Inspection·June 4, 2025

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record review the facility failed to file a grievance for one resident (#1) out of three residents reviewed for grievances. Findings included: Review of Resident #1's admission Record revealed he was admitted to the facility on [DATE] and discharged to another facility on 4/25/2025. A phone interview was conducted on 6/4/25 at 11:00 a.m. with Resident 1's Durable Power of Attorney (DPOA). Resident #1's DPOA said she was told Resident #1 was discharged to another facility and was transported there by a family member. Resident #1's DPOA said she went to the facility on 4/29/2025 and complained to the Director of Nursing (DON) about Resident #1 being discharged and transferred without her approval as well as not being notified of the transfer. The DPOA said she was very upset with the matter and felt the facility should have spoken and communicated with her. The DPOA said nobody from the facility had communicated back with her related to her complaint. Review of Resident #1's Durable Power of Attorney form dated 3/23/23 revealed Resident #1 appointed his DPOA as a financial DPOA. Review of the facility's April and May 2025 grievance logs did not reveal a grievance was filed on behalf of Resident #1's DPOA. An interview was conducted on 6/4/25 at 12:20 p.m. with the Director of Nursing (DON), Social Services Assistant, and the Nursing Home Administrator (NHA). The DON confirmed Resident #1 only had a financial DPOA. The DON confirmed Resident #1's DPOA came to the facility and was upset Resident #1 was no longer at the facility and the DPOA was not made aware of the discharge. The DON said she explained to Resident #1's DPOA she was only DPOA for financial decisions and the DON said the DPOA was not happy with that response therefore she noted the complaint and passed it along to the Social Service Director to follow up with the grievance process per the facility's policy. The Social Services Assistant said the Social Services Director was not available at the time of the survey and confirmed they did not have any documentation to show they addressed and communicated the complaint with Resident #1's DPOA. The Social Services Assistant said they did not investigate the complaint, they did not work to resolve the complaint, and they did not inform Resident #1's DPOA of the outcome of the complaint. The NHA said the facility's policy only indicates a resident and anyone acting on their behalf could make a complaint/grievance. The NHA said after their assessment, the financial only DPOA was not acting on Resident #1's behalf. The DON said anyone can make a complaint and the facility (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 105045 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 105045 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Braden River Rehabilitation Center LLC 2010 Manatee Ave E Bradenton, FL 34208 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)