Inspection·August 25, 2022

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few maintain resident dignity during mealtimes. Fed only one resident at a time or as per state training and allowance. All staff will be seated, if possible, while feeding a resident. 1. Record review for Resident #28 revealed the resident was admitted on [DATE] with diagnoses that included Senile Degeneration of Brain, Generalized Anxiety Disorder, Unspecified Dementia Without Behavioral Disturbance, Major Depressive Disorder, and Need for Assistance with Personal Care, Other Lack of Coordination. The Minimum Data Set (MDS), dated [DATE], revealed in Section C, a Brief Interview for Mental Status (BIMS) score of 7, indicating severe cognitive impact. Section G revealed bed mobility and transfer both have a self-performance of extensive assistance and support of two plus person physical assist. Eating had a self-performance of limited assistance and support of one person assist. Review of physician orders for Resident #28 included an order for: Speech Therapy (ST) - Evaluate and Treat as indicated dated 02/27/21; An order for Rehab: Occupational therapy order Patient to receive built up handled utensils for all meals to allow for nutrition and ease of eating, dated 10/21/21; an order for Feeding Rehab patient to be issued adaptive cup to allow for self-drinking (sippy cup/2 handled cup) at all meals, dated 04/26/22; an order for Rehab: clarification of feeding device: patient is to receive divided plate and 2 large cups with lids at all meals to promote independence and nutrition, dated 07/11/22; and an order for Regular diet Pureed texture, Nectar consistency 08/15/22. The care plan for Resident #28, dated 03/02/21 with a focus on the resident is at risk for alteration in nutrition and hydration status, due to: need for mech alt (alternate) diet, is on thickened liquids, poor PO (oral/by mouth) intake, dependent at meals, chewing problems, Dementia, depression, CVD, HTN, recent significant weight loss, body mass index (BMI) within normal limits (WNL). Hospice services. Adaptive equipment, 2 handle cup with lid, divided plate. Goal to minimize risk of aspiration through next review date. Interventions included Resident will consume 50-75% of meals through next review date. Allow resident enough time to consume meals. Divided plate at meals, 2 handle cup with lid. Assist with meals as needed (PRN). Assist with meals as necessary. Observe for signs and/or symptoms (S/S) of aspiration. Monitor labs when available. Observe mucous membranes for moistness, give oral care every shift. offer/provide resident with alternative foods to encourage oral (PO) intake. Provide diet as ordered: Regular, Mechanical Soft, Thin liquids. Provide supplement as ordered: Med Pass 2.0 60ml PO 4 times per day (QID). Record % of cc of fluids consumed daily. Record % of daily oral (PO) intake. 08/22/22 12:40 PM, Resident #28 was observed eating lunch with divided plate and 2 two-handled cups with only 1 sippy cup lid. The resident was observed coughing after drinking from 2 handled cup with no sippy lid. On 08/23/22 at 11:50 AM, an observation was made of Resident #28. The resident was having soup and orange liquid in a regular juice cup with no handles. On 08/23/22 at 12:07 PM, an observation was made of Resident #28. The resident was observed with no divided plate, a juice cup with no handles or lid, 1 two-handled cup with sippy lid. The resident was being fed by Staff K , Activities Assistant, who was also feeding another resident at the same time at the same table. She would give a bite to one resident, put the spoon down, and then feed the next resident a bite of food. When the Activities Assistant was asked if she had training to feed two residents at the same time she said 'yes'. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 2 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 0550 Level of Harm - Minimal harm or potential for actual harm On 08/24/22 at 12:20 PM, Resident #28 was observed with her lunch, and Staff K was assisting the resident with her meal and assisting another resident at same time alternating bites being feeding between the two residents by the bite full. Resident #28 was noted to have a divided plate and 2 regular juice cups without handles or sippy lids. On Resident #28's meal ticket, it had listed for adaptive equipment, a divided plate only. Residents Affected - Few During an interview conducted on 08/22/22 at 12:45 PM with Staff L, Dietician Manager, when asked about meal ticket for Resident # 28, she stated that the 2 two-handled sippy cups should both have a sippy lid. She noticed the resident coughing after drinking from the two-handled cup with no sippy lid and stated she would have the resident assessed by hospice. During an interview conducted on 08/23/22 at 12:09 PM with Staff M, Occupational Therapist, (OT), she stated Resident #28 is a feeder on hospice, I hate that word, she needs to be fed. The OT was standing next to the resident when she was talking. She went on to say the resident fluctuates with what she can do because of her tremors. She had a physician order for a divided plate on 08/22/22 and there is an order for a large cup on 04/26/22, but we go by the newest order which supersedes all other orders. The resident does not need any special utensils or cups. When asked if the aides are allowed to feed more than 1 resident at a time, she said, 'I think so, it gives the residents a little time to [NAME] and swallow.' During an interview conducted on 08/24/22 at 9:40 AM with Registered Dietician, she stated that OT writes the order then it is communicated to dietary staff and diet staff is responsible to make sure the adaptive equipment is washed, cleaned, and put on the trays. Dietary checks and it starts on the hot steam line. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 3 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 0655 Level of Harm - Minimal harm or potential for actual harm Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Based on observation, interviews, record review and policy review, the facility failed to initiate a baseline care plan for 1 of 24 sampled residents (Resident #221). Residents Affected - Few The findings included: A review of the facility's policy, titled, Baseline Care Plan, and implemented 11/2020, revealed, in part, The baseline care plan shall be developed within 48 hours of a resident's admission A supervising nurse shall verify within 48 hours that a baseline care plan has been developed. Resident #221 was admitted to the facility from an acute care facility on 08/20/22 with diagnoses that included Urinary Tract Infection (UTI), Type 2 Diabetes Mellitus (DM) and Hemiplegia and Hemiparesis following a Cerebral Infarction affecting left non-dominant side. An interview was conducted with Resident #221 on 08/22/22 at 10:30 AM who revealed she was alert and oriented and in this facility to have physical therapy. A review of the Electronic Health Record (EHR) revealed no baseline care plan. A review of the medical chart revealed no paper baseline care plan. On 08/24/22 at 8:39 AM, the medical chart and EHR were reviewed again for a baseline care plan and there was no baseline care plan. An interview was conducted at that time with the Director of Nurses (DON) who stated the baseline care plan is done by the nurse on admission. The DON then searched Resident 224's chart and EHR and confirmed that there was no baseline care plan for Resident #224. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 4 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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, interviews, record and policy review, the facility failed to obtain physicians' orders for oxygen for 2 of 2 sampled residents (Resident #20 and Resident #34) and failed to obtain physicians' orders for insulin for 1 of 1 sampled resident (Resident # 20). Residents Affected - Few The findings included: The facility's policy, titled, Oxygen Administration, implemented 11/2020, revealed Oxygen is administered under orders of a physician. 1. On 08/22/22 at 10:00 AM, Resident #20 was observed and interviewed during the initial pool process. The resident was observed using oxygen via nasal cannula which was set at 3 liters. The resident stated he has been using oxygen all of the time since he came back from the hospital at the end of July [2022]. On 08/23/22, the resident was again observed at 11:26 AM with oxygen on 3 liters via nasal cannula. Review of the resident's Electronic Health Record (EHR) was conducted and revealed Resident #20 was transferred to an acute care facility on 07/14/22 and readmitted to this facility on 07/29/22. The EHR did not reveal any admission assessment for Resident #20 on 07/29/22. Resident #20's medical diagnoses included Presence of a Cardiac Pacemaker, Type 2 Diabetes, Chronic Obstructive Pulmonary Disease and Acute and Chronic Respiratory Failure with Hypercapnia. His quarterly Minimum Data Set (MDS) assessment with an assessment reference date of 06/09/22 revealed the Brief Interview of Mental Status (BIMS) score for Resident #20 was 13, which indicated no cognitive impairment. A review of the resident's admission orders revealed no order for oxygen and no order for insulin. Prior to the resident's transfer to the hospital on [DATE], he had orders for Levemir 8 units at bedtime, and orders for oxygen at 2 liters. A physician's order was found for 08/01/22 for Accuchecks to be done fasting and at 4:00 PM and call if blood sugar is greater than 180. Review of the Medication Administration Record (MAR) for August 2022 revealed 14 times the blood sugar was greater than 180 and documentation was only found in the nursing progress notes two times, on 08/02/22 and 08/23/22, that the physician was called, and a message was left. A review of the Nurse Practitioner's progress note dated 08/01/22 revealed LEVEMIR 8UHS-? An interview was conducted with the Director of Nursing (DON) on 08/23/22 at 12:21 PM regarding Resident #20 having no orders for oxygen or insulin, and why was the oxygen on 3 liters was administered upon return from the hospital. The DON stated that she did not know who put the oxygen at 3 liters and was not aware that the resident was no longer on insulin and will call the nurse practitioner. A review of the physician's orders for Resident #20 was done again on 08/24/22 and revealed that new orders were put in the EHR on 08/23/22 for Levemir 8 units subcutaneously at bedtime and Novolog (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 5 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 inject per sliding scale and oxygen 3 liters via nasal cannula as needed. Level of Harm - Minimal harm or potential for actual harm An interview was conducted with Staff F, Regional Nurse Consultant, on 08/24/22 at 12:50 PM regarding no admission assessment being done for Resident #20 for 07/29/22. She stated that it is done now. Residents Affected - Few 2. On 08/22/22 at 9:45 AM, Resident #34 was observed in bed with oxygen on via nasal cannula. The setting was 3 liters. On 08/23/22 at 11:30 AM, the resident was again observed with oxygen on at 3 liters via nasal cannula. A review of Resident #34's physician's orders did not reveal any order for oxygen. The resident was readmitted to the facility on [DATE] with diagnoses that included Chronic Obstructive Pulmonary Disease, Acute Respiratory Failure with Hypoxia and Pneumonitis. An interview was conducted with the Director of Nursing (DON) on 08/23/22 at 12:27 PM regarding Resident #34 having no physician's orders for oxygen. The DON verified that there were no orders and stated she will call the nurse practitioner for orders for oxygen. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 6 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 0687 Provide appropriate foot care. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to provide treatment and services necessary to maintain or improve foot care for 1 of 1 sampled resident, reviewed for and requiring podiatry care (Resident #43). Residents Affected - Few The findings included: During a screening of Resident #43 on 08/23/22 at 8:00 AM, it was noted the resident was in bed with both feet exposed. Further observation of the feet and specifically the toes noted that toes nails were exceptionally long and discolored gray / black. In particular, the resident's great toes (Left and right) toenails were over 1 inch long from the top of the toe. Interview at the time of the observation, 08/23/22 at 8:00 AM, noted the resident to have mild confusion and noted to state that his toenails are too long and has requested to cut but could no recall the staff that he told. The resident requested the surveyor's assistance in scheduling Podiatry care. Following the observation and interview with Resident #43, an interview was conducted with the Director of Nursing (DON) concerning the toenail issue. The DON stated that all residents upon admission have a standing order for Podiatry care, but the DON could not find a current physician's order for Podiatry care for Resident #43. The DON stated that the physician's order failed to be obtained upon admission. On 08/24/22, the DON submitted to the surveyor a physician's order, dated 8/23/22, for the podiatrist to be in the facility on 08/26/22 to assess and provide nail care services to Resident #43. Photographic evidence obtained on 08/24/22. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 7 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to provide restorative care for 1 of 1 sampled resident, Resident #58, reviewed for range of motion. The findings included: A review of the facility's policy, titled, Restorative Nursing Program, dated 11/2020, documented: The Restorative Nurse is responsible for maintaining a current list of residents who require restorative nursing services, and for ensuring that all elements of each resident's program are implemented. The discharging therapist, Restorative Nurse, or designated licensed nurse will communicate to the appropriate restorative aid, the provisions of the resident's restorative nursing plan, providing any necessary training to carry out the plan. Record review revealed Resident #58 was admitted to the facility on [DATE] with diagnosis included stroke, with weakness/paralysis affecting the right dominate side. A comprehensive assessment, dated 07/29/22, documented the resident was cognitively intact, and required extensive to total two-person assistance with activities of daily living. The assessment further documented Resident #58 was impaired on one side and was / had not received restorative services. Resident #58 was care planned for declined in mobility due to requiring total assistance for bed mobility and transfers, non-ambulatory, dated 08/25/20. Review of Resident #58 orders revealed an order, dated 05/14/22, for Occupational Therapy (OT) discharge from skilled OT to skilled nursing referral to Restorative nursing for upper extremity range of motion (ROM). An observation of Resident #58 was conducted on 08/22/22 at 10:00 AM. Resident #58 was observed in bed, holding his right hand, which was observed extended with minimal movement. Resident #58 stated he used to get therapy but has not in a while. Resident #58 stated his right hand had become stiffer, and he would like to resume therapy. An interview was conducted with the Restorative Certified Nurse Assistant (RCNA) on 08/24/22 at 9:30 AM. A list of residents on the Nursing Rehabilitation/Restorative Care Program Summary was provided for 08/22/22. Resident #58 was not on the list provided. An interview was conducted with the Rehabilitation Director on 08/24/22 at 1:00 PM. The Director stated Resident #58 last received therapy services from 03/15/22- 05/12/22 and was discharged to restorative services. The Director stated once a resident was discharged to restorative, restorative is trained on the restorative services based on the resident's individualized needs. The Director stated upon discharge, Resident #58 right upper extremity was with in normal limits and tolerated all passive range of motion. The Director stated she would have the resident evaluated. An interview was conducted with Resident #58 on 08/25/22 at 10:00 AM. The resident was observed sitting up in a wheelchair. The resident stated he was seen by therapy, and they were going to start (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 8 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 treatment. Resident #58 smiled and said, 'thank you'. Level of Harm - Minimal harm or potential for actual harm An interview was conducted with the Rehabilitation Director on 08/25/22 at 11:50 AM. The Director stated Resident #58 was evaluated by Physical Therapy (PT) and Occupational Therapy (OT) yesterday (08/24/22). The Director stated the resident went from moderate to now dependent for bed mobility per PT, and upper body dressing from moderate to dependent per OT. The Director stated Resident #58 was picked up for PT and OT services. Residents Affected - Few An interview was conducted with the Occupational Therapy Assistant (OTA) on 08/25/22 at 12:00 PM. The OTA stated she did the OT evaluation for Resident #58. The OTA stated there was an increase in stiffness and pain in the resident's right upper extremity. An interview was conducted with the RCNA on 08/25/22 at 12:10 PM. The RCNA stated when a resident is discharged from skilled therapy to restorative, a referral form is given to her. The RCNA stated she did not receive a restorative referral form for Resident #58. On 08/25/22 at 12:30 PM, the RCNA returned to the surveyor with a restorative referral form for Resident #58 with a date of 05/21/22. The RCNA stated the referral was on her desk but got overlooked. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 9 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to prevent falls and perform post fall evaluations for 1 of 5 sampled residents, reviewed for falls (Resident #331). The findings included: A review of the facility's Fall Prevention Program, dated 11/01/20 and revised 04/09/21, documented: Upon admission, the nurse will complete a fall risk assessment along with the admission assessment to determine the resident's level of fall risk. The nurse shall indicate the resident's fall risk and initiate interventions on the resident's baseline care plan, in accordance with the resident's level of risk. When any resident experiences a fall, the facility will: Assess the resident, complete a post fall assessment, initiate neuro checks if resident hits head and/or unwitnessed fall, notify physician and family, review the resident's care plan and update as indicated, and document all assessments and actions. Record review revealed Resident #331 was admitted to the facility on [DATE]. An Admit / Readmit Screen, dated 08/10/22, documented the resident as alert and oriented to person, place, time, and situation, and required limited assist for bed mobility and extensive assist for transfers. Resident #331 had a baseline care plan, dated 08/10/22, that consisted of at risk for falls related to forgetfulness. Interventions included: place call bell within easy reach, cue for safety awareness, assist for toileting/transfers as needed, and bed in low position. A progress note dated 08/12/22 at 3:16 AM documented: 'Resident was observed face down on the floor by her bed side. noted laceration to right upper eyebrow, also sustained skin tear to left upper shoulder and to right forearm. Same treated, sent resident to the hospital for evaluation and treatment. Family and doctor notified.' An observation of Resident #331 was conducted on 08/22/22 at 10:30 AM. The resident was observed in bed, with bruising and a band-aid to the right forehead. The resident was questioned of the injury. The resident stated she had fallen out of bed at the facility. Review of the record revealed there was no documentation of the resident's neurological status, or a post-fall assessment found. Record review revealed Resident #331 returned to the facility on [DATE] at approximately 4:00 AM. A progress note, dated 08/15/22 at 7:00 AM, documented: 'At 11:30 AM CNA (certified nurse assistant) alerted writer to resident's room. Resident observed on back lying on the floor near footboard of her bed. Resident stated she just fell. Assessment done. Skin tear observed to left arm also some bleeding noted on back of right side of head. Doctor notified and neuro checks started. Skin tear covered with dry dressing. Wound care to be consulted. Family notified.' There was no documentation of the resident's neurological status / neuro checks, or a post-fall (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 10 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 0689 assessment found. Level of Harm - Minimal harm or potential for actual harm A progress note, dated 08/22/22 at 1:39 PM documented: 'Resident found in sitting position in front of the wheelchair by her family. Resident able to answer question when spoken to, she stated that after therapy, she was trying to get from W/C (wheelchair) to bed and she fell. Able to move all extremities while family was in room and son requested to activate emergency personal. 911 activated and resident was transfer to the hospital for further evaluation. Doctor was notified via voice mail. Will follow up. Residents Affected - Few There was no documentation of the resident's neurological status, or a post-fall assessment found. An interview was conducted with Resident #331's representative on 08/23/22 at 9:00 AM via telephone. The representative stated the resident was in the hospital with a fractured vertebrae. The representative stated he came to visit the resident, passed by nursing station, and saw call light was activated in room. The representative turned to go in the room, and saw the resident's feet sticking out on the floor. The resident was found lying between W/C and bed cringed. Spouse went and called for the nurse. The representative and nurse assisted resident back to bed. 911 called.' An interview was conducted with the Director of Nursing (DON) on 08/25/22 at 12:00 PM. The DON acknowledged the above. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 11 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 - Actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to provide treatment and services necessary to maintain or improve dining-eating and to prevent significant weight loss for 2 of 8 sampled residents reviewed for nutrition (Resident #43 and #128); and failed to provide the necessary services to maintain good nutrition and prevent weight loss for 1 of 2 sampled residents (Resident #15) who required total assistance with eating. Residents Affected - Few The findings included: 1. During the observation of Resident #43 on 08/22/22 at 11:00 AM, it was noted the resident to be lying in bed, appeared malnourished and underweight, and had cognition deficit. A subsequent observation of Resident #43, during the 08/22/23 lunch meal in the main dining room at 12:30 PM, noted the resident to be only eating dessert and no intake of the main meal. Continued observation noted at no time did the 3 nursing staff working in the main dining room offer assistance to the resident to eat or give supervision to encourage eating all meal foods. During the observation, the surveyor requested the Occupational Therapist (OT) who was in the dining room to confirm the lack of assistance or supervision with the meal. The OT stated that the resident would be screened for the issues noted. It was noted that Resident #43 ate less than 10 % of the lunch meal. During a second observation conducted of Resident #43 during the breakfast meal on 08/23/22 at 8:30 AM, it was noted the resident's breakfast tray was delivered to the resident's room. Continued observation of the meal noted the resident was not offered assistance with eating the meal, nor was there supervision with the meal. The breakfast tray was taken away by staff and less than 25% of the meal consumed. During a third observation conducted on 08/23/22 at 12:30 PM, it was noted the resident was in the main dining room. Continued observation again noted the resident to be eating only the dessert and none of the main lunch meal foods. The resident was noted to not be given any assistance or supervision with the meal and consumed less than 25 % on the meal. During review of the clinical record of Resident #43 on 08/24/22, the following were noted: Date of admission: [DATE] Diagnoses included: Protein-Calorie Malnutrition, Dysphagia, Anemia, and Cognitive Communication. Current Physician's Orders included: 08/17/22 - Mechanical Soft Diet 08/16/22 - 120 ml Mighty Shake TID (three times a day) A review of the resident's current Minimum Data Set (MDS), dated [DATE] (Medicare 5 Day) noted the following: (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 12 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 Section (Sec) C: BIMS score =6 (severe cognitive impairment) Level of Harm - Actual harm Sec D: No Mood Issues Residents Affected - Few Sec G: Eat = Extensive Assist - One Person Sec K: No Swallow Issues, Height 71 inches and was 145 # (pounds) Sec L: No Dental Issues Sec M: No Pressure Ulcers. Review of facility weight history: 07/18/22 = 145# 07/26/22 = 132# 08/04/22 = 130# 08/14/22 = 114# 08/16/22 = 113# 08/21/22 = 112# Weights indicate a 32-pound weight loss form 07/18/22 through 08/21/22. BMI=15.6 (severe underweight / malnutrition) Adjusted Body Weight =152-186 Review of Dietary Progress Notes: 08/17/22 - Diet Upgrade to Mechanical Soft 08/17/22 - Weight 113#, Significant Weight Loss in last 30 days, Continue Supplements Mighty shake TID, Majic Cup BID (twice daily) X 30 days, Fortified Foods, for all meals, Weekly weights X 4 (times 4). 08/09/22 - 10.3% weight loss since admission, resident not interested in eating and needs assist with meals. Continue weekly weights, BMI =18. During the review of the resident's meal cards for breakfast, lunch, and dinner, it was noted there was no documentation of serving: Fortified Foods or Majic Cup on meal trays. Review of current care plan, dated 07/15/22 noted: -Anemia (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 13 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 -Potential Nutritional Problem - Dysphagia, varying PO oral / by mouth) intake, not interested in pureed diet, resident under normal BMI. Level of Harm - Actual harm Residents Affected - Few The approach documented for the nutritional care noted documentation that the resident requires 1-person physical assist with all meals. The nutritional issues were reviewed with the facility's Corporate Nurse on 08/24/22, who confirmed that the resident was not receiving assistance with meal to maintain nutritional status and self-feeding. The nurse stated that the were made aware of the issues and the resident has been re-screened to ensure required nutritional service. 2. During the observation of the lunch meal on 08/23/22 at 12:45 PM, while walking in the 300 Unit, the surveyor was called into the resident's room by Resident #128. Upon entering the room, the resident asked the surveyor if he was from the State and asked for assistance with an issue. The resident was noted to be seated upright in bed with his lunch tray on the over-bed table in front of him. The resident was noted to be alert oriented and stated that he is not getting the assistance with meals that he requires. Specifically, the resident showed that his right arm was in sling and stated could not use to self-feed. He stated due to a CVA (stroke / cerebrovascular accident), he only had limited use of his left hand and arm. The resident further stated he could not grasp eating utensils, nor could he scoop foods from the plate to self-feed. The resident further stated that he has been asking staff for days for their assistance with eating or to provide some type of assistive eating devices (built-up utensils, scoop plate). The resident then demonstrated to the surveyor that he could not grasp the silverware nor scoop foods from the food plate. Following the resident's self-feeding demonstration, the surveyor requested that the facility's Occupational Therapist (OT) come to the room of Resident #128. Upon entering, the resident stated the exact same story concerning the inability to self-feed due to physical limitations and the lack of staff assistance and adaptive eating equipment. The OT stated that she had not been informed by facility staff of his inability and frustrations of self-feeding. The OT stated to the resident that she would come back later today to evaluate the resident's eating ability and potential for adaptive eating equipment. Review of clinical record of Resident #128 on 08/24/22 noted an admission date of 08/4/22 with diagnoses to include C-Diff, Sepsis, Fracture of Right Pubis, COPD (Chronic Obstructive Pulmonary Disease, Fracture of Right Shoulder, Right Artificial Shoulder Joint, and Protein-Calorie Malnutrition. Current physician's order included a CCHO/NAS Diet (Carbohydrate Controlled / No added salt diet). Also noted was a physician's order, dated 08/23/22, for the resident to be issued built-up handled spoon and fork, and divided plate at all meals to promote nutrition and maximum independence. Review of facility's Weight History: 08/05/22 = 207 # Height = 74 inches (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 14 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 BMI = 26.6 Level of Harm - Actual harm Adjusted Body Range = Unable to calculate. Residents Affected - Few Review of MDS of 08/09/22 - on admission: Sec B: No hearing or speech issues Sec C: BIMS = 12 (Cognitive Alert) Sec D: No Mood Issues Sec G: Eat = Supervision Sec K: No Swallow Issues, No weight loss Sec M: No Pressure Ulcer Present Review of Nutritional Assessment, dated 08/05/22 Weight of 207# was the documented hospital weight, unable to obtain to weight in facility. BMI = 18-26 PO Intake: 50-75% Right Shoulder Sling Diet = Carbohydrate Controlled / No Added Salt Nutritional Risk Score = 13 (low Risk) Recommended: Weekly Weights (not completed as per record review). There was no documentation in the assessment concerning the resident's need for assistance with feeding or the use of adaptive eating equipment. Review of Progress Notes noted the following: 08/23/22 (18:30) - Resident complained of Shortness of Breath, stating pain, 911 called and resident transported to hospital ER (emergency room) for evaluation. 08/05/22 Dietary Note - Resident on isolation for C-Diff and will use last hospital weight for assessment. Review of current care plan, dated 08/04/22 documented: Problem: Potential Nutritional Problem - Provide built-up fork, knife, spoon, and divided plate with all meals. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 15 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 Level of Harm - Actual harm Observation and interview conducted with Resident #128 on 08/23/22 noted there were no built-up utensils or divided plate with the lunch meal. The resident stated he could benefit with the use of the adaptive eating equipment. Occupational Therapy, who was in the room, stated they will assess the resident for adaptive equipment. Residents Affected - Few Interview with Consultant Dietitian (RD) on 08/24/22, to discuss the resident's nutritional concerns and weights, noted that the resident was weighed on 08/21/22 and was recorded at 196#. It was discussed with the RD that the resident had lost 11 pounds since the admission date of 08/04/22. 3. During the observation of the lunch meal on 08/23/22 at 12:25 PM, it was noted that a pureed meal tray was served to the room of Resident #15. Further observation noted that the resident was cognitively impaired and unable to feed self. Continuous observation noted that at 1:00 PM, nursing staff had not come to the room to feed the resident. Continued observation noted that at 1:40 staff had still not come into the room to feed the resident. The surveyor requested the Director of Nursing (DON) to come to the room to discuss and view the issue. The DON requested Staff N, Certified Nursing Assistant (CNA), who stated she was too busy with other residents to feed Resident #15. The DON asked Staff N to reheat the resident's lunch food tray, however the surveyor intervened and stated a new pureed meal was necessary due the time and temperature that the food tray had been in the room. At this time, the surveyor went to the Main Kitchen to get a new lunch pureed meal, but the cook stated that the kitchen ran out of pureed foods during the lunch meal of 08/23/22 and would have to discuss what pureed foods could be prepared for the lunch meal for Resident #15. At 2:00 PM, Resident #15 had not received a pureed lunch meal. It was not known if Resident #15 received and was feed a lunch meal on 08/23/22. It was also noted that when the surveyor brought the tray from the room to the main dining room to take food temperature the purred meal and instructed the diet aide in the room to leave the tray while a food thermometer was obtained from the kitchen. Two minutes later, the surveyor returned with the thermometer, but the aide had disposed of the resident's tray against the surveyor's request. The issues were discussed with the Corporate Nurse on 08/24/22 who confirmed the surveyor's findings. The nurse stated that corrective action had been put into place to ensure the residents who require total assistance with feeding receive the proper services and that the kitchen would not run out of foods (pureed foods) during meals. Review of clinical record of Resident #15: Date Of admission: [DATE] Diagnoses included: Toxic Encephalopathy, Diabetes Mellitus 2, Stage IV Pressure Ulcer, Dysphagia, and Dementia. Current Medical Doctor's orders included: 06/01/22 = Vitamin C 500 mg BID (wound healing) (twice daily) 06/07/22 = Pureed Diet (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 16 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 06/07/22 = Multi Vitamin with Minerals (Supplement) Level of Harm - Actual harm 06/17/22 = Ferrous Sulfate 325 mg BID (wound healing) Residents Affected - Few 06/29/22 = Fortified Foods (High Calorie/protein foods) 08/10/22 = Prostat 30 ml TID (protein/calorie wound healing) (three times daily). Current Minimum Data Set assessments (MDS) noted: Sec C = Brief Interview for Mental Status (BIMS) = 3 (Severe Cognitive Impairment) Sec G: Extensive Assist with eating. Interview conducted with Certified Nursing Assistant (CNA) staff during the lunch meal of observation 08/23/22 noted the resident required total feed by staff. Resident's #15 Weight History: 06/01/22 = 170# (pounds) 06/19/22 = 162# 07/24/22 = 159#. Review of the Weight history indicated a 11-pound weight loss from 06/01/22 through 07/24/22. Review of Progress Notes documented: 06/29/22 - Weight loss of 6.5% since admission. 07/05/22 - Dietary Progress Note - Significant weight loss 6.5% (11#) in last 30 days. Recommend additional 120 ml Fluids each shift X 14 days. Labs - H & H (Hemoglobin & Hematocrit) (L)[low], Creatinine (L). 07/12/22 - Dietary Progress Note - Significant weight loss 7.6% (13#) in last 30 days. Increased nutritional needs for wounds. 08/05/22 - Physician's Note: Infected sacral wound 08/23/22 - Skin/Wound Note - Sacrum Pressure Ulcer - Stage IV. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 17 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 0697 Provide safe, appropriate pain management for a resident who requires such services. Level of Harm - Actual harm Based on observation, interview, record review and policy review, the facility failed to provide pain medication associated with wound care for 1 of 2 sampled residents (Resident #223). Residents Affected - Few The findings included: The facility's policy, titled, Negative Pressure Wound Therapy, implemented 11/2020, revealed, in part, Monitoring throughout the use of NPWT (negative pressure wound therapy) shall include, but is not limited to, the following: a. Pain associated with the therapy. On 08/16/22, Resident #223 was admitted to the facility from an acute care facility. On 08/22/22 at 10:30 AM, the resident was observed in her bed with her eyes closed. This surveyor attempted to have a conversation with the resident, but she was confused and unable to speak. A review of the nursing progress note, dated 08/16/22, revealed, Resident Alert, disoriented, and cannot follow simple directions. Resident is not clear in speech, unable to communicate. The resident's medical diagnoses at the time of admission included Sepsis, Pressure Ulcer Sacrum Stage 4, Chronic Atrial Fibrillation and Personal history of traumatic brain injury. On 08/24/22, the surveyor notified the Director of Nurses that she needed to observe wound care. Resident #223 had a wound vac and physician orders revealed it is to be changed on Monday, Wednesday, and Friday. On 08/24/22 at 1:10 PM, Staff D, Registered Nurse (RN), began to change the wound vac dressing. Assisting her was Staff B, Certified Nursing Aide (CNA), to hold the resident on her side during dressing change. Staff D advised this surveyor that it had been a while since she had done a wound vac dressing and was unaware that she would be doing this today. Staff D commented prior to the dressing change that she was unaware if the resident had any pain medicine. The resident did not have an order for pain medication. She continued to remove the old dressing, clean the wound, apply skin prep peri wound and apply a new dressing. As the procedure to clean the wound was being done, the resident started moaning. When the foam was put into the wound, the resident moaned louder. The nurse responded, I know, I know, I'm almost finished. After the dressing of the wound was completed and it was time to attach the tubing from the dressing to the tubing on the device, the tubing did not match. The whole process had to be redone. Staff D was given the correct tubing which was in the resident's room and started the dressing change again. This was now 2:08 PM. The previous dressing and foam were removed while the resident moaned. The wound again was cleaned and during the process of cleaning and putting the foam into the wound, the resident moaned. Staff D responded, I know, I know, I'm almost finished. The wound care was completed at 2:25 PM. On 08/24/22 at 2:35 PM, Staff G, Director of Clinical Services, was made aware that Resident #223 had no pain medication available for wound care. The physician was then called and ordered pain medication to be given prior to wound care. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 18 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. 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 interviews, the facility failed to provide medication as scheduled on dialysis days for 1 of 1 sampled resident reviewed for dialysis (Resident # 50). Residents Affected - Few The finding included: Review of the Electronic Health Record for Resident #50 revealed she has a Brief Interview for Mental Status of 13, per her admission Minimum Data Set with an assessment reference date of 07/22/22, which indicates she is cognitively intact. She was admitted to the facility on [DATE] with diagnoses that included Dependence on Renal Dialysis, Cellulitis of Right Lower Limb and End Stage Renal Disease (ESRD). Resident #50 was interviewed on 08/22/22 at 9:00 AM as part of the initial pool process. The resident stated that she goes to dialysis on Monday, Wednesday and Friday in Delray Beach. She stated she leaves for dialysis at 10:45 AM and returns at 4:45 PM. She takes a chicken salad sandwich with her to dialysis and a ginger ale. Review of the Medication Administration Record (MAR) for Resident #50 indicated she was taking Sevelamer HCL tab 800mg give 2 tabs by mouth three times a day for ESRD. Sevelamer is a phosphate binding medication used to treat dialysis patients for high phosphate levels. Sevelamer was scheduled to be given at 8:00 AM, 2:00 PM and 6:00 PM. For July 16-31, 2022, 16 doses were not administered out of 48 scheduled doses because the medication was either not available or the resident was at dialysis for the 2:00 PM dose. From August 1-24 at 11:00 AM, 10 out of 70 scheduled doses were not administered due to the resident being at dialysis. In an interview with the Consultant Pharmacist on 08/24/22 at 12:28 PM, it was revealed he does review the medication for dialysis residents but did not make recommendations to change the time of medication during dialysis days. He stated that the nurses should call the doctor to get an order to change the time of the medication on dialysis days. On 08/25/22, a review of the MAR revealed the times for Sevelamer were now scheduled to be given at 6:00 AM, 10:00 AM and 9:00 PM. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 19 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Based on observations, interviews, and record review, the facility failed to secure medications for 1 of 24 sampled residents reviewed for medications located at the bedside (Resident #10). The findings included: Review of the facility policy, titled, Resident Self-Administration of Medication, dated 11/20, revealed: It is the policy of this facility to support each resident's right to self-administer medication. A resident may only self-administer medications after the facility's interdisciplinary team has determined which medications may be self-administered safely, the residents ability to ensure that medication is stored safely and securely. Bedside medication storage is permitted only when it does not present a risk to confused residents. The manner of storage prevents access by other residents. Lockable drawers or cabinets are required only if locked storage is ineffective. The medications provided to the resident for bedside storage are kept in the containers dispensed by the provider pharmacy. All nurses and sides are required to report to the charge nurse on duty any medication found at the bedside not authorized for bedside storage. The care plan must reflect resident self-administration and storage arrangements for such medications. On 08/22/22 at 10:02 AM an observation was made of medications at bedside for Resident #10 that included: Hydrocortisone cream 2.5% and Mupirocin ointment 2%, which were on the resident's over bed table; and the Nystatin Topical Powder which was on the resident's nightstand. Photographic evidence obtained. During an interview conducted on 08/22/22 at 10:15AM with Resident #10 when asked about the medications at his bedside, he stated the cream / ointment are for his skin and the Nystatin powder is for his belly and the staff put that on him at night. An observation was made on 08/23/22 at 2:00 PM in Resident #10's room, with Hydrocortisone cream 2.5% and Mupirocin ointment 2% were on the resident's over bed table and the Nystatin Topical Powder was on the resident's nightstand. During an interview conducted on 08/25/22 at 2:33 PM with Staff H, Registered Nurse (RN), (agency first day at facility), she was asked about medications at the bedside for Resident #10. She stated that she is not sure that he has any medications at the bedside. We went into the resident's room and the medications, Hydrocortisone cream 2.5% and Mupirocin ointment 2% were on the residents over bed table and the Nystatin Topical Powder was on the nightstand, were pointed out to her. She said she will notify the charge nurse and take the medications out of the room with the charge nurse. She was asked if the resident has been assessed to have medications at the bedside and she said she did not know. During an interview conducted on 08/24/22 at 4:50 PM with the Staff F, Regional Nurse Consultant, she was asked if Resident #10 had ever been assessed for self-administration of medications or to have medications at the bedside, and she replied 'no he has not'. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 20 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 0808 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure that therapeutic diets (Fluid Restriction) were followed as per physician order for 1 of 1 sampled resident, (Resident #50), reviewed for dialysis. The findings included: Review of facility Policy for 'Fluid Restriction' (Implemented 11/2020 and Revised 2/2021), documented, in part: It is the policy of this facility to ensure that fluid restrictions will be followed in accordance with physician's orders. Compliance Guidelines: 1. Verify the physician's order for the fluid restriction and an order written to include the breakdown of the amount of fluid per 24 hours to be distributed between the food and nutrition department and the nursing department. and will be recorded on the medical record. 2. The fluid restriction distribution will take into consideration the amount of fluid to be given at meal times, snacks, and medication passes. 3. The food and nutrition department will be notified by facility communication methods of the fluid restriction. 4. Water will not be provided at the bedside unless calculated into the daily total fluid restriction. 5. The risks and benefits of the fluid restriction will be explained to the resident. During an observation and interview conducted with Resident #50 on 08/24/22, it was noted the resident to be alert and orientated and stated that she goes to dialysis 3 times per week on Monday, Wednesday, and Friday, and receives a Renal diet and is on a fluid restriction. Resident #50 also stated she receives a Nepro drink only on Saturday evening. Observation of the resident's room noted a 16-ounce container that was full of water, a cup of water (4 ounces), and an opened Nepro supplemental drink. The resident stated that there always is a contained of water at her bed side which she drinks from throughout the day. The resident was noted to also state that she tells nursing staff not to leave a container of water in the room. Review of clinical record of Resident #50 on 08/24/22 noted the following: Date of admission: [DATE] Diagnoses included: Cellulitis, Protein-Calorie Nutrition, Dependence on Renal Dialysis, End Stage Renal Disease (ESRD), and Anemia. Current Physician's Orders: (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 21 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 0808 07/16/22 - Renal Diet Level of Harm - Minimal harm or potential for actual harm 08/08/22 - Nepro - 1 can BID (twice daily) 08/08/22 Fluid Restriction: Residents Affected - Few < (less than) 1500 ml Fluid Restriction - 900 ml Dietary < 600 ml by nursing - 240 ml (7-3), 300 ml (3-11), and 60 ml (11-7) shifts. A review of the Breakfast / Lunch / Dinner noted Renal Diet the follow fluids being served for meals: Breakfast = 180 ml (6 ounces coffee) Lunch = 180 ml (6 ounces coffee) Dinner = 180 ml (6 ounces coffee) Total Fluid = 540 ml (3 meals). An interview was conducted on 08/24/22 with the Consultant Dietitian (RD) to discuss the resident's fluid restriction. The interview revealed that the fluid restriction calculation was incorrect. It was confirmed with the RD that the total amount of fluids being served for the 3 meal was only 540 ml. The meals should have been calculated for 900 ml of fluid which was the current physician's order. Review of the July and August 2022 Medication Administration Records (MARs) noted that the nursing fluid allotment is not being documented per shift as per the current MD order. Interviews conducted with the facility's Corporate Nurses at approximately 9:20 AM on 08//24/22 confirmed that the resident's fluid intake per shift is not being documented on a daily basis. On 08/24/22, the Consultant Dietitian submitted a new calculation of the physician ordered 1500 ml/day that included 900 ml via breakfast, lunch, and dinner meals, and also for nursing included the MARs, with the actual intake of the resident's fluid per shift. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 22 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 0810 Provide special eating equipment and utensils for residents who need them and appropriate assistance. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and record review, the facility failed to provide physician ordered special eating equipment for 1 of 8 sampled residents reviewed for nutrition (Resident #28). Residents Affected - Few The findings included: Review of facility policy, titled, Adaptive Feeding Equipment, dated 11/2020, revealed, in part, that residents requiring assistance in feeding are potential candidates for adaptive utensils use, as determined by the occupational therapist. Any staff member may refer a resident for a feeding evaluation. Adaptive devices (special eating equipment and utensils) shall be provided for residents who need or request them. These may include but not limited to devices such as silverware with enlarged/padded handles, plate guards, and/or specialized cups. The dietary department. Appropriate utensils shall be placed on the resident's food tray at each meal, and returned to the dietary department, on the food tray, for sanitation. Review of the facility policy, titled, Promoting/Maintaining Resident Dignity During Mealtimes, dated 11/2020, revealed, in part, that it is the practice of this facility to treat each resident with respect and dignity and care for each resident in a manner and in an environment that maintains or enhances his or her quality of life, recognizing each resident's individuality and protecting the rights of each resident. All staff members involved in providing feeding assistance to residents to promote and maintain resident dignity during mealtimes. Fed only one resident at a time or as per state training and allowance. All staff will be seated, if possible, while feeding a resident. Record review for Resident #28 revealed the resident was admitted on [DATE], with diagnoses that included Senile Degeneration of Brain, Generalized Anxiety Disorder, Unspecified Dementia Without Behavioral Disturbance, Major Depressive Disorder, Need for Assistance with Personal Care, and Other Lack of Coordination. The Minimum Data Set (MDS) assessment, dated 06/11/22, revealed in Section C a Brief Interview for Mental Status (BIMS) score of 7, indicating severe cognitive impairment. Section G revealed bed mobility and transfer both have a self-performance of extensive assistance and support of two plus person physical assist. Eating had a self-performance of limited assistance and support of one person assist. Review of the physician orders for Resident #28 included: An order, dated 02/27/21, for Speech Therapy (ST) - Evaluate and Treat as Indicated; An order dated 10/21/21 for Rehab: Occupational therapy order Patient to receive built up handled utensils for all meals to allow for nutrition and ease of eating; An order dated 04/26/22 for Feeding Rehab - the patient to be issued adaptive cup to allow for self-drinking (sippy cup/2 handled cup) at all meals; An order dated 07/11/22 for rehab: clarification of feeding device: patient is to receive divided plate and 2 large cups with lids at all meals to promote independence and nutrition; and (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 23 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 0810 An order dated 08/15/22 for Regular diet Pureed texture, Nectar consistency. Level of Harm - Minimal harm or potential for actual harm Care plan for Resident #28, dated 03/02/21, had a focus for the resident is at risk for alteration in nutrition and hydration status due to: need for mech alt diet, is on thickened liquids, poor PO intake, dependent at meals, chewing problems, dementia, Depression, CVD (Cardiovascular Disease), HTN (Hypertension), recent significant weight loss, BMI WNL and Hospice services. Adaptive equipment, 2 handle cup with lid, divided plate. Goal to minimize risk of aspiration through next review date. Interventions included Resident will consume 50-75% of meals through next review date. Allow resident enough time to consume meals. Divided plate at meals, 2 handle cup with lid. Assist with meals PRN [as needed]. Assist with meals as necessary. Observe for S/S [signs and symptoms] of aspiration. Monitor labs when available. Observe mucous membranes for moistness, give oral care every shift. offer/provide resident with alternative foods to encourage oral (PO) intake. Provide diet as ordered: Regular, Mechanical Soft, Thin liquids. Provide supplement as ordered: Med Pass 2.0 60ml PO 4 times daily (QID). Record % of cc of fluids consumed daily. Record % of daily PO intake. Residents Affected - Few On 08/22/22 at 12:40 PM, Resident #28 was observed eating lunch with divided plate and 2 (two) handled cups with only 1 sippy cup lid. The resident was observed coughing after drinking from the 2-handled cup with no sippy lid. Resident #28's meal ticket listed adaptive equipment divided plate, 2 two handled cups with sippy lid. On 08/22/22 at 12:40 PM, Resident # 28 was observed eating lunch with divided plate and 2 two-handled cups with only 1 sippy cup lid. Resident observed coughing after drinking from 2 handled cup with no sippy lid. On 08/23/22 at 1150 AM, an observation was made of Resident #28 and the resident was having soup and orange liquid in a regular juice cup with no handles. On 08/23/22 at 12:07 PM, an observation was made of Resident #28. The resident was with no divided plate, a juice cup with no handles or lid, and 1 two-handled cup with sippy lid. The resident was being fed by Staff K, Activities Assistant who was also feeding another resident at the same time at the same table. She would give a bite to one resident, put the spoon down, then feed the next resident a bite of food. When Staff K Activities Assistant was asked if her training included how to feed two residents at the same time she said yes. On 08/24/22 at 12:20 PM, Resident #28 was observed with lunch, Staff K assisting the resident with her meal, and assisting another resident at same time alternating bites being fed between the two residents by the bite full. Resident was noted to have a divided plate and 2 regular juice cups without handles or sippy lids. On Resident #28's meal ticket, it listed adaptive equipment as divided plate only. During an interview conducted on 08/24/22 at 9:40 AM with Registered Dietician, she stated that the Occupational Therapist writes the orders for adaptive equipment, then it is communicated to dietary staff, and diet staff is responsible to make sure the adaptive equipment is washed, clean and put on the trays. Dietary checks and it starts on the hot steam line. During an interview conducted on 08/22/22 at 12:45 PM with Staff L, Dietician Manager, when asked about the meal ticket for Resident #28, stated that the 2 two-handled sippy cups should both have a sippy lid. She also noticed the resident coughing after drinking from the two-handled cup with no sippy lid and said she would have resident assessed by hospice. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 24 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 0810 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few During an interview conducted on 08/23/22 at 12:09 PM with Staff M, Occupational Therapist (OT), she stated Resident #28 is a feeder on hospice. She said, 'I hate that word, she needs to be fed'. The OT was standing next to the resident when she was talking. She also stated the resident fluctuates with what she can do because of her tremors. She has an order for a divided plate on 08/22/22 and there is an order for a large cup on 04/26/22, but we go by the newest order which supersedes all other orders. The resident does not need any special utensils or cups. When asked if the aides are allowed to feed more than 1 resident at a time, she said I think so, it gives the residents a little time to [NAME] and swallow. During an interview conducted on 08/24/22 at 9:40 AM with Registered Dietician, she stated that OT writes the orders then it is communicated to dietary staff and diet staff is responsible to make sure the adaptive equipment is washed, lean and put on the trays. Dietary checks and it starts on the hot steam line. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 25 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observation and interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standard for food service safety that included: maintenance of refrigeration units, maintenance of air-conditioning systems, ensure only dietary staff in food preparation and serving area, proper covering of garbage and trash, and proper equipment to be used for food storage and clean dishware. The findings included: 1. During the initial observation tour of the main kitchen on 08/22/22 at 8:45 AM, accompanied with the facility's Food Service Manager (FSM), the following was noted: (a) Observation of the dish machine area noted that there was a ceiling mounted air-conditioning vent located directly over the machine. Further observation noted that the exterior of the vent was full of condensation that was dripping down onto clean dishes and staff working in the area. The surveyor informed the Food Service Manager (FSM) that the condensation was potentially hazardous and could potentially contaminate clean resident dishware. (b) Observation of reach-in refrigerator #1 noted that the internal temperature of 45 degrees F (Fahrenheit) exceeded the regulatory requirement of 41 degrees F or below. Further observation of the unit noted that there were 2 large tears to the door gasket, areas of rust, and build-up of condensation. The surveyor informed the FSM that the door gasket tears were affecting the refrigeration temperature, build-up of rust and condensation. (c) During the kitchen tour, it was noted that two Certified Nursing Assistants (CNAs) entered the kitchen with soiled uncovered residents' food trays. One of the CNA's was noted to walk through the food tray line preparation area. The surveyor requested that the CNA's leave the kitchen area immediately. The surveyor informed the FSM that there was potential for contamination with nursing staff entering the kitchen area. The FSM stated that only kitchen employees are allowed in the kitchen areas. (d) During the kitchen tour, it was noted that 2 open transport carts of soiled residents' dishes were located in the service hallway. The surveyor informed the FSM that soiled food tray, garbage, and trash must be covered at all times. The FSM stated that all soiled food carts are required to be covered with a plastic wrap. Photographic evidence obtained. 2. During a second tour of the main kitchen conducted on 08/23/22 at 7 AM accompanied with the FSM, the following was noted: (e) The shelving (4) where racks (5) of clean dishes were stored were noted to be rust laden. The surveyor pointed out that particles of rust were falling down onto clean dish wear. (f) The shelving (3) were the commercial microwave oven and spices are store was noted to be repainted, however areas of rust were visible. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 26 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 0812 Photographic evidence obtained. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 27 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to provide contact precautions for 1 of 1 sampled resident reviewed for transmission-based precautions (Resident #30). Residents Affected - Few The findings included: A review of the facility's policy Transmission- Based Precautions (TBP), dated 11/2020, documented: An order for isolation will be obtained for residents who are known or suspected to be infected or colonized with infectious agents that require additional controls to prevent transmission effectively. Make decisions regarding private room on case-by-case basis, balancing infection risks to other residents. Healthcare personnel caring for residents on Contact Precautions wear a gown and gloves for all interactions that may involve contact with the resident or potentially contaminated areas in the resident's environment. TBP remain in effect for limited periods (i.e. while the risk of transmission of the infectious agent persists or for the duration of the illness) and per physician orders. For Multidrug-resistant organisms such as Methicillin Resistant Staph Aureus (MRSA), the precautions should be placed on standard/contact precautions based on local, state, regional, or national recommendations. Contact Precautions recommended in settings with evidence of ongoing transmission or in settings with increased risk for transmission or wounds that cannot be contained by dressings. Resident #30 was admitted to the facility on [DATE]. A comprehensive assessment dated [DATE] documented the resident as cognitively intact and required extensive one to two-person assist for activities of daily living. Resident #30 was care planned for a wound infection requiring intravenous (IV) antibiotics, dated 08/22/22. Review of Resident #30's physician orders revealed an order, dated 07/15/22, for wound care orders right great left toe. A physician order for a podiatry consult, dated 07/17/22, for right great toe possible ingrown toenail. A physician order, dated 07/28/22, for a culture and sensitivity of the right hallux (great toe), and wound care orders / dressing change to right great toe. A review of a culture result, dated 07/29/22 and reported on 07/31/22, for a wound results documented Methicillin Resistant Staph [Staphylococcus] Aureus (MRSA). Physician orders, dated 08/11/22, documented: Culture and sensitivity of left hallux (great toe) obtain before administration of antibiotics, Vancomycin 1000 milligrams IV (intravenous) every morning for 2 weeks for bilateral great toe infection (MRSA), and bilateral great toe wound care / dressing changes daily on day shift. There were no orders found in Resident #30's record for Contact Precautions. An interview was conducted with Resident #30 on 08/22/22 at 10:00 AM. Resident #30 was observed in bed, with the feet sticking out from under the sheets. The resident did not have dressings / (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 28 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 bandages on either great toe. Resident #30 stated she was getting dressing changes every day but had not had a dressing change in a while. Resident #30 stated she was getting IV antibiotics for MRSA in her toes. No signage of contact precautions or PPE (personal protective equipment) was observed by the resident's door. The resident had a roommate. Resident #30 was observed on 08/23/22 at 10:00 AM and 2:00 PM without dressings on bilateral great toes. Resident #30 was observed on 08/24/22 at 10:00 AM and 3:00 PM without dressings on bilateral great toes. An interview was conducted with the Rehabilitation Director on 08/24/22 at 1:00 PM. The Director stated Resident #30 received Occupational Therapy (OT) and Physical Therapy (PT) 3 and 4 days a week in the resident's room. The director stated the resident was non-weight bearing and did not get up to the wheelchair due to pain in her feet. An interview was conducted with the OT assistant (OTA) on 08/24/22 at 1:10 PM. The OTA stated she had provided treatment services to Resident #30 on 08/23/22. The OTA stated she was unaware of any restrictions for the resident, wore gloves, but no other PPE. Resident #30 was observed on 08/25/22 at 1:00 PM without dressings on bilateral great toes. An interview was conducted with the Director of Nursing / Infection Control Preventionist (ICP) on 08/25/22 at 1:30 PM. The ICP was questioned if Resident #30 had MRSA. Initially, the ICP stated the resident had MRSA in the nares (nostrils) but stated she would confirm. The ICP returned and confirmed the resident had MRSA in bilateral great toes. The ICP stated Resident #30 did not need contact precautions due to the wounds being covered. The surveyor informed the ICP of the resident's uncovered toes. The ICP left and returned, confirmed there was no dressing on Resident #30's toes. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 29 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 0919 Make sure that a working call system is available in each resident's bathroom and bathing area. Level of Harm - Minimal harm or potential for actual harm Based on observation and interview, the facility to have a properly functioning call system affecting the 1 of 2 wings (100 wing), which included 34 rooms consisting of 60 residents. Residents Affected - Some The findings included: An observation of the 100 unit was conducted on 08/22/22 at 10:00 AM. A continuous audible sound was heard throughout the unit and nurse's station. the surveyor questioned Staff Z, a Licensed Practical Nurse (LPN), Staff Y (LPN), and the Unit Manager (UM) of the sound. All staff referred to the noise as the ghost call light. The staff stated the sound had been going on for a while now, and they could hear the sound in their sleep. Staff Z explained they have had people come out to look at it and nothing had been done. Staff Z stated when a resident would utilize their call light, the call light would illuminate at their door, but there was no distinctive audible sound due to the ghost call light continuously sounding. Staff Z stated they have to monitor the halls frequently for call lights and make frequent rounds on residents to assist with needs. An interview was conducted with the Maintenance Director on 08/22/22 at 10:30 AM. The Maintenance Director stated they were in the process of doing an audit of the call bells to ensure all were working. The Maintenance Director could not give a definitive answer as to how long the call bell system was not functioning properly. An interview was conducted with the Nursing Home Administrator (NHA) on 08/22/22 at 10:35 AM. The NHA stated he was made aware of the issue with the ghost call light that morning, and maintenance was working on it. The NHA stated they had a similar issue with the call light system on the 300 unit a few months ago. On 08/22/22 at approximately 1:30 PM, Resident #331 was observed being escorted out of the facility by EMS (Emergency Medical Services). The resident's representative was present, and surveyor inquired about the situation. The representative stated he came to visit the resident and found the resident on the floor. The representative stated Resident #331's call light was activated when he came to the resident's room. A subsequent interview was conducted with the Maintenance Director on 08/22/22 at 4:00 PM. The Director stated he called for a company to come out to inspect the call light system, but they could not come to the facility until 08/24/22. The Maintenance Director stated the light switch board at the nursing station functions to show what room call light is activated. The Director stated they would continue to do audits on the call lights. The Director stated they had a company come out to inspect the 300-unit call system, but they never returned. The surveyor asked for documentation of such. A tour of the 100 unit was conducted on 08/23/22 at 10:00 AM. The continuous audio sound was still audible throughout the hallways and nursing station. On 08/23/22 at 11:00 AM, the Maintenance Director supplied work order, dated 04/14/22 for the '300 hall' troubleshoot critical alert nurse call center; Have a light activated; needs to be cleared; and Cannot locate faulty stations. The Maintenance Director stated they did not follow up the company, as they could not find the problem. Recommended a new system. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 30 of 31 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 105146 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/25/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ventura Health and Rehabilitation Center 7900 Venture Center Way Boynton Beach, FL 33437 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 0919 Level of Harm - Minimal harm or potential for actual harm An interview was conducted with the Maintenance Director on 08/24/22 at 1:00 PM. The Director stated a company came to inspect the system. The director stated the company was not able to fix the problem with the call system. The system needs a new control board. The call system was old. If a new control board was not found, would need a new call system installed. Invoice provided to surveyor. Residents Affected - Some A review of an invoice, dated 08/24/22, revealed: Job Description: Emergency Service Call 08/22/22 from customer needing emergency repair. Checked wiring, programing and connector for Wiscom Annunciator Control Board and Nurse Call System; Found ground fault in control board causing annunciator panel to run continuously and not shut off; did walk thru of all 27 residents room; checking lights, stations, switches, all programmed manufacturers specifications at this time; All rooms are alarming with light indicators working in hallway; informed Maintenance Director will try and locate new Wiscom Control Board with time being of the essence on timeframe to locate, manufacture and have delivered. The surveyor asked Maintenance Director for manufacture guide for current call system on 08/24/22 at 1:30 PM. The Maintenance Director did not supply the surveyor with the manufacture guide by exit of survey on 08/25/22 at 4:30 PM. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 31 of 31