Health inspection·December 10, 2025

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Administrator) and called corporate office to report the incident. DON said that they did an internal investigation and determined that the allegations were unfounded. She said she was advised by corporate that it was not a reportable incident because Med Tech had LVN D as a witness during the exchange and the following day, Resident #1's family apologized for her outburst and the cursing she had done the day before. DON said Resident #1's family told her that Resident #1 had dementia and may have been confused. DON stated with that information and confirmation from corporate office, they did not feel they needed to report the incident to State office. In an interview with Medication Technician on 12/10/25 at 2:04 PM, she stated Resident #1 was new to the facility and she had an order to crush her medication before oral administration. She said when she went into Resident #1's room to administer medication, Resident #1 who refused to take the medication stated that she took her pills whole (not crushed). Med Tech said she then left Resident #1 and went to confirm with LVN D. She said together with LVN D, they went to talk to Resident #1 about the physician order to crush medications before administration. Med Tech stated at that point Resident #1 was agreeable to take medication as LVN D walked out of the room. Med Tech said after just taking a small bite of the crushed medication Resident #1 refused saying that she did not like the taste. Med Tech said at that point, she walked out and gave the medications to LVN D and reported that Resident #1 refused her medications. Med Tech stated she did not grab Resident#1's mouth or force her to take the medication. She said when she refused, she went and reported it to the nurse and that was it. She said that she would not force a resident to take medication as that was abuse and a resident had a right to refuse medication. She said that all abuse was reported to the Administrator immediately. Med Tech revealed that LVN D was no longer employed at the facility. On 12/10/25 at 2:57 PM, an attempt was made to contact LVN D. A message with a return number was left. There has been no return call from the nurse. Interview with the Administrator on 12/10/25 at 5:09 PM revealed she was aware of the timeframe for reporting abuse allegations was within two hours. The Administrator stated DON contacted her the same evening Resident #1 made the abuse allegation. She said she consulted with her corporate office, and she was advised not to report the allegation because it did not meet the criteria for reportable incidents. She said moving forward she now knows better to report allegations of abuse. She said when they received grievance they did an internal investigation, safe surveys, in services and witness statements. She said the grievance was resolved. Record review of facility Inservice for Abuse and Neglect led by the administrator reflected it was completed on 11/22/25. 15 staff completed the Inservice. Record review of grievance dated 11/19/25, revealed safe surveys completed by 7 residents. No concerns were noted. Review of the facility's policy titled Abuse and Neglect-Clinical Protocol, revision date April 2007, revealed, The management and staff, with the support of the physicians (as needed), will address situations of suspected or identified abuse and report them in a timely manner to appropriate agencies, consistent with applicable laws and regulations. Event ID: Facility ID: 676492 If continuation sheet Page 2 of 8 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 12/10/2025 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 0693 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to provide appropriate services to prevent complications of enteral feeding for four of six residents (Residents #1, #3, #4, and #5) observed for gastrostomy tube feeding. 1.The facility failed to ensure Residents #1, #3, and #4's G-tube dressings were changed and dated. 2. The facility failed to make sure that formula tubing was sealed with a cap to prevent exposure and contamination during downtime for Resident #1 and #5. Thes failures could place residents at risk of contamination and communicable infectious diseases. Findings included: Resident #1Record review of Resident #1's face sheet dated 12/10/25 revealed a [AGE] year-old female who was admitted to the facility on [DATE] with primary diagnosis of gastrostomy malfunction (this a feeding tube that malfunctions or was replaced). Her secondary diagnoses were COPD ( a lung disease that blocks airflow and makes it difficult to breathe), type 2 diabetes Mellitus (a disease that occurs when the body does not respond properly to insulin leading to high blood sugar levels), unspecified dementia (Brain disease that alters brain function and causes a cognitive decline) and cellulitis of the abdominal wall (infection in the stomach wall which appears as redness on the stomach area). Record review of Resident#1's admission MDS dated [DATE] did not reflect a BIMS score. Record review of Resident#1's discharge MDS dated [DATE] revealed Resident #1 had a feeding tube. The MDS did not indicate how much nutritional calories or fluid were obtained using tube feeding. Record review of Resident #1's physician order summary for December 2025 reflected-GT: Pump give [brand name of diabetic feeding] at 40 cc/hr per g-tube for 20 hours every shift. Ordered 11/18/25-GT: Cleanse peg [other name of g-tube] site with normal saline, pat dry and apply dressing daily or as needed every shift. Ordered 11/18/25. Record review of Resident #1's care plan initiated on 11/24/25 revealed Resident #1 had cellulitis of the abdominal wall. The goal was for Resident #1 to have no complications resulting from the cellulitis through the review date. The interventions were to observe/document/report to MD the following symptoms of Cellulitis: Red, Swollen, tender Skin, reddened area begins to spread, small red spots that appear on the reddened skin, small blisters which may form and burst, swollen lymph glands. Further review of the care plan indicated Resident #1 required tube feeding related to dysphagia (difficulty swallowing). The goal was for Resident #1 to maintain adequate nutritional and hydration status as evidenced by weight stability, no signs and symptoms of malnutrition or dehydration. Interventions included Document/report to MD PRN: aspiration, fever, Shortness of breath, tube dislodged, infection at tube site, self-extubation [pulling g-tube out], tube malfunction, abnormal breath/lung sound, abdominal pain, distention, tenderness, diarrhea, nausea and vomiting. In a phone interview with Resident #1's family on 12/09/25 at 3:40 PM, she stated Resident #1 was currently in the hospital. She said she had gone to the facility to visit Resident # 1, on 11/19/25, 11/20/25, and 11/21/25. She said Resident #1 was not connected to her feeding tube on11/20/25, and 11/21/25, and the tube feeding end was hanging from the IV pole uncapped and dirty. She said the same tube feeding from 11/19 was still hanging on the pole. She stated on 11/20/25, Resident #1's Peg tube dressing had a foul odor coming from it so she removed it and cleaned the site the best she could. Record Review of Resident #1's photos provided by family via email revealed a photo dated 11/19/25 at 5:40 pm of the uncapped feeding tubing with brown substance that was dry on the end of the tube and another photo dated 11/20/25 taken at 12:54 PM, revealed a soiled gauze dressing with brown and red discharge on it. The g-tube dressing was undated. Record review of Resident #1's MAR revealed cleanse peg site with normal saline, pat dry and apply dressing daily or as needed every shift. It was documented as completed on the 6 am-6pm (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676492 If continuation sheet Page 3 of 8 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 12/10/2025 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 0693 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some shift on 11/19/25 by LVN D and on 11/20 and 11/21/25 it was documented as completed by LVN E On 12/10/25 at 2:57 PM, an attempt was made to contact LVN D. A message with a return number was left. There has been no return call from the nurse. In a phone interview with LVN E on 12/10/25 at 4:51 PM, she stated she worked the overnight 6pm-6 am shift. She said she changed Resident #1's g-tube dressing change, the new feeding tubing and water and the syringe for g-tube. She said it was done overnight by her and other assigned nurses with patients who had g-tubes. She said when she worked with residents who had g-tubes, she made sure that the feeding was new. She said she also labeled the feeding bag, the syringe and the g-tube dressing. She said the potential risk of not completing these tasks was infection. Resident #3Record Review of Resident #3's face sheet dated 12/10/25 revealed a [AGE] year-old male with an initial admission to the facility of 06/03/21 and readmitted on [DATE] with a primary diagnosis of nontraumatic intracerebral hemorrhage in hemisphere, Subcortical (this is a stroke with brain bleed). His secondary diagnoses included Hemiplegia and hemiparesis cerebrovascular disease affecting left dominant side (this is the after effect of stroke that causes one-sided paralysis and weakness of the face, arm or leg on the left side of his body), and Gastronomy status (presence of a gastronomy in which a tube is placed in surgical opening into the stomach for nutritional support or gastric decompression). Record review of Resident #3's quarterly MDS dated [DATE] revealed a BIMS score of 11 indicating moderate cognitive impairment. The MDS indicated Resident #3 was on a mechanically altered diet (requires change in texture of food or liquids . example given pureed food and thickened liquids). The MDS indicated Resident #3 received 51percent or more of his total calories through his feeding and 501 cc/day or more of fluid intake through his feeding tube. Record review of Resident #3's physician order summary for December 2025 reflected-Cleanse peg site with normal saline, pat dry and apply dressing daily or as needed every shift. Ordered 12/20/22. Record Review of Resident #3's care plan initiated 11/10/22 revealed a focus that Resident #3 required feeding related to dysphagia (difficulty swallowing). The goal was for Resident #3 to maintain adequate nutritional and hydration status as evidenced by weight stability, no signs and symptoms of malnutrition or dehydration. The interventions included providing local care to G-tube site as ordered and monitoring for signs and symptoms of infection. Observation and interview with Resident #3 on 12/10/25 at 09:38 AM, revealed Resident #3 stated that he had a g-tube. He lifted his sheet and revealed a g-tube that was intact. The g-tube dressing was dated 12/08/25. The dressing did not have an odor or drainage. Resident #3 said he did not know how often his g-tube dressing was changed. Interview with LVN C on 12/10/25 at 09:50 AM, revealed she was Resident #3's nurse. She said that she was getting ready to give Resident #3 a shower and that was why his g-tube dressing had not been changed yet. She said Resident #3's g-tube dressing should be changed daily. When LVN C was asked why the dressing was not changed on 12/09/25, She did not know why it was not changed on 12/09/25. She said the risk of not changing dressing was infection. Resident #4Record Review of Resident #4's face sheet dated 12/10/25 revealed an [AGE] year-old male with an initial admission to the facility of 12/09/22 and readmitted on [DATE] with a primary diagnosis of sepsis (this is a life-threatening complication of an infection). His secondary diagnoses included cognitive communication deficit, high blood pressure, and Gastronomy status (presence of a gastronomy in which a tube is placed in surgical opening into the stomach for nutritional support or gastric decompression). Record review of Resident #4's quarterly MDS dated [DATE] revealed a BIMS score of 01, indicating severe cognitive impairment. The MDS indicated Resident #4 had a feeding tube and received 51percent or more of his total calories through tube feeding and 501 cc/day or more of fluid intake through his feeding tube. Record review of Resident #4's physician order summary for December 2025 reflectedCleanse peg site with normal saline, (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676492 If continuation sheet Page 4 of 8 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 12/10/2025 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 0693 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some pat dry and apply dressing daily or as needed every shift. Ordered 08/26/24. Record Review of Resident #4's care plan initiated 11/04/25 revealed a focus of at risk for infection related to indwelling [inside the body] medical device. The goal was to reduce risk of infection through next review. The interventions included reporting to Medical Doctor any signs and symptoms of infection: fever, redness, drainage, or swelling. Observation and interview with LVN C on 12/10/25 at 10:21 AM, revealed she was Resident #4's nurse. She revealed Resident #4's g-tube area which had a 4 by 4 gauze pad around his g-tube. The gauze was clean and intact. The dressing was undated. LVN C stated the facility did not have the g-tube dressing that had a slit in the middle of it for g-tube dressing changes, therefore, they were using the 4 by 4 gauze pads. She said that the night shift may have changed the g-tube dressing overnight and forgot to date it, however she said she was unsure when dressing was changed. She said the risk of not having a date on the g-tube dressing was not knowing when it was last changed. Resident #5Record Review of Resident #5's face sheet dated 12/10/25 revealed a [AGE] year-old female with an initial admission to the facility of 10/16/22 and readmitted on [DATE] with a primary diagnosis of Alzheimer's Disease (Brain condition that progressively destroys memory and other important mental functions). Her secondary diagnoses included Gastronomy status (presence of a gastronomy in which a tube is placed in surgical opening into the stomach for nutritional support or gastric decompression) polyp [pouches] in the colon, and age-related physical debility [weakness]. Record review of Resident #5's physician order summary for December 2025 reflected-GT: Pump give [brand name of feedings] at 70 cc/hr for 20 hours with pump to flush 90 cc water every 4 hours every shift for nutrition. Ordered 04/30/25.-GT: Change tubing with each closed system administrated every shift. Ordered 07/07/23. Record Review of Resident #5's quarterly MDS dated [DATE] did not reveal a BIMS score. The MDS indicated Resident #5 had a feeding tube and received 51percent or more of her total calories through tube feeding and 501 cc/day or more of fluid intake through her feeding tube. Record Review of Resident #5's care plan initiated on 11/08/22 revealed a focus that Resident #5 required feeding related to dysphagia (difficulty swallowing). The goal was for Resident #5 to maintain adequate nutritional and hydration status as evidenced by weight stability, no signs and symptoms of malnutrition or dehydration. The interventions included providing local site care to G-tube as ordered and monitoring for signs and symptoms of infection Observation on 12/10/25 at 09:51 AM, at 12:00 PM, and at 1:00 PM revealed Resident #5 was non interviewable. She was not connected to her feeding tube, and the tube feeding end was hanging from the IV pole uncapped creating an open system. The feeding was dated 12/09/25 at 4:55 pm. Interview with CNA H on 12/10/25 at 10:53 AM, revealed she was getting ready to give Resident #5 a bed bath. She said that the nurse had disconnected Resident #5 for her down time so that ADLs can be provided. She said that residents are usually off their feeding until 1 PM. She said she did not know if the formula tubing had caps on them because that was not something that she watched for as that was not in her scope. She said she would report to the nurses after ADLs if they needed to be reconnected after ADLs. CNA pulled the cover down to show Resident #5's G-tube was clean and intact. The dressing was clean and dated 12/10/25. In an interview with LVN A on 12/10/25 at 10:29 AM, she stated Resident #5 was hers today. She said that she was disconnected from her feeding until 1 PM when she would be reconnected to her feeding. She said that residents on feeding have orders for a 4-hour downtime for ADL care. She said new bags of Formula feedings are hung overnight by night shift. LVN A said that she had changed Resident #5's g-tube dressing this morning. She said the risk of not following g-tube procedures was infection. In an interview with RN F on 12/10/25 at 1:45 PM, she stated she was the infection control preventionist. She said nurses were responsible for putting orders in for dressing changes and the unit managers monitored that (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676492 If continuation sheet Page 5 of 8 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 12/10/2025 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 0693 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete orders were accurate. She said she is supposed to monitor that staff are following the infection control procedures. She said that she was not aware that some residents that had g-tube were not getting g-tube dressing changes and that the dressing was not dated. She said the risk of not changing dressing when it was due was infection. RN F stated that the Formula bags kits came with a clear plastic cap that was used at the end of the feeding to close the line when not in use. She said the expectation was that when not connected to a resident the feeding should be closed with the clear cap to create a closed system and prevent infection. An interview with the DON on 12/10/25 at 1:59 PM revealed that nurses were responsible for completing dressing changes as ordered. She said all nursing was responsible for g-tube dressing changes. She said if not done on night shift it should be done on morning shift before medication administration or before hanging a new bag of Formula. She said the expectation was that G-tubes dressings were changed daily, dated and documented and she expected nurses to look at the MAR and complete the tasks. She said risk of not following proper procedures was potential for infection. Interview with the Administrator on 12/10/25 at 5:09 PM revealed all staff members were expected to follow the infection control protocol as indicated. She expected staff to prevent spread of infection. She said the expectation was that G-tubes dressings were changed daily and documented. She also expected nurses to look at the MAR to see when the dressings were last changed. She said the responsibility was on all nurses and for nurse managers to follow up to make sure infection control was being followed. Review of the Gastrostomy/Jejunostomy Site Care policy, revised 09/2004, reflected Purpose: The purposes of this procedure are to promote cleanliness and to protect the gastrostomy or jejunostomy site from irritation, breakdown and infection .Documentation: the date and time the procedure was performed . Review of the Infection Control policy, revised 09/2007, reflected Policy Statement: This facility's infection control policies and practices are intended to facilitate maintaining a safe, sanitary and comfortable environment and to help prevent and manage transmission of diseases and infections.2.The objectives of our infection control policies and practices are to:1. Prevent, detect, investigate, and control infections in the facility;2. Maintain a safe, sanitary, and comfortable environment for personnel, residents, visitors, and the general public3. Establish guidelines for the availability and accessibility of supplies and equipment necessary for Standard Precautions;4. Maintain records of incidents and corrective actions related to infections;5. Provide guidelines for the safe cleaning and reprocessing of reusable resident-care equipment Event ID: Facility ID: 676492 If continuation sheet Page 6 of 8 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 12/10/2025 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 0694 Provide for the safe, appropriate administration of IV fluids 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, interviews, and record review, the facility failed to ensure parenteral fluids were administered consistent with professional standards of practice and in accordance with physician orders for 1 of 1 resident (Resident #2) reviewed for peripheral intravenous care. The facility failed to ensure physician orders for Resident #2 were followed to change PICC line dressing every 7 days as ordered. This failure could affect residents by placing them at risk of infection. Findings included: Record review of Resident #2's face sheet dated 12/10/25 indicated Resident #2 was a [AGE] year-old female admitted to the facility on [DATE] with a primary diagnosis of other mechanical complication of internal fixation device of bone of right lower leg, subsequent encounter (this is an active infection that was caused by the hardware in the right lower leg). Record review of Resident #2's admission MDS dated [DATE] did not indicate Resident #2 had a BIMS score. Record review of Resident #2s Physician order summary for December 2025 reflected -LUE DL PICC IV: Change IV dressing Q TUE days and PRN. Ordered on 12/03/25.-Monitor IV insertion site for s/s of infection/infiltration every shift. Ordered 12/02/25. Record review of Resident #2's care plan initiated on 12/03/25 indicated Resident #2 was on IV antibiotic therapy related to pin site osteomyelitis (bone infection) infection. The goal was for Resident #2's infection to resolve without complications. The interventions were to administer medication as ordered. The care plan also revealed that Resident #2 had a surgical incision related to fracture repair. The goal was for the surgical wound to heal without complications by the review date. Inventions included Monitor for signs of infection (redness, warmth, excessive drainage) and report changes to MD. Observation and interview with Resident #2 on 12/10/25 at 10:00 AM revealed Resident #2 was attached to an IV pole with IV antibiotic being infused. Resident #2 said that she received antibiotics twice a day. Resident #2 extended her left arm and revealed a PICC line with two ports. One of the ports was covered with a green cap and the other port was being used for the infusion. The dressing was coming off on the left outer side. The dressing was dated 11/26/25 with time print 17:55 [5:55PM]. The inner insertion site had a gel covering of PICC line and dressing around the immediate proximity was intact and clean. Resident #2 said she did not know how often the IV dressing is changed. In an interview with LVN A on 12/10/25 at 10:29 AM, she stated this was the first time that she was assigned to work with Resident #2 and she wanted to give at least one antibiotic before changing the IV dressing. She said she noticed that the PICC line needed to be changed but she did not change it until the first antibiotic was completed. She said that she had assessed the PICC line before medication administration to make sure there were no signs and symptoms of infection such as redness, swelling, pain, or any discoloration. She said she knew that all PICC line dressings were changed every Tuesdays or weekly. She said that the risk of not changing IV dressing was infection. In an interview with RN F on 12/10/25 at 1:45 PM, she stated she was the infection control preventionist. She said nurses were responsible for putting orders in for dressing changes and the unit managers monitored that orders are accurate. She said she is supposed to monitor that staff are following the infection control procedures. She said that she was not aware that a resident had a PICC line dressing that was overdue. She said the risk of not changing the dressing when it is due is infection. An interview with the DON on 12/10/25 at 1:59 PM revealed that nurses were responsible for completing dressing changes as ordered weekly on Tuesdays and charge nurse were responsible for monitoring completion of tasks. She said LVN B was supposed to change Resident #2's PICC line dressing yesterday on Tuesday (12/09/25). DON stated LVN B told her that she became busy with admission and discharge and forgot to complete the dressing change. She said that LVN B should have communicated with the oncoming nurse Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676492 If continuation sheet Page 7 of 8 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 12/10/2025 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 0694 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete that she had not completed the dressing change. She said she did not know how the IV dressing change was missed between 12/03/25 until 12/10/25 but that on Monday 12/08/25, Resident #2 was gone to an appointment. She said if the IV dressing did not get changed as ordered, then there was potential for infection. In an interview with LVN B on 12/10/25 at 4:00 PM, it was revealed she had been employed to the facility for about four months. She said, honestly it slipped my mind. She said she was very busy on Tuesday with admission and discharge and forgot to change Resident #2's PICC line dressing. She said she also forgot to communicate with on coming nurse about the IV dressing change. She said she needed a better time management strategy. She said she had been trained to assess and change IV dressings. She said that she monitored PICC for signs and symptoms of infection. She said failure to change PICC line dressing put the resident at risk for an infection. In an interview with the Administrator on 12/10/25 at 05:09 PM, she said the expectation was for nursing to follow processes in place to prevent the risk of infection. Record review of facility policy titled Intravenous Therapy: Preventing Catheter-Related Infections revised August 2009 reflected. The purpose of this procedure is to maximally reduce the risk of infection associated with indwelling intravenous (IV) catheters.1. Sterile transparent, semi-permeable membrane (TSM) dressings are the preferred covering for catheter insertion site. This allows visualization of insertion site.2. Change TSM dressings every 7 days or PRN if wet, dirty, or not intact. This does not require a physician's order. Event ID: Facility ID: 676492 If continuation sheet Page 8 of 8