Accel At College Station

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

breathing. She stated Resident #1's son was on the phone talking to Resident #1 when she removed the phone from Resident #1 chest and placed it on the bedside table, within reach of Resident #1. She stated Resident #1 was able to reach the cell phone from where she was lying in bed. ADON A stated the bedside rolling table was not located on the right side of the bed and was not toward the middle of the bed, instead

it was directly beside Resident #1, at the head of the bed. ADON A stated it was Resident #1's right to have her cell phone when her son was on the phone speaking to Resident #1. She stated Resident #1 was not able to hold the cell phone with her hand. ADON A stated Resident #1's hands were shaking, and she was not capable of holding a cell phone. ADON A stated she was expected to follow resident rights and had been in-service on resident rights. She stated she did not recall the time or date of the in-service. ADON A stated she did not have anything else to say about the cell phone, that was all she knew to report about the situation of the phone. In an interview on 01/16/2026 at 4:00 pm, the Director of Nurses stated anytime a Resident was on their personal cell phone with a family member, and they find comfort having their family member on the cell phone when they are in distress or not in distress it was against resident rights for a staff to remove the cell phone from the resident. She stated ADON A was not to remove the cell phone from Resident #1 and place it where Resident #1 could not reach it. The Director of Nurses stated a resident had

a right to speak to their family anytime they choose, and to have their cell phone within reach. She stated all staff had been in-service on resident rights. She stated she had not interviewed ADON A about the incident with Resident #1, and the facility was going to conduct a full investigation of what occurred with Resident #1 on 01/13/2026. In an interview on 01/16/2026 at 4:35 pm, the Administrator stated all residents had a right to have access to using phone to contact family. She stated if a resident had a personal cell phone and

a family member was on the phone with the resident, it did not matter what the situation was, the staff was not to take the cell phone away from a resident while family was on the phone. The Administrator stated if a resident had a cell phone, and not using it, the staff was not to place a resident's cell phone outside of the reach of the resident. She stated a resident's personal cell phone was expected to be within reach of the resident at all times, especially when the resident's family was talking to the resident on the phone. She stated that was against the resident's rights. The Administrator stated all staff had been in-serviced on resident rights, and she did not recall the date or time of the in-service. She stated the facility was completing an investigation of what occurred with Resident #1 on 01/13/2026. The Administrator stated she would be conducting further investigation about the situation with the cell phone incident that occurred on 01/13/2026. Record review of the facility's policy on Resident Rights, dated 2009, reflected Employees shall treat all residents with kindness, respect, and dignity. Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident to use a telephone in privacy. Residents are entitled to exercise their rights and privileges to the fullest extent possible. 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.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 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

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

01/29/2026

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 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

reflected A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. Assessments of residents are ongoing, and care plans are revised as information about the residents and the residents' conditions change.The Interdisciplinary Team must review and update the care plan:1. When there has been a significant change in the resident's condition.2. When the desired outcome is not met;3. When the resident has been readmitted to the facility from a hospital stay; and4. At least quarterly, in conjunction with the required quarterly MDS assessment.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 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

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

01/29/2026

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 0684 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

immediately to the nurse and if the nurse is the one observing the concern, the nurse was to immediately call the physician or 911 according to the circumstance of the resident. She stated quality of care meets professional standards and supports residents' highest level of well-being. The Director of Nurses stated when a resident had a change of condition this was when a new physical, mental or emotional change occurred, or an existing concern deteriorated. She stated the staff was expected to recognize the change, call the physician, report to the nurse, or call 911. She stated the resident was to be monitored until EMS came to the facility. The Director of Nurses stated delaying reporting can cause serious harm or delay calling 911. She stated if a resident refused care the nurse was to document it in the nurses notes.In an

interview on 01/29/2026 at 3:30 pm the Administrator stated all staff except for 8 had been in-serviced on change of condition, resident rights and quality of care. She stated the 8 staff would not be eligible to work until they receive in-service. The Administrator stated ADON A was suspended on 01/28/2026. She stated

they had a QAPI meeting and reviewed the POR and the concern with Quality of Care. The Administrator stated they had already began monitoring process such as the department heads make rounds on the residents they are assigned to and ensure there is no new or past issues with the residents. She stated in-services would be ongoing and anyone new would receive the in-service on resident rights, quality of care and change in condition prior to working at the facility. She stated the facility was continuing with their investigation of the situation with Resident #1. She stated the facility staff would randomly be monitored by

the Director of Nurses or designee of their overall care for the r[TRUNCATED]

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 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

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

01/29/2026

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 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

barrier precautions, and without wearing appropriate PPE, she could spread germs into the area when she removed the colostomy. She stated there was a possibility that bacteria may transfer to her clothes, and she may spread bacteria to other residents. RN C stated the enhanced barrier precaution sign was on the wall beside Resident #2's door. She stated a container was beside his door with gowns, gloves, and all the PPE items she needed to wear when she entered Resident #2's room and prior to changing his colostomy bag.

She stated she had been in-service on enhanced barrier precautions, hand hygiene, and infection control.

RN C stated she did not recall the date she received the in-services. In an interview on 01/16/2026 at 4:00 pm, the Director of Nurses stated all staff was expected to wear PPE (gown and gloves) when entering a resident room on enhanced barrier precaution. She stated RN C did not follow the facility's protocol for infection control. The Director of Nurses stated there was a potential RN C to spread bacteria from Resident # 2 to another resident when she did not don a gown. She stated RN C had been in-serviced on infection control, enhanced barriers precautions, and hand hygiene. She stated RN C was to wash or sanitize her hands anytime she touched anything considered contaminated. The Director of Nurses stated scissors and clothes were considered contaminated. Record review of the facility's policy on Personal Protective Equipment- using gowns, dated 2010, reflected to guide the use of gowns. To prevent the spread of infections. To prevent soiling of clothing with infections materials. To prevent splashing or spilling blood or body fluids onto clothing or exposed skin. Record review of the facility's policy on Handwashing /Hand Hygiene, dated August 2015, reflected This facility considers hand hygiene the primary means to prevent

the spread of infections. Use alcohol-based hand rub containing at least 62 percent alcohol; or alternatively soap (antimicrobial or non- antimicrobial) and water for the following situations: before and after contact with residents. Before performing any non-surgical invasive procedures. Before donning sterile gloves.

Event ID:

Facility ID:

If continuation sheet