Inspection·October 15, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete NUMBER]/131 is going to be re-done and confirmed it should still be cleaned. A review of the facility's policy titled, Physical Environment, effective August 2024, revealed the following, A safe, clean, comfortable, and home-life environment is provided for each resident, allowing the use of personal belongings to the greatest extent possible. Sufficient space and equipment and dining, health services, recreation, and program areas are provided to enable staff to provide residents with needed services. 4. Assure resident care equipment is clean, properly stored, and identified.(Photographic Evidence Obtained). Event ID: Facility ID: 105117 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 105117 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE South Heritage Health & Rehabilitation Center 718 Lakeview Ave S Saint Petersburg, FL 33705 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 0759 Ensure medication error rates are not 5 percent or greater. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record reviews, and interviews the facility failed to to ensure the medication error rate was less than 5.00%. Twenty-two medication administration opportunities were observed, and fifteen errors were identified for two residents (#3 and #2) of two residents observed. These errors constituted a 68.18% medication error rate. Failure to ensure the accurate administration of medications has the potential to greatly affect the effectiveness of the medication and jeopardize the health and safety of the resident. Findings included:1.On 10/15/25 at 10:06 a.m., an observation of medication administration with Staff A, Licensed Practical Nurse (LPN), was conducted with Resident #3. The resident's medication profile was colored red, showing medications were late. The staff member removed an insulin pen and insulin syringe lying both on top of the medication cart then dispensed the following medications:- saccharomyces boulardii over-the-counter (otc) 500 milligram (mg) tablet- haloperidol 2 mg tablet- 4 gabapentin 100 mg capsules- fluoxetine 10 mg capsule- benztropine 2 mg tablet- aspirin 81 mg chewable otc tablet- meloxicam 15 mg tablet- metformin 1000 mg tablet- insulin degludec pen 24 unitsThe staff member uncapped and used an alcohol pad to wipe the rubber stopper of the insulin cartridge before inserting the needle from an insulin syringe into the pens cartridge, and drawing up 24 units. The staff member did not engage the safety sheath of the syringe leaving the needle exposed. Staff A laid the insulin syringe onto the mouse pad atop the medication cart to confirm the dispensation of 11 tablets. The staff member proceeded to pick up the syringe then laid it back down on an empty blister card of atorvastatin, picked up a cup of water, the syringe, and a glucometer with the syringe resting upon the glucometer. Staff A entered Resident #3's room, lying the insulin syringe with the exposed needle directly onto the resident's over bed table proceeding to open an alcohol pad package. The staff member was asked to stop the administration and return to the hallway. Staff A stated they were not to draw up insulin from the pen but when they order pen needles pharmacy does not send them. The infection control issues were discussed with Staff A and the staff member returned to the medication cart, discarding the insulin syringe. The staff member again used an insulin syringe to draw up insulin degludec from the pen, returned to the resident's room, injected the insulin, and obtained blood glucose level of 117 acknowledging the resident did not require short-acting insulin. Review of Resident #3s Medication Administration Record (MAR) revealed the following medications were to be dispensed and included the times in which the medications were scheduled to be administered:- acidophilus (lactobacillus) tablet - one time a day for prophylaxis otc. Medication provided by facility, pharmacy do not send.- haloperidol 2 mg oral tablet- give 2 mg by mouth two times a day for schizoaffective disorder bipolar type. The medication was scheduled for 9:00 a.m. and 5:00 p.m.gabapentin 100 mg - give 400 mg by mouth three times a day for neuropathic pain, give 4 capsules of 100 mg. The medication was scheduled for 9:00 a.m., 1:00 p.m., and 5:00 p.m.- benztropine mesylate oral 2 mg tablet - give 2 mg by mouth two times a day for EPS (Extrapyramidal symptoms). The medication was scheduled for 9:00 a.m. and 5:00 p.m.- metformin 1000 mg - give 1000 mg by mouth two times a day related to type 2 diabetes mellitus without complications, give with breakfast and dinner. The medication was scheduled for 9:00 a.m. and 5:00 p.m.- insulin degludec subcutaneous solution pen-injector 100 unit/milliliter (mL) - inject 24 uit subcutaneously every morning and at bedtime for diabetes. The medication was scheduled for 8:00 a.m. and 9:00 p.m. Review of the administered medications and the MAR showed the resident received the probiotic yeast (fungus), saccharomyces boulardii instead of the ordered bacteria probiotic, acidophillus (lactobacillus acidophillus). Review of Resident #3s progress notes, conducted on 10/15/25 at 3:32 p.m. did not reveal the physician had been notified and instructions were received for Residents Affected - Some (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105117 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 105117 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE South Heritage Health & Rehabilitation Center 718 Lakeview Ave S Saint Petersburg, FL 33705 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 0759 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some the next dose(s) of the late medications of haloperidol, gabapentin, benztropine or metformin. Review of insulin degludec's manufacturers prescribing information (https://www.novo-pi.com/tresiba.pdf) included Dosage and Administration - Important Administration Instructions: DO NOT transfer (brand name) insulin degludec from insulin degludec FlexTouch pen into a syringe for administration (see Warnings and Precautions (5.4)). The warnings and precautions (5.4) instructed users To avoid dosing errors and potential overdose, never use a syringe to remove (brand name - insulin degludec) from the (insulin degludec) flex touch disposable insulin prefilled pen (see Dosage and administration (2.1) and Warnings and Precautions (5.3)). An interview was conducted with Staff A on 10/15/25 immediately following the medication administration observation. The staff member stated the facility has not had insulin pen needles since switching over from vials to pens. 2.An observation was made of Staff B, Licensed Practical Nurse (LPN) in room with the medication cart parked in front of door and the electronic medication profile of a resident visible. The staff member returned to the cart, moved it near to Resident #2's doorway (across the hall), moving a wheelchair out of the way before parking the cart directly in front of the doorway. The observation showed on 10/15/25 at 10:30 a.m. revealed the resident's medication profile was red showing medications were late when the staff member dispensed the following medications for Resident #2:amiodarone 100 mg tablet- duloxetine delayed release (DR) 20 mg tablet- furosemide 20 mg tabletjardiance 10 mg tablet- eliquis 5 mg tablet- artificial tears otc drops- fluticasone propionate nasal sprayTrelegy 100 microgram (mcg)/62.5 mcg/25 mcg inhaler- senna 8.6 mg (sennosides) otc tablet- docusate sodium 100 mg otc tablet- 3 guaifenesin 400 mg otc tabletStaff B confirmed dispensing 10 oral tablets, an inhaler, a nasal spray, and an eye drop. The staff member handed the nasal spray to the resident who administered it, then a medication cup was given to the resident, the resident refused guaifenesin requesting liquid form, and the resident administered one inhale of trelegy. Staff B opened the bottle of eye drops and without hand hygiene or donning gloves the staff member administered one drop of artificial tears in each eye. Staff B returned to the cart as the resident asked writer to not blame the nurse for the pills as the resident hadn't told anyone (changing to liquid guaifenesin). Review of Resident #3s Medication Administration Record (MAR) revealed the following medications were to be dispensed and included the times in which the medications were scheduled to be administered:- duloxetine delayed release particles 20 mg - give 1 capsule by mouth two times a day for depression. This medication was scheduled to be administered at 9:00 a.m. and 5:00 p.m.- furosemide 20 mg tablet - give 20 mg by mouth two times a day for diuretics. This medication was scheduled to be administered at 9:00 a.m. and 9:00 p.m.- apixaban (Eliquis) 5 mg tablet - give 5 mg by mouth two times a day for anticoagulant. This medication was scheduled to be administered at 9:00 a.m. and 9:00 p.m.- artificial tears solution - instil 1 drop in both eyes two times a day for dry eyes. OTC medication provided by facility, pharmacy do not send. This medication was scheduled to be administered at 9:00 a.m. and 5:00 p.m.- Senokot 8.6 mg (sennosides) - give 1 tablet by mouth two times a day for laxatives. This medication was scheduled to be administered at 9:00 a.m. and 9:00 p.m.- Docusate 100 mg - give 100 mg by mouth two times a day for laxative. This medication was scheduled to be administered at 9:00 a.m. and 9:00 p.m.- Guaifenesin 400 mg - give 1200 mg by mouth two times a day for cough, do not crush, chew or split medication. This medication was scheduled to be administered at 9:00 a.m. and 9:00 p.m. Review of Resident #2s MAR showed the resident was to receive Ipratropium/Albuterol inhalation solution 0.5-2.5- (3) mg/3mL - inhale orally four times a day for antiasthmatic, document minutes administered. The MAR printed on 10/15/25 at 1:21 p.m. did not reveal the resident had received the 9:00 a.m. dose of Ipratropium/Albuterol which was also not witnessed as administered at the time of other scheduled medications. The MAR (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105117 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 105117 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE South Heritage Health & Rehabilitation Center 718 Lakeview Ave S Saint Petersburg, FL 33705 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 0759 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some showed Staff B had documented the resident had received the 3 tablets of guaifenesin that was observed as being refused. Review of Resident #2s Treatment Administration Record (TAR) showed Nystatin powder was to be applied topically twice daily to resident's groin and abdominal folds. The observation did not reveal the powder had been applied. Review of Resident #2s Medication Admin Audit Report, printed on 10/15/25 at 2:33 p.m. revealed:- Nystatin had not been applied on 10/15/25 as of 2:33 p.m.- the first of two daily doses of artificial tear solution, sennosides, and trelegy inhaler were administered on 10/15 at 10:34 a.m. (1.5 hours after scheduled time)- the first of two daily doses of duloxetine, apixaban, furosemide were administered at 10:31 a.m. (1.5 hours after scheduled time)The Audit report showed both the 9:00 a.m. dose and the 1:00 p.m. dose of Ipratropium/Albuterol were administered at 1:43 p.m. showing the 9:00 a.m. dose was given at the same time as the 1:00 p.m. dose and 4.75 hours after the scheduled time. Review of Resident #2s progress notes on 10/15/25 at 3:30 p.m. revealed the physician was not notified of the late medication administration and staff had received instructions regarding the administration of the next doses. An interview was conducted with Resident #2 on 10/15/25 at 1:22 p.m. The resident reported medications are usually late and had not received either one of nebulizers yet because the nurse hadn't had time. The resident also reported not having Nystatin powder applied either. An interview was conducted with Staff B on 10/15/25 at 2:33 p.m. The staff member stated late medications were due to a resident with a tracheostomy and a resident who was a readmission from an involuntary transfer, and medications were not usually late. An interview was conducted with Staff A on 10/15/25 at 3:08 p.m. The staff member stated medications were seldom late and this morning was due to a mandatory meeting that went past the scheduled time. An interview was conducted with Staff C, Unit Manager (UM) on 10/25/25 at 3:39 p.m. The staff member reported being with the facility since March and knew staff were not allowed to draw insulin from pens but only received insulin pen needles about 2 hours ago, and its been the first time since March the facility has had pen needles. The staff member reported informing the them in March the facility was [NAME] to be tagged for not having the needles. An interview was conducted with the Director of Nursing (DON) on 10/15/25 at 4:14 p.m. The DON reported not knowing if saccharomyces boulardii and acidophillus were the same medication and would have to look it up. A continued interview was conducted with the Director of Nursing (DON) on 10/15/25 at approximately 4:30 p.m. The DON stated medications are to be given one hour before and one hour after (scheduled time). The DON reported staff have had to extract insulin from the pens due to a shortage of screwed on needles for a couple of months, has called a sister facility and they didn't have any, was able to receive from pharmacy today 2 boxes. The DON stated she was not aware of missing needles until working the cart approximately one month ago. The DON reported she had not spoken with pharmacy regarding the pen needles but had been informed of it by a nurse (she did not identify the nurse), had called a sister facility who informed her they didn't have any either. An interview was conducted with a pharmacy representative on 10/15/25 at 4:42 p.m. The representative stated there had been a crazy one shortage of insulin pen needles for approximately 3 weeks. Review of the policy - Medication Administration General Guidelines, dated 9/18, revealed Medications are administered as prescribed in accordance with manufacturers specifications, good nursing principles and practices, and only by persons legally authorized to do so. Personnel authorized to administer medications do so only after they are familiarized themselves with the medication.3. Medication administration timing parameters include the following: b. Medications to be given with meals are to be scheduled for administration at the resident's meal times.9. Verify medication is correct three (3) tiems before administering the medication. a. When pulling medication package from med cart b. When dose is prepared c. Before dose is administered11. Hands are (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105117 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 105117 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE South Heritage Health & Rehabilitation Center 718 Lakeview Ave S Saint Petersburg, FL 33705 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 0759 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete washed With soap and water and gloves applied before administration of topical, ophthalmic, otic, parenteral, enteral, rectal, and vaginal medications. Hands are washed with soap and water again after administration and with any resident contact. Anti micro micro sanitizer may be used in place of soap and water as allowed per state nursing regulations and facility policy.14. Medications are administered within 60 minutes of scheduled time, except before or after meal orders, which are administered based on meal times period unless otherwise specified by the prescriber, routine medications are administered according to the established medication administration schedule for the nursing care center. Medications should not be given at meal times or in the dining room unless specifically ordered with meal.The policy revealed documentation should be completed immediately following the medication being given and if a dose of regularly scheduled medication is withheld, refused, or given at other than the scheduled time the space provided on the front of the MAR for that dosage administration is initialed and circled. An explanatory note is entered on the reverse side of the record provided for as needed (PRN) documentation. Review of the policy - Medication Administration Subcutaneous Insulin, dated 5/16 revealed the policy was To administer subcutaneous insulin as ordered and in a safe, accurate, and effective manner. The policy did not show staff were allowed to extract insulin with a syringe from the pen. Review of the policy - Medication Administration Eye Drops, dated 5/16 showed the purpose was To administer ophthalmic solution into eye in a safe and accurate manner. The procedure included the instructions:3. Perform hand hygiene.8. With a gloved finger, gently pull down lower eyelid to form pouch while instructing resident to look up.9. Instruct resident to close eyes slowly to allow for even distribution over surface of the eye. The resident should also refrain from blinking or squeezing eyes shut.10. While the eye is closed, use one finger to compress the tear duct in the inner corner (inner canthus) of the eye for 1-2 minutes. This reduces systemic absorption of the medication. Alternatively, the resident may keep his/her eyes closed for approximately 3 minutes.13. If administering medications to both eyes, use a different gloved finger to apply pressure to the inner tear duct.16. Remove and dispose of gloves. Discard any barrier used for carrying or storing the medication and supplies. Wash hands thoroughly with antimicrobial soap and water or facility-approved hand sanitizer. Event ID: Facility ID: 105117 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 105117 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE South Heritage Health & Rehabilitation Center 718 Lakeview Ave S Saint Petersburg, FL 33705 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 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on observations, record reviews, and interviews the facility failed to implement an effective infection control program related to ensuring one of one observed needle attached to an insulin syringe was appropriately sheathed, staff failed to provide a barrier between an insulin syringe and an over bed table, failed to clean hands in between residents and handling random resident equipment stored in hallway, failed to don gloves prior to the administration of eye drops for one (#2) of one resident receiving this type of medication, and failed to ensure two (B & C) of three direct care nurses fingernails had the ability to be cleaned thoroughly and adequately to prevent the transmission of microbes. Failure to not implement and educate staff regarding infection control measures could cause serious harm to residents by not ensuring cross contamination between environmental and residents. Findings included:On 10/15/25 at 10:06 a.m. Staff A was observed during Resident #3's administration of medications. The observation showed Staff B extract 24 units from an insulin degludec insulin pen with a safety sheath insulin syringe, after the extraction the staff member placed the syringe without sliding safety sheath onto the mouse pad lying on the medication cart before picking it back up. Staff A placed the uncapped/unsheathed syringe on an empty blister card of atorvastatin with the needle lying next to/on a blister to confirm the number of dispensed oral tablets. The staff member picked up a cup of water in one hand and with other picked up insulin syringe and glucometer with the unsheathed needle resting against the back of meter. The staff member entered Resident #2s room and placed water, glucometer, and syringe on the resident's over bed table without placing a barrier. The observation was stopped and the staff member was asked to exit the room. The infection control issues with the uncapped needle being unsheathed and eedle touching multiple surfaces were discussed and the staff member confirmed the observations. On 10/15/25 at 10:29 a.m. an observation revealed a medication cart parked in front of an unknown resident room. Staff B was observed exiting the room and move the medication cart to the other side of the hallway, moving a wheelchair out of the way. The staff member was observed with green square cut fingernails extending approximately a half inch (1/2) past fingertips. The staff member confirmed dispensing 10 oral tablets, inhaler, nasal spray, and (bottle) of eye drops. Staff B entered Resident #2s room, the resident squirted one spray of nasal spray into each nostril, swallowed oral medications refusing the guaifenesin, and administered one inhalation of the inhaler, gargling with water and spitting out. The staff member, without hand hygiene and gloving, administered one drop into the left eye then the right eye. Staff B left the resident room. Immediately following the observation, at the medication cart, the staff member stated I didn't put my hands on some sanitizer, thought I did and should have worn gloves when putting eye drops in. Staff B reported the fingernails were real. On 10/15/25 at 3:39 p.m. Staff C, Unit Manager, was observed with square cut fingernails painted pink with sparkles extending approximately 1/2 past end of fingertips. An interview on 10/15/25 at approximately 4:30 p.m. the Director of Nursing (DON) stated hand hygiene should almost every time, (during) casual touch, when you provide before and after putting on gloves, and supposed to do hand hygiene with hand sanitizer during medication administration. The DON stated she would have to check the handbook regarding fingernail length but normally says if you turn and look at palm should not see fingernails, would have to check. Review of the Facility Employee Handbook 2025 showed under Personnel Hygiene Fingernails should be kept neat, clean, and nails short so not to create safety or infection control issues. No artificial nails, appliques, or studs on nails may be worn at any time. Review of policy - Infection Prevention and Control Program, effective October 2021, showed The infection Prevention and Control Program is comprehensive program that addresses detection, prevention and control of infections and communicable disease among residents, visitors, Residents Affected - Some (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105117 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 105117 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE South Heritage Health & Rehabilitation Center 718 Lakeview Ave S Saint Petersburg, FL 33705 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 - Some FORM CMS-2567 (02/99) Previous Versions Obsolete volunteers, those individuals providing services under contractual agreement and personnel. The Infection Prevention and Control Program, in addition, will facilitate activities to imprvove antibiotic use to reduce adverse events, prevent emergence of antibiotic resistance, and promote better outcomes for residents. The goals of the Infection Prevention and Control Program are to: a. Provision of a safe sanitary, and comfortable environmentb. Decrease the risk of infection and communicable disease development and transmission to residents, volunteers, visitors, individuals providing services under a contractual arrangement and personnel.Review of the Centers of Disease Control and Prevention guidance, Clinical Safety: Hand Hygiene for Healthcare Workers, dated February 27, 2024, included the following: Protect yourself and your patients from deadly germs by cleaning your hands.All healthcare personnel should understand how to care for and clean their handThe CDC explained the importance of proper and adequate hand hygiene was:Hand hygiene protects both healthcare personnel and patients. Hand hygiene means cleaning your hands with:Handwashing with water and soap (e.g., plain soap or with an antiseptic).Antiseptic hand rub (alcohol-based foam or gel hand sanitizer).Surgical hand antisepsis.Cleaning your hands reduces:The potential spread of deadly germs to patients.The spread of germs, including those resistant to antibiotics.The risk of healthcare personnel colonization or infection caused by germs received from the patient.Some healthcare personnel may need to clean their hands as often as 100 times during a work shift to keep themselves, patients and staff safe. A common challenge is keeping the skin on your hands healthy and clean.The CDC recommended the following regarding fingernails for healthcare workers:Natural nails should not extend past the fingertip.Do not wear artificial fingernails or extensions when having direct contact with high-risk patients like those at intensive-care units or operating rooms.Germs can live under artificial fingernails both before and after using an alcohol-based hand sanitizer and handwashing. Event ID: Facility ID: 105117 If continuation sheet Page 8 of 8