mg 1 capsule twice a day for 5 days for influenza was started on 01/29/2026.Record review of Resident #5's electronic clinical record immunization section revealed he refused the influenza vaccine.Record review of Resident #5's Lab results for Rapid A/B influenza test, dated 01/29/2026 revealed he was positive for influenza A.Record review of Resident #5's Nurses Notes dated 01/29/2026 at 7:43 a.m. by RN F revealed a Change of Condition was completed due to the resident had a fever of 100.7F. Resident #7's nurse practitioner was notified, and orders were received to check (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676331 If continuation sheet Page 4 of 8 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 676331 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/09/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hunters Pond Rehabilitation and Healthcare 9903 Hunters Pond San Antonio, TX 78224 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 for the flu.Record review of Resident #5's Nurses Notes dated 01/29/2026 at 9:35 a.m. by RN F revealed the resident tested positive for Influenza A, the nurse practitioner was made aware and would be in to assess the resident. Resident #5's RP was updated and informed of the result.Record review of Resident #5's Nurses Notes dated 01/29/2026 at 9:41 a.m. by RN F revealed a new order was obtained for Tamiflu75 mg BID x 5 days for the flu.Record review of Resident #5's Nurses Notes dated 01/29/2026 at 10:10 a.m. by LVN G revealed he was placed on droplet isolation precautions due to Influenza A, the resident's RP was made aware. 5. Record review of Resident #8 Face Sheet dated 02/09/2026, revealed he was admitted on [DATE] with diagnoses that included amnesia (loss of memory), diabetes (chronic elevated levels of sugar in the blood that can cause impairment of tissues), high blood pressure and cognitive communication deficit (difficulty communicating due to cognitive impairment) and resided on different hall where Resident #1, #6 and #7 resided.Record review of Resident #8's MDS, a quarterly assessment dated [DATE], revealed a BIMS score of 3 out of 15, his cognitive skills for daily decision making were severely impaired, and the resident was on isolation for an active infectious disease.Record review of Resident #8's care plan, dated 10/05/2023 and revised on 10/02/2025, revealed he consented and received the influenza vaccine; and under interventions were to monitor and report any signs or symptoms of influenza to the physician.Record review of Resident #8's care plan, initiated on 02/01/2026, revealed the resident received Tamiflu until 02/06/2026 for diagnoses of Influenza A. Interventions included droplet isolation precautions, administer medications as ordered, and monitor symptoms.Record review of Resident #8's Physician's Order Summary Report, dated 02/09/2026, revealed an order for a flu antigen test was ordered on 01/30/2026.Record review of Resident #8's Physician's Order Summary Report, dated 02/09/2026, revealed an order on 01/29/2026 for droplet isolation precautions started on 02/01/2026.Record review of Resident #8's Physician's Order Summary Report, dated 02/09/2026, revealed an order on 02/01/2026 for Tamiflu oral capsule 75 mg 1 capsule twice a day for 5 days for influenza was started on 02/01/2026.Record review of Resident #8's electronic clinical record immunization section revealed he received the influenza vaccine on 10/01/2025.Record review of Resident #8's Lab results for Rapid A/B influenza test, dated 02/01/2026 revealed he was positive for influenza A.Record review of Resident #8's Nurses Notes dated 01/30/2026 at 08:01 a.m. by LVN H revealed a Change of Condition was completed due to the resident had a dry, non-productive cough, his vitals were stable. The primary care provider was notified and an order was received to check for the flu.Record review of Resident #8's Nurses Notes dated 01/30/2026 at 2:04 p.m. by LVN H revealed the flu test was negative, the resident was up attending daily activities.Record review of Resident #8's Nurses Notes dated 01/31/2026 at 5:22 p.m. by LVN G revealed Resident #8's RP was informed of the flu test, and the resident continued to be monitored.Record review of Resident #8's Nurses Notes dated 02/01/2026 at 1:36 p.m. by LVN I revealed the resident tested positive for Influenza A, the nurse practitioner was made aware and ordered Tamiflu75 mg BID for 5 days. Resident #8 was informed of the room change and agreed with moving.Record review of Resident #8's Nurses Notes, dated 02/01/2026 at 1:38 P.M. by RN E revealed he was placed on droplet isolation precautions due to Influenza A, all services to be rendered in the room with proper PPE, the resident's RP was made aware. 6. Record review of Resident #4 Face Sheet dated 02/09/2026, revealed he was admitted on [DATE], and readmitted on [DATE] with diagnoses which included Influenza A virus, diabetes (chronic elevated levels of sugar in the blood that can cause impairment of tissues), obesity (excess calorie consumption causing excess body weight), paraplegia (partial paralysis or impairment of use of the lower body and legs), heart failure, high blood pressure and cognitive communication deficit (difficulty communicating due to cognitive impairment) and resided in the room next to Resident #8.Record review (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676331 If continuation sheet Page 5 of 8 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 676331 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/09/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hunters Pond Rehabilitation and Healthcare 9903 Hunters Pond San Antonio, TX 78224 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 of Resident #4's MDS, a quarterly assessment dated [DATE], revealed it was in progress.Record review of Resident #4's care plan, dated 10/03/20217 and revised on 10/01/2025, revealed he consented and received the influenza vaccine; and under interventions were to monitor and report any signs or symptoms of influenza to the physician.Record review of Resident #4's Physician's Order Summary Report, dated 02/09/2026, revealed an order to send the resident to the ER for evaluation and treatment started on 01/31/2026.Record review of Resident #4's Physician's Order Summary Report, dated 02/09/2026, revealed an order on 02/03/2026 for droplet isolation precautions started on 02/03/2026.Record review of Resident #4's Physician's Order Summary Report, dated 02/09/2026, revealed an order on 02/03/2026 for Oseltamivir Phosphate (Tamiflu) oral capsule 30 mg 1 capsule twice a day until 02/06/2026 for influenza was started on 02/03/2026.Record review of Resident #4's electronic clinical record immunization section revealed he received the influenza vaccine on 10/01/2025.Record review of Resident #4's Nurses Notes dated 01/31/2026 at 3:16 p.m. by RN I revealed a Change of Condition was completed due to the resident had abnormal vital signs with a low blood pressure of 86/53, elevated pulse of 124, blood oxygen saturations were normal at 96% on room air, normal respiratory rate of 19 and a fever of 101.1 F. Resident #4's physician was notified and gave orders to send him to the ER for evaluation due to the low blood pressure, increased pulse and fever.Record review of Resident #4's Nurses Notes dated 02/03/2026 at 12:37 p.m. by LVN J revealed he returned from the hospital, his vital signs were within normal limits, and he had a new order to continue Tamiflu30 mg BID for 6 doses.Record review of Resident #4's Hospital Internal Medicine Physician Note, dated 01/31/2026, revealed the resident was transferred to the ER due to low blood pressure and tachycardia (fast heartbeat), tested positive for Influenza A in the ER, was diagnosed with sepsis due to influenza, placed on 2 L of oxygen and started on Tamiflu.Record review of Resident #4's Hospital Lab results for influenza test, dated 01/31/2026 revealed he was positive for influenza A.Observation on 02/07/2026 at 4:15 p.m. revealed the door to Resident #4's room was shut, a droplet precaution sign was on the door, and a PPE cart was outside the room. 7. Record review of Resident #9 Face Sheet dated 02/09/2026, revealed he was admitted on [DATE] and readmitted on [DATE] with diagnoses that included hemiplegia and hemiparesis (severe partial paralysis and loss of use of one side of the body), diabetes (chronic elevated levels of sugar in the blood that can cause impairment of tissues), high blood pressure, hyperlipidemia (elevated levels of fat in the blood) and cognitive communication deficit (difficulty communicating due to cognitive impairment) and resided in the same room as Resident #4.Record review of Resident #9's MDS, a quarterly assessment dated [DATE], revealed a BIMS score of 14 out of 15, his cognitive skills for daily decision making were not impaired, and the resident was on isolation for an active infectious disease.Record review of Resident #9's care plan, dated 11/01/2022 and revised on 10/02/2025, revealed he consented and received the influenza vaccine; and under interventions were to monitor and report any signs or symptoms of influenza to the physician.Record review of Resident #9's care plan, initiated on 02/01/2026, revealed the resident received Tamiflu until 02/06/2026 for diagnoses of influenza A. Interventions included droplet isolation precautions, administer medications as ordered, and monitor symptoms.Record review of Resident #9's Physician's Order Summary Report, dated 02/09/2026, revealed an order to send him to the ER due to a fall ordered on 02/01/2026.Record review of Resident #9's Physician's Order Summary Report, dated 02/09/2026, revealed an order on 02/01/2026 for droplet isolation precautions started on 02/01/2026.Record review of Resident #9's Physician's Order Summary Report, dated 02/09/2026, revealed an order on 02/01/2026 for Tamiflu oral capsule 75 mg 1 capsule twice a day for 5 days for influenza was started on 02/01/2026.Record review of Resident #9's electronic clinical record immunization section revealed he received the influenza (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676331 If continuation sheet Page 6 of 8 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 676331 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/09/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hunters Pond Rehabilitation and Healthcare 9903 Hunters Pond San Antonio, TX 78224 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 vaccine on 10/01/2025.Record review of Resident #9's Nurses Notes dated 02/01/2026 at 01:39 p.m. by LVN K revealed a Change of Condition was completed due to the resident fell and hit his head, had an elevated pulse of 105, elevated respiratory rate of 22 breaths per minute, and a normal temperature. The primary physician was notified, and an order was received to send him to the ER.Record review of Resident #9's Nurses Notes dated 02/01/2026 at 9:36 a.m. by RN I revealed Resident #9 returned from the hospital with a new order for Tamiflu75 mg 1 capsule twice a day for 5 days.Record review of Resident #9's Nurses Notes dated 02/03/2026 at 1:36 p.m. by RN E revealed he was placed on droplet isolation precautions due to Influenza A, all services to be rendered in the room with proper PPE, the resident's RP was made aware.Record review of Resident #9's Hospital Patient Education & Visit Summary, dated 02/01/2026, revealed he was evaluated in the ER for a fall and was diagnosed with influenza A 8. Record review of Resident #10's Face sheet revealed she was admitted on [DATE], and readmitted on [DATE] with diagnoses that included Parkinson's disease (an incurable progressive degeneration of the central nervous system), high blood pressure, swallowing difficulty and dementia (cognitive impairment that can affect thought process); and resided in the same hall as Resident #4, #8, and #9.Record review of Resident #10's MDS, a quarterly assessment dated [DATE], revealed a BIMS score of 15 out of 15, no impairment with her cognitive skills for daily decision making, and the resident was on isolation for an active infectious disease.Record review of Resident #10's care plan, dated 10/04/2021 and revised on 10/02/2025, revealed the resident consented and received the influenza vaccine; and interventions to monitor and report any signs or symptoms of influenza to the physician.Record review of Resident #10's care plan, initiated on 02/02/2026, revealed the resident received Tamiflu until 02/07/2026 for diagnoses of Influenza A. Interventions included droplet isolation precautions, administer medications as ordered, and monitor symptoms.Record review of Resident #10's Physician's Order Summary Report, dated 02/09/2026, revealed a one-time order for a COVID/Flu A/B test was ordered on 02/02/2026.Record review of Resident #10's Physician's Order Summary Report, dated 02/09/2026, revealed an order on 02/02/2026 for droplet isolation precautions started on 02/02/2026.Record review of Resident #10's Physician's Order Summary Report, dated 02/09/2026, revealed an order on 02/02/2026 for Tamiflu oral capsule 75 mg 1 capsule twice a day for 5 days for influenza was started on 02/02/2026.Record review of Resident #10's electronic clinical record immunization section revealed she received the influenza vaccine on 10/01/2025.Record review of Resident #10's Lab results for Rapid A/B influenza, dated 02/02/2026 revealed she was positive for influenza A.Record review of Resident #10's Nurses Notes dated 02/02/2026 at 11:39 a.m. by the ADON revealed the resident had increased confusion, sitting in the hallway asleep and did not eat her breakfast. Resident #10's physician was notified, and orders were received to check for the flu and COVID. Rapid test was done with Resident #10 positive for Influenza A, her physician was notified.Record review of Resident #10's Nurses Notes dated 02/02/2026 at 12:12 p.m. by LVN G revealed the resident was moved for single room isolation.Record review of Resident #10's Nurses Notes dated 02/02/2026 at 12:17 p.m. by the ADON, revealed the resident's lab results were discussed with her physician, who started the resident on Tamiflu75 mg BID for 5 days, the resident was moved to another room for single room isolation for droplet precautions, and her RP was notified and in agreement with the room change and treatment.Observation on 02/07/2026 at 4:27 p.m. revealed the door to Resident #10's room was shut, a droplet precaution sign was on the door, and a PPE cart was outside the room. 9. Record review of Resident #11's Face sheet revealed she was admitted on [DATE], and readmitted on [DATE] with diagnoses that included diabetes (chronic elevated levels of sugar in the blood that can cause impairment of tissues), high blood pressure, anemia (low levels of iron) and dementia (cognitive impairment that can affect (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676331 If continuation sheet Page 7 of 8 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 676331 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/09/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hunters Pond Rehabilitation and Healthcare 9903 Hunters Pond San Antonio, TX 78224 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 FORM CMS-2567 (02/99) Previous Versions Obsolete thought process); and resided in the same room as Resident #10.Record review of Resident #11's MDS, a quarterly assessment dated [DATE], revealed a BIMS score of 15 out of 15, no impairment with her cognitive skills for daily decision making, and the resident was isolated for an active infectious disease.Record review of Resident #11's care plan, dated 10/28/2024 and revised on 10/02/2025, revealed the resident consented and received the influenza vaccine; and under interventions were to monitor and report any signs or symptoms of influenza to the physician.Record review of Resident #11's care plan, initiated on 02/02/2026, revealed the resident received Tamiflu until 02/07/2026 for diagnoses of Influenza A. Interventions included droplet isolation precautions, administer medications as ordered, and monitor symptoms.Record review of Resident #11's Physician's Order Summary Report, dated 02/09/2026, revealed a one-time order for a COVID/Flu A/B test was ordered on 02/02/2026.Record review of Resident #11's Physician's Order Summary Report, dated 02/09/2026, revealed an order on 02/02/2026 for droplet isolation precautions started on 02/02/2026.Record review of Resident #11's Physician's Order Summary Report, dated 02/09/2026, revealed an order on 02/02/2026 for Tamiflu oral capsule 75 mg 1 capsule twice a day for 5 days for influenza was started on 02/02/2026.Record review of Resident #11's electronic clinical record immunization section revealed she received the influenza vaccine on 10/01/2025.Record review of Resident #11's Lab results for Rapid A/B influenza, dated 02/02/2026 revealed she was positive for influenza A.Record review of Resident #11's Nurses Notes dated 02/02/2026 at 6:36 p.m. by LVN L revealed a Change in Condition was reported due to Resident #11 had coughing, was weak, and had loose stools. The resident's physician was notified.Record review of Resident #11's Nurses Notes dated 02/02/2026 at 6:38 p.m. by the ADON, revealed the resident had nonproductive cough. Order was received for Rapid COVID and Flu A/B test to be done. Resident #11 was positive for Influenza A, her physician was notified, an order received for Tamiflu75 mg BID for 5 days, and her RP was notified.Record review of Resident #11's Nurses Notes dated 02/02/2026 at 7:54 p.m. by the ADON, revealed the resident was placed on droplet isolation precautions; all services to be brought to the resident, and single room isolation was provided.Obs Event ID: Facility ID: 676331 If continuation sheet Page 8 of 8