Inspection·December 2, 2025

F 0686 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some reposition the residents with wounds and who were in bed, to prevent the wounds from getting worse or having a skin breakdown. An interview on 10/15/25 at 3:45 PM with CNA A revealed staffing was sufficient for the morning shift on 10/15/25 . CNA A stated he was assigned to provide care to Resident #1, but he was asked to switch the resident with CNA B because Resident #1 preferred a female aide. CNA A stated he had not repositioned Resident #1 during the morning shift until around 2:30 PM when he assisted CNA B in repositioning and providing incontinent care. CNA A said he always tried to keep his residents repositioned and the DON expected that all residents were repositioned , at least every two hours. CNA A said Resident #1 required two staff to assist with repositioning. CNA A stated the residents were supposed to be repositioned to prevent skin breakdown or from the wounds getting worse. An interview on 10/15/25 at 4:05 PM with CNA B revealed she was assigned for the morning shift on 10/15/25. CNA B stated she was not assigned to Resident #1, she was only asked by the ADON to give her a shower. CNA B stated at around 9:30 AM she went in the room and informed Resident #1 she was going to give her a shower, but the resident declined to take a shower. CNA B stated while she was in the room the therapist personnel came in the room to assist with getting the resident out of bed, but the resident declined to get out of bed. CNA B stated she left the resident's room, and she did not go back until around 2:30 PM when she went to assist CNA A with repositioning the resident and providing incontinent care. CNA B stated residents who were bed bound were to be repositioned every 2 hours to prevent skin breakdown. An interview on 10/15/25 at 4:24 PM with LVN C revealed he was the nurse charge for Resident #1. LVN C stated Resident #1 required two-person assistance with activities of daily living and repositioning in bed. He stated residents who were in bed and not able to change positions in bed, the staff were to assist the residents at least every 2 hours. LVN C stated Resident #1 required two staff to assist with repositioning. He stated he had not been requested, nor had he repositioned the resident during the shift. He stated sometimes the aides would request him to assist with repositioning the resident. LVN C stated he was not aware the resident had not been repositioned during the morning shift. He stated the residents who were in bed and unable to position themselves were to be assisted by the staff in repositioning every 2 hours to prevent skin breakdown, and regarding Resident #1 who had a wound, prevent the wound from getting worse. An interview on 10/15/25 at 4:35 PM with ADON revealed she oversaw residents' care in the facility. She stated it was expected for the residents who were bed bound to be repositioned at least every 2 hours. The ADON stated Resident #1 required two people with activities of daily living and repositioning. The ADON stated she had requested CNA B to give Resident #1 a shower only, but CNA A was to provide the resident with care during the shift. Resident #1 had a pressure wound and required to be repositioned and prevent the wound from getting worse and the resident sustaining skin breakdown. An interview on 10/15/25 at 4:55 PM with the DON revealed she expected the staff to reposition the residents who were in bed and unable to reposition themselves, the residents with wounds were to be repositioned to prevent the wounds from getting worse. The DON stated if Resident #1 refused any care, the aides were to report to the charge nurse and the charge nurse was to inform the resident's responsible party. She stated Resident #1 had a pressure ulcer, and the staff were expected to encourage the resident to change positions throughout the shift. The DON stated she was not aware the resident hadn't been repositioned during the morning shift. She stated the resident had the foley catheter due to the stage IV pressure ulcer and the resident was using the wound vac. The DON stated from the wound care notes, the sacral pressure wound had not deteriorated but rather had improved. Review of the facility policy revised 4/3/35 and titled Activities of Daily Living, reflected The facility will, based on the resident's comprehensive assessment and consistent with the resident's needs and choices, (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 2 of 3 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 676395 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/02/2025 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 0686 ensure a resident's abilities in ADLs do not deteriorate unless deterioration is unavoidable. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676395 If continuation sheet Page 3 of 3