Inspection·February 3, 2026

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some resident's buttocks and thighs from inner area towards the outer area. Resident #2 was wet. CNA B then removed the soiled brief and discarded it. Without performing hand hygiene or changing her gloves, CNA B took a clean brief and put the clean brief on Resident #2. She then positioned the resident in bed with the call light in reach. Lastly, she removed her gloves, washed her hands, and left the resident's room. Interview with CNA B on 02/03/26 at 12:00 PM revealed she knew she was supposed to perform hand hygiene before contact with Resident #2, between the care, and with each removal of gloves. She stated she forgot. She stated failure to perform hand hygiene before contact, between care, and after removal of gloves could lead to contamination and spread of infection. She stated she had done training on hand washing, but she could not remember when.3. Record review of Resident #3's Comprehensive MDS Assessment, dated 12/26/25, reflected the resident was an [AGE] year-old male, who was admitted to the facility on [DATE]. The resident had severe cognitive impairment with a BIMS score of 0, and his diagnoses included hypertension.Record review of Resident #3's care plan, dated 01/06/26, reflected: Focus: [Resident #3] Bowel and Bladder. Goal: [Resident #3] Improve or maintain current bladder and bowel continence. Interventions: Check and change, keep clean and dry.Observation on 02/03/26 at 3:40 PM revealed CNA C prepared incontinence care supplies and then entered Resident #3's room. Without washing his hands, CNA C put on gloves. He then positioned the resident and cleansed the resident's abdominal walls, penis, and Foley catheter starting from tip downwards. Resident #3 was observed to have had a bowel movement. CNA C then turned the resident, and he cleansed the resident's buttocks from the inner area towards the outer area. CNA C was observed changing gloves between care, but he did not perform hand hygiene. When the resident was clean, CNA C removed his gloves and put on new gloves, but he did not perform hand hygiene. CNA C then took a clean brief and put it on Resident #3. Next, CNA C applied cream on the resident. He then removed his gloves and put on new gloves without performing hand hygiene. CNA C positioned the resident in bed in a low position with his call light within reach. Lastly, CNA C removed his gloves, washed his hands, and left the resident's room. Interview with CNA C on 02/03/26 at 4:01 PM revealed he was supposed to perform hand hygiene before contact and with each change of gloves, but he forgot. He stated that failure to perform hand hygiene during incontinence care on Resident #3 could lead to cross contamination and infection. He stated he had received hand washing in-services in the facility.Interview with the DON on 02/03/26 at 5:10 PM revealed her expectation was for staff to perform hand hygiene before contact with residents, between care, and when they changed gloves. The DON stated she also expected staff to disinfect the reusable equipment before using it on a resident and after use. She stated failure to perform hand hygiene before contact, between care, and change of gloves could lead to cross contamination and spread of infection. She stated the failure to disinfect reusable equipment before contact with residents and after use could also lead to cross contamination. She stated she had been in the facility for four weeks, and she had not done training on infection control. She stated she had training on infection control that morning with staff. She stated the facility had offered training on hand washing and cleaning of equipment, and she was not sure whether the staff were in attendance. Record review of the facility's training records for the topic of Hand Washing Before and After Patient Care, dated 08/02/25, reflected CNA B and CNA C had not attended the training. Record review of the facility's training records for Focus on Infection Control-Cleansing of Designated Resident Devices, dated 08/20/25, reflected that MA A had not attended the training.Record review of the facility's current Cleaning, Disinfecting and Sterilizing Care Equipment policy, dated March 2025, reflected the following: .3. Noncritical items are those that either do not ordinarily touch the resident or touch only intact skin. Such items include.blood pressure cuffs, and other medical accessories. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676349 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 676349 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/03/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Accel at Willow Bend 2620 Communications Parkway Plano, TX 75093 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 These items rarely transmit diseases. However, it is imperative that these items are clean. Depending on the piece of equipment or item, washing with a detergent or disinfectant detergent, rinsing and thorough drying may be sufficient.Record review of the facility's current Hand Hygiene for Staff and Residents policy, dated February 2025, reflected the following: Hand hygiene is the most important component for preventing the spread of infection.1 Hand Hygiene is done:Before A Resident contactAfter:A. Contact with soiled or contaminated articles such as articles that are contaminated with body fluids.B. Resident contact Note: Wash hands at end of procedures where glove changes are not required. For procedures in which change golfese's. clean gloves to sterile gloves, it is indicated follow the specific standard of practice. If gloves, hands become contaminated as gloves are changed hands can be washed Event ID: Facility ID: 676349 If continuation sheet Page 3 of 3