Health inspection·January 14, 2021

F 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 1/13/2021 at 9:39 am, she stated she was familiar with Resident #63. She identified the resident as requiring total assistance of two staff members. She stated the resident had a wheelchair and it was too small for him. She confirmed that the resident needed a larger wheelchair for mobility, however, she could not confirm whether or not a larger wheelchair had been ordered for him. During an interview with Employee A, the physician in the facility's Physical Therapy department, on 1/13/2021 at 10:35 am, he stated he was familiar with the resident, however, he was not able to provide complete information on the status of a wheelchair for the resident. He said the resident had a wheelchair, but he was not aware that the wheelchair was too small for him. He could not confirm whether another wheelchair had been ordered at the time of the interview. He advised that the Rehab Director would be in the facility the following day (1/14/2021) and could provide additional information. During an interview with Employee B, Rehab Director, on 1/14/2021 at 10:20 am, she stated she was familiar with Resident #63. She stated the resident last received therapy services from 1/28/2020 thru 2/20/2020. He was last screened for therapy services on 11/25/2020 and the outcome was that the resident was at baseline and bedbound (unable to leave one's bed). She stated the resident required minimal assistance and transferred via Hoyer lift (electrically powered lift used for transferring individuals). She stated she had not seen the resident in a wheelchair. She confirmed that special equipment would be required to transfer the resident to be showered. She advised that she could not locate information, nor could she confirm whether the resident had a bariatric wheelchair in the facility, or if a bariatric wheelchair had been ordered. During an interview with Resident #63 on 1/14/2021 at 11:40 am, he stated he received a shower on 1/13/2021. He was transported to the shower room via a shower chair, as he still did not have a bariatric wheelchair, nor was one made available for his use. During an interview with Employee E, Certified Nursing Assistant (CNA), on 1/14/2021 at 11:57 am , she stated she was familiar with Resident #63. She confirmed that the resident did not have a bariatric wheelchair for transport. During an interview with the Director of Nursing (DON) conducted on 1/14/2021 at 1:29 pm, she stated she was familiar with Resident #63. She stated that to her knowledge, all of the residents in the facility who required a wheelchair had one. She confirmed that there was no order for a bariatric wheelchair for this resident, nor did he currently have one. . FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105138 If continuation sheet Page 2 of 10 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 105138 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/14/2021 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Jacksonville Rehabilitation and Nursing 5377 Moncrief Road Jacksonville, FL 32209 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 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to ensure a safe, clean, comfortable and home-like environment for two (Residents #13 and #96) of 39 residents sampled. Resident #96's room had a strong odor of urine as well as brown, dried stains on the floor. The findings include: An observation of resident room [ROOM NUMBER] on 1/12/2021 at 9:30 AM, revealed the floor was sticky and a strong odor of urine was detected. The odor was permeating from the floor. The floor throughout the room was stained. Upon entering the room, shoe soles made ripping noises as steps were taken across the sticky floor. A wet substance that appeared to be urine was also present on the floor in several spots next to Resident #13's bed and trash can. During an interview with Resident #13 on 1/12/2021 at 9:35 AM, he stated his room smelled badly because his roommate, Resident #96, urinated on the floor at night. He said he had spoken to the staff countless times in the past about his roommate urinating on the floor and his room smelling. He said he was told nothing could be done. The nightshift staff does nothing about it. He urinated on the floor last night. On 1/12/2021 at 9:50 AM, Licensed Practical Nurse (LPN) J verified that room [ROOM NUMBER] was a bit unclean, and stated she would find someone to clean the fluid that was on the floor. She acknowledged the urine odor, and stated Resident #96 had been urinating on the floor and in the trash can. During an interview with Certified Nursing Assistant (CNA) K on 01/14/21 at 10:05 AM, she stated Resident #96 was known to urinate on the floor and in the trash can. She further stated she told the nurse months ago, and they tried to give the resident a portable urinal, but he forgot to use it. Employee K indicated that the urinal was ineffective at controlling Resident #96's behavior. The above-mentioned information was discussed with the Unit Manager (Employee L) on 01/14/21 at 10:25 AM. Employee L stated, I was not aware of it. We will notify the physician. On 01/14/21 at 2:40 PM, the Director of Nursing (DON) was interviewed. She stated she was not aware of Resident #96's behavior and would have the Unit Manager (Employee L) consult with the resident's physician about his behavioral symptoms. A review of Resident #96's medical record revealed the resident was admitted to the facility on [DATE] with end-stage renal disease, anemia, muscle weakness and difficulty walking. A review of the Minimum Data Set (MDS) assessment, dated 12/8/20, revealed Resident #96 had a Brief Interview for Mental Status (BIMS) score of 5 out of a possible 15 points, indicating severe cognitive impairment. A review of Resident #96's progress notes, revealed nursing notes dated 1/5/2021 at 11:34 AM, 1/7/2021 at 5:51 PM, 1/10/2021 at 1:43 PM and 1/12/2021 at 2:18 PM regarding Resident #96's behavior of urinating in the trash can or on the floor of his room. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105138 If continuation sheet Page 3 of 10 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 105138 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/14/2021 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Jacksonville Rehabilitation and Nursing 5377 Moncrief Road Jacksonville, FL 32209 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 0584 Level of Harm - Minimal harm or potential for actual harm A review of Resident #96's current care plan, revealed it was revised and dated 1/12/21. Resident #96 has been noncompliant related to refusal of medications, urinating in trash can or floor, and failure to comply with the recommendation of utilizing the call light when assistance is needed. Interventions included that staff would ensure the call light was within reach and encourage and/or redirect Resident #96 to utilize the call light. Residents Affected - Few . FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105138 If continuation sheet Page 4 of 10 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 105138 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/14/2021 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Jacksonville Rehabilitation and Nursing 5377 Moncrief Road Jacksonville, FL 32209 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 0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. 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 staff interview, the facility failed to transmit resident Minimum Data Set (MDS) assessments for two (Residents #3 and #4) of 39 sampled residents. Residents Affected - Few The findings include: A record review conducted for Resident #3 on 1/14/2021, revealed an Annual MDS assessment dated [DATE], was showing as validated and not transmitted to the Centers for Medicaid and Medicare Services (CMS). A record review conducted for Resident #4 on 1/14/2021, revealed an Annual MDS assessment dated [DATE], was showing as validated and not transmitted to CMS. During an interview with the Administrator on 1/14/2021 at 11:00 AM, she was asked if she would have someone working in the MDS department look into the above-mentioned MDS assessments for Residents #3 and #4. During an interview with the Nurse Consultant on 1/14/2021 at 12:20 PM, she stated she had looked up the MDS for Resident #4 and the MDS for the Annual MDS assessment was completed and validated. It still needed to be transmitted to CMS. The Annual MDS assessment for Resident #3 was also completed and still needed to be transmitted to CMS. She confirmed that both MDS assessments needed to be finalized in the computer system so they could be transmitted. She said she would finalize both of them. . FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105138 If continuation sheet Page 5 of 10 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 105138 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/14/2021 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Jacksonville Rehabilitation and Nursing 5377 Moncrief Road Jacksonville, FL 32209 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 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, observations and interview, the facility failed to provide services to maintain personal hygiene (grooming) for one (Resident #46) of 39 sampled residents. The resident's fingernails were not cleaned or trimmed. Residents Affected - Few The findings include: A review of Resident #46's medical record revealed he was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease (COPD), abnormalities of gait and mobility, lack of coordination, muscle weakness, dementia and peripheral vascular disease (PVD). The Minimum Data Set (MDS) assessment dated [DATE], indicated that the resident required supervision with one-person assistance from staff for personal hygiene. Resident #46 was alert and had a Brief Interview for Mental Status (BIMS) score of 10 out of a possible 15 points, indicating moderate cognitive impairment. An observation of Resident #46 on 01/11/21 at 12:15 PM, revealed fingernails that were very long and unclean. During an interview on 1/11/21 at 12:25 PM, Resident #46 stated his fingernails were very long and no one would cut them. He didn't remember when they were last trimmed. He confirmed he would like his nails trimmed. I don't mind them trimmed. In a subsequent observation on 01/13/21 at 10:00 AM, the resident's fingernails remained long and unclean. Staff had not assisted with the maintenance and grooming of the resident's fingernails. The above information was discussed with the Unit Manager (Employee L) on 01/13/21 at 10:10 AM. Employee L stated, I was not aware his fingernails were long. There is no documentation of his refusal to have his nails clipped. The CNAs (certified nursing assistants) notify the nurses if residents need their nails cut and nursing performs the clipping. On 01/13/21 at 10:33 AM, the Director of Nursing (DON) was interviewed. The DON stated she was not aware of Resident #46's long fingernails. She stated, I don't remember the last time we did his nail care. She went on to say nail care was done by nursing on shower days and on Sundays. A review of the current care plan revealed a revision on 11/13/2020 with an intervention for staff to assist with activities of daily living that included grooming. Resident #46 required long-term care placement due to his inability to care for himself at home. He was at risk for skin breakdown due to decreased mobility, and he was at risk for a decline in activities of daily living related to impaired mobility. . FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105138 If continuation sheet Page 6 of 10 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 105138 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/14/2021 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Jacksonville Rehabilitation and Nursing 5377 Moncrief Road Jacksonville, FL 32209 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 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Based on observation, interview and record review, the facility failed to ensure that a resident with limited range of motion received appropriate treatment and services to increase range of motion and/or prevent further decrease in range of motion for one (Resident #50) of 39 residents sampled. The findings include: A review of the clinical record revealed that Resident #50 was admitted into the facility on 5/16/2019 with diagnoses including hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side. A review of the Quarterly Minimum Data Set (MDS) assessment completed on 11/20/2020, revealed that Resident #50 scored 14 out of a possible 15 points on his brief interview for mental status (BIMS), indicating intact cognition. A review of his functional status for activities of daily living revealed that Resident #50 was totally dependent on staff for bed mobility, locomotion on the unit, dressing, toilet use and personal hygiene. He was independent with meals and required extensive assistance with transfers. His functional limitation in range of motion revealed upper extremity impairment on one side and lower extremity impairment on both sides. He required a wheelchair for mobility. There was no documentation related to therapy or restorative services documented on this assessment. A review of the current physician's orders revealed: Restorative Nursing Program to maintain strength and prevent contractures of at least 15 minutes three to four times weekly. Restorative Nursing Program to provide exercises to maintain self-grooming abilities of at least 15 minutes 3-4 times weekly. A review of the progress notes revealed Resident #50 was referred to the Restorative Nursing Program after a physical therapy screening was completed on 08/06/2020. A second screening was conducted on 11/6/2020. There were no changes noted. Resident #50 was advised to remain in the Restorative Nursing Program. Resident #50 was observed on 1/12/2021 at 9:24 am. The resident's right hand appeared to have no movement. There was no splint observed on the hand. During an interview with the resident at the time of the observation, he confirmed that he had no movement in his right hand. He also stated he had not received therapy services, nor did he have a splint for his right hand. During an interview on 1/13/2021 at 10:33 am with Employee A (a doctor in physical therapy), he stated the resident had not had a splint since residing in the facility. He was not sure why the resident had not received a splint. He did confirm that the resident received restorative services daily. Employee A stated the Rehab Director would be in the facility on 1/14/2021 and could provide more accurate information about Resident #50. During an interview on 1/13/2021 at 12:23 pm with Resident #50, he stated Employee A came into his room and asked him a few questions then raised and lowered his right arm. He denied receiving any services to his right arm prior to this. He stated he was not told that he could not have a splint. Resident #50 restated that he could not move his right arm/hand and demonstrated this by raising and lowering it with his left hand. The resident advised that he would like to receive therapy for his right arm as well as for his legs. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105138 If continuation sheet Page 7 of 10 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 105138 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/14/2021 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Jacksonville Rehabilitation and Nursing 5377 Moncrief Road Jacksonville, FL 32209 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 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few During an interview on 1/14/2021 at 9:59 am with Employee B, Rehab Director, she confirmed that the resident had not received therapy. She stated the facility screened all residents for services quarterly. She was not able to locate any current information for Resident #50. She stated he was screened for therapy on 11/6/2020, and he was currently in the Restorative Nursing Program for range of motion (ROM). She stated the order was for restorative services to the left hand for 15 minutes three to four times a week. She confirmed there was no order for the right hand/arm. She was not able to provide any additional information or documentation to explain why the resident was not issued a splint. During an interview on 1/14/2021 at 11:29 am with Employee C, Restorative Nurse, she confirmed that Resident #50 was not screened for a splint. She stated she could not explain why this was not done, nor was there any documentation to explain this. She provided hand written sheets which she stated the aides completed after providing services. Based on the documentation provided, the resident had only received therapy for the left upper extremity. She confirmed this and stated there had been no services to the right upper extremity. She was not able to explain why services were not provided to the right upper extremity. During an interview on 1/14/2021 at 1:29 pm, the Director of Nursing (DON) stated she was familiar with the resident. She was unable to confirm if the resident had ever had a splint. She stated all residents were screened by therapy, and the therapy department consulted with the restorative nurses for evaluations for splints. . FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105138 If continuation sheet Page 8 of 10 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 105138 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/14/2021 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Jacksonville Rehabilitation and Nursing 5377 Moncrief Road Jacksonville, FL 32209 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 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to obtain and administer physician-ordered medication for one (Resident #26) of five residents reviewed for medications, from a sample of 39 residents. The findings include: A record review for Resident #26 found she was admitted to the facility on [DATE] with diagnoses including chronic pain syndrome, major depressive disorder, generalized anxiety disorder, restless leg syndrome and osteoarthritis. A review of Resident #26's annual minimum data set (MDS) assessment, found she was assessed as having a brief interview for mental status (BIMS) score of 15 out of 15, indicating intact cognition. A review of Resident #26's January 2021 physician's orders, revealed she had routine orders for Hydrocodone-Acetaminophen (narcotic pain medication) 10-325 milligrams (mg) with directions to give 1 tablet every 8 hours for chronic pain beginning on 6/7/2020. A review of the medication administration record (MAR) for December 2020, revealed Resident #27 did not receive this medication from 2:00 PM on 12/20/2020 until 2:00 PM on 12/23/2020. The facility did not document Resident #27's pain level on the MAR when her hydrocodone was not given on 12/20/2020 at 2:00 PM or 10:00 PM. On 12/21/2020 at 6:00 AM, the nurse documented the resident's pain level at a 10 on a scale of 0 to 10, with zero indicating no pain and 10 indicating the worst possible pain. The nurse did not document the resident's pain level on 12/22 at 2:00 PM or 10:00 PM, or on 12/23/2020 at 6:00 AM when the medication was not given. A review of the MAR found the resident only received Ibuprofen 600 mg on 12/21/2020 at 9:22 PM. During an interview on 1/14/21 at 9:54 AM with the Nurse Consultant, she stated on 12/20/2020 a nurse called the pharmacy to find out about the medication. They were informed a script was needed. On 12/21/2019, a nurse called the nurse practitioner (NP) for a script, and the NP said she would send it over to the pharmacy. She stated she called the pharmacy again on 12/22/2020 when they still did not have the medication and the pharmacy said they never received the script. They spoke to the NP again on 12/22/2020, and she said she sent the script over. They re-verified and the pharmacy said again they did not have it. They called the NP back and she said she forgot to send the script over. She stated the NP sent the script to the pharmacy on 12/22/2020 . The Nurse Consultant provided a faxed script dated 12/22/2020 with a fax server date of 12/22/2020 at 10:36 AM. The Nurse Consultant confirmed Resident #26 did not receive her medication from 2:00 PM on 12/20/2020 until 2:00 PM on 12/23/2020. During an interview with Resident # 26 on 01/14/21 02:18 PM, she was asked about not receiving her Hydrocodone-Acetaminophen in December. She stated she missed three days. She stated she was first told they had to contact the doctor to get an order. She was then told they got the order and were waiting for the medication to come from the pharmacy. She stated they were giving her Tylenol and Ibuprofen, they were not as effective and her pain level only went down to about a 7. She stated she had been without pain medication before and she hoped it would not happen again. A review of the facility's medication ordering and receiving from pharmacy policy revealed that for (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105138 If continuation sheet Page 9 of 10 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 105138 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/14/2021 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Jacksonville Rehabilitation and Nursing 5377 Moncrief Road Jacksonville, FL 32209 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 0755 Level of Harm - Minimal harm or potential for actual harm medications not automatically refilled by the pharmacy under paragraph 2 A. Reorder medication 3-5 days in advance of need, as directed by the pharmacy order and delivery schedule, to assure an adequate supply is on hand. . Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105138 If continuation sheet Page 10 of 10