Health inspection·November 21, 2025

F 0628 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few her room. She said the Social Worker told her that that her significant other told him CR #1 admitted to smoking. She said the facility sent her paperwork to another facility, in a different town, that allowed smoking but said she told the Social Worker she did not want to go to that facility. She said the Social Worker told her she had to be discharged home or to the other facility because she was a smoker. She said she asked if she could stay if she agreed not to smoke and was told no. She said she requested to be sent to a different facility but was told by the Social Worker she could not go to the facility that she requested. During an interview on 10/14/25 at 11:33 a.m., the Social Worker said CR #1 was a smoker and they were a non-smoking facility. He said the transfer was facility initiated but the discharge home was resident initiated. He said they let CR #1 know she could be discharged to another facility or home because they found a vape, cigarette butts, and cigar fillings, in her room. He said the resident and her family made the decision to discharge because she did not want to stop smoking. He said they gave her a 24-48-hour notice to go to another facility, because she had violated the smoking policy, but she did not want to go. During a follow-up interview on 10/14/25 at 1:07 p.m., the Social Worker said on 10/03/25 the resident was allegedly smoking in the courtyard, right outside her room, and given the smoking policy by the Admissions Coordinator. He said on 10/07/25, CNA said resident was found with a weed vape and that she was smoking. He said on 10/07/25 he went to the resident's room around 4:30/5:00 p.m. and he told the resident she was accepted to another facility, but they only had semi-private rooms, and since her family could not go with her, she did not want to go. He said she got a hotel room for 2 days and was not sure what she did after those 2 days. He said home health services were set up before resident left the faciity on [DATE]. He said the non-smoking policy was given to her on 10/03/25 and violated on the 10/07/25. He said they told the resident they could help her find a facility within that same day. He said it was not urgent that she leave that same day. He said on 10/07/25 they found a marijuana and vape and cigarette butts and told her that the other facility could accommodate her smoking needs. He said around 4:30/5:00 p.m. on 10/07/25, the resident had her room packed up and she asked him if he could help them arrange transportation which he said he did. During an interview on 10/14/25 at 1:39 p.m., the admission Coordinator said she and the Social Worker went to CR #1's room on 10/07/25 and the Social Worker told the resident in front of her family that she had 30 minutes to make a decision to discharge to a hotel or to another facility. She said the Social Worker told the resident the facility was not allowing smoking anymore and her only option was to go to a different facility or somewhere else. She said the Social Worker told CR #1 she had to get out of the facility today, 10/07/25. She said around 1:30/2:00 p.m., the Social Worker told her the resident said she was going to a hotel. During an interview on 10/14/25 at 4:36 p.m., the Administrator said the facility is a non-smoking facility. She said they sometimes do admit resident's that smoke, but not knowingly. She said if they find out about them being non-compliant, they will try to get them to comply, whether it be wearing a patch, or finding alternate placement. She said the facility does not have a smoking policy. She said if they see residents smoke, they will let the case manager know. She said CR #1 was discharged because she was smoking and was not compliant with non-smoking. She said she believes the Social Worker and the resident worked on her discharge together. She said the Social Worker found them a safe place to go and set up home health services. She said she believed their discharge procedures were followed. She said they had been talking with CR #1 about discharge for weeks because of resident's insurance denials and appeals and does not feel like she was blindsided. She said she does not know how much time she was given to make a decision to leave. She said the resident agreed to go after the Social Worker found her a place to go. She said it was not done in a day; it was done over weeks. She (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676436 If continuation sheet Page 2 of 11 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 676436 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Thrive Rehabilitation of Pearland 3406 Business Center Drive Pearland, TX 77584 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 0628 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete said she also had to worry about the other residents and fire hazards. She said it could cause stress on someone when given same day notice. Record review of email, dated 10/07/25 at 4:19 p.m., reflected Social Worker sent referral for CR #1 to home health services agency for RN, OT, and PT services. Home health agency representative sent a thanks response email back to Social Worker on 10/07/25 at 4:20 p.m. Record review of the facility's Admissions Agreement, read in part .Health, Safety, and Personal Rights.2. [nursing facility name] is a non-smoking facility and therefore will not admit any smokers into the facility. *This includes E-cigarettes and vapes. Record review of the facility's Transfer & Discharge policy, release date: December 2016, read in part .The transfer and discharge process must provide sufficient preparation and orientation to residents to ensure a safe and orderly transfer or discharge from the facility. Event ID: Facility ID: 676436 If continuation sheet Page 3 of 11 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 676436 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Thrive Rehabilitation of Pearland 3406 Business Center Drive Pearland, TX 77584 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 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to ensure the comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment including both the comprehensive and quarterly review assessments to reflect the current condition for 1 of 7 residents (Resident #3) reviewed for care plan revisions.- The facility failed to ensure Resident #3's care plan was updated to reflect his new diet of Level 4 (food is pureed smooth with no lumps or bumps) pureed after a choking incident (7/31/25) and had Level 6 (food cut into small, bite sized pieces that are tender and soft) soft and bite sized on 9/26/25.This deficient practice could place residents at risk of not receiving appropriate interventions to meet their current needs. The findings included:Record review of Resident #3's undated face sheet revealed he was a [AGE] year old male admitted on [DATE] with diagnoses of dysphagia (trouble swallowing), chronic kidney disease (kidneys are not filtering well), muscle weakness, type 2 diabetes mellitus (body does not produce insulin or resists it), and cognitive communication deficit (difficulty with communication skills caused by impairments in thinking processes).Record review of Resident #3's Quarterly MDS assessment dated [DATE] revealed a BIMS score of 10 out of 15, which indicated moderately impaired cognition. The MDS revealed the resident had a mechanically altered diet which required a change in the texture of food, like a pureed diet. It also revealed he was receiving Speech Therapy.Record review of Resident #3's Care Plan dated 6/25/23, revealed a Focus: Resident had a swallowing problem r/t difficulty with thin liquids. Diet: Renal/LCS Level 6 soft & bite sized texture, Level 0 (no modification) thin consistency. The goal was for the resident to not have any choking episodes when eating through the review date (Target Date: 3/8/25). Interventions included for the staff to be informed of the resident's special dietary and safety needs, the diet to be followed as prescribed, keeping the head of the bed elevated for 45 degrees during the meal and 30min after, monitoring for SOB or choking, and for the resident to eat with supervision.Record review of Resident #3's Change in Condition Note dated 7/31/25 at 5:52pm by RN G, revealed the resident was in the dining room eating dinner when he started choking. He was found blue, and unresponsive, so CPR was initiated. A chest thrust produced food particles in the back of the resident's throat, so a finger sweep was performed and the resident gasped. The resident was then transferred to the hospital.Record review of Resident #3's ER Notes dated 7/31/25 at 5:16pm by MD L, revealed .Per EMS, nursing home staff saw him choking and put him down from his wheelchair and started doing chest compressions. After 2 to 3 minutes of chest compressions a piece of food came up from his mouth and a finger sweep was done. Once EMS got there patient had his own pulse and was breathing. They are unsure if he ever lost his pulses. Patient now is awake and alert and breathing on his own.Record review of Resident #3's Physician Orders from MD T, revealed an order for Renal/LCS diet, Level 4 puree texture, Level 0 thin consistency. Ordered on 8/1/25.Record review of Resident #3's Nurse's Note dated 8/1/25 at 6:00pm by RN A, revealed the resident's diet had been changed to pureed and a Speech Therapy consult was entered.In an interview on 9/26/25 at 9:53am, Resident #3 said he remembered choking on a piece of meat, but he did not remember what it was. He said he did not remember what happened after he started choking. Resident #3 said he was on a pureed diet now.In an interview on 9/26/25 at 4:25pm, the DON said nursing staff would be responsible for updating the Care Plan with the correct diet. She said she did not know why it was not updated. She did not think anything would happen to the resident since the diet order in the chart was correct.Record review of the facility's policy and procedure on Comprehensive Plan of Care (Updated December 2016) read in part: It is the policy of this facility to provide each resident with a (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676436 If continuation sheet Page 4 of 11 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 676436 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Thrive Rehabilitation of Pearland 3406 Business Center Drive Pearland, TX 77584 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 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete comprehensive plan of care developed that includes goals, measurable objectives and timetables to meet their medical, nursing, mental, psychosocial needs identified during comprehensive assessment. The comprehensive care plan must describe services that are provided to the resident to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being. The comprehensive plan of care will include: Address the resident's individual needs, strengths, and preferences.Be periodically reviewed and revised by the interdisciplinary team as changesin the resident's care and treatment occur. The Director of Nurses (DON) and/or its designee shall be responsible for implementation of this policy. Re-evaluate and modify care plans as necessary to reflect changes in care, service and treatment, quarterly, and with significant change in status assessment. Care plan evaluation must occur in response to changes in the resident'sphysical, emotional, functional, psychosocial, or communicative status as they occur, as well as following the RAI guidelines. Event ID: Facility ID: 676436 If continuation sheet Page 5 of 11 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 676436 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Thrive Rehabilitation of Pearland 3406 Business Center Drive Pearland, TX 77584 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 observation, interview, and record review, the facility failed to ensure that a resident who needs respiratory care was provided such care, consistent with professional standards of practice for 1 of 7 residents (Resident #5) reviewed for oxygen.- The facility failed to ensure Resident #5 had a physician's order for oxygen, when he was being administered 3L O2 via NC on 9/26/25.This failure could place residents at risk for inadequate or inappropriate amounts of oxygen delivery and ineffective treatment.Findings included:Record review of Resident #5's undated face sheet revealed he was an [AGE] year-old male admitted on [DATE] with diagnoses of heart failure (heart does not pump effectively), seizures, and chronic kidney disease (kidneys do not filter). The picture of the resident on the face sheet revealed he had oxygen on via NC.Resident #5's MDS assessment had not been completed yet.Record review of Resident #5's Baseline Care Plan dated 9/20/25 by the DON, revealed the resident was receiving oxygen under Therapy and Nursing Services.Record review of Resident #5's previous hospital records dated 9/15/25 at 7:16am by MD K, revealed the resident was on 3 L/min O2 via NC.Record review of Resident #5's admission summary dated [DATE] at 7:47pm by unknown nurse, revealed the resident was on continuous oxygen.Record review of Resident #5's Physician Orders by MD B, reviewed on 9/26/25, revealed no orders listed for oxygen.In an interview and observation on 9/26/25 at 9:59am, Resident #5 was sitting up in bed with family present. He had 3L O2 via NC on. The resident said he was on continuous oxygen and used it continuously at home as well.In an interview on 9/26/25 at 12:40pm, RN A said he knew how much oxygen to put a resident on by looking at the order in the chart. He said the oxygen administration was also documented in the MAR-TAR. He said there was not an order for Resident #5's oxygen but he knew he was on 3L. He did not know why there was not an order for the oxygen. He said if someone was taking care of the resident and did not know him well, they would not know how much oxygen he was supposed to be on. RN A called the DON and informed her the resident was on 3L O2 via NC and there was not an order. She told him to go ahead and put an order in for it.In an interview on 9/26/25 at 4:25, the DON said if there was not an order in the resident's chart it could cause harm, or the resident could miss treatment.Record review of the facility's policy and procedures on Oxygen Administration, Nasal Cannula (Updated August 2017) read in part: It is the policy of this facility to provide oxygen support when indicated via appropriate delivery device to achieve or maintain adequate oxygenation to the respiratory compromised resident.Oxygen is a drug and as such there must be a physician's order for its use.Document O2 administration in Nurses Notes according to order, reason for use and resident's response to treatment. Post the Oxygen sign and explain to the resident, his/her roommate and all visitors the regulations regarding the use of smoking materials near oxygen.Record the oxygen use in the resident medical record. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676436 If continuation sheet Page 6 of 11 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 676436 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Thrive Rehabilitation of Pearland 3406 Business Center Drive Pearland, TX 77584 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 0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to ensure that residents who required dialysis received such services, consistent with professional standards of practice for 1 of 1 resident (Resident #5) reviewed for dialysis.- The facility failed to ensure Resident #5 had a physician's order for hemodialysis (machine filters the blood when kidneys do not work) on 9/26/25, when he went to dialysis 3 x week on Tuesday, Thursday, and Saturday.This failure could place residents at risk of complications of hemodialysis, not receiving proper care and/or treatment, and missed treatments.The findings included:Record review of Resident #5's undated face sheet revealed he was an [AGE] year-old male admitted on [DATE] with diagnoses of heart failure (heart does not pump effectively), seizures, and chronic kidney disease (kidneys do not filter). Resident #5's MDS assessment had not been completed yet.Record review of Resident #5's Baseline Care Plan dated 9/20/25 by the DON, revealed a diagnosis of dependence on renal dialysis but there was no mention of the resident receiving dialysis as part of the Care Plan.Record review of Resident #5's previous hospital records dated 9/15/25 at 7:16am by MD K, revealed the resident had ESRD (kidneys do not work) and was on HD (dialysis) TTS (Tuesday, Thursday, Saturday). He had a LUE fistula [dialysis access] with good thrill and bruit [the feeling of blood rushing through the access].Record review of Resident #5's admission assessment dated [DATE] at 5:04am by LVN E, revealed the resident was receiving dialysis.Record review of Resident #5's admission summary dated [DATE] at 7:47pm by an unknown nurse, revealed he received dialysis three times a week.Record review of Resident #5's Dialysis Communication Form dated 9/20/25, revealed he had dialysis from 11:18am-12:25pm and 1.5L of fluid was removed from his body via his LUA AVF (dialysis access).Record review of Resident #5's Physician Orders by MD B, reviewed on 9/26/25, revealed no orders for dialysis.In an interview and observation on 9/26/25 at 9:59am, Resident #5 was sitting up in bed with family present. The resident had a LUA fistula present. The resident's family member said she had concerns about his dialysis bandage not being changed when he got back.In an interview on 9/26/25 at 12:40pm, RN A said he knew a resident was on dialysis because the resident would tell him themselves, or the off going nurse would tell him in report. He said there should also be an order for the dialysis that would specify the days and the facility the resident went to. RN A said if there was not an order for dialysis, someone who was not familiar with the resident would not know they were on dialysis.In an interview on 9/26/25 at 4:25pm, the DON said if there was not an order in the resident's chart it could cause harm, or the resident could miss treatment.Record review of the facility's policy and procedure on Hemodialysis, Care of Residents (Updated August 2017) read in part: The facility provides residents with safe, accurate, and appropriate care, assessments and interventions to improve resident outcomes.Review and ensure orders upon admission are received for follow-up dialysis center appointments, shunt care, diet and fluid restriction (physician discretionary). Place a colored armband that indicates No BP this Arm on the Resident's arm that has the shunt.Provide routine AV Shunt Care and Monitoring per physician order and/or facility policy. Check vital signs upon arrival post-dialysis according to physician's order. Do not take blood pressure on arm with dialysis shunt.Check graft site for bleeding every 4 hours or twice during the shift after which the resident returns, or per physician's order.Monitor lab work. Notify physician as ordered or when lab values are abnormal.Record review of the facility's policy and procedure on Physician's Services (Updated June 2022) read in part: It is the facility's policy to ensure that its residents are provided with an attending physician that will supervise and direct its medical care. The medical supervision of the care of each resident by a physician will include orders for immediate need and care throughout Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676436 If continuation sheet Page 7 of 11 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 676436 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Thrive Rehabilitation of Pearland 3406 Business Center Drive Pearland, TX 77584 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 0698 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete resident's stay. The physician supervises the medical care of residents by means of participating in the resident's. assessment and care planning, monitoring changes in resident's medical status, and providing consultation or treatment when contacted by the facility. It also includes, but is not limited to, prescribing medications and therapy.Physician Visits. During physicians' visit, the attending physician will: Review the resident's total program of care, including medications and treatments, at each visit; Physician visits will include an evaluation of the resident's condition and total program of care, including medications and treatments, and a decision about the continued appropriateness of the resident's current medical regimen.Write, sign, and date progress notes at each visit as well as sign and date all orders. During visits, the physician will also sign and date all orders. Event ID: Facility ID: 676436 If continuation sheet Page 8 of 11 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 676436 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Thrive Rehabilitation of Pearland 3406 Business Center Drive Pearland, TX 77584 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 on observations, interviews, and record reviews, 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 of 7 residents (Resident #1) reviewed for infection control. - RN N failed to wear a gown during incontinence care on 9/26/25, when Resident #1 was on EBP.- RN N failed to change her gloves during incontinence care on 9/26/25, after removing the dirty brief and putting a clean one on for Resident #1.- RN N failed to clean Resident #1's suprapubic catheter (a tube inserted into the abdomen and directly into the bladder to drain urine) away from the insertion site and instead cleaned towards the insertion site on 9/26/25. These failures could place residents at risk for infection, cross contamination, and hospitalizations. Findings included: Record review of Resident #1's undated face sheet revealed he was a [AGE] year-old male admitted on [DATE]. There were no diagnoses listed on the face sheet.Resident #1's MDS assessment had not been completed yet.Record review of Resident #1's Baseline Care Plan dated 9/24/25 by RN P, revealed he was receiving antibiotic therapy and had a urinary catheter.Record review of Resident #1's previous hospital records dated 9/23/25 at 1:49pm by MD O, revealed the resident was being treated for an acute CVA (stroke) and a UTI (urinary infection). He had diagnoses of neurogenic bladder (bladder does not function properly due to damaged nerves) with a suprapubic catheter.Record review of Resident #1's admission summary dated [DATE] at 4:10pm by RN P, revealed the resident had a Mid lower suprapubic catheter 14 fr 10cc inflated.Guest is on antibiotics Cefepime [type of antibiotic] 1 gram in 500 ml (1gram into venous catheter every 8 hrs.).Record review of Resident #1's admission assessment dated [DATE] at 4:37pm by RN P, revealed he had diagnoses of AMS (confused) after a fall, CVA, HTN (high blood pressure), AKI (kidneys not working properly), Parkinson's, and afib (irregular heart rate). It also revealed the resident had a suprapubic catheter and was on antibiotic therapy. The assessment revealed the resident was totally dependent on staff for physical function and required 1-person physical assistance. The assessment revealed the resident had an IV, and he had left side weakness with right side facial droop.Record review of Resident #1's Progress Notes dated 9/26/25 at 4:32am by LVN H, revealed the resident was on Cefepime 1gm TID through his R AC (right elbow) midline for Pseudomonas UTI.Record review of Resident #1's Physician Orders revealed the following orders from MD B:- Enhanced Barrier Precautions: Wear gloves and a gown for the following high contact resident care activities: dressing, bathing/showering, transferring, changing linens, providing hygiene, changing briefs or assisting with toileting, device care or use (central line [long, thin tube inserted into large vein], urinary catheter, feeding tube, tracheostomy), wound care (any skin opening requiring a dressing), every shift for indwelling medical devices, wound, MDRO (antibiotic resistant bacteria) (current or HX of), suprapubic catheter mid lower abdomen, IV midline (type of IV inserted into larger vein). Ordered on 9/24/25 at 4:15pm.- Cefepime HCl Solution 1 GM/50ml, 1gm IV TID for infection- UTI Pseudomonas (type of bacteria) until 9/29/25, via R AC Midline. Ordered 9/25/25 at 2:03am.- Indwelling Suprapubic Catheter 14 Fr with 10 cc bulb connect to straight drainage. Notify MD as needed for non-patency of S/P catheter, every shift for neurogenic bladder and obstructive uropathy (urine flow is blocked in the urinary tract). Ordered on 9/25/25 at 11:56pm.In an interview and observation on 9/26/25 at 10:31am, Resident #1 had a midline to his R AC attached to an IV line that was hanging on a pole next to his bed. The IV bag was for Cefepime. He also had a foley bag hanging to the left side of the bed. The resident said his bottom hurt and wanted to change positions.In an interview and observation on 9/26/25 at 10:36am, RN N provided incontinent care to Resident #1 without Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676436 If continuation sheet Page 9 of 11 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 676436 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Thrive Rehabilitation of Pearland 3406 Business Center Drive Pearland, TX 77584 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 wearing a gown when Resident #1 was on EBP. RN N opened Resident #1's brief while he was lying on his back and wiped between his legs with 1 wipe several times. Without changing gloves or sanitizing, she then got a new wipe and cleaned Resident #1's genitals with the same wipe several times. Then RN N turned the resident to his side and wiped some feces off his bottom, without sanitizing or changing her gloves. RN N proceeded to put a clean brief on the resident without sanitizing her hands and changing her gloves and then turned him back on his back. She continued to clean his suprapubic catheter (without sanitizing her hands and changing gloves) from outwards towards the abdomen. She did this several times with the same wipe. When she was finished, she put the resident's bedding back on him with the same dirty gloves.In an interview on 9/26/25 at 10:47am, RN N said EBP was for any openings like IVs, wounds, or tracheostomies (hole in the neck for breathing tube). She said for a nurse, they have to wear PPE anytime they go into a room on EBP. She said she should have worn PPE for Resident #1, and she forgot because there was not any cart outside the room and the resident was a new admit. She said she cleaned the catheter towards the abdomen because she did not want to pull the catheter out. She did not think about the infection control issue. She said she forgot to change her gloves. RN N said all these things could cause contamination and infection.In an interview on 9/26/25 at 4:25pm, the DON said EBP was for foleys, wounds, midlines, and tracheostomies. She said the PPE worn was a gown and gloves and staff should wear it when they were providing close patient care. She said when cleaning a catheter line, it should be cleaned from inside to outside because you could pull the germs to you. She also said when providing incontinent care staff should change their gloves between the dirty and clean brief. She said doing these things caused cross contamination and infections.Record review of the facility's policy and procedure on Scope of Infection Control Program (Updated June 2022) read in part: The policy will provide the scope of the infection control program for the facility. The infection control program is a comprehensive compilation of policies and procedures for implementation at the facility. The scope of the program includes prevention, detection, management and control of spread of infection. The infection control policies and procedures implementation and oversight isfacilitated by the Infection Control Preventionist. The Infection Control Committee will provide complete oversight of facilityimplementation and infection control program .Staff will refer to infection control program policies for guidance on how [to] manage infection prevention, control and management for both residents and employees. Staff will follow standard and transmission-based precautions to prevent spread of infections. Staff will use isolation precautions for a resident; including but not limited to: The type and duration of the isolation, depending upon the infectious agent or organism involved, and.The hand hygiene procedures to be followed by staff involved in direct resident contact.Record review of the facility's policy and procedure on Enhanced Barrier Precaution (Updated June 29, 2022) read in part: It is the policy of this facility to ensure that isolation procedure standard is based on the most up-to-date infection control practice. The purpose of this policy is to establish and provide guidelines for isolation precautions as well as prevent transmission of infectious agents in the facility. The Director of Nurses (DON) and/or its designee shall be responsible for implementation and enforcement of this policy. This responsibility maybe designated to the Facility's Infection Control Preventionist. Enhanced Barrier Precautions expand the use of PPE and refer to the use of gown and gloves during high-contact resident care activities that provide opportunities for transfer of MDROs to staff hands and clothing. MDROs may be indirectly transferred from resident-to-resident during these high-contact care activities. Wounds or indwelling medical devices, regardless of MDRO colonization status. All residents with any of the following: Infection or colonization with an MDRO when Contact Precautions do not otherwise apply, Wounds (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676436 If continuation sheet Page 10 of 11 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 676436 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Thrive Rehabilitation of Pearland 3406 Business Center Drive Pearland, TX 77584 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 FORM CMS-2567 (02/99) Previous Versions Obsolete and/or indwelling medical devices (e.g., central line, urinary catheter, feeding tube, tracheostomy/ventilator) regardless of MDRO colonization status. During high-contact resident care activities: Dressing, Bathing/showering, Transferring, Providing hygiene, Changing linens, Changing briefs or assisting with toileting, Device care or use: central line, urinary catheter, feeding tube, tracheostomy/ventilator, Wound care: any skin opening requiring a dressing.Record review of the facility's policy and procedure on Indwelling Catheter Care (Updated February 2017) read in part: To ensure the care of the urinary catheter is carried out in a manner that minimizes trauma and infection risks.Perform hand hygiene and put on gloves.For male patients, cleanse suprapubic [above the pelvic bone] and pubic [private area] area with approved cleanser and washcloth. Grasp the shaft of the penis firmly. Cleanse urinary meatus and glans [top part] with approved cleanser and washcloth beginning at the urethral opening.Cleanse in a circular motion moving from the meatus downward and outward towards the shaft [bottom] of the penis.Remove gloves, perform hand hygiene and don [apply] a new pair of nonsterile gloves.Clean the catheter from the insertion site to approximately six (6) inches distally [away] with hospital approved cleanser and washcloths. Event ID: Facility ID: 676436 If continuation sheet Page 11 of 11