Inspection·December 10, 2025

F 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete doctor wanted them to check it. RN F stated Resident #4 would then call the staff back and ask if they still had the equipment to do it. RN F stated Resident #4 changed her mind a lot and she appeared as though she was a very angry person. RN F stated once staff had just left Resident #4's room and Resident #4 called 911 to tell them she needed something. RN F said it was more of a behavior. RN F said they constantly went in and out of her room. RN F said Resident #4 never complained to her about staff refusing to assist her or taking too long to respond to her call light. RN F said Resident #4 was care-planned for these behaviors, and they charted on her behaviors. RN F stated the DON constantly checked in with Resident #4. RN F stated when the DON was not in the facility, staff checked in with Resident #4. During an interview on 11/13/25 at 2:55 PM, LVN G stated Resident #4 refused to allow CNA B to enter her room on 11/9/25. LVN G stated she went to Resident #4's room and asked her why she did not want CNA B to change her. LVN G stated Resident #4 said CNA B took her brief off and did not give her a blanket. LVN G stated she asked Resident #4 if she put CNA B out of the room and Resident #4 said, Yes, I put her out of the room, I just do not like her. LVN G stated she told Resident #4 that CNA B provided care for you yesterday and you liked her and Resident #4 responded, Well, today I do not like her. LVN G stated she sent a different CNA to Resident #4's room and Resident #4 put that CNA out too. LVN G stated then Resident #4 stated CNA B could come finish what she started. LVN G stated when she exited Resident #4's room, the CNAs were picking up trays and the police arrived and she escorted them to Resident #4's room. LVN G stated the police came to the nursing station and was asking a ton of questions, and Resident #4 pressed her call light again. LVN G stated the police informed her that they were going to go back to Resident #4's room and let her know that a different CNA would be in to provide care and the police left the facility. LVN G stated she had only worked at the facility for three weeks and was unaware if Resident #4 had ever complained that staff refused to assist her or took too long to answer her call light. LVN G stated Resident #4 was care-planned for these types of behaviors prior to this incident. Interview was attempted on 11/13/25 at 3:36 PM with CNA B prior to exit but was unsuccessful. During an interview on 11/13/25 at 4:15 PM, the DON stated she wrote a grievance yesterday after speaking with Resident #4. The DON stated the investigation was ongoing. The DON stated Resident #4's Care Plan captured her behaviors for accusing staff of things that were untrue. The DON stated her behaviors were initially reported to her when they purchased the facility on 9/1/25. The DON stated after that, they started seeing her report things like the call light not being answered for 4 hours. The DON stated now she was able to confirm these false allegations . The DON stated this was Resident #4's second time calling 911. During an interview on 11/13/25 at 4:55 PM, the ADM stated Resident #4 was care-planned for making false accusations and inaccurate timeframes. The ADM stated Resident #4 wanted staff at her bedside continuously. The ADM stated every incident Resident #4 alleged was always elaborated and elongated. The ADM stated staff should have good customer service. The ADM stated staff should be the Residents friend, family and help them with what they needed. The ADM stated he spoke with Resident #4 and it was more of a customer service issue. The ADM stated his expectation was for call lights to be answered as quickly as possible. Record review of the facility's policy, Call System, Resident dated September 2022, revealed, .6. Calls for assistance are answered as soon as possible, but no later than 5 minutes. Event ID: Facility ID: 676363 If continuation sheet Page 2 of 10 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 12/10/2025 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 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to ensure the resident had the right and the facility made prompt efforts to resolve grievances the resident may have for one of three residents (Resident #2) reviewed for grievances. The facility failed to respond to two of Resident #2's grievances with an appropriate resolution to his concerns. This deficient practice could place facility residents at risk for a decreased sense of self-worth, a decline in quality of life, and loss of dignity.Findings include: A record review of Resident #2's, undated, face sheet revealed a [AGE] year-old male who was admitted to the facility on [DATE]. Resident #2 had diagnoses which included anxiety (feeling of worry, dread, or fear), diabetes, major depressive disorder (persistent sadness, hopelessness, and loss of interest in activities), morbid obesity, multiple sclerosis (autoimmune disease that affects the central nervous system). A record review of Resident #2's quarterly MDS, dated [DATE], revealed a BIMS of 15, which indicated the resident was cognitively intact. Resident #2 experienced feeling down, depressed, or hopeless 12-14 days (nearly every day). A record review of Resident #2's care plan, with a target date of 12/9/25, revealed Problem: I use antidepressant medications, and benzodiazepines, interventions: Monitor/document/report to MD PRN ongoing s/sx of depression unaltered by antidepressant meds: Sad, irritable, anger, never satisfied, crying, shame, worthlessness, guilt, suicidal ideations, neg. mood/comments, slowed movement, agitation, disrupted sleep, fatigue, lethargy, does not enjoy usual activities, changes in cognition, changes in weight/appetite, fear of being alone or with others, unrealistic fears, attention seeking, concern with body functions, anxiety, constant reassurance. A record review of Resident #2's grievance form, dated 11/5/25, revealed Tonight dinner served consisted of vegetable soup and baked potato, the baked potato was very under cooked and hard essentially making it inedible. Vegetable soup was the only side.[DM] interviewed Resident [#2] and discussed Resident #2's preferences. Interview on 11/10/25 at 3:30 PM with Resident #2 revealed he had spoken with the ADM and gave him a grievance form. Resident #2 stated 10 minutes later the DM approached him in therapy and informed him he would like to meet with him when he was finished. He stated the DM should have apologized to him first for the undercooked baked potato. He stated instead, the DM asked him if he asked the dietary staff to reheat the baked potato. He stated the DM should have discussed the grievance with the kitchen staff about why it happened and then addressed it with him. He stated the DM did not take any responsibility. He stated this was last Wednesday (11/5/25). Resident #1 stated the DM nor the ADM had not followed up with him directly regarding the status of the grievance. Resident #2 stated this situation made him feel targeted and discouraged from reporting issues in the future. Interview on 11/12/25 at 12:50 PM with the DM revealed on his first day at the facility (11/5/25), the ADM asked him to address a grievance with Resident #2 regarding an undercooked baked potato. The DM stated he went to meet with Resident #2 and informed him it was unfortunate that it happened and if it ever happened again, to let someone in the kitchen know at that time, opposed to two days later so they could give him a different one or prepare something different. Interview on 11/13/25 at 4:55 PM with the ADM revealed Resident #2 brought him a 3-day old baked potato and grievance form on 11/5/25. The ADM stated he gave the grievance form to the new DM on his first day (11/5/25) and asked him to follow up with Resident #2. The ADM stated Resident #2 concluded due to him giving his grievance form to the DM it was a breach of confidentiality. The ADM stated normally the Department Head would meet with the resident and discuss the grievance in a timely manner within 24 hours unless it was over the weekend. The ADM stated since 11/5/25, he had not received the resolution. Record (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676363 If continuation sheet Page 3 of 10 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 12/10/2025 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 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete review of the facility's, undated, policy Grievance Resolution revealed The resident's grievance will be resolved promptly and the decision conveyed to the resident in writing. 6. The Grievance Officer will complete the review of the grievance and provide a written response to the resident or resident representative which includes: i. Date the grievance/concern was received.ii. Summary of grievance presented.iii. Investigation steps involved.iv. Findings of the investigation.v. Resolution outcome and actions taken andvi. Date the decision was issued. Event ID: Facility ID: 676363 If continuation sheet Page 4 of 10 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 12/10/2025 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 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 receives adequate supervision and assistance devices to prevent accidents for one (Resident #1) of one resident observed during a transfer. RN A and CNA B failed to transfer Resident #1 safely when they failed to use a gait belt and independently lifted Resident #1 under her armpits when transferring Resident #1 from the floor to her wheelchair on 10/12/25. This failure could affect the residents by placing the residents at risk for discomfort, pain, and/or injury. Review of Resident #1's Quarterly MDS assessment dated [DATE] reflected she was a [AGE] year-old female admitted to the facility on [DATE], with the following diagnoses: coronary artery disease (the coronary arteries, which supply blood to the heart muscle, become narrowed or blocked), hypertension (a condition where the force of blood against the artery walls in consistently too high), renal insufficiency (where the kidneys are not working as well as they should to filter waste, regulate blood pressure, and manage body fluids), hyperlipidemia (a condition characterized by high levels of lipids), and non-Alzheimer's disease (memory impairment). Resident #1 required partial/moderate assistance (helper does less than half the effort.) for sit to stand and chair/bed-to-chair transfer. Resident #1's BIMS score of four indicated she was severely cognitively impaired. Review of Resident #1's Care Plan dated 10/07/25, reflected, Resident #1's ADL Self Care Performance deficit related to dementia: transfers: I can bear weight, pivot, use arms to support, ambulates using walker Record review and interview on 10/14/25 at 7:36 AM, revealed the ADM, the DON and the Surveyor reviewed the video provided by Family Member C regarding the transfer incident of Resident #1 on 10/12/25. The video was recorded on 10/12/25 with an unknown time and revealed RN A and CNA B and Resident #1 were standing next to Resident #1's bed in Resident #1's room. RN A and CNA B transferred Resident #1 from the floor to her wheelchair. RN A and CNA B both placed their arms under the resident's arm pits and had Resident #1 place her arms to her side and lifted the resident from the floor without a gait belt. The ADM and the DON both stated that the video showed an inappropriate transfer of Resident #1 when RN A and CNA B both placed their arms under the resident's arm pits and did not use a gait belt. The DON identified RN A and CNA B as the staff members in the video. The ADM and the DON both said there had been no reports or concerns regarding RN A or CNA B's care and treatment of the residents. The ADM said the employees had received training with a competency checkoff on appropriate transfer and gait belt usage. The DON and the ADM both stated the expectation was for staff to use gait belts rather than to place their arms under a resident's arm pit to transfer a resident. The ADM and the DON both stated the risk of an inappropriate transfer could result in injury to the residents. The DON stated they teach staff to use a gait belt for all transfers for safety and to prevent injury to themselves and the residents. Interview on 10/15/25 at 10:07 AM with Family Member C revealed she had not provided the video on 10/12/25 of Resident #1 being transferred by two staff members inappropriately by her armpits to the facility yet. Observation and attempted interview on 10/14/15 at 11:29 AM, revealed Resident #1 was up in her wheelchair in her room. Resident #1 was smiling and appeared to be in a good mood. Resident #1 could not answer questions appropriately. Interview on 10/14/25 via the telephone at 7:52 AM with CNA B regarding the observation of the video of Resident #1's transfer on 10/12/25 revealed CNA B acknowledged she was the staff member in the video. CNA B acknowledged she did not use a gait belt for the transfer and had been trained on safe transfers. CNA B knew Resident #1 was a one-person assist with transfers and to always use a gait belt. CNA B was asked about the placement of her arms in the pictures from the video and CNA B stated she had her arms under Resident #1's armpits which was incorrect. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676363 If continuation sheet Page 5 of 10 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 12/10/2025 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 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete CNA B stated she would use a gait belt for transfers and not place his arms under the Resident's armpits during transfers moving forward. CNA B stated that the risk of transferring a resident inappropriately could result in fracture of resident's arm. Interview on 10/14/25 via telephone at 8:00 AM with RN A regarding the observation of the video of Resident #1's transfer on 10/14/25 revealed RN A acknowledged he was the staff member in the pictures from the video. RN A acknowledged he did not use a gait belt for the transfer and had been trained on safe transfers. RN A knew Resident #1 was a one-person assist with transfers and to always use a gait belt. RN A was asked about the placement of his arms in the pictures from the video and RN A stated he had his arms under Resident #1's armpits which was incorrect. RN A stated he would use a gait belt for transfers and not place his arms under the Resident's armpits during transfers moving forward. RN A stated that the risk of transferring a resident inappropriately could result in a fracture. Interview on 10/14/15 at 6:56 AM with CNA E revealed Resident #1 was a one-person transfer with a gait belt for all transfers. CNA E was asked about the hand placement for a one-person transfer, CNA E stated they were to hold onto the gait belt during the transfer. CNA E was asked if transferring a resident by grabbing under a resident's armpit was appropriate and CNA E stated no armpit transfers were allowed because they risked causing injury to a resident. Interview on 10/14/15 at 7:01 AM with the DON revealed Resident #1 was a one-person transfer with a gait belt for transfers since that is standard practice. The DON stated the staff were not to use a resident's armpits during a transfer because that could result in fracture or bruising to the resident. Interview on 10/14/25 at 8:06 AM with LVN D revealed Resident #1 was a one-person transfer with a gait belt for all transfers. LVN D was asked about the hand placement for a one-person transfer, LVN D stated they were to hold onto the gait belt during the transfer. LVN D was asked if transferring a resident by grabbing under a resident's armpit was appropriate and LVN D stated no armpit transfers were allowed because they risked causing a shoulder injury to a resident. Interview on 10/14/15 at 8:16 AM with PT F revealed Resident #1 was a one-person transfer with a gait belt for all transfers. PT F stated that they did not use a resident's armpit during a transfer that was not safe for the resident and could cause an arm dislocation. Review of the facility's In-Service Training Report dated 10/05/25-10/09/25, Inservice Topic: Falls. Objective/Key Points: .using gait belt with proper assistance. Review of [NAME] and [NAME] Clinical Nursing Skills and Techniques 9th edition, dated February 2016, page 276 reflected: . Patients should never be lifted by or under their arms. Review of the facility's policy, Safe Lifting and Movement of Residents, dated July 2017, reflected, Policy Statement: In order to protect the safety and well-being of staff and residents, and to promote quality of care, this facility uses appropriate techniques and devices to lift and move residents. 4. Staff responsible for direct resident care will be trained in the use of manual (gait/transfer belts, lateral boards) and mechanical lifting devices. Event ID: Facility ID: 676363 If continuation sheet Page 6 of 10 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 12/10/2025 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 0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. 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 residents received and the facility provided food and drink that was palatable, attractive, and at a safe and appetizing temperature for one of five residents (Resident #2) reviewed for dietary services. The facility failed to provide food served that was palatable and thoroughly cooked to Resident #2. This failure could place residents at risk of weight loss, altered nutritional, status, and diminished quality of life. Findings include: A record review of Resident #2's, undated, face sheet revealed a [AGE] year-old male who was admitted to the facility on [DATE]. Resident #2 had diagnoses which included anxiety (feeling of worry, dread, or fear), diabetes, major depressive disorder (persistent sadness, hopelessness, and loss of interest in activities), morbid obesity, multiple sclerosis (autoimmune disease that affects the central nervous system). A record review of Resident #2's quarterly MDS, dated [DATE], revealed a BIMS of 15, which indicated the resident was cognitively intact. Resident #2 experienced feeling down, depressed, or hopeless 12-14 days (nearly every day). A record review of Resident #2's care plan, with a target date of 12/9/25, revealed Problem: I am at risk for nutritional problem R/T Morbid Obesity (BMI over 40). I have unexpected weight gain r/t Overeating, I request double portions on all meals and I have a lot of snacks in my room which I eat as needed, interventions: If weight is not within range, contact a physician. [Doctor's name], the registered dietitian is aware of the resident weight gain. Educated the resident about the importance of cutting down on snacks and not eating double portions on all meals, he verbalized understanding. He got Boast [sic] stuck in his refrigerator in his room and drink as needed. During an observation on 11/11/25 revealed the following:12:18 PM - 500 - 800 Halls meal trays delivered on tray cart12:23PM - 100 - 400 Halls meal trays delivered on tray cart During an observation on 11/11/25 at 12:29 PM in the facility's only dining room revealed residents assembled at multiple tables eating lunch. Interview on 11/10/25 at 3:30 PM with Resident #2, he stated one day the food may be good, then the next day it was not. Resident #2 stated it was hard to tell at this time if the food was going to get better. Resident #2 stated on 11/5/25, he was served an undercooked baked potato and the vegetable soup was lukewarm. Resident #2 stated the quality of the food being served was hit or miss. He stated he had not discussed the food with the DM. Interview on 11/12/25 at 11:40 AM with CNA A, she stated he had not received a lot of complaints about food. CNA A stated one day last week, Resident #2 received a half baked potato that was not fully cooked. CNA A stated Resident #2 saved the potato from the day before. CNA A stated she remembered the day because he showed it to her last Thursday (11/6/25) on his shower day. CNA A stated Resident #2 was served the baked potato the day before on Wednesday (11/5/25). CNA A stated Resident #2 saved the baked potato to show the ADM the next day, so she placed it in a bag for him because he had it laying out next to his sink. CNA A stated Resident #2 never complained to her about the food except for the undercooked baked potato. CNA A stated in the dining room they were not allowed to pass the trays until a nurse was present. CNA A stated they passed out the drinks first and then the meal trays. CNA A stated they only had 2 residents who required assistance with eating. CNA A stated once the trays were delivered to the halls, the nurse checked off on the trays, and then the CNAs delivered the trays to the rooms. During an interview on 11/12/2025 at 12:30 PM, the State Surveyors requested the DM provide a sample tray with regular texture meal items, same portions and resident set up. The sample tray will be the last tray served. Test Tray - Lunch at 12:45 PMBaked Chicken = 178.2 Pasta with Pesto Sauce = 170.3 Mixed Veggies = 164.5 Dinner Roll = Room temperature and softButterscotch Pudding with [NAME] Cracker Crumbles = 41.2 Fruit Punch = 40.0 During an interview on 11/12/2025 at 12:50 PM with Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676363 If continuation sheet Page 7 of 10 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 12/10/2025 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 0804 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete the DM, he stated on his first day (11/5/25), the ADM had him address a grievance regarding an undercooked baked potato from over the weekend. The DM stated he went to meet with Resident #2 and informed him it was unfortunate that it happened and if it ever happened again, to let someone in the kitchen know at that time, opposed to two days later so they could give him a different one or fix him something different. The DM stated he had a meeting with all the residents yesterday (11/11/25) to introduce himself and to let them know changes were coming. The DM stated he informed the residents that he could not change anything that may have happened prior to him starting at the facility. In an interview on 11/13/25 at 4:55 PM with the ADM, he stated Resident #2 brought him the baked potato 3 days after it was served. The ADM stated they switched food vendors on 9/1/25 when they purchased the facility and he received compliments saying the food was better. The ADM stated residents were allowed to request alternate meals. The ADM stated his expectation was for the residents to enjoy their meals at the appropriate temperature hot or cold. The ADM stated not adhering to standards, the risk was dissatisfaction where residents may eat less which resulted in malnutrition and weight loss. Record review of the facility's, undated, policy, Food and Drink, revealed, Procedure: Each resident receives and the facility providesFood prepared by methods that conserve nutritive value, flavor, and appearance. Event ID: Facility ID: 676363 If continuation sheet Page 8 of 10 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 12/10/2025 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 0919 Make sure that a working call system is available in each resident's bathroom and bathing area. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interviews and record review the facility failed to be adequately equipped to allow residents to call for staff assistance through a communication system which relayed the call directly to a staff member or to a centralized staff work area from each resident's bedside for one of five residents (Resident #1) reviewed for call lights. The facility failed to answer Resident #1's call for assistance in a timely manner due to a malfunction with her call light. This failure could place residents at risk of injury, pain, hospitalization, and a diminished quality of life.Findings include: Record review of Resident #1's facility face sheet, dated 11/10/25, revealed an [AGE] year-old female originally admitted to the facility on [DATE]. Resident #1 had diagnoses which included cervical disc disorder (affecting the neck's spinal discs, causing pain and discomfort), fusion of spine (surgery to connect two or more bones in any part of the spine), osteoporosis (bones become weak and are likely to break) and anxiety (feeling of fear, dread, and uneasiness). Record review of Resident #1's quarterly MDS assessment, dated 10/23/25, indicated she had a BIMS score of 13, which indicated she was cognitively intact. She was substantial/maximal assistance with toileting hygiene and partial/moderate assistance with toileting transfers. Record review of Resident #1's comprehensive care plan, dated 08/01/25, indicated she was a moderate risk for falls and had an intervention to include 1/4 side rails to aid in mobility and positioning, resident must be able to use rails independently with only prompting and cueing. During an interview on 11/10/25 at 2:45 PM with Resident #1, she revealed she never requested the police to come, she asked them to call the facility for her. She stated after waiting for what she believed was two hours, she called 911 to have them call the facility for her. Resident #1 stated the new company took over on 9/1/25 and she spoke to the DON, the ADON, Nurses and CNAs, but not the ADM. Resident #1 stated the call light turned on in her room, at its will, and sometimes it did not work in the hall. Resident #1 said it took about 2 hours for someone to come on 11/8. Resident #1 stated the ADM gave her a bell on Monday (11/10/25) and staff now came when she rang her bell. In an interview on 11/12/25 at 11:40 AM with CNA A, she stated Resident #1 was having issues with her call light before she started working at the facility. CNA A said there was a shortage with the wire because it happened several times since she started. CNA A said they offered to move Resident #1, but she did not want to move to a new room. CNA A said Resident #1 complained about the light not working on Monday (11/10/25) and they gave her a call bell. CNA A said they could hear the bell at the front desk. CNA A stated Resident #1 never complained about staff taking too long. CNA A stated she was unsure if Resident #1 ever requested a call bell prior to this incident. CNA A said she was not sure if Resident #1 had ever called 911, but she knew for certain she had never called while she was working. CNA A said the MTD did some work on the call light weeks ago, but it kept happening. CNA A stated that was why they offered her to move rooms, but she declined. In an interview on 11/12/25 at 2:25 PM with RN F, she stated Resident #1 said her call light was not working and they would fix it and then it would stop working again. RN F stated they provided her with a call bell on Monday (11/10/25). RN F said the call light was having issues for about two weeks. RN F stated staff completed regular checks on her. RN F said she was unsure if Resident #1 was offered the chance to move to another room. RN F said the DON went to her room daily to address her needs and ensured they were being met. RN F stated Resident #1 had not complained during her shift and she never called 911 due to staff not answering her call light. In an interview on 11/12/25 at 3:55 PM with the DON, she stated Resident #1 stated her call light worked off and on. The DON stated whenever Resident #1 would report her call light was not working, the MTD checked it and reported back that it worked. The DON Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676363 If continuation sheet Page 9 of 10 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 12/10/2025 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 0919 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete stated she confirmed Monday (11/10/25), one time when she checked the call light, it did not work for her. The DON stated Resident #1 told her she called 911 on Saturday (11/8/25) because no one was answering her call light. The DON stated she told Resident #1 evidently it may be a shortage with her call light because the resident had been reporting it was not working and when we checked it, sometimes it worked and sometimes it did not, so it was something wrong with the call light. The DON stated she texted the ADM on Monday (11/10) and asked him if he could get Resident #1 a call bell and the ADM went to the store and purchased her a call bell. The DON stated the call light had a shortage and the MTD had to call a technician to come out. In an interview on 11/13/25 at 9:50 AM, the MTD stated he checked Resident #1's call light 1-2 times a week. The MTD said the first time was 2 months ago. The MTD stated maybe once or twice there was a delay when he checked it. The MTD stated a technician should be called to come out to inspect the call light because they had the tools to do so. The MTD stated it had not completely failed, it was just a delay. The MTD stated the priority was to get a technician out. The MTD stated Resident #1 could have fallen and needed urgent medical attention. The MTD stated he did not have anything documented. The MTD stated Resident #1 repeatedly reported her call light did not work, but it was just a delay. In an interview on 11/13/25 at 2:55 PM, LVN G stated she went into Resident #1's room on Saturday (11/8) at 6:10 AM and Resident #1 stated her call light had been on the entire night. LVN G stated she had Resident #1 push the call light and the light turned on and it was beeping. LVN G stated she asked Resident #1 what she needed and Resident #1 said she forgot. LVN G stated she turned the call light off and told Resident #1 to let her know what she needed. LVN G stated throughout the shift Resident #1 would turn her call light on and it worked. LVN G stated Resident #1 had never mentioned a call bell to her. LVN G stated on Sunday (11/9/25), towards the end of her shift, Resident #1 said her call light was not working again. LVN G stated she told Resident #1 to press the call light and the light came on and it beeped again. LVN G stated Resident #1 told her she called 911 because her call light was not working. LVN G stated 911 personnel never came to the facility, but they called the facility. In an interview on 11/13/25 at 4:55 PM, the ADM stated Resident #1 complained of her call light not working, but he could not recall the exact dates. The ADM stated he was unaware of Resident #1's call light being tested and not working. The ADM stated they discussed getting her a call bell during one of their meetings, but he could not recall the date. The ADM stated his expectation was for all call lights to be answered in a reasonable time with urgency. Record review of the facility's policy, Call System, Resident dated September 2022, revealed, .3. The resident call system remains functional at all times. 6. Calls for assistance are answered as soon as possible, but no later than 5 minutes. Record review of the facility's, undated, policy Resident Call System revealed, Ensure that residents have a means of direct communication between the resident and his/her caregivers when in their rooms. Event ID: Facility ID: 676363 If continuation sheet Page 10 of 10