Inspection·June 26, 2025

F 0583 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few from wheelchair to bed via mechanical lift. Both CNAs washed their hands, put on their gloves and gowns, and proceeded with transfer. They did not close the resident's door nor pulled the privacy curtain. CNA G was holding the resident's wheelchair while CNA F was maneuvering the mechanical lift using its remote control. CNA F pushed the mechanical lift towards the resident's wheelchair and both CNAs hooked the loops of the mechanical sling, which was under the resident, to the sling attachment of the mechanical lift, and started to raise the resident. While the resident was dangling up, CNA G pulled the mechanical lift backwards making the transfer more visible from the hallway. They lowered the resident to her bed, unhooked the mechanical sling, and repositioned the resident. After repositioning the resident, CNA F saw the door was open and closed it and pulled the privacy curtain as well. Both CNAs removed their gowns and gloves and washed their hands. In an interview on 06/25/2025 at 12:57 PM, CNA F stated he should have closed the door or pulled the privacy curtain before performing transfer to provide privacy to the resident. He said Resident #106 might be embarrassed because other residents or visitors might see how she was being transferred. He said he would make sure to close the door every time he would do a transfer. In an interview on 06/25/2025 at 1:00 PM, CNA G stated she was aware that the privacy curtain was not pulled but was not aware the door was open when they were transferring Resident #106. She said the door should be close, or the privacy curtain should be pulled to provide privacy and dignity during transfer. In an interview on 06/25/2025 at 1:09 PM, Resident #106 stated it did not bother her when they transferred her with the door open, but it would be better if the door was closed so others would not see her hanging in the air. 2. Record review of Resident #158's Face Sheet, dated 06/25/2025, reflected a [AGE] year-old male who was admitted to the facility on [DATE]. The resident was diagnosed with cellulitis (bacterial infection of the skin and the tissues beneath it) of the left lower limb. Record review of Resident #158's Quarterly MDS Assessment, dated 06/17/2025, reflected the resident was cognitively intact (resident capable of normal cognition and needs little support) with a BIMS score of 15. The Quarterly MDS Assessment indicated the resident was on antibiotics. Record review of Resident #158's Quarterly Care Plan, dated 06/11/2025, reflected the resident had cellulitis and one of the interventions was to administer antibiotics as per order. Record review of Resident #158's Physician Order, dated 06/22/2025, reflected Daptomycin Intravenous Solution Reconstituted. Use 750 mg intravenously one time a day related to CELLULITIS OF RIGHT LOWER LIMB until 06/27/2025 23:59 (11:59 PM). Observation on 06/25/2025 at 6:24 AM revealed RN J was about to administer Resident #158's IV. She washed her hands and put on a gown and a pair of gloves. She went to Resident #158's bedside with the vial of antibiotics, alcohol wipes, IV infusion set, and a 10 ml saline syringe. She reconstituted the antibiotics, flushed the PICC, and connected the IV antibiotic to the PICC line. She did not close the resident's door while administering IV antibiotics. In an interview on 06/25/2025 at 6:38 AM, RN J stated she should have closed Resident #158's door (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 2 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 0583 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few before administering the IV antibiotics to provide privacy to the resident and also so that other residents would not see what was being done to the resident. In an interview on 06/25/2025 at 6:41 AM, Resident #158 stated it did not matter if the door was open, but it would be better if the door was closed when he was given his antibiotics so that others would not see that he had an infection. In an interview on 06/26/2025 at 7:12 AM, the DON stated one of the rights of the residents was they would be provided privacy during treatment or even for transfer. She said assessing the IV site, administering the IV antibiotics, as well as flushing the PICC line should be done inside the resident's room with door closed or the privacy curtain pulled. She said all treatments should be done inside the room to provide privacy and dignity and to avoid embarrassment. The DON said the expectation was for the staff to make sure that when they were providing any kind of treatment or if they were transferring a resident, they should do them with the door closed or with the privacy curtain pulled. She said it did not matter if the resident was bothered or not because closing the door for privacy should be a second nature to the staff. She concluded that she would continually remind the staff the importance of providing privacy and dignity through an in-service. In an interview on 06/26/2025 at 7:56 AM, the Administrator stated the expectation was for the staff to make sure that the residents were provided privacy during any treatment and transfer to prevent embarrassment. She said she would collaborate with the DON and the ADON to do an in-service about providing dignity and privacy. In an interview on 06/26/2025 at 10:03 AM, ADON A stated the doors should be closed when providing treatments or transferring the residents to promote dignity and privacy. She said other staff, other residents, or even visitors could see the treatment and the mode of transfer being done and might speculate the medical condition of the residents. She said it did not matter if the residents care or not, the treatment and transfer should be done with the door closed. She said the expectation was for the staff to give great care, be respectful, and provide privacy to the residents. She said she would coordinate with the DON to do an in-service about privacy during treatment and transfer. Record review of the facility's policy, Resident Rights and Protection undated, revealed Our residents have certain rights and protections . One of your essential job functions is to protect and promote our residents' rights . Our residents are entitled to . 8. Receive Privacy . medical treatment, care. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 3 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights set forth that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for a resident for one (Resident #43) of eight residents reviewed for care plans. The facility failed to ensure that Resident #43 had a care plan for her external catheter (non-invasive device used for urine collection that fits outside the body). This failure could place the residents at risk of not receiving the necessary care and services needed. Findings included: Record review of Resident #43's Face Sheet, dated 06/24/2025, reflected an [AGE] year-old female who was admitted to the facility on [DATE]. The resident was diagnosed with fractures (broken bones). Record review of Resident #43's Quarterly MDS Assessment, dated 05/03/2025, reflected the resident was cognitively intact with a BIMS score of 15. The Quarterly MDS Assessment indicated the resident was incontinent for bowel and bladder. The resident's ARD was 05/03/2025. Record review of Resident #43's Comprehensive Care Plan, dated 12/19/2025, reflected no care plan for external catheter. Record review of Resident #43's Physician Order on 06/24/2025 reflected no order for external catheter. Observation and interview on 06/24/2025 at 9:33 AM revealed Resident #43 was in her bed with eyes closed. It was observed that there was a container for the external catheter on the resident's bedside table. The resident stated she had been using the external catheter for more than a month. She said staff would empty the container and would help put the long napkin inside her brief. In an interview on 06/25/2025 at 6:38 AM, RN J stated Resident #43 had the external catheter for a month or so. She said the staff were the one emptying its contents. In an interview on 06/25/2025 at 1:30 PM, LVN D stated she had seen the external catheter on Resident #43's bedside for weeks. In an interview on 06/25/2025 at 1:34 PM, ADON A said she knew Resident #43 had a external catheter and thought it had already been care planned. She opened the resident's profile and saw the resident did not have a care plan for external catheter. She said if the resident was using it weeks ago, then there should be a care plan for the external catheter to address its interventions and the goals for the resident using it. In an interview on 06/26/2025 at 7:12 AM, the DON stated residents needed a thorough care plan to (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 4 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few ensure the residents received the care needed. The DON said the care plan should be in place so the staff providing care would be in sync with the residents' care. She said without the care plan, there could be confusion with who would be providing care, how the care would be provided, and what would be the goal for such care. The DON said the care plan should reflect the resident's problem lists, the goals, and the interventions. She said if the resident was using an external catheter, then there should be a care plan for it. She said she already coordinated with the MDS Nurse to make a care plan for Resident #43's external catheter. In an interview on 06/26/2025 at 7:56 AM, the Administrator stated the expectation was for all the residents to have a care plan for their existing condition. She said the care plans should be comprehensive and individualized. She said without the care plan, the staff would not know and understand what kind of care to provide. She said he would coordinate with the DON and the MDS Nurse to make sure all the residents needs were care planned. In an interview on 06/26/2025 at 8:22 AM, the MDS Nurse stated Resident #43's external catheter should have a care plan if it had been with the resident for months or week. She said it was discussed during their IDT meeting that the resident had an external catheter but she was not able to put the care plan for the external catheter. She said she already created a care plan for the external catheter when she was notified that there was no care plan for the external catheter. She said care plans should be in place to make sure that the residents were being taken care of appropriately and timely to address not just the medical needs of the residents but also the needed services of the residents. She said since the external catheter was only used after the assessment reference date, the external catheter would be reflected on the MDS on the next assessment. Record review of the facility's policy, Comprehensive Person-Centered Care Planning Policy and Procedure revised 01/2022 revealed Policy: It is the policy of this facility that the interdisciplinary team (IDT) shall develop a comprehensive person-centered care plan for each resident . healthcare information necessary to properly care for each resident. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 5 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based observation, interview, and record review the facility failed to ensure residents who were incontinent of bladder received appropriate treatment and services to prevent urinary tract infection and to restore continence to the extent possible for one of (Resident #43) three residents reviewed for catheter care. The facility failed to ensure that Resident #43's external catheter had an order on 06/24/2025. This failure could place residents with catheter at risk of not receiving continuity of catheter care. Findings included: Record review of Resident #43's Face Sheet, dated 06/24/2025, reflected an [AGE] year-old female who was admitted to the facility on [DATE]. The resident was diagnosed with fractures. Record review of Resident #43's Quarterly MDS Assessment, dated 05/03/2025, reflected the resident was cognitively intact with a BIMS score of 15. The Quarterly MDS Assessment indicated the resident was incontinent for bowel and bladder. Record review of Resident #43's Comprehensive Care Plan, dated 12/19/2025, reflected no care plan for external catheter. Record review of Resident #43's Physician Order on 06/24/2025 reflected no order for external catheter. Observation and interview on 06/24/2025 at 9:33 AM revealed Resident #43 was in her bed with eyes closed. It was observed that there was a external catheter container on the resident's bedside table. The resident stated she had been using the external catheter for more than a month. She said staff would empty the container and would help put the long napkin inside her brief. In an interview on 06/25/2025 at 6:38 AM, RN J stated Resident #43 had the external catheter for a month or so. She said the staff were the one emptying its content. Observation and interview on 06/25/2025 at 1:30 PM, LVN D stated she had seen the external catheter on Resident #43's bedside for weeks. She opened the resident's profile and saw that the resident did not have an order for external catheter. She said there should be an order for the external catheter because it was treatment. She called ADON A to take a second look. In an interview on 06/25/2025 at 1:34 PM, ADON A said if Residents #43 had a external catheter, then there should be order for that. She said whoever saw the external catheter should had transcribed the order in the residents' profile. She looked at the profiles of the residents and saw there were no orders for the external catheter. She said the orders were important so that everybody caring for the resident would have the same roadmap on delivering appropriate care to the resident. She said the orders would provide a clear instruction on specific areas of the resident's care. She said she would coordinate with the DON to in-service the staff about making sure that orders were in place for the resident using a external catheter. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 6 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 0690 Level of Harm - Minimal harm or potential for actual harm In an interview on 06/26/2025 at 7:12 AM, the DON stated if the Resident #43 was using an external catheter, the expectation was there were orders transcribed in her profile to maintain continuity of the treatment. She said the orders would ensure consistent and coordinated care. She said she would do an in-service about catheter care by ensuring there was an order for it. She said she was responsible in making sure the staff were following the policies of catheter care. Residents Affected - Few In an interview on 06/26/2025 at 7:56 AM, the Administrator stated the expectation was that there would be orders if the residents were using an external catheter. She said since she was not a clinician, and she would let the DON take the lead for the said issue. Record review of the facility's policy Physician Orders, Telephone Orders and Recapitulation Process Policy and Procedure revised 11.2024 revealed Physician's orders shall be obtained prior to the initiation of any medication or treatment . 3. All orders must be specific and complete with all necessary details to carry out the prescribed order without any question .Transcription of Orders . 1. Licensed nurses are responsible for the correct transcription of all physician orders onto the appropriate form or into the PCC system. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 7 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for four (Residents #1, #17, #30, and #156) of eighteen residents reviewed for respiratory care. Residents Affected - Some 1. The facility failed to ensure Resident #1's nasal cannula (flexible tube used to deliver oxygen to the nose through two prongs) at the back of the wheelchair was properly stored on 06/24/2024. 2. The facility failed to ensure Resident #17's nasal cannula was properly stored on 06/25/2025. 3. The facility failed to ensure Resident #30 had water on her humidifier bottle (a medical device designed to increase the moisture level in supplemental oxygen) and had an order for oxygen administration. 4. The facility failed to ensure Resident #156 had an order for oxygen administration. These failures could place residents at risk for respiratory infection and not having their respiratory needs met. Findings included: 1. Record review of Resident #1's Face Sheet, dated 06/24/2025, reflected a [AGE] year-old male who was admitted to the facility on [DATE]. The resident was diagnosed with chronic obstructive pulmonary disease (a chronic inflammatory lung disease that causes obstructed airflow from the lungs) and shortness of breath. Record review of Resident #1's Quarterly MDS Assessment, dated 05/07/2025, reflected the resident was cognitively intact with a BIMS score of 14. The Quarterly MDS Assessment indicated the resident had oxygen therapy. Record review of Resident #1's Comprehensive Care Plan, dated 05/12/2025, reflected the resident had oxygen therapy and one of the interventions was administer oxygen. Record review of Resident #1's Physician's Order, dated 10/05/2024, reflected O2 AT 1-5 L/MIN CONTINUOUS VIA NC. TITRATE TO KEEP SATS ABOVE 90% every shift. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 8 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 Observation on 06/24/2025 at 10:05 AM revealed Resident #1 was in his bed with eyes closed. It was observed that a wheelchair was parked beside the resident's dresser. At the back of the wheelchair was a portable tank with a nasal cannula attached to it. The nasal cannula was not bagged, and its prongs were touching the right wheel of the wheelchair. Observation and interview on 06/24/2025 at 10:08 AM, the WCN stated the wheelchair was for Resident #1. She saw the nasal cannula that was touching the right wheel of the wheelchair. She disconnected the nasal cannula and said she would let the resident's nurse know to change it and make sure there was a bag on the wheelchair in case the resident was not using it. She said a dirty nasal cannula could cause respiratory infections. 2. Record review of Resident #17's Face Sheet, dated 06/24/2025, reflected a [AGE] year-old female who was admitted to the facility on [DATE]. The resident was diagnosed with chronic obstructive pulmonary disease and emphysema (a lung disease that damages the air sacs in the lung causing shortness of breath). Record review of Resident #17's Quarterly MDS Assessment, dated 06/06/2025, reflected the resident was cognitively intact with a BIMS score of 13. The Quarterly MDS Assessment indicated the resident had oxygen therapy. Record review of Resident #17's Comprehensive Care Plan, dated 06/16/2025, reflected the resident had oxygen therapy and one of the interventions was administer oxygen as ordered. Record review of Resident #17's Physician's Order, dated 06/10/2025, reflected O2 TITRATED AT 1-2 L/MIN VIA NC as needed for SOB, RESPIRATORY DISTRESS, CYANOSIS (bluish discoloration of the skin due to lack of oxygen), LABORED BREATHING. Observation and interview on 06/25/2025 at 10:16 AM revealed Resident #17 was in her wheelchair, awake. It was noted that her nasal cannula was on the floor. When asked what happened to the nasal cannula, the resident just shrugged her shoulders. Observation and interview on 06/25/2025 at 10:18 AM, RN E stated the nasal cannula should not be on the floor because the floor was dirty and could result to respiratory infections and other respiratory issues. She disconnected the nasal cannula and said she would get a new one and would put it inside a plastic bag. 3. Record review of Resident #30's Face Sheet, dated 06/24/2025, reflected a [AGE] year-old female who was admitted to the facility on [DATE]. The resident was diagnosed with respiratory failure (condition where there is not enough oxygen in the body or too much carbon dioxide in the body) and anemia (not having enough healthy red blood cells to carry oxygen to the body's tissue). Record review of Resident #30's Quarterly MDS Assessment, dated 06/12/2025, reflected the resident had a severe impairment (requires significant assistance and support in daily life) in cognition (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 9 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 with a BIMS score of 06. The Quarterly MDS Assessment indicated the resident had oxygen therapy. Level of Harm - Minimal harm or potential for actual harm Record review of Resident #30's Comprehensive Care Plan, dated 05/08/2025, reflected the resident had oxygen therapy and one of the interventions was administer oxygen as ordered and to monitor for SOB. Residents Affected - Some Record review of Resident #30's Physician's Order on 06/24/2025 reflected the resident did not have an order for oxygen administration. Record review of Resident #30 Progress Notes, dated 06/18/2025, reflected . O2: 94% on 2 L/NC. Observation on 06/24/2025 at 9:55 AM revealed Resident #30 in her bed with eyes closed. It was observed that she was on oxygen therapy with her nasal cannula connected to a pre-filled humidifier bottle. The humidifier bottle was empty. In an interview on 06/24/2025 at 9:59 AM, LVN B stated the purpose of the humidifier was to prevent dryness and irritation of the nose and throat. She said she did not notice during her morning rounds that the water in Resident #30's humidifier water was running low or if it was empty. She said the humidifier bottle was scheduled to change every Saturday but if it was empty on her shift, then she should replace it. She went out of the resident's room and said she would get a pre-filled humidifier for the resident. 4. Record review of Resident #156's Face Sheet, dated 06/24/2025, reflected an [AGE] year-old male who was admitted to the facility on [DATE]. The resident was diagnosed with respiratory failure. Record review of Resident #156's Quarterly MDS Assessment, dated 06/08/2025, reflected the resident was cognitively intact with a BIMS score of 13. The resident's ARD was 06/08/2025. Record review of Resident #156's Comprehensive Care Plan, dated 06/20/2025, reflected the resident had oxygen therapy and one of the interventions was administer oxygen as ordered. Record review of Resident #156's Physician's Order on 06/24/2025 reflected the resident did not have an order for oxygen administration. Observation and interview on 06/24/2025 at 9:36 AM revealed Resident #156 was in his bed awake. It was observed that the resident was on oxygen therapy. The resident said he has been using the oxygen for quite some time. In an interview on 06/25/2025 at 1:30 PM, LVN D stated both Resident #30 and Resident #156 were using oxygen. She opened the profile of the residents and saw that both residents did not have orders for oxygen. She said there should be an order for the oxygen because those were treatments. She called ADON A to take a second look. In an interview on 06/25/2025 at 1:34 PM, ADON A said if Residents #30 and #156 were using oxygen, then there should be orders for that. She said whoever initiated the oxygen should have transcribed the orders in the residents' profiles. She said the orders were important so that everybody caring for the resident would have the same roadmap on delivering appropriate care to the resident. She said (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 10 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 the orders would provide a clear instructions on specific areas of the resident's care. She said she would coordinate with the DON to in-service the staff about making sure that orders were in place if the residents were using oxygen. In an interview on 06/26/2025 at 7:12 AM, the DON stated nasal cannulas should be inside a plastic bag when the residents were not using them to maintain cleanliness as well as its patency. She said if the nasal cannula was touching the wheels of the wheelchair or was on the floor, it could result to cross contaminations and respiratory infections. She said the staff should be mindful in making sure the nasal cannulas were always clean for the next time the residents use them. She said if the resident's nasal cannula was attached to a humidifier bottle, then the expectation was there would be water in it to serve its purpose. She said the purpose of the humidifier was to maintain moisture in the nasal passageway and prevent dryness and irritation. She said if the residents were using oxygen the expectation was there were orders transcribed in their profile to maintain continuity of the treatment. She said the orders would ensure consistent and coordinated care. She said she would do an in-service about respiratory care and would randomly check the rooms of the resident's using oxygen. She said she was responsible in making sure the staff were following the policies of respiratory care. In an interview on 06/26/2025 at 7:56 AM, the Administrator stated the expectations were that the nasal cannulas were bagged when not in use to prevent respiratory infection, the humidifier had water in it to prevent dryness, and there would be orders if the residents were using oxygen. She said since she was not a clinician, she would let the DON take the lead in the respiratory care issues. In an interview on 06/26/2025 at 10:03 AM, ADON A stated the nasal cannula should be stored properly inside a plastic bag if the residents were not using them to prevent cross contamination and respiratory infections. She said the staff were responsible in monitoring if the nasal cannula were bagged. She said if there was a humidifier connected on the oxygen concentrator, the expectation was there would be water in it to prevent dryness of the nose and the throat. She said the residents do not have to wait until the next Saturday before the empty humidifier bottle would be replaced. She said the expectation was for the staff to give great care and provide outstanding respiratory care to the residents. She said she would coordinate with the DON to do an in-service about respiratory care. Record review of the facility's policy, Oxygen Administration Policy/Procedure - Nursing Clinical revised 03/2019 revealed POLICY: It is the policy of this facility that oxygen therapy is administered, as ordered by the physician . PROCEDURE . 1. Obtain appropriate physician's order . 8. If using a reusable humidifier, fill bottle to the correct level with distilled water and attach to the oxygen unit .15. Discard equipment or return it to appropriate location. Record review of the facility's policy Physician Orders, Telephone Orders and Recapitulation Process Policy and Procedure revised 11.2024 revealed Physician's orders shall be obtained prior to the initiation of any medication or treatment . 3. All orders must be specific and complete with all necessary details to carry out the prescribed order without any question .Transcription of Orders . 1. Licensed nurses are responsible for the correct transcription of all physician orders onto the appropriate form or into the PCC system. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 11 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and record review, the facility failed to ensure that drugs and biologicals were stored properly in locked compartments for one (Resident #107) of fifteen residents and for two (Resident #107, Resident #`60) residents and one (Crash Cart #1) of four carts reviewed for storage of drugs and biologicals. 1. The facility failed to ensure that LVN B did not leave Resident #155's medications unsecured inside the resident's room on 06/24/2025. 2. The facility failed to ensure Resident #160's eyedrops were not left inside the resident's room on 06/24/2025. 3. The facility failed to ensure Resident 107's Lantus was not left on top of the nurse's cart on 06/25/2024. 4. The facility failed to ensure Crash Cart #1 was locked on 6/25/2025. These failures could place the residents at risk of misuse of medications and accessing/opening the cart causing accidental overdose or exposure to chemicals. Findings included: 1. Review of Resident #155's Face Sheet, dated 06/24/2025, reflected an [AGE] year-old female admitted on [DATE]. The resident was diagnosed with depression (persistent feeling of sadness or loss of interest). Review of Resident #155's Quarterly MDS Assessment, dated 05/12/2025, reflected resident had moderate impairment (resident may need additional support and monitoring) in cognition with a BIMS score of 09. The Quarterly MDS Assessment indicated the resident had depression. Review of Resident #155's Comprehensive Care Plan, dated 05/22/2024, reflected the resident had depression and one of the interventions was to administer medications as ordered. The Comprehensive Care Plan did not indicate that the resident could self-administer her medications. Review of Resident #155's Assessment on 06/24/2025 reflected no assessment for self-administration (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 12 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some of medications, no clear instructions for self-administrations, and no assessment that the resident was competent to manage her own medications. Observation and interview on 06/24/2025 at 9:25 AM revealed Resident #155 was in her bed, awake. It was observed that there were three medications on the resident's breakfast tray beside an empty small plastic cup. According to the resident, the nurse left it for her to take. She said she set aside the three pills because she wanted to ask the nurse what are those pills were for. Resident #155 said she did take the rest of the pills. In an interview with on 06/24/2025 at 9:44 AM, LVN B stated she did not leave Resident #155's medications. She said the resident must have spit them out. She said she should have made sure that the resident swallowed everything before leaving the resident. She said the pills should not be left with the resident because the resident might not take them, throw them, or choke while taking them and no one would know. LVN B said she would check if the pills were still inside the resident's room. She went inside the resident's room and talked to the resident about the pills that the resident set aside. 2. Review of Resident #160's Face Sheet, dated 06/24/2025, reflected a [AGE] year-old male admitted on [DATE]. The resident was diagnosed with unspecified pain. Review of Resident #160's Quarterly MDS Assessment, dated 04/04/2025, reflected resident was cognitively intact with a BIMS score of 14. The Quarterly MDS Assessment indicated the resident had unspecified pain. Review of Resident #160's Comprehensive Care Plan, dated 05/22/2024, reflected the resident had unspecified pain and one of the interventions was administer medications. The Comprehensive Care Plan did not indicate that the resident could self-administer his medications. Review of Resident #160's Assessments on 06/24/2025 reflected no assessment for self-administration of medications, no clear instructions for self-administrations, and no assessment that the resident was competent to manage his own medications. Review of Resident #160's Physician Order, dated 04/04/2025, reflected Systane Nighttime Ophthalmic Ointment (White Petrolatum-Mineral Oil) Instill 1 application in both eyes at bedtime for Eye pain. Observation and interview on 06/24/2025 at 9:52 AM revealed Resident #160 was in his bed, awake. It was observed that a container of eyedrops was on the resident's overbed table. He said he has been administering his eye drops for months. He said the staff new he was the one doing his eye drops. In an interview on 06/24/2025 at 9:58, LVN D stated she did not notice that there was an eye drop container inside Resident #160's room when she did her morning rounds. She said there should be no medication inside the resident's room unless there was an assessment that the resident could administer it by himself. She said the risk of having medications inside the room could be misuse of the medication. She said she would go inside the resident's room and would check on the eye drops. 3. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 13 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Record review of Resident #107's Face Sheet, dated 06/25/2025, reflected an [AGE] year-old female admitted to the facility on [DATE]. The resident was diagnosed with diabetes mellitus (high blood sugar). Record review of Resident #107's Comprehensive MDS Assessment, dated 04/02/2025, reflected the Resident had a moderate impairment in cognition with a BIMS score of 10. The Comprehensive MDS Assessment indicated the Resident had diabetes mellitus. Record review of Resident #107's Quarterly Care Plan, dated 04/13/2025, reflected the Resident had diabetes mellitus and the interventions were to check the fasting serum blood sugar and administer diabetes medications as ordered. Record review of Resident #107's Physician Orders, dated 05/25/2025, reflected Lantus (man-made insulin) Solution 100 UNIT/ML (Insulin Glargine) Inject 33 unit subcutaneously (administer under the skin) in the morning related to TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS. Observation on 06/25/2025 at 7:13 AM revealed RN E had just finished administering Resident #107's insulin when somebody called her inside one of the resident's room. She went inside the room and closed the door. She left resident #107's Lantus on top of her cart. In an interview on 06/25/2025 at 7:33 AM, RN E said she saw the Lantus on top of her cart when she came back from one of the resident's room. She said she should have secured it first before leaving her cart because somebody might take it, and she would not even know about it until she needed it again. She said others might get hold of the Lantus and misuse it. She said she would be mindful not to leave any medication on top of her cart. 4. Observation on 06/25/2025 at 7:40 AM revealed Crash Cart #1 was not locked. All the drawers were easily opened, and the content of the drawers could easily be taken. Several staff and residents were walking back and forth on the hallway were the unlocked crash cart was parked. A white box containing supplies used for blood spill was observed on the last drawer of the cart. Some of the contents of the box were a chlorine-based solution and solidifying polymer granules. Observation and interview with the DON on 06/25/2025 at 8:57 AM, the DON stated the crash cart should be locked because it had some supplies that the residents might take. She said the white box inside the last drawer was used if there was a blood spill in the facility. She read the content written outside the white box and said there were chemicals inside the box. She took the white box from the last drawer and said the box should be inside the medication room. She said she would talk to the night nurse to make sure to lock the crash carts after inspections. She said she would also start an in-service pertaining to locking the carts. In an interview on 06/26/2025 at 7:12 AM, the DON stated the expectation was for the staff to put the Lantus back inside the drawer before leaving her cart. She said somebody might take it and use it. She said if pills were left on top of the cart, somebody might ingest it that could cause allergic reactions or even choke on the pills. The DON stated staff should never leave the medications at the bedside for the resident to take later. She said the staff should ensure that the residents took their medications before leaving the room. She said many things could go wrong like a resident could hide the pills and take them all together with the next dose or the resident might not take them at (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 14 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some all. She said the expectation was there should be no medication left inside the room and staff should scan the residents' rooms to see if there were medications with the resident. She said there should be an assessment that the resident could take their medications without supervision. She said she would do an in-service pertaining to not leaving the medications with a resident. She said the medications left inside Resident #155's room were folic acid, probiotics, and bupropion. She said another expectation was no medications were left on top of the cart unattended. She said she would do an in-service about making sure no medications being accessible to the residents. In an interview on 06/26/2025 at 7:56 AM, the Administrator stated the staff should have made sure that the Lantus was inside the cart before leaving the cart so no one could take it or use it. She also said that all the carts should be locked if the staff were not using them so no one could open it and get something from it. The Administrator stated staff should not leave medications unattended because of the risk of the resident not taking them or the pills not taken on time. She said another risk would be the resident might choke and nobody was there to assist the resident. She said she would coordinate with the DON to educate the staff about the issue and the expectation was no medications would be left with the resident unless the resident had a self-medication assessment, the carts were locked. In an interview on 06/26/2025 at 10:03 AM, ADON A said the carts should be locked so that residents, staff, and visitors could not open them and get something from it. She said just like the crash cart, sometimes it would contain solutions and chemicals used for emergencies. She said the blood spill box contained chemicals that could be toxic when ingested. She said the staff should never leave any medication on top of their cart unattended for the same reason. ADON A stated medications should not be left with the residents and staff should stay with the resident until the resident was done taking the medications. She said the resident might not take them or someone else might, like a confused resident or a visitor. She said she would coordinate with the DON about making sure all the carts were locked when left unattended and that no medications were left on top of the cart. Record review of the facility's policy, Drug Storage Policy/Procedure - Nursing Services revised 05/2021 revealed POLICY: It is the policy of this facility to ensure the proper and safe storage of drugs and biologicals . PROCEDURES . 2. Drugs and/or biologicals should not be left unsecured/unattended . 4. Medication and treatment carts will be kept locked when unattended. Record review of the facility's policy, Medication Administration Administration of Drugs revised 07/2015 revealed POLICY: It is the policy of this facility that medications shall be administered as prescribed by the attending physician . PROCEDURES . 1. Only licensed medical and nursing personnel or other lawfully authorized staff members may prepare, administer, and record the administration of medications. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 15 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based observation, interview, 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 six (Residents #4, #39, #105, #107, #158, and #159) of twenty one residents reviewed for infection control. Residents Affected - Some 1. The facility failed to ensure CNA H changed her gloves while providing incontinent care to Resident #4 on 06/25/2025. 2. The facility failed to ensure Resident #39's catheter bag (collects urine from the urinary bladder) was off the floor on 06/24/2025. 3. The facility failed to ensure RN E sanitized the glucometer (device used to check the blood sugar) and would not bring the whole container of test strips and the glucometer pouch inside Residents #105, #107, and #159's room on 06/25/2025. 4. The facility failed to ensure RN E wore a gown while checking Resident #159's blood sugar and administering her insulin on 06/25/2025. 5. The facility failed to ensure RN J placed a cap on Resident #158's PICC line on 06/25/2025. These failures could place residents at risk of cross-contamination and development of infections. Findings included: 1. Review of Resident #4's Face Sheet, dated 06/25/2025, reflected a [AGE] year-old female admitted on the facility on 11/21/2020. The resident was diagnosed with weakness and needing assistance for personal care. Review of Resident #4's Comprehensive MDS Assessment, dated 04/04/2025, reflected the resident had a severe impairment in cognition with a BIMS score of 06. The Comprehensive MDS Assessment indicated the resident was incontinent for bladder and bowel. Review of Resident #4's Comprehensive Care Plan, dated 04/25/2025, reflected the resident had a bowel and bladder incontinence and one of the interventions was to check for incontinence. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 16 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 Observation on 06/25/2025 at 1:56 PM revealed CNA H and CNA I were about to provide incontinent care to Resident #4. Both CNAs washed their hands and put on pairs of gloves. CNA H went to left side of the resident while CNA I went to right side. CNA H placed the brief, wipes, and a box of gloves on the resident's overbed table. CNA H pulled down the resident's pants, unfastened the brief, and tucked it between the resident's thighs. CNA H took off her gloves, sanitized her hands, and put on a pair of new gloves. CNA H pulled some wipes and cleaned the resident's perineal area (area between the thighs) using the front to back technique. She did it five times. After cleaning the perineal area, CNA H instructed the resident to roll towards the right side. Both CNA's assisted the resident to turn. CNA H started to clean the resident's bottom. After cleaning the resident's bottom, she pulled the soiled brief and threw it on the trash can that was beside her. CNA H changed her gloves and sanitized before putting on the new pair of gloves. CNA H took the brief, placed it under the resident, and fixed it. Both CNAs assisted the resident to turn to the other side. CNA I cleaned the part of the resident's bottom that CNA H was not able to clean and then rolled the resident back to a flat position. CNA I took off her gloves and asked CNA H if the trash can was beside her. CNA H replied yes and pulled the trash can to where CNA I could access it. After pulling the trash can, CNA H proceeded in fixing the new brief. She did not change her gloves. After fixing the brief, both CNAs washed their hands. In an interview on 06/25/2025 at 2:14 PM, CNA H stated she did touched the trash can and did not change her gloves after and she did touch the new brief using the gloves that she touched the trash can with. She said her action could result to cross contamination and infection. She said she would be mindful the next time she does incontinent care to do change her gloves after touching something dirty. In an interview on 06/25/2025 at 2:18 PM, CNA I stated she did not notice that CNA H did not change her gloves after pulling the trash can towards her. She said the gloves should had been changed because her gloves became soiled when she touched the trash can. 2. Record review of Resident #39's Face Sheet, dated 06/24/2025, reflected a [AGE] year-old male admitted to the facility on [DATE]. The resident was diagnosed with benign prostatic hyperplasia (a condition in men in which the prostate gland is enlarged). Record review of Resident #39's Comprehensive MDS Assessment, dated 05/23/2025, reflected the Resident had a moderate impairment in cognition with a BIMS score of 08. The Comprehensive MDS Assessment indicated the Resident had an indwelling catheter (device that drains urine from the urinary bladder). Record review of Resident #39's Quarterly Care Plan, dated 06/08/2025, reflected the Resident had a foley catheter and one of the interventions was to provide catheter care every shift. Record review of Resident #39's Physician Orders, dated 06/14/2025, reflected CATHETER TYPE: FR (French: unit of measurement for catheter sizes) # 16_ ML 10_ TO CLOSED URINARY DRAINAGE SYSTEM -DIAGNOSIS FOR USE: URINARY RETENTION EMPTY Q SHIFT AND RECORD OUTPUT. Observation on 06/24/2025 at 1:30 PM revealed Resident #39 was in his bed with his eyes closed. It was observed that the resident's catheter bag was touching the floor. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 17 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 In an interview on 06/24/2025 at 1:34 PM, LVN C stated she was told that the bed of the resident should be on the lowest position but it could be raised a little bit so the catheter bag would not touch the floor because it could result to probable infection. She raised the resident's bed just until the catheter bag was off the floor. Residents Affected - Some 3. Record review of Resident #105's Face Sheet, dated 06/25/2025, reflected a [AGE] year-old male admitted to the facility on [DATE]. The resident was diagnosed with diabetes mellitus (High blood sugar). Record review of Resident #105's Comprehensive MDS Assessment, dated 06/25/2025, reflected the Resident had a moderate impairment in cognition with a BIMS score of 12. The Comprehensive MDS Assessment indicated the Resident had diabetes mellitus. Record review of Resident #105's Quarterly Care Plan, dated 06/18/2025, reflected the resident had diabetes mellitus and one of the interventions was to check the fasting serum blood sugar as ordered. Record review of Resident #105's Physician Orders, dated 06/18/2025, reflected BLOOD SUGAR CHECK BID two times a day. Record review of Resident #107's Face Sheet, dated 06/25/2025, reflected an [AGE] year-old female admitted to the facility on [DATE]. The Resident was diagnosed with diabetes mellitus. Record review of Resident #107's Comprehensive MDS Assessment, dated 04/02/2025, reflected the Resident had a moderate impairment in cognition with a BIMS score of 10. The Comprehensive MDS Assessment indicated the Resident had diabetes mellitus. Record review of Resident #107's Quarterly Care Plan, dated 04/13/2025, reflected the Resident had diabetes mellitus and the interventions were to check the fasting serum blood sugar and administer diabetes medications as ordered. Record review of Resident #107's Physician Orders, dated 05/25/2025, reflected Lantus (man-made insulin) Solution 100 UNIT/ML (Insulin Glargine) Inject 33 unit subcutaneously (administer under the skin) in the morning related to TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS. Record review of Resident #107's Physician Orders, dated 05/25/2025, reflected Insulin Lispro Injection Solution 100 UNIT/ML (Insulin Lispro) Inject subcutaneously before meals and at bedtime related to TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS. Record review of Resident #159's Face Sheet, dated 06/25/2025, reflected a [AGE] year-old female admitted to the facility on [DATE]. The resident was diagnosed with diabetes mellitus. Record review of Resident #159's Comprehensive MDS Assessment, dated 06/24/2025, reflected the Resident had a severe impairment in cognition with a BIMS score of 07. The Comprehensive MDS Assessment indicated the Resident had diabetes mellitus. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 18 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 Record review of Resident #159's Quarterly Care Plan, dated 06/18/2025, reflected the Resident had diabetes mellitus and the interventions were to check the fasting serum blood sugar and administer diabetes medications as ordered. Record review of Resident #159's Physician Orders, dated 06/22/2025, reflected Humalog Injection Solution 100 UNIT/ML (Insulin Lispro) Inject subcutaneously before meals and at bedtime for diabetes. Observation and interview on 06/25/2025 starting at 6:58 AM revealed RN E was about to check blood sugars and administer insulin for Residents #105, #107,and #159. She sanitized her hands and prepared the things needed to check Resident #159's blood sugar. RN E took a black pouch from her cart. She said inside the pouch was the glucometer that she would be using. She unzipped the pouch and put 2 push button safety lancets inside the pouch. She went inside Resident #159's room with the black pouch, alcohol wipes, gloves, and the container of test strips and put them on the Resident's overbed table. She put on a pair of gloves and proceeded with blood sugar check. After checking the blood sugar, she placed the black pouch and the container of test strips back to her cart. She said the Resident #159's blood sugar was 113 and did not require any insulin. She sanitized her hands but did not sanitize the glucometer. She said she would check Resident #107's blood sugar next. She went to Resident #107's room bringing the black pouch with the glucometer inside, push button safety lancets, alcohol wipes, gloves, and the container of test strips and placed them on the Resident #107's overbed table. After checking the blood sugar, she went into her cart and placed the black pouch and the container of test strips on top of her cart. She said she needed to give Resident #107 her Lantus as well as 2 units of Lispro. She sanitized her hands but did not sanitize the glucometer. She prepared the insulins and administered it to Resident #107. She then went to Resident #105's room and brought with her the black pouch with the glucometer inside, push button safety lancets, alcohol wipes, gloves, and the container of test strips and placed them on the Resident #105's overbed table. After checking the blood sugar, placed the black pouch and the container of test strips on top of her cart. She did not sanitize the glucometer. She said Resident #105 did not need any insulin. In an interview on 06/25/2025 at 7:37 AM, RN E stated she brought with her the container of the test strips in case she needed another test strip. She said she should have left the container of test strips on top of the cart and just brought with her 2 or 3 strips in case the glucometer displayed error. She said bringing an item inside the resident's room, putting it on the resident's table, and then putting it on the cart again could result to cross contamination. She said the glucometer should also be sanitized in between residents to prevent cross contamination. She said she would make sure she would not bring the container of strips inside the room of the residents and sanitize the glucometer after every use. 4. Record review of Resident #159's Face Sheet, dated 06/25/2025, reflected a [AGE] year-old female admitted to the facility on [DATE]. The resident was diagnosed with infection and inflammatory reaction due to indwelling catheter (a thin, flexible tube inserted in the bladder to allow the urine to flow in the catheter bag). Record review of Resident #159's Comprehensive MDS Assessment, dated 06/24/2025, reflected the resident had a severe impairment in cognition with a BIMS score of 07. Record review of Resident #159's Quarterly Care Plan, dated 06/18/2025, reflected the resident had elevated WBC and one of the interventions was to administer antibiotics as per order. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 19 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 Record review of Resident #159's Physician Orders, dated 06/25/2025, reflected Ceftriaxone Sodium Solution Reconstituted 1 GM Use 1 gram intravenously (medication administration through a tube inserted into a vein) for elevated WBC for five days. Observation on 06/25/2025 at 6:58 AM revealed RN E was about to check Resident #159's blood sugar and administer her insulin. It was observed that the resident had a PICC line to her right upper arm and a sign outside the door that specified enhanced barrier precaution was required. RN E went inside the resident's room, checked her blood sugar, prepared the insulins, and went back inside to administer the resident's insulins. RN E did not wear a gown when she checked the blood sugar and administered insulin. In an interview on 06/25/2025 at 7:37 AM, RN E stated she just came back from being off and it would be her first time with Resident #159. She said there was a sign outside the door, and she overlooked it. She said EBP was required for doing treatment for residents with PICC lines to prevent the spread of resistant organisms. 5. Record review of Resident #158's Face Sheet, dated 06/25/2025, reflected a [AGE] year-old male who was admitted to the facility on [DATE]. The resident was diagnosed with cellulitis of the left lower limb. Record review of Resident #158's Quarterly MDS Assessment, dated 06/17/2025, reflected the resident had was cognitively intact with a BIMS score of 15. The Quarterly MDS Assessment indicated the resident was on antibiotics. Record review of Resident #158's Quarterly Care Plan, dated 06/11/2025, reflected the resident had cellulitis and one of the interventions was to administer antibiotics as per order. Record review of Resident #158's Physician Order, dated 06/22/2025, reflected Daptomycin Intravenous Solution Reconstituted (Daptomycin) Use 750 mg intravenously one time a day related to CELLULITIS (bacterial infection of the skin and the tissues beneath it) OF RIGHT LOWER LIMB until 06/27/2025 23:59(11:59 PM). Record review of Resident #158's Physician Order, dated 06/10/2025, reflected PICC LINE FLUSHING: FLUSH WITH 10 CC 0.9 % NS IV SOLUTION Q SHIFT every shift. Observation on 06/25/2025 at 6:24 AM revealed Resident #158 was in his bed awake. It was observed that the resident had a PICC line to his left upper arm. The end of the PICC line was not capped and was laying on the resident's hospital gown. In an interview on 06/25/2025 at 6:38 AM, RN J stated she usually put a green cap on the PICC line to prevent cross contamination. She said the facility run out of the green caps that was why she was not able to put one on. She said she did sanitize the port of the PICC line before flushing it but since it was laying on the resident's hospital gown, one would never know if something already crept inside before it was sanitized. She said the best practice was to cap it and she should have improvised to keep the PICC line not in contact with something presumed dirty. In an interview on 06/26/2025 at 7:12 AM, the DON stated hand hygiene was the most effective way to (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 20 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 prevent cross contamination and spread of infection and included in hand hygiene was changing the gloves after touching something dirty. She said the catheter should be off the floor at all times for the basic reason that the floor was dirty. She said the bed could be in a low position and still the catheter was off the floor. She said the staff should not bring with her the pouch and the container of the test strips and then place them back and forth from the cart to the residents overbed table, then back to the cart. She said if a resident had a PICC line, a EBP was required. She said their policy did not specify that a curos cap (alcohol-containing cap used to cover the ends of the PICC line for disinfection) was required but the best practice was to place the cap after flushing or medication administration. She said it was already ordered and they were just waiting for the delivery. She said all the issues discussed could cause cross contaminations and probable infections. She said she would be doing a lot of in-services pertaining to infection control. She said she was responsible in training the staff pertaining to infection control. In an interview on 06/26/2025 at 7:56 AM, the Administrator stated the expectation was for the staff to be mindful in preventing cross contamination and infections in all aspects of care. She said taking care of the resident is collaborative effort of all the staff and management to ensure that the highest possible care could be provided. She said she would take the issues mentioned to be an opportunity for them to do better. She said she would coordinate with the DON to do an extensive re-education and in-service about infection control. In an interview on 06/26/2025 at 10:03 AM, ADON A stated the catheter should not be touching the floor, gloves should be changed from dirty to clean, things used for multiple residents were not brought inside the resident's rooms, the glucometer should be sanitized after every use, must wear a gown when dealing with a resident with PICC line, and the port of the PICC line should be covered. She said all the concerns mentioned could attribute to cross contamination and probable infection. She said the expectation was for the staff to do better in making sure that the facility was not the one causing infection hence the one helping the residents not to have infections. She said she would coordinate with the DON to do an in-service about infection control. Record review of the facility's policy Infection Prevention and Control Program Infection Control revised 10.2022 revealed Policy : The infection prevention and control program is a facility-wide effort involving all disciplines and individuals . Goals . Decrease the risk of infection control. Record review of the facility's policy Hand Hygiene Infection Prevention and Control Program reviewed 09/16/2022 revealed Policy: This facility considers hand hygiene the primary means to prevent the spread of infections . 3. Wash hands with soap and water for the following situations . a. When hands are visibly soiled . 4. Use an alcohol-based hand rub . h. Before moving from a contaminated body site to a clean body site during resident care. Record review of the facility's policy Indwelling Urinary Catheter Care Policy & Procedures revised 04/2025 revealed Policy: It is the policy of this facility that each resident with an indwelling catheter will receive catheter care . decrease the risk of infection. Record review of the facility's policy PICC Line revised 05/2019 revealed POLICY: It is the policy of this facility to provide safe . PICC care and maintenance. Record review of the facility's policy IPCP Standard and Transmission-Based Precautions Infection (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 21 of 22 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 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Healthcare Resort of Plano 3325 West Plano Parkway Plano, TX 75075 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 Control revised 04/2025 revealed Policy Level of Harm - Minimal harm or potential for actual harm : It is the policy of this facility to implement infection control measures to prevent the spread of communicable diseases and conditions . 2. Contact precautions . c. Patient-care equipment . If common use of equipment for multiple patients is unavoidable, clean and disinfect such equipment before use on another patient . Enhanced Barrier Precaution . a. PPE: The use of gown and gloves for high-contact resident care activities is indicated . o Indwelling medical devices include . peripherally inserted central catheter (PICC) lines. Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 22 of 22