Inspection·November 26, 2025

F 0558 Reasonably accommodate the needs and preferences of each resident. 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 the nurse call system was assessable for six of ten residents (Resident #1, #2, #3, #4, #5 and #6) reviewed for call systems access. The facility failed to ensure the call light system in Resident #1, #2, #3, #4, #5 and #6's rooms was in a position that was accessible to the residents on 10/08/25. This failure could place the residents at risk of being unable to obtain assistance when needed and help in the event of an emergency.Findings include: 1. Record review of Resident #1's Face Sheet, dated 10/08/25, reflected she was an [AGE] year-old female admitted to the facility on [DATE]. Relevant diagnoses included lack of coordination and muscle weakness. Record review of Resident #1's Quarterly MDS assessment, dated 9/01/25, reflected a BIMS score of 00 (severe cognitive impairment). For ADL care, it reflected the resident required extensive assistance and had an active diagnosis of muscle weakness. Record review of Resident #1's Comprehensive Care Plan, dated 8/28/25, reflected the resident's need for ADL care and included an intervention of encouraging the resident to use the call light. In an observation on 10/08/25 at 8:34 AM Resident #1 was observed lying in bed. Her call light was hanging from the bed, near the floor, and out of reach. 2. Record review of Resident #2's Face Sheet, dated 10/08/25, reflected she was a [AGE] year-old female admitted to the facility on [DATE]. Relevant diagnoses included repeated falls and lack of coordination. Record review of Resident #2's Quarterly MDS assessment, dated 8/05/25, reflected a BIMS score of 14 (intact cognitive response). For ADL care, it reflected the resident required total assistance. Active diagnoses included repeated falls and lack of coordination. Record review of Resident #2's Comprehensive Care Plan, dated 8/29/25, reflected the resident was a fall risk and one of the interventions was to ensure call light was within reach of the resident and to encourage the resident to use it. In an observation on 10/08/25 at 8:44 AM, Resident# 2 was observed lying in bed and her call light was on the floor and under her bed. 3. Record review of Resident #3's Face Sheet, dated 10/08/25, reflected she was a [AGE] year-old female admitted to the facility on [DATE]. Relevant diagnoses included difficulty walking and unsteadiness on feet. Record review of Resident #3's Quarterly MDS assessment, dated 9/01/25, reflected a BIMS score of 13 (intact cognitive response). For ADL care, it reflected the resident required moderate assistance. Active diagnoses included difficulty walking and lack of coordination.Record review of Resident #3's Comprehensive Care Plan, dated 10/01/25, reflected the resident was a fall risk and one of the interventions was to ensure call light was within reach. In an observation on 10/08/25 at 8:49 AM, Resident #3 was observed lying in bed and her call light was observed hanging on another bed in the room, out of reach of the resident. 4. Record review of Resident #4's Face Sheet, dated 10/08/25, reflected he was a [AGE] year-old male admitted to the facility on [DATE]. Relevant diagnoses included lack of coordination and repeated falls. Record review of Resident #4's Quarterly MDS assessment, dated 9/01/25, reflected a BIMS score of 00 (severe cognitive impairment). For ADL care, it reflected the resident required moderate assistance. Active diagnosis included history falls. Record review of Resident #4's Comprehensive Care Plan, dated 6/20/25, reflected the resident was a fall risk and an intervention included ensuring call light was within reach of the resident and encouraging the resident to use it. In an observation on 10/08/25 at 8:49 AM, Resident #4 was observed lying in bed and his call light was observed on the floor under the head of the bed, out of reach of the resident. 5. Record review of Resident #5's Face Sheet, dated 10/08/25, reflected he was a [AGE] year-old male admitted to the facility on [DATE]. Relevant diagnosis included muscle weakness. Record review of Resident #5's Quarterly MDS assessment, dated 7/18/25, reflected a BIMS score of 00 (severe cognitive impairment). For ADL care, it reflected the resident Residents Affected - Some (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676363 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 676363 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Mustang Park Therapy and Living Center 4501 Plano Parkway Carrollton, TX 75010 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 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete required full assistance. Active diagnosis included muscle weakness. Record review of Resident #5's Comprehensive Care Plan, dated 8/01/25, reflected the resident was a fall risk and an intervention included ensuring call light was within reach of the resident and to encourage the resident to use it. In an observation on 10/08/25 at 8:50 AM, Resident #5 was observed lying in bed and his call light was observed on the floor behind the head of the bed, out of reach of the resident. 6. Record review of Resident #6's Face Sheet, dated 10/08/25, reflected she was a [AGE] year-old female admitted to the facility on [DATE]. Relevant diagnoses included lack of coordination and a history of falls. Record review of Resident #6's Quarterly MDS assessment, dated 8/02/25, reflected a BIMS score of 15 (intact cognitive response). For ADL care, it reflected the resident required some assistance. Active diagnosis included muscle weakness. Record review of Resident #6's Comprehensive Care Plan, dated 10/02/25, reflected the resident had muscle weakness and an intervention included ensuring call light was within reach of the resident and to encourage the resident to use it. In an observation and interview on 10/08/25 at 8:43 AM, Resident #6 was lying in bed, and her call light was observed on the floor. She was asked if she knew where her call light was located and she stated she did and reached down from the bed, nearly falling over to grab the call light. In an interview and observation on 10/08/25 at 8:43 AM, LVN R was shown by the Surveyor of Resident #1, #2, #3, #4, #5 and #6 call light being out of reach of the residents. He stated the call lights should be in reach of the resident so they could contact staff. He stated staff should be checking to ensure call lights were in reach of the residents when they made their rounds. In an interview and observation on 10/08/25 at 8:50 AM, CNA O was shown by the Surveyor Resident #1, #2, #3, #4, #5 and #6 call light not being in their reach. She stated the call lights needed to be within reach of the resident so they could contact staff if they needed help. She stated it was just her second day at the facility and was learning the process of what to look for when checking on residents. In an interview and observation on 10/08/25 at 8:50 AM, CNA C was shown by the Surveyor Resident #1, #2, #3, #4, #5 and #6 call light not being in their reach. She stated the call lights needed to be within reach of the resident so they could contact staff if they needed help. In an interview on 10/08/25 at 2:40 PM, ADON J was told by the Surveyor of Resident #1, #2, #3, #4, #5 and #6 call light not within their reach. He stated call lights needed to be within reach of the residents so they could be able to contact staff if they needed assistance or had an emergency. He stated staff should be checking and ensuring call lights were within reach of the residents every time they entered the residents' room. In an interview on 10/08/25 at 2:44 PM, the DON stated when she started on September 1, 2025. She was shown pictures by the Surveyor of Resident #1, #2, #3, #4, #5 and #6 call light not within their reach. She stated she was in the process of training staff to ensure call lights were within the residents' reach whenever they did their rounds and to also clip them to the bed to ensure they did not fall off. She stated the residents needed their call light within their reach to contact staff for assistance. Record review of the facility's policy on Call System, Resident, undated, revealed Residents are provided with a means to call staff for assistance through a communication system that directly calls a staff member or a centralized workstation. Event ID: Facility ID: 676363 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 676363 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Mustang Park Therapy and Living Center 4501 Plano Parkway Carrollton, TX 75010 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 interviews, and record review the facility failed to ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 4 of 4 residents (Resident #9, #10, #11, and #12) reviewed for ADL care provided to dependent residents. The facility failed to ensure Resident #9, #10, #11, and #12 received their scheduled showers based on records reviewed for September 2025. This failure could place residents at risk of not receiving necessary services to maintain good personal hygiene, skin integrity, or decreased selfesteem.Findings Included: 1. Record review of Resident #9's face sheet, dated 10/08/25, reflected a [AGE] year-old female who was admitted to the facility on [DATE]. The resident had a diagnosis of muscle weakness. Record review of Resident #9's Comprehensive MDS Assessment, dated 07/29/25, reflected her BIMS score of 15 (intact cognitive response). The Comprehensive MDS Assessment reflected the resident required limited assistance with bathing. Record review of Resident #9's Comprehensive Care Plan, dated 9/16/25, reflected the resident required a one person assist when bathing. An attempted record review of Resident #9's Bath/Shower Sheets for the month of September 2025, was not made because the DON and ADON J could not provide any documents or records of when the resident received showers. 2. Record review of Resident #10's face sheet, dated 10/08/25, reflected a [AGE] year-old female who was admitted to the facility on [DATE]. The resident had a diagnosis of Cerebral Palsy (neurological damage). Record review of Resident #10's Comprehensive MDS Assessment, dated 9/01/25, reflected her BIMS score of 15 (intact cognitive response). The Comprehensive MDS Assessment reflected the resident required one person assistance with bathing. Record review of Resident #10's Comprehensive Care Plan, dated 8/21/25, reflected the resident was required a one person assist when bathing. An attempted record review of Resident #10's Bath/Shower Sheets for the month of September 2025, was not made because the DON and ADON J could not provide any documents or records of when the resident received showers. In an interview on 10/08/25 at 9:00 AM, Resident #9 and Resident #10 stated they were not pleased with the care being provided since the new leadership took over. They stated they only received about one shower a week because the facility had lost a lot of CNAs and were short staffed. They stated they did not like feeling dirty. They stated it took a while for staff to answer their call lights. They stated they had to complain to the DON to get a shower. 3. Record review of Resident #11's face sheet, dated 10/08/25, reflected a [AGE] year-old male who was admitted to the facility on [DATE]. The resident had a diagnosis of morbid obesity and muscle weakness. Record review of Resident #11's Comprehensive MDS Assessment, dated 10/02/25, reflected her BIMS score of 15 (intact cognitive response). The Comprehensive MDS Assessment reflected the resident required total assistance with bathing. Record review of Resident #11's Comprehensive Care Plan, dated 10/02/25, reflected the resident was required total assistance when bathing. An attempted record review of Resident #11's Bath/Shower Sheets for the month of September 2025, was not made because the DON and ADON J could not provide any documents or records of when the resident received showers. In an interview on 10/08/25 at 9:00 AM, Resident #11 stated he had not been getting his scheduled showers on a consistent basis. He stated he only received them when he complained about it and he needed his showers. He stated there were other residents not getting their showers, and this was not right. He stated the facility had been short staffed until recently when they started hiring staff. He stated he only received one shower in the past two weeks. He stated he was scheduled for showers on Tuesday, Thursday, and Saturdays. 4. Record review of Resident #12's face sheet, dated 10/08/25, reflected an [AGE] year-old female who was admitted to the facility on [DATE]. The resident had a diagnoses of Residents Affected - Some (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676363 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 676363 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Mustang Park Therapy and Living Center 4501 Plano Parkway Carrollton, TX 75010 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 FORM CMS-2567 (02/99) Previous Versions Obsolete muscle weakness and unsteadiness on feet. Record review of Resident #12's Comprehensive MDS Assessment, dated 10/07/25, reflected her BIMS score of 15 (intact cognitive response). The Comprehensive MDS Assessment reflected the resident required total assistance with bathing. Record review of Resident #12's Comprehensive Care Plan, dated 10/07/25, reflected the resident was required total assistance for showers and required three showers a week. An attempted record review of Resident #12's Bath/Shower Sheets for the month of September 2025, was not made because the DON and ADON J could not provide any documents or records of the resident receiving showers. In an interview on 10/08/25 at 2:00 PM, the DON was told by the surveyor of Resident #10, #11, and #12 complaint of not receiving their scheduled showers. She stated that when she first started with the facility on 9/01/25, she received complaints from residents of not receiving their showers and she confirmed residents were either not receiving their showers or the CNAs were not updating the system of records of the shower occurring. She stated the CNAs work on an honor system, and they should document when showers had been given, and she spot checked with residents to confirm they were given. She stated she placed many CNAs on a performance improvement plan and many of them had resigned because of it. She stated she completed an in-service on showers with the Nursing staff recently. She stated if the residents did not receive their showers, they could have skin breakdown. She stated since the new company took over, they did not have a consistent way of tracking when residents received their showers. She stated they currently had no proof the residents were receiving their scheduled showers. She was asked for shower records for Resident #12, and she stated she did not have any records for this resident either. In an interview on 10/08/25 at 2:40 PM, ADON J was told by the Surveyor of Resident #10, #11, and #12 complaint of not receiving their scheduled showers. He stated they had a lot of CNA turnover and a change in the system of records because of the change in ownership. He stated he had mentioned to leadership the concern of recording resident showers. He stated he thought residents were receiving their scheduled showers but could not confirm it. He stated if residents were not receiving their scheduled showers, it could impact their skin integrity. Record review of the facility's policy on Activities of Daily Living (ADL), Supporting, dated 2001, (ADLs) do not diminish unless the circumstances of their clinical condition(s) demonstrate that diminishing ADLs are unavoidable. a. The existence of a clinical diagnosis or condition does not alone justify a decline in a resident's ability to perform ADLs. b. Unavoidable decline may occur if he or she: (1) has a debilitating disease with known functional decline; (2) has suffered the onset of an acute episode that caused physical or mental disability and is receiving care to restore or maintain functional abilities; and/or (3) refuses care and treatment to restore or maintain functional abilities and: a) the resident and or representative has been informed of the risk and benefits of the proposed care or treatment; and b) he or she has been offered alternative interventions to minimize further decline; and c) the refusal and information are documented in the resident's clinical record. 2. Appropriate care and services will be provided for residents who are unable to carry out ADLs independently, with the consent of the resident and in accordance with the plan of care, including appropriate support and assistance with: a. hygiene (bathing, dressing, grooming, and oral care) Event ID: Facility ID: 676363 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 676363 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Mustang Park Therapy and Living Center 4501 Plano Parkway Carrollton, TX 75010 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 observations, interviews, and record review the facility failed to ensure that residents, who needed respiratory care, were provided care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for four of seven residents (Resident #1, #6, #7, and #8) reviewed for respiratory care. The facility failed to ensure Resident #1, #7, and #8's nasal cannulas were properly stored in a bag when not in use on 10/08/25. The facility failed to ensure Resident #6's tracheostomy hose was not on the floor but properly stored when not in use on 10/08/25. These failures could place the resident at risk for respiratory infection and not having his respiratory needs met.Findings include: 1. Record review of Resident #1's Face Sheet, dated 10/08/25, reflected she was an [AGE] year-old female admitted to the facility on [DATE]. Relevant diagnosis included heart disease. Record review of Resident #1's Quarterly MDS assessment, dated 9/01/25, reflected a BIMS score of 00 (severe cognitive impairment). For ADL care, it reflected the resident required extensive assistance and had an active diagnosis of history of COVID-19. Record review of Resident #1's Comprehensive Care Plan, dated 8/28/25, reflected the resident's need for oxygen therapy and the use of a nasal canula. Record review of Resident #1's physician orders, dated 10/08/25, reflected Mat Titrate O2 to maintain saturation greater than 90% every shift for shortness of breath. In an observation on 10/08/25 at 8:34 AM, Resident #1's nasal canula was observed on the floor near an oxygen tank, unbagged. 2. Record review of Resident #6's Face Sheet, dated 10/08/25, reflected she was a [AGE] year-old female admitted to the facility on [DATE]. Relevant diagnosis included tracheostomy (opening in the neck). Record review of Resident #6's Quarterly MDS assessment, dated 8/02/25, reflected a BIMS score of 15 (intact cognitive response). For ADL care, it reflected the resident required some assistance. Active diagnosis included tracheostomy care. Record review of Resident #6's Comprehensive Care Plan, dated 10/02/25, reflected the resident had a tracheostomy and an intervention included ensuring trach ties are secured and provide oxygen care. Record review of Resident #6's physician orders, dated 10/08/25, reflected Tube size 18 FR/10 cc may replace if dislodged and Albuterol Sulfate Inhalation Nebulization Solution 0.63 NG/3ML I inhalation via Trach In an observation on 10/08/25 at 8:43 AM, Resident #6's Trach hose (the opening) was observed on the floor. 3. Record review of Resident #7's Face Sheet, dated 10/08/25, reflected she was an [AGE] year-old female admitted to the facility on [DATE]. Relevant diagnosis included heart failure. Record review of Resident #7's Quarterly MDS assessment, dated 9/01/25, reflected her BIMS score of 14 (intact cognitive response). The resident had an active diagnosis of heart failure. Record review of Resident #7's Comprehensive Care Plan, dated 6/26/25, reflected a plan of care for oxygen therapy by way of nasal canula. Record Review of Resident #7's physician orders, dated 10/08/25, reflected Oxygen at 2 Liters per nasal canula as needed for Oxygen saturation below 90. In an observation on 10/08/25 at 8:42 AM, Resident #7's nasal canula was observed on the floor near a chair, unbagged. 4. Record review of Resident #8's Face Sheet, dated 10/08/25, reflected he was a [AGE] year-old male admitted to the facility on [DATE]. Relevant diagnosis included heart failure. Record review of Resident #8's Quarterly MDS assessment, dated 8/25/25, reflected his BIMS score of 12 (moderate cognitive impairment). The resident had an active diagnosis of heart failure. Record review of Resident #8's Comprehensive Care Plan, dated 8/29/25, did not reflect a plan of care for oxygen therapy. Record Review of Resident #8's physician orders, dated 10/08/25, reflected Oxygen at 2 Liters per nasal canula as needed for Oxygen saturation below 90. In an interview and observation on 10/08/25 at 8:43 AM, LVN R was shown a Resident #1, #7, and #8 not having their nasal canula bagged and Resident #6's Trach hose on the floor. He stated the hose and Residents Affected - Some (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676363 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 676363 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Mustang Park Therapy and Living Center 4501 Plano Parkway Carrollton, TX 75010 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 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete nasal cannulas should not be on the floor to avoid the residents from getting an infection. In an interview on 10/08/25 at 10:00 AM, the DON was told and shown pictures of Resident #1, #7, and #8 not having their nasal canula bagged and Resident #6's Trach hose on the floor. She stated the expectation was for the nursing staff to ensure all mask and nasal cannulas are bagged when not in use to avoid the resident getting an infection. She stated Resident #6's Trach hose should not have been on the floor and should be replaced to avoid contamination. In an interview on 10/08/25 at 2:40 PM, ADON J was shown pictures by the Surveyor of Resident #1, #7, and #8 not having their nasal canula bagged and Resident #6's Trach hose on the floor. He stated the hose and nasal cannulas should not be on the floor to avoid the residents from getting an infection. He stated it was the nurses' responsibility to ensure nasal cannulas were bagged and the trach hose not on the floor when they make their rounds, which occurred at least every two hours. Review of the facility's policy Respiratory Care Policy, undated, reflected Purpose - To ensure that all residents requiring respiratory care in the long-term care facility receive safe, evidence-based, and individualized respiratory services that optimize respiratory function, prevent complications, and improve quality of life. Event ID: Facility ID: 676363 If continuation sheet Page 7 of 7