Health inspection·December 5, 2025

F 0576 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some accident and not dementia, and most likely be temporary. During an interview with DON on 09/26/25 at 2:05 PM, she stated [Family Member] demanded Resident #1 not have access to a telephone to communicate with other family members. DON stated the facility complied with [Family Member] request and removed the phone from Resident #1's room and denied him access to any other forms of communication. DON further stated the facility does have the ability to provide a form of private communication for the resident but has not done so due to the request of [Family Member]. DON stated there are no medical records, diagnostic records, or diagnosis indicating Resident #1 has dementia. Durning a re-interview of Resident #1 on 09/26/25 at 3:10 PM he stated his personal cell phone was taken from him by [Family Member] shortly after being admitted . Resident #1 further stated he had been allowed to use the phone only once when he first arrived to the facility. Resident #1 continued to state he asks to use a phone several times a day and is denied by staff. Resident #1 said no one will tell him why he can't use the phone. Resident #1 stated he missed speaking to his wife and daughter and has not been able to speak to them since being admitted to the facility. While speaking to Resident #1, Med Aid entered to provide care and stated she was instructed to not provide a phone to Resident #1 if he asked. Med Aid further confirmed Resident #1 had asked for a phone every day he has been in the facility to call his wife. During an interview with the Administrator on 09/26/25 at 3:56 PM, she stated there were no records indicating Resident #1 was unable to make decisions for himself. The Administrator said she had instructed Resident #1 not have access to a form of communication at the request of [Family Member]. The Administrator continued to state [Family Member] and complainant had been very aggressive towards her and facility staff while Resident #1 has been in the facility. The Administrator stated she holds resident rights in the highest priority, but to appease [Family Member] and to deescalate verbal confrontations with [Family Member], she denied Resident #1 access to a phone[VT1] [DG2] . Observation of Resident #1's room on 09/26/25 at 9:45 AM showed no landline telephone was present in the room. Record review of the CME, dated 08/29[sic], provided by complainant and [Family Member] reflected question #3: Evaluation of the Proposed Ward's Mental FunctioningMental Diagnosis: Hallucination ?[sic] Post Op, Meds, [illegible] Dementia unknown. Under question #3 the CME, dated 08/29[sic], further reflects: If the mental diagnosis includes dementia, answer the following: Written in handwriting next to this question is not diagnosed @ time[sic] Record review of Resident #1's admission record, dated 09/02/25 reflected he was his own responsible party. Record review of Resident #1's physical therapy notes, dated 09/03/25-09/06/25; 09/08/25; 09/12/25; 09/13/25; 09/15/25; 09/19/25; 09/20/25; 09/22/25; 09/24/25; and 09/25/25, reflected DO NOT ALLOW PATIENT TO LEAVE WITH [FAMILY MEMBER #2]. DO NOT ALLOW PATIENT TO SIGN ANYTHING GIVEN TO HIM BY [FAMILY MEMBER #2]. PHONE REMOVED FROM THE ROOM PER FAMILY REQUEST. Record review of Resident #1's MDS, dated [DATE], reflected he had a BIMS (A standardized, short test used in long-term care facilities to screen for and track cognitive decline in residents. It assesses a person's orientation, attention, and ability to register and recall information.) score of 13 of 15. [VT3] Record review of document titled Medical Power of Attorney and HIPAA Release Authorization of [Resident #1], undated reflected: This medical power of attorney takes effect if I become unable to make my own health care decisions and this fact is certified in writing by my physician. Record review of the facility's Resident Rights policy, dated revised December 2016, reflected: 1. Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to: .e. self-determination;f. communication with and access to people and services, both inside and outside the facility; .cc. access to a telephone, mail and email. Record review of the facility's Telephone Accessibility policy, dated revised April 2007, reflected: Residents may have telephones installed in their rooms or may (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676492 If continuation sheet Page 2 of 4 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 676492 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/05/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Methodist Transitional Care Center-Desoto LLC 109 Methodist Way Desoto, TX 75115 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 0576 use cellular phones. The resident or his/her responsible party must pay for such service, including fees and line services. 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: 676492 If continuation sheet Page 3 of 4 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 676492 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/05/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Methodist Transitional Care Center-Desoto LLC 109 Methodist Way Desoto, TX 75115 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 - Few FORM CMS-2567 (02/99) Previous Versions Obsolete 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 observation, interview, and record review, the facility failed to store all drugs and biologicals in locked compartments and permit only authorized personnel to have access for one of three (Medication Cart #1) medication carts reviewed for pharmacy services.The facility failed to ensure Medication Cart #1 was locked when unattended, in the 300 Hall, on 09/26/25.This failure could place residents at risk of having access to unauthorized medications and/or lead to possible harm or drug diversioFindings included:In an observation and interview on 09/26/25 at 9:28 AM, Medication Cart #1 was observed unlocked and unattended as it set outside room [ROOM NUMBER], across from the nurses' station. There were no staff at the nurses' station. There were no staff in the immediate area. Medication Tech A was observed about 4 rooms down as she passed medication. The DON was observed as she came down the hall and locked the medication cart. The DON stated she was not sure who was responsible for the unlocked medication cart. The DON asked Medication Tech A who last attended the medication cart, and Medication Tech A stated she was the last one that used the unlocked medication cart. The DON told Medication Tech A that all medication carts should be locked when unattended to prevent drug diversion.In an interview on 09/26/25 at 12:02 PM, Medication Tech A stated she was responsible for two medication carts today. She stated she used the medication carts for 300 and 400 halls, and she stated she forgot to lock the other cart when she switched to a different cart. She stated she never left medication carts unlocked and was upset about it. Medication Tech A stated the risk of an unlocked medication cart was a patient could get in it and get stuff. Medication Tech A stated she was trained to always lock the medication carts. In an interview on 09/26/25 at 4:05 PM, the Administrator stated she was informed about the unlocked medication cart that was the responsibility of Medication Tech A. She stated the staff received in-services routinely on medication administration and locked medication. The Administrator stated the risk of an unlocked medication cart was anyone would have access to the medications.A policy on locked medication was requested on 09/26/25 at 11:50 AM and at 3:35 PM but not received. Event ID: Facility ID: 676492 If continuation sheet Page 4 of 4