Health inspection·April 17, 2023

F 0689 Level of Harm - Actual harm Review of nursing progress note dated 02/13/2023 at 11:18 AM, written by LVN E revealed Resident #1 was found on the floor with a laceration on her head. Resident #1 stated she fell forward and unto her head while sitting on the toilet. Swelling was noted on her left eye and bruising to right knee. EMS was called and Resident #1 was assessed by physician. Residents Affected - Few Review of nursing progress note dated 02/14/2023 at 11:36 AM, written by LVN F revealed Resident #1 was assessed after returning from the hospital post-fall. Resident #1 had a laceration to her left forehead with a measurement of 4.5 cm. She received 7 stiches for her laceration, with bruising and swelling still present. In an interview on 04/14/2023 at 4:20 PM with Resident #1, she revealed she fell in the bathroom and hit her head but could not remember how she had done so. She stated the staff had placed her on the toilet, told her not to get up and left her in the bathroom. She stated she got a cut on her forehead. In an interview on 04/17/2023 at 9:10 AM with CNA A, revealed that on 2/13/23 she was assisting another resident when her co-worker asked her for assistance with taking Resident #1 to the bathroom. She stated she went to Resident #1's room and assisted her co-worker into placing Resident #1 in the bathroom. Once Resident #1 was on the toilet, she walked out and went back to her resident. She stated she was not sure if her co-worker had remained in the bathroom with the resident when she walked out, but assumed she had. She stated she had been taught to stay in the bathroom for residents who were fall risk, because they could have a fall while trying to get up from the toilet. In an interview on 04/17/2023 at 10:00 AM with LVN B, she revealed the process for taking residents who are a fall risk to the bathroom was to first ask for help from a co-worker to take the residents to the bathroom. Once they were on the toilet, they staff member was to stay in the bathroom to ensure they do not fall. She stated it was policy to do so. She revealed that for residents that would not require assistance, the staff would stay by the door because sometimes they would forget to press the bathroom call light to ask for assistance. In an interview on 04/17/2023 at 10:26 AM with MA C, she revealed that when assisting a resident to the bathroom, the staff had to remain close to the bathroom and not leave them alone because they could fall. She could not remember the date or when the training had occurred. In an interview on 04/17/2023 at 3:54 PM with DON, revealed that for high-risk residents, staff knew to not leave the residents by themselves and to check on them more frequently because there was a possibility that they could fall. She stated the process was for the staff to stay with them to ensure they are safe. Review of facility's policy titled Fall Management dated 2022 read in part .The Fall Risk Evaluation assists in identifying the appropriate preventative interventions that will be initiated by the facility to assist in fall prevention for the resident .the facility provides therapies based on individual resident needs to facilitate mobility .safe toileting .to assist the resident with fall prevention . FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676393 If continuation sheet Page 2 of 4 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 676393 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/17/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Las Ventanas DE Socorro 10064 Alameda Avenue Socorro, TX 79927 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 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on observations, interviews, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 (200 hall) of 4 halls reviewed for infection control in that: Residents Affected - Few -Visitor did not wear proper PPE to enter room. -CNA D transferred COVID positive resident to another room without using PPE. This deficient practice could cause the spread of disease and cross contamination in the facility. Findings included: Observation on 04/14/2023 at 2:25 PM revealed CNA D was transferring a COVID positive resident into another room, while the resident was in bed. He was observed only wearing an N-95 mask. Observation on 04/14/2023 at 2:30 PM revealed a visitor wearing, a surgical mask walking into a different COVID positive room without PPE. There was PPE cart outside of the room which included N-95 masks, gowns, and eyewear. A COVID precautions sign was outside of the door, indicating the resident was positive for COVID. In an interview on 04/14/2023 at 2:35 PM the Maintenance worker, revealed every visitor and employee had to wear an N-95 mask and everything that came in the PPE cart to enter a COVID room. He said the receptionist would give the visitor an N-95 when they would enter the facility. If the visitors were not wearing one, then the staff would tell them to change their mask. In an interview on 04/14/2023 at 2:39 PM the ADON revealed both residents were COVID positive. She stated anybody that walked into a COVID room had to wear PPE. She also revealed staff had to wear full PPE when transferring a COVID room into a different room. She stated that full PPE included gown, N-95, gloves and eyewear. In an interview on 04/17/2023 at 10:00 AM with LVN B, revealed visitors had to wear everything that the staff wore for PPE, which included gown, gloves, N-95 mask and eyewear. She said it was important to do so to protect themselves and the staff from the virus. She also stated that the same PPE gown, gloves, N-95 mask, and eyewear was used when transferring COVID positive residents to another room. In a follow-up interview on 04/17/2023 at 1:48 PM the ADON, revealed she was the infection preventionist for the facility. She said visitors were allowed to visit COVID residents if they wore PPE. She stated the receptionist would screen the visitors for COVID and then provide them an N-95 mask. She stated it was important for them to use PPE to prevent infection from spreading even more especially if they were walking around the facility. She also stated staff must wear PPE if they were to transfer a COVID resident to another room to not cross-contaminate. In an interview on 04/17/2023 at 3:48 PM CNA D, revealed he was the CNA supervisor and was responsible for training all CNAs and educating them on any changes that there might be in training. He stated PPE was to be used when there were residents that were being transferred in the COVID area (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676393 If continuation sheet Page 3 of 4 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 676393 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/17/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Las Ventanas DE Socorro 10064 Alameda Avenue Socorro, TX 79927 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few prevent the spread of disease. He stated the PPE that was to be used was N-95 mask, gown, face shield and gloves. He said the same went for visitors who were going to enter a COVID room. In an interview on 04/17/2023 at 3:54 PM the DON, revealed visitors should use the same PPE that is used by the staff; gown, gloves, N-95 mask and eyewear. She stated if the visitor is seen not wearing the proper PPE, the staff know to educate the visitors to prevent spread of disease. Review of facility's policy titled Visitor sign and sign out process dated 2021 read in part .Screeners will be trained and competent to perform the following functions .instructing and observing use of personal protective equipment .Screener will provide the visitor with the appropriate personal protective equipment, based on the purpose and location of facility visit . Review of facility's policy titled Pre-Requirements for employees, contracted staff, consultants and visitors dated 2022 read in part .All individuals that enter a resident's room that is in transmission-based precautions due to illness will wear the appropriate PPE for illness/transmission-based precautions. In cases of COVID-19 full PPE will be required including N95 mask .'. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676393 If continuation sheet Page 4 of 4