Inspection·March 27, 2025

F 0641 Ensure each resident receives an accurate assessment. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to accurately document the discharge status of 1 of 3 sampled residents reviewed as closed records, Resident #100. Residents Affected - Few The findings included: Record review documented Resident #100 was admitted to the facility on [DATE] and discharged home on [DATE]. Resident #100's diagnoses upon admission included: Anemia, Hypertension, Hip fracture, Spondylopathy in lumbar region, Muscle wasting and atrophy, Abnormalities of gait and mobility, Obesity, and Chronic pain syndrome. Review of Resident #100's care plan for discharge, dated 01/14/25, documented, The resident wishes / or Responsible Party wishes to: return home. The goal of the care plan was documented as, Safely discharge to a lower level of care (Home, Home with Home Health Aide, Assisted Living Facility, Independent Living Facility, other) when rehab goals are met. Reivew of a progress note, dated 01/24/25, documented, Resident discharge from [name of facility] to home at 300 pm, VIA PRIVATE CAR accompanied, 2-persons food / medication administered as ordered before leaving the facility one of the staff accompanied resident to the lobby skin warm / intact / dry, lung sound clear no SOB [shortness of breath] or distress noted, vs WNL [vital signs within normal limits]. Discharge instruction reviewed with resident voice understood the explanation; med list / medication provided, follow-up with MD [medical doctor] within 3-5 days post discharge. Review of a Social Services progress note, dated 01/24/25, documented, Discharge Summary note. Res [resident] is A&Ox3 [alert and oriented times three], independent with decision making, requested to speak with this writer yesterday as she would like to d/c [discharge] home today. Res informed this writer yesterday that the hospital was planning to d/c her spouse home today thus she wanted to be at home, plus res feels she can manage safely at home and prefers being at home. DME [durable medical equipment] ordered thru [through] [name of company] DME yesterday. Review of Resident #100's discharge Minimum Data Set (MDS) assessment, dated 01/24/25, documented Resident #100's discharge status as 'Short-Term General Hospital. An interview was conducted on 03/26/25 at 9:59 AM with the MDS Coordinator, who when asked about Resident #1's discharge status, confirmed that the resident was discharged home. The MDS Coordinator stated that she would update and resubmit the assessment. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105039 If continuation sheet Page 2 of 8 Printed: 05/28/2026 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 105039 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Rehabilitation Center of the Palm Beaches, The 301 Northpointe Parkway West Palm Beach, FL 33407 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 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and interview, the facility failed to follow physician orders for 2 of 6 sampled residents, as evidenced by the topical cream for Resident #5 was not applied as ordered, and the blood pressure medication was not given as needed for Resident #58; and failed to follow physician orders to obtain a urology consultation as ordered for 1 of 2 sampled residents reviewed for catheters, Resident #63. Residents Affected - Few The findings included: 1. Record review revealed Resident #5 was readmitted to the facility on [DATE]. Review of the current Minimum Data Sheet (MDS) assessment dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 05, on a 0 to 15 scale, indicating severe cognitive impairment. Review of a physician order dated [DATE] instructed the staff to apply an antifungal cream to the areas affected with a rash (skin condition) on the day (7 AM to 3 PM) and evening (3 PM-11 PM) shifts. Review of the care plan dated [DATE], documented Resident #5 was at risk for potential or actual impairment of the skin related to itching, rash with a goal that the resident's skin impairment will be healed with an intervention that the nurse will administer medication as ordered. An observation on [DATE] at 10:08 AM revealed Resident #5 was scratching her arms and shoulders profusely. Further observation revealed Resident#5 had scattered bumpy and reddened areas on her arms, shoulders and chest. An observation on [DATE] at 3:23 PM in Resident #5's room revealed Resident #5 had her eyes closed, scratching her arms and shoulders. During an interview on [DATE] at 10:08 AM, when asked how she was doing, Resident #5 stated, I have all these bites. When asked how long she has had the rash, Resident #5 stated, I just came from the hospital, but I had the rash before. When Resident #5 was asked if the nurse was aware of the rash, she stated I think so, I will let them know. When asked if any cream had been applied to the rash, Resident #5 stated, No. During an Interview on [DATE] at 3:25PM, when asked if any treatment was provided to Resident #5, Staff D, Licensed Practical Nurse (LPN), reviewed Resident #5's orders in the computer and stated Triamcinolone (corticosteroid ointment for the skin). Staff D went into the clean utility room, where the treatment cart was stored. Staff D looked throughout the treatment cart and did not find the triamcinolone ointment. Staff D stated, I used the last of the cream this morning on the resident and I threw the tube away. I will have to order a new one. She was in the hospital, and she came back. When asked if that was the only treatment that was to be provided to Resident #5, Staff D stated Yes. During an interview on [DATE] at 9:15AM, when asked if an antifungal cream was ordered for a resident what medication is used, the Unit Manager stated, It's a stock medication that comes in a tube. When asked to show the antifungal cream that was ordered for Resident #5, the Unit Manager looked in the treatment cart and she picked up a jar of triamcinolone ointment and stated, This is for that resident. When asked if the triamcinolone ointment is the medication that would be used if the order (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105039 If continuation sheet Page 3 of 8 Printed: 05/28/2026 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 105039 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Rehabilitation Center of the Palm Beaches, The 301 Northpointe Parkway West Palm Beach, FL 33407 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 - Minimal harm or potential for actual harm Residents Affected - Few was for an antifungal cream the Unit Manager stated, No. Sometimes the antifungal cream comes in small packets. I will go get some from the supply room. During an interview on [DATE] at 9:40 AM, when asked if there was any antifungal cream in stock, Staff F, Central Supply staff, stated, We are out of it. I'm in the process of ordering it now. When asked how long they had been out of the antifungal cream, Staff F stated, We've been out since Tuesday. When asked if she meant yesterday on Tuesday, Staff F stated, No, last week I had two tubes of the cream on the shelf that were expired on Friday, so I threw them out, but I forgot to reorder it at that time. If I order it today, it will come tomorrow. During an interview on [DATE] at 10:06 AM, the Unit Manger stated, I'm trying to figure out which nurse used the last of the antifungal cream for the resident and did not reorder it. I called central supply to see if there was any cream and she said the ones she had were thrown out on Friday because they were expired. During an interview on [DATE] at 10:50 AM, when asked how long Resident #5 had the rash, Staff D, LPN) stated, She has a rash off and on. She has seen a dermatologist in the past. I think a few months ago. During an interview on [DATE] at 10:56 AM, when ask how Resident #5's skin looked when she provided care, Staff G, Certified Nursing Assistant, stated, She has a rash that she has had for a while. Review of [DATE] Treatment Administration Record (TAR) for Resident #5 documented that the nurses had signed off on the order for the administration of the antifungal cream, but the medication had not been available. 3. Record review documented Resident #63 was admitted to the facility on [DATE]. A comprehensive assessment dated [DATE] documented the resident had mild cognitive impairment and was dependent on staff for activities of daily living (ADLs). The assessment further documented the resident had an indwelling catheter (urinary catheter). Resident #63 was readmitted to the facility on [DATE] after a hospitalization. Resident #63's had care plan for using a urinary catheter with a documented risk for an infection and/or complications. Review of Resident #63's physician orders revealed an order dated [DATE] to follow up with urology for hemorrhagic cystitis (an inflammation of the bladder lining that leads to bleeding). Further record review revealed the resident had not followed up with urology, and there was no documentation of the resident refusing follow up with urology. An interview was conducted with the Director of Nursing (DON) on [DATE] at 10:00 AM, who acknowledged the above finding. 2. Record review revealed Resident #58 was admitted to the facility on [DATE] with diagnoses to include essential primary Hypertension (high blood pressure). Review of the current MDS assessment dated [DATE] documented Resident #58 had a BIMS score of 15, on a 0 to 15 scale, indicating the resident was cognitively intact. This MDS also documented a current diagnosis of Hypertension. Review of the current care plan initiated on [DATE] documented the resident had hypertension and staff were to (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105039 If continuation sheet Page 4 of 8 Printed: 05/28/2026 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 105039 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Rehabilitation Center of the Palm Beaches, The 301 Northpointe Parkway West Palm Beach, FL 33407 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 administer medications as ordered and monitor vital signs as ordered. Level of Harm - Minimal harm or potential for actual harm Review of the current orders revealed Resident #58 was receiving three routine blood pressure medications. These medications included Metoprolol which was originally ordered at 50 milligrams (mg) daily and increased to 100 mg twice daily on [DATE], Hydralazine 10 mg three times daily, and Amlodipine 5 mg twice daily was added to the regimen as of [DATE]. The orders also included for staff to administer Catapres 0.1 mg every eight hours as needed for a systolic blood pressure reading greater than 150. This order did not include any time frame in which staff were to measure the resident's blood pressure. The only active order for the monitoring of vital signs was to complete a set once during the night shift (11 PM to 7 AM). There was one discontinued order to monitor vital signs every shift for three days only upon return from a brief hospitalization. Residents Affected - Few During an interview on [DATE] at 9:56 AM, Resident #58 stated his only concern was that his blood pressure was running high. Review of the [DATE] Medication Administration Record (MAR) for Resident #58 revealed the following high blood pressures with no 'as needed' Catapres administered: a) On [DATE] on the night shift, the resident's blood pressure was 161/96. b) On [DATE] on the night shift, the resident's blood pressure was 155/87. c) On [DATE] on the night shift, the resident's blood pressure was 166/91. Further review of the record revealed staff were not documenting the blood pressure for Resident #58 every eight hours, or with each shift, in order to know when the 'as needed' Catapres was needed. Review of the blood pressure readings from [DATE] through [DATE] revealed a lack of three daily blood pressure readings every day except on [DATE], [DATE], [DATE], [DATE], and [DATE]. During an interview on [DATE] at 3:32 PM, when asked the process for blood pressure monitoring, Staff A, Licensed Practical Nurse (LPN), stated she takes the blood pressure of her residents on blood pressure medications every morning upon arrival and documents them in the electronic medical record (EMR) at the end of her shift. The LPN provided a handwritten paper with documented blood pressures for several residents and stated she was getting ready to document the readings from this morning at the time of the interview. Further review of the [DATE] MAR and blood pressure readings for Resident #58 on [DATE], revealed Staff A, LPN had cared for the resident on [DATE], [DATE], [DATE], [DATE], and [DATE], but only documented his blood pressure on [DATE] and [DATE]. During an interview on [DATE] at approximately 4:15 PM, when asked the process for blood pressure monitoring, Staff B, Registered Nurse (RN), stated she takes the blood pressure for her residents who are on blood pressure medications at the beginning of the shift. When asked about documentation, the RN stated she might document them in the vital sign section of the EMR, or she may just document, OK to give in the electronic MAR. When asked specifically about Resident #58, the RN stated she had just taken his blood pressure, and it was 177/96. The RN volunteered, I told him to hang loose for a bit and I'd bring back his meds. Further review of the [DATE] MAR and blood pressure readings lacked any documented blood pressure (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105039 If continuation sheet Page 5 of 8 Printed: 05/28/2026 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 105039 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Rehabilitation Center of the Palm Beaches, The 301 Northpointe Parkway West Palm Beach, FL 33407 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 reading of 177/96 for Resident #58 on [DATE]. Level of Harm - Minimal harm or potential for actual harm During an interview on [DATE] at 9:51 AM, when asked the process for blood pressure monitoring for Resident #58 who had an 'as needed' order for Catapres, the Director of Nursing (DON) stated she would expect staff to check the resident's blood pressure at least once a shift and document the reading. During a side-by-side review of the record, the DON agreed with the concern of the lack of blood pressure monitoring and provision of Catapres for Resident #58. The DON confirmed the physician recently increased his routine blood pressure medications. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105039 If continuation sheet Page 6 of 8 Printed: 05/28/2026 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 105039 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Rehabilitation Center of the Palm Beaches, The 301 Northpointe Parkway West Palm Beach, FL 33407 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 0692 Provide enough food/fluids to maintain a resident's health. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and interviews, the facility failed to provide adequate hydration for 1 of 1 sampled resident, as evidenced by not ensuring that Resident #16 was able to have the fluids she was allowed. Residents Affected - Few The findings included: Record review revealed Resident #16 was admitted to the facility on [DATE]. Review of current Minimum Data Sheet (MDS) assessment dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 05, on a 0 to 15 scale, indicating severe cognitive impairment. Review of the physician order dated 02/27/25 instructed the staff that Resident #16 was on a 1200 milliliters per day fluid restriction with 900 milliliters to be given by dietary daily and 300 milliliters to be given by nursing daily. During an interview on 03/24/25 at 10:42 AM, Resident #16 stated, I was put on liquid restriction. I get 2 juices, 4 ounces at lunch and dinner. I leave it on my table to sip on it throughout the day and the aides always take it away. They have been asked not to, but they still dump it. When asked if she had fluids this morning, Resident #16 stated, Yes, but they dumped it. They aren't supposed to just take my food. It's so depressing to me, because I like to sip on it. My lips are so dry. An observation on 03/26/25 at 10:44 AM in the hallway, revealed Resident #16 was in the hallway complaining to the MDS coordinator about her juice being taken away from her room. She stated [Name], Licensed Practical Nurse (LPN) poured one 4 ounce cup of juice in my ice and they took it away. I did not even have coffee. My mouth is so dry. Why do they keep doing this. Staff D stated, I will go get you another 4-ounces of juice since they took it away. Resident #16 asked Why can't we put up a sign or something, so they know not to take it. Staff D stated, I will just inform the aides not to take your juice. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105039 If continuation sheet Page 7 of 8 Printed: 05/28/2026 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 105039 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Rehabilitation Center of the Palm Beaches, The 301 Northpointe Parkway West Palm Beach, FL 33407 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 0712 Ensure that the resident and his/her doctor meet face-to-face at all required visits. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to ensure physician visits in a timely manner for 1 of 2 sampled residents reviewed for catheters, Resident #63. Residents Affected - Few The findings included: Record review revealed Resident #63 was admitted to the facility on [DATE]. A comprehensive assessment dated [DATE] documented the resident had mild cognitive impairment and was dependent on staff for activities of daily living (ADLs). The record revealed Resident #63 was hospitalized on [DATE], and readmitted to the facility on [DATE]. Review of Resident #63's physician progress notes revealed a progress note dated 11/07/24. There was no further evidence the resident was seen or evaluated by a physician between 08/24/24 through 11/07/24. An interview was conducted with the Director of Nursing (DON) on 03/27/25 at 10:00 AM, who acknowledged the above finding. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105039 If continuation sheet Page 8 of 8