Health inspection·September 4, 2025

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few infections, sometimes UTIs (an infection in any part of the urinary system), skin breakdowns and residents could be wet later on. It's a dignity issue. Residents could be at risk of falling because they will try to get up and clean themselves if they were not checked and changed at least every two hours. During an interview on 09/03/25 at 12:13 p.m., LVN C stated CNAs and nurses were responsible for checking and changing residents every two hours and sooner if they observed residents had a bowel or bladder movement. LVN C stated the CNAs documented checking and changing residents in the residents' POC. LVN C stated the nurses did not document checking and changing residents, but they did inform the CNAs to document whenever they checked and changed residents in their POC. LVN C stated she was unsure if there was anyone who oversaw and ensured CNAs and nurses checked and changed residents. LVN C stated she knew the importance of checking and changing residents at least every two hours and said, To prevent UTIs, infections, bed sores, and because who wants to sit in their own feces. It's dignity. Residents could be at risk of infection, UTI, C. diff (a bacterium that causes diarrhea and colon inflammation), sickness, or get up and fall if they were not checked and changed at least every two hours. During an interview on 09/03/25 at 12:33 p.m., the ADON stated CNAs, MAs, and nurses were responsible for checking and changing residents every two hours or more as needed. The ADON stated CNAs documented checking and changing residents after completing the task in residents' POC. The ADON stated nurses documented checking and changing residents after completing the task in nurse's notes. The ADON stated her, the DON, and Wound Care Nurse were responsible for overseeing and ensuring CNAs, MAs, and nurses were checking and changing residents at least every two hours or more as needed by performing morning rounds and conducting spot checks throughout the day. The ADON stated she knew the importance of checking and changing residents at least every two hours and said, We want to have our residents clean. To prevent skin breakdown due to urine and feces. Residents could be at risk of skin breakdown if they were not checked and changed at least every two hours. It would be inappropriate for a resident to be lying in dried feces and sideways in bed. The surveyor attempted to contact and interview Resident #1 on 09/03/25 at 1:13 p.m. The surveyor left a voicemail and call back number. Resident #1 did not return the call before exit. During an interview on 09/03/25 at 2:14 p.m., the RP stated he observed Resident #1 lying sideways on his bed at the facility and covered in dried feces on 08/30/25. The RP stated Resident #1's room had a foul, feces odor. During an interview on 09/03/25 at 3:23 p.m., the DON stated CNAs were responsible for checking and changing residents every two hours and whenever a resident had an incontinent episode in between rounds. The DON stated she expected CNAs and nurses to round at the beginning of their shift and every two hours to ensure residents were in good condition. The DON stated CNAs documented checking and changing residents in residents' POC after performing the task. The DON stated she expected the nurses to ensure CNAs were checking and changing residents. The DON stated she knew the importance of checking and changing residents at least every two hours and said, It's extremely important for skin care. We don't want to be responsible for development of pressure ulcers. We also want to maintain a residents' dignity. Residents could be at risk of falling if they try to get up due to discomfort and skin breakdown if they were not checked and changed at least every two hours. The DON stated a resident lying sideways on their bed with dried feces covering their bed was a dignity issue. During an interview on 09/03/25 at 3:49 p.m., LVN D stated CNAs and nurses were responsible for checking and changing residents every two hours. LVN D stated CNAs documented checking and changing residents in residents' POC. LVN D did not explain where nurses documented checking and changing residents and who oversaw and ensured CNAs and nurses checked and changed residents every two hours. LVN D stated she knew the importance of checking and changing residents at least every two hours and said, You don't want (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676437 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 676437 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Accel at College Station 1500 Medical Avenue College Station, TX 77845 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 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete residents to be in discomfort, it could also cause skin breakdown and ulcers. We don't want skin breakdown because it could get infected. Residents could be at risk of trying to get up on their own and fall and could also develop skin breakdown if they were not checked and changed at least every two hours. LVN D stated a resident lying sideways on their bed in a bowel movement was a dignity issue. Review of the facility's in-services, July-September 2025, reflected there were no in-services related to dignity and resident rights. Review of the facility's Quality of Life - Dignity policy, revised October 2009, reflected, Policy Statement: Each resident shall be cared for in a manner that promotes and enhances quality of life, dignity, respect and individuality.Policy Interpretation and Implementation: 1. Residents shall be treated with dignity and respect at all times.2. Treated with dignity means the resident will be assisted in maintaining and enhancing his or her self-esteem and self-worth .10. Staff shall promote, maintain and protect resident privacy, including bodily privacy during assistance with personal care and during treatment procedures.Review of the facility's Resident Rights policy, revised October 2009, reflected, Policy Statement: Employees shall treat residents with kindness, respect, and dignity. Policy Interpretation and Implementation: 1. Federal and state laws guarantee certain basic rights to all residents of this facility.3. Our facility will make every effort to assist each resident in exercising his/her rights to assure that the resident is always treated with respect, kindness, and dignity. Review of the facility's Perineal Care policy, revised December 2011, reflected, Purpose: The purposes of this procedure are to provide cleanliness and comfort to the resident, to prevent infections and skin irritation, and to observe the resident's skin condition.Documentation: The following information should be recorded in the resident's medical record: 1. The date and shift that perineal care was given. 2. The name or initials of the individual(s) giving the perineal care.Reporting:. 3. Report other information in accordance with facility policy and professional standards of practice. Event ID: Facility ID: 676437 If continuation sheet Page 3 of 3