Inspection·January 11, 2024

F 0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to utilize necessary care and services to ensure the residents' ability to communicate did not diminish for 1 of 1 sampled resident reviewed for hearing, Resident #89. Residents Affected - Few The findings included: Record review for Resident #89 revealed the resident was admitted to the facility on [DATE] with diagnoses that included Chronic Kidney Disease Stage 4, Unspecified Hearing Loss, Dehydration and Adult Failure to Thrive. Review of the Minimum Data Set (MDS) assessment dated [DATE] for Resident #89 revealed in Section B under Hearing for the question Ability to hear (with hearing aid or hearing appliances if normally used was answered moderate difficulty. In Section C, a Brief Interview of Mental Status score of 13, indicating cognition was intact. Review of the 'Resident Personal Belonging Inventory', dated 09/27/23, indicated the resident did not have any hearing aids upon admission. Review of the Care Plan for Resident #89 dated 09/28/23 with a focus on the 'resident has a communication problem due to: Hard of hearing', documented the goal was for the resident to use hearing aid(s) to assist with communication through the next review date. The interventions included: Allow ample time to respond. Anticipate and meet needs per physical/non-verbal indicators of discomfort/distress and follow up as needed. Call by name or light touch to get their attention. Face directly and establish eye contact. Hearing Aides, keep clean, assist with placement as needed & check & change batteries as needed. Speak clearly and distinctly. During an interview conducted on 01/08/24 at 12:39 PM with Resident #89, he stated he was hard of hearing and could not understand the surveyor. During a telephone interview conducted on 01/08/24 at 1:55 PM with Resident #89's relative, she stated the resident has 1 lost hearing aid and the other hearing aid is broken. She then stated the resident has a head set on the chair next to his bed so that if you put the head set on him and turn up the volume all the way, he could hear when you speak to him. When asked if that is how the staff communicate with the resident, she stated she was not sure how they communicate with him, but they have been told about the head set and shown how it works. During an interview conducted on 01/09/24 at 8:35 AM with Staff A, Licensed Practical Nurse (LPN), who was asked how she communicates with Resident #89, she stated 'he can talk'. When asked if the resident is hard of hearing, she said 'yes'. When asked how she talks to him so he can hear what she is saying, she said 'he went to the hearing doctor last week with [a relative] to get hearing aids but does not have the hearing aids yet, the resident came back with this' (she pointed to a headset in an open box on the chair next to the resident's bed). When asked if she assists the resident with the use of the headset, she said 'no'. During an interview conducted on 01/10/24 at 11:50 AM with Resident #89 who was lying in bed, the (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 2 of 27 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 01/11/2024 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 0676 Level of Harm - Minimal harm or potential for actual harm surveyor asked if the resident uses the headset at the bedside, he said he didn't understand. The headset was handed to the resident, and he put the headset on. The surveyor turned the device on and talked into the microphone, and asked resident if he could hear, he said yes. When asked if staff use the headset to assist with communication, he said no. When asked if it is easier for him to hear with the headset, he said yes. Residents Affected - Few An interview was conducted on 01/10/24 at 11:55 AM with Staff H, Certified Nurse Assistant (CNA), who stated she has worked at the facility for 1 year. When asked if she is assigned to Resident #89, she said at times, but not today. When asked if she would assist the resident with using the headset at the bedside, she said no, she never has. An interview was conducted on 01/10/24 at 12:19 PM with Staff E, CNA, who stated she has worked at the facility for 8 years. When asked if she is assigned Resident #89, she said yes. When asked if she assists the resident with the headset at the bedside, she said no, he can communicate. He asks me to scratch his back every day and I do. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 3 of 27 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 01/11/2024 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 Based on observation, interview, record and policy review, the facility failed to ensure a resident received treatment and care in a timely manner for 1 of 19 sampled residents, (Resident #1). Residents Affected - Few The findings included: The facility's policy, titled, Provision of Physician Ordered Services, implemented 11/3/20 and revised 11/29/22, revealed, Qualified nursing personnel will submit timely requests for physician ordered services (laboratory, radiology, consultations) to the appropriate entity. 1. On 01/09/24 at 9:30 AM, Resident #1 was interviewed during the initial interview process, who stated she was supposed to go home yesterday. She had been in the facility since 12/15/23. Record review revealed she had been admitted with Viral pneumonia, Hypothyroid and Anxiety disorder. The documented Brief Interview for Mental Status (BIMS) was 15 on the Minimum Data Set (MDS) admission assessment with an assessment reference date of 12/19/23, indicating she was cognitively intact. She stated that she came in with pneumonia but was feeling much better. She lived at home with a disabled family member that she was anxious to go home to. She was able to walk and do everything for herself. When she woke up yesterday, she stated she had grimacing pain in her left wrist, her wrist was swollen and red. She told her nurse. The doctor saw her and ordered a x-ray for her left wrist and wanted to wait until he saw the results of the x-ray before letting her go home. She stated the x-ray had not been done yet. She does not know why it wasn't done, stated no one is telling her anything and she just wants to go home. She stated she did not have pain today in her wrist. On 01/09/24 at 1:10 PM, an interview was conducted with Staff G, Licensed Practical Nurse (LPN). Staff G was asked why the x-ray was not done yet on Resident #1. She stated she did not know why since she ordered it 'stat'. She stated she would follow up on that since it was not followed up on in the afternoon on Monday. On 01/09/24 at 4:30 PM, an interview was conducted with the Director of Nurses (DON). She was asked why Resident #1 had not received her x-ray yet. The DON stated the order was not put in for stat but scheduled for 01/09/24 and mobile x-ray was called numerous times this afternoon and they are still coming today. When asked if she realized that not getting this x-ray yesterday was holding the resident back from discharge, she stated she would have to discuss it with social service. On 01/09/24 at 4:40 PM, the DON asked the Director of Social Service about Resident #1's discharge. The Director of Social Service verified that the resident's discharge was delayed due to the resident waiting for an x-ray to be done. On 01/09/24 at 4:55 PM, mobile x-ray was observed coming on the unit. On 01/09/24 at 5:03 PM, a telephone call was placed to Staff F, Nurse Practitioner (NP). He was asked if he ordered the x-ray for 01/08/24 or 01/09/24. He stated he wanted the x-ray to be done yesterday (01/08/24) because he was aware that the resident was supposed to go home yesterday. He also stated that he was not aware the resident did not have her x-ray yet. The surveyor also asked Staff F why he did not order pain medication for the resident since he wrote in his notes that she was complaining of pain on her left wrist, which is swollen and warm, X rays are ordered, Tylenol for pain is give to patient. There was no evidence that Tylenol was ordered or given to Resident #1 when she was (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 4 of 27 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 01/11/2024 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 Level of Harm - Minimal harm or potential for actual harm in pain yesterday morning. Staff F stated he was not aware that he did not order Tylenol for Resident #1, but only put it in the progress notes. Resident #1 was discharged the morning on 01/10/24, as there were no available drivers to take her home in the evening of 01/09/24, after the results of the x-ray were called into the facility. Residents Affected - Few 2. On 01/09/24 at 9:05 AM, Staff G (LPN) was observed during medication administration for Resident #1. Staff G took the blood pressure and pulse for Resident #1 prior to preparing the medication. This surveyor asked what the resident's blood pressure and pulse were and she responded that her blood pressure was 89/71 and pulse was 74. Staff G then said she would be holding the resident's Metoprolol Succinate extended release 24-hour 50 milligram tablet because the resident's blood pressure was low. The medication was not administered to the resident. Staff G did not call the physician to inform him that the medication was being held because of the resident's low blood pressure. There were no parameters on the medication to hold the medication for a blood pressure of 89/71. During the telephone call placed to Staff F, Nurse Practitioner (NP), on 01/09/24 at 5:03 PM, he was asked if he was notified that Resident 1's blood pressure was low in the morning and the Metoprolol was held and he stated he was not aware of that. It was noted in the progress noted that the DON notified Staff F of medication being held at 5:18 PM on 01/09/24. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 5 of 27 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 01/11/2024 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 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to obtain physician orders for catheter care for 1 of 4 sampled residents reviewed for catheter care, Resident #300. The findings included: Record review revealed Resident #300 was admitted to the facility post hospitalization on 01/05/24, with diagnoses that included Acute Kidney Failure, Pain in left knee, and Type 2 Diabetes Mellitus. The social service assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) of 14 which indicated he is cognitively intact. Review of the Electronic Health Record (EHR) for Resident #300 revealed there were no physician's orders for the Foley catheter, no diagnosis for the catheter and no orders for catheter care. An interview was conducted on 01/08/24 at 12:54 with Staff G, Licensed Practical Nurse (LPN). Staff G was asked in front of the resident's room if Resident #300 had a Foley catheter. She looked at the resident's orders and stated that he did not. She turned around and looked at Resident #300 with the bag and tubing then asked, can I put the orders in for catheter care now? The above was reviewed with the Director of Nursing, who verified the resident did not have physician orders on admission for a Foley catheter. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 6 of 27 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 01/11/2024 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 - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 2. Resident #65 was admitted to the facility on [DATE]. Review of the resident's most recent complete assessment, a Quarterly Minimum Data Set (MDS), dated [DATE], documented Resident #65 had a Brief Interview for Mental Status (BIMS) score of 02, indicating that the resident had severe cognitive impairment. The MDS documented the resident had no impairments to upper extremities, and was able to eat independently with setup and clean up assistance. Resident #65's diagnoses at the time of the assessment included: Anemia, Hypertension, Depression, Idiopathic Peripheral Autonomic Neuropathy, Cirrhosis of Liver, Hypothyroidism, Low back pain, Adjustment disorder with mixed disturbances of emotions and conduct, Paranoid Personality Disorder, presence of left artificial hip joint, Constipation, Long-term use of anticoagulants, History of malignant neoplasm of large intestine, and GERD (Gastroesophageal Reflux Disease). The MDS documented that the resident had no swallowing disorders and no dental concerns. Resident #65's weight documented on the MDS was 105 pounds. Residents Affected - Few Resident #65's diet orders included on 06/22/22, NAS- No Added Salt diet, Regular texture, thin consistency. Resident #65's care plan for nutrition, dated 09/06/23 with a revision date of 12/06/23, documented, Resident is at risk for malnutrition r/t [related to] liver cirrhosis, hypothyroid, hx [history] anemia, hx CA [cancer], hx TIA (transient ischemic attack), depression, HTN (Hypertension), GERD, receives therapeutic diet, altered skin integrity, BLL [bilateral lower extremities] edema, diuretic use, wt [weight] fluctuation expected. The goal of the care plan was documented as, Resident will maintain adequate nutritional status as evidenced by maintaining weight within +/3%, no s/sx of malnutrition, and consuming at least 50% of at most of meals daily through review date. With a target date of 03/19/24. Interventions to the care plan included: o Monitor/record/report to MD PRN s/sx of malnutrition: Emaciation (Cachexia), muscle wasting, significant weight loss: 3lbs in 1 week, >5% in 1 month, >7.5% in 3 months, >10% in 6 months. o RD to evaluate and make diet change recommendations PRN [as needed]. o Weigh monthly at same time of day and record. On 04/10/2023, the resident weighed 118 lbs. On 09/06/2023, the resident weighed 105 pounds which is a -11.02 % Loss. Further review of the resident's electronic health record revealed that there were no weights documented since 09/06/23. During an interview, on 01/09/24 at 4:15 PM with, Consultant Dietitian (RD), when asked about the resident's weight not being monitored, the RD replied, for the January weight, there was a refusal. I have seen her weight loss in that period. She has had weight fluctuation in the last year going up and down. When asked if staff had followed up with the resident after refusing to be weighed, the RD was not able to confirm that there were any other attempts to weigh the resident after refusing. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 7 of 27 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 01/11/2024 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 - Minimal harm or potential for actual harm Residents Affected - Few When asked about the process for obtaining residents' weights, the RD stated that Staff D, Restorative/CNA, is given a resident census at the beginning of the month for Staff D to weigh. The RD stated that residents that are on monthly weights are to be weighed between the first and the fifth of each month. During a follow up interview with the RD, on 01/10/24 10:19 AM, the RD stated, I looked at the previous weights and the reason that it is not categorized as significant weight loss is the timeline. We have it documented that she refused multiple times. December between the first and the 7th. January that I just received Monday and she refused - that's two months that she refused. We have documented requests for re-weights. I don't have that on hand, it is in the Restorative. On 09/06/23, I did a quarterly nutrition assessment on her I stated her weight was 107, I noted the 6 pound weight trend down. her intake at that time 50%-75% and was independent. She was on multiple diuretics; weight fluctuation was expected due to diuretic use. She was also on an antibiotic for UTI [urinary tract infection] at the time. My recommendations was to obtain monthly weights, continue diet as ordered and house supplement x 30 days. The next was on 12/06 that I reviewed her, she was actually eating better that time - intake 75-100 % meals. At the time she had edema to bilateral LE. I noted some fluctuations were expected r/t edema and diuretic use. we recommended monthly weights and continue diet as ordered. When asked about any interventions to prevent the expected weight loss, the RD stated that there were none. The RD confirmed that the weight that was documented in the MDS was from 09/06/23 and that the resident had not been weighed since then. 3. Resident #69 was initially admitted to the facility on [DATE] and most recently readmitted on [DATE] after being sent out to the hospital on [DATE] r/t Tachycardia. According to the resident's most recent complete assessment, a Medicare 5-day MDS, dated [DATE], Resident #69 had a BIMS score of 08, indicating that the resident was moderately cognitively impaired. Resident #69's diagnoses at the time of the assessment included: Anemia, Coronary Artery Disease, Hypertension, Diabetes Mellitus, Hyperlipidemia, Malnutrition, Anxiety disorder, Respiratory failure, Atrial fibrillation, Allergic Rhinitis, Unilateral primary osteoarthritis, Acute Respiratory Failure with Hypoxia, Displacement of internal fixation device of bones, Human metapneumovirus, Acute pulmonary edema, and Pleural effusion. The MDS documented that the resident did have a swallowing disorder of coughing or choking during meals or when swallowing medications. The MDS documented that the resident did not have any impairments to upper extremity, no dental concerns, and was independent with eating, requiring only setup help or clean up assistance. Resident #69's Diet orders included: 12/27/23, Regular diet, Pureed texture, Nectar consistency. 12/22/23, Frozen Nutritional Treat - two times a day for Nutritional Support with lunch and dinner. 01/01/24, ProStat - one time a day for Protein Supplement for 30 Days Give 30ml with med pass. Resident #69's care plan for nutrition, dated 0826/22 with a revision date of 12/29/23, documented, Resident is noted for protein calorie malnutrition. The goal of the care plan was documented as, Resident will maintain adequate nutritional status as evidenced by no signs/symptoms of malnutrition, and consuming at least 50% meals daily through review date. The goal had a target date of 02/29/24. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 8 of 27 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 01/11/2024 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 Interventions to the care plan included: Level of Harm - Minimal harm or potential for actual harm o Weigh monthly at same time of day and record. Residents Affected - Few On 01/08/24 at 12:30 PM, during an observation of lunch being served to the residents in their rooms, Resident #69 was observed eating lunch, with the Speech Therapist (ST) at the bedside for evaluation to upgrade to thin liquids to promote hydration, according to ST. It was noted that the resident did not receive the frozen nutritional treat as ordered and that the order for the frozen nutritional treat was not reflected on the tray ticket that accompanied the meal for lunch. Review of the resident's electronic health record revealed that the resident had not been had a weight documented since 11/21/23. During an interview, on 01/09/24 at 4:15 PM with the RD, when the concern was brought to her attentions, the RD stated, I reviewed not too long ago, 12/31/23. I looked at her for the MRSA [Methicillin-resistant Staphylococcus aureus] and a wound, her wound is improving. I recommended Prostat for additional support. She is eating pretty good, she is already on a supplement. She is eating 50 to 75% of all meals. She was previously on a supplement - frozen nutritional treat 2 times a day (referring to the current order frozen nutrition treat). When asked about the resident being weighed, the RD replied, I was working on the monthly weights today. I just sent a list to Restorative (Staff D) and requested a re-weight. I got her weight today and she was 93.2 and I want to verify. They weighed her in the wheelchair, and she was 149 pounds in the wheelchair and they subtract the wheelchair weight. She was 103 pounds. This represents a 9.65% weight loss since the previous documented weight. The RD stated, I wanted a re-weight because that is such a large discrepancy. She refused 12/18 and she was in the hospital when we did the December [2023] monthly weights. When asked about the process for when a resident refuses weights, the RD replied, They would try again at another time. Ideally, they would ask that week. The next weight is the January [2024] weight. Restorative might have other documentation. During a interview, on 01/10/24 at 10:59 AM, with Staff D, Restorative CNA, when asked about documenting residents' weights, Staff D replied We don't write notes, we just write down the weight and give to the Dietitian. If they refuse, we write 'refused x 1' we go back the next day or if they say to come back later, we go back later. I put refuse again and give the weight to the Nutritionist (dietitian). At the beginning of every month, she gives us a census of all of the residents to get their weights. She will print a list of the whole facility. If they refuse the next day, we write 'refusal x 2' if they don't refuse the second time, we cross out the refusal and put in the number. Staff D stated that all of the residents with orders for monthly weights were to be weighed between the first and the fifth of every month. [NAME] asked of her other duties as a Restorative CNA, Staff D replied, Range of Motion, apply splints, weights, I set the dining room for breakfast and lunch and then I serve. Sometimes when I do the monthly weights, I am by myself. and for the weekly weights on the weekends, it's between 35-40 patients every week. Between the dining room and Restorative, I can't get them all done. She takes my place on my day off, she works mainly as a CNA on the floor and she does Central Supply. She is 5 days a week and covers me for one day off a week and every other weekend. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 9 of 27 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 01/11/2024 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 - Minimal harm or potential for actual harm Based on observation, interview, record and policy review, the facility failed to provide care and services to prevent weight loss for 3 of 7 sampled residents reviewed for nutrition, Residents #65, #69, and #92; and failed to provide fluids to ensure hydration for 1 of 1 sampled resident reviewed for hydration, Resident #87. The findings included: Residents Affected - Few 1. The facility's policy, titled, Weight Monitoring, implemented 11/2020 and revised 11/30/23, revealed, A comprehensive nutritional assessment will be completed upon admission on residents to identify those at risk for unplanned weight loss/gain or compromised nutritional status. Assessments should include the following information: a. General appearance (e.g. robust, thin, obese or cachectic) b. Height c. Weight d. Food and fluid intake e. Fluid loss or retention f. Laboratory/Diagnostic Evaluation Newly admitted residents-monitor weight weekly for 4 weeks Observations pertinent to the resident's weight status should be recorded in the medical record as appropriate On 01/09/24 at 10:00 AM, an interview was conducted with Resident #92 during the initial pool process. Resident #92 was observed lying in bed with his breakfast at bedside. His breakfast was observed as consumed 100%. Resident #92 stated he was admitted to the facility in October 2023. Review of the Electronic Health Record (EHR) for Resident #92 revealed he was admitted to the facility on [DATE] post hospitalization for surgical amputation, Sepsis, a diagnosis of Multiple Sclerosis and was admitted with Stage 4 and Stage 1 wounds. Review of the admission assessment documented the resident's Brief Interview for Mental Status (BIMs) was 15, indicating the resident was cognitively intact. Review of his weight history revealed: 01/09/24, 10:51 - 112.6 Lbs (pounds), Other 12/29/23, 11:53 - 99.0 Lbs, Wheelchair 12/18/23, 13:37 - 97.6 Lbs, Wheelchair (17.98% weight loss in one month) 11/21/23, 15:00 (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 10 of 27 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 01/11/2024 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 - 119.0 Lbs, Sitting Level of Harm - Minimal harm or potential for actual harm 11/15/23, 12:56 - 115.0 Lbs, Sitting Residents Affected - Few 11/06/23, 5:42 - 100.0 Lbs, Sitting 10/24/23, 8:00 (PM) - 142.2 Lbs, Mechanical Lift. On 01/09/24 at 1:23 PM, an interview was conducted with the Registered Dietician (RD). She stated she has worked in the facility part time for a little over a year and she is the only dietician in the facility. She works Monday, Wednesday and Friday as needed. She stated residents are weighed on admission and weekly for 4 weeks then monthly and if needed more frequently as assessed case by case. At this time, the RD was asked specifically about the weights for Resident #92. The RD was asked about the Nutrition Risk Screen dated 10/27/23. The weight was recorded at 142.2 pounds. The RD stated this was a hospital weight, and they weren't able to weigh him until 11/06/23. The weight at this time was 100 pounds. The screen revealed his adjusted ideal body weight was 144 pounds. The RD was asked who weighs the residents. The RD stated that Staff D, the restorative Certified Nursing Assistant (CNA), does the restorative program and does the weights in the entire building. The RD stated she started Resident #92 on Prostat AWC (advanced wound care) 30 milliliters twice a day for 30 days on 12/18/23. Prostat is a ready to drink liquid which provides added protein for wound healing. On 12/25/23, the RD added fortified foods with breakfast which is provided in oatmeal. She also kept the resident on weekly weights. The RD was asked why the weekly weights were not done. She replied that he refused. An interview was conducted with Staff D, CNA, on 01/09/24 at 1:49 PM. She stated they do all new admission and monthly weights by the fifth of every month but she also has other duties so Staff E, CNA, assists her. When weekly weights are done they can be a weekend or a Monday or Tuesday. Sometimes on the weight sheet they put R next to it. She has been here 37 years and she does everything in the building. Staff D stated if she had more time she would try more than once to get a weekly weight but she hardly gets a break. The RD said she notified the DON about not having time to get weekly weights and she said they will get those done. The RD stated she has not watched the residents being weighed. She has not spoken to Resident #92 about refusing to be weighed. When asked how she knew the resident refused weights, she said it is usually in the care plan. When asked if this was in his care plan, she said she would add it now. An interview was conducted with the Certified Dietary Manager (CDM) on 01/09/24 at 4:13 PM. He was asked to retrieve the meal ticket for Resident #92. A review of the meal ticket with the CDM revealed Resident #92 was not receiving any fortified foods with meals. An interview with Resident #92 on 01/09/24 at 4:30 PM revealed he is still hungry after he finished his meals. He also stated that he never refused to be weighed. A subsequent interview was conducted with the CDM on 01/09/24 at 5:00 PM. The meal ticket was updated to reveal large portions for Resident #92 and fortified foods. On 01/09/24 at 5:10 PM the lack of a timely admission weight, lack of weekly weights and lack of (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 11 of 27 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 01/11/2024 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 fortified foods for Resident #92 was discussed with the Administrator. Level of Harm - Minimal harm or potential for actual harm 4. Record review for Resident #87 revealed the resident was originally admitted to the facility on [DATE] with the most recent readmission date of 12/27/23 with diagnoses that included: Multiple Sclerosis, Paraplegia, Neuromuscular Dysfunction of Bladder and Muscle Weakness. Residents Affected - Few The Minimum Data Set (MDS) assessment for Resident #87 dated12/31/23 revealed in Section C, a Brief Interview of Mental Status (BIMS) score of 15, indicating an intact cognitive response. In Section GG for eating and oral hygiene, the resident had an admission performance of dependent with a discharge goal of substantial / maximum assistance. Review of the Physician's Orders for Resident #87 revealed an order, dated 12/31/23, for NAS (No Added Salt) diet puree texture, honey consistency. Review of the Certified Nursing Assistant (CNA) Tasks for Nutrition - Fluids (How much did the resident drink? In mls [milliliters]?), dated 12/28/23 - 01/10/24, documented the following: On 12/28/23, the resident consumed a total of 580 mls. On 12/29/23, the resident consumed a total of 240 mls. On 12/30/23, the resident consumed a total of 1,118 mls. On 12/31/23, the resident consumed a total of 500 mls. On 01/01/24, the resident consumed a total of 790 mls. On 01/02/24, the resident consumed a total of 640 mls. On 01/03/24, the resident consumed a total of 240 mls. On 01/04/24, the resident consumed a total of 562 mls. On 01/05/24, the resident consumed a total of 360 mls. On 01/06/24, the resident consumed a total of 540 mls. On 01/07/24, the resident consumed a total of 750 mls. On 01/08/24, the resident consumed a total of zero mls. On 01/09/24, the resident consumed a total of 720 mls. On 01/10/24, the resident consumed a total of 480 mls. Which indicates the resident received an average of 617 mls of fluid daily, less than the daily recommended amount of 1,550 to 1,860 mls by the Registered Dietician. Review of the Nutrition Risk Screen for Resident #87 dated 08/07/23 documented fluid intake as 120 (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 12 of 27 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 01/11/2024 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 - Minimal harm or potential for actual harm Residents Affected - Few ml and weight of 216.2 (pounds). Calculated daily needs included 2080-2500 kcal (25-30kcal/kg), 66-83g (grams) pro (protein) [0.8-1g/kg], 1ml/kcal fluids. Review of the Nutrition Risk Screen for Resident #87 dated 09/15/23 documented fluid intake as 240ml and weight of 217 (pounds). Calculated daily needs include 1,600-1920 kcal (25-30kcal/kg ABW [average body weight]), 64-77g pro (1-1.2g/kg ABW), 1ml/kcal fluids. Review of the Nutrition Risk Screen for Resident #87 dated 12/29/23 documented fluid intake as 120 ml and weight of 201 (pounds). No documentation of calculated daily needs. Review of the Nutrition / Dietary Note for Resident #87 dated 10/16/23 included: 'Spoke with the resident and her mother during lunch. Resident desired weight loss. Educated resident on calorie intake at meals. Encouraged resident to drink water and less juice. Offered resident more vegetable portions at meals and less bread. Resident agreeable to these changes. Monitor and evaluate PRN (as needed).' On 01/08/24 at 12:45 PM, an observation was made of the resident sitting in a wheelchair in her room with her mother present, the only fluid at the bedside was a cup of juice on her lunch tray. There was no water at the bedside. On 01/09/24 at 8:00 AM, Resident #87 had only 1 sippy cup on her breakfast tray with 2 beverages, milk and orange juice. There was no water at the bedside. An interview was conducted on 01/08/24 at 12:43 PM with Resident #87 who stated sometimes she has nothing to drink and even if staff bring her water, they do not offer it to her, and she cannot lift the cup by herself. An interview was conducted on 01/08/24 at12:45 PM with Resident #87's mother who stated she is concerned that the facility does not provide her daughter with enough fluids. She stated she often visits her daughter and there is no cup of water on her table or nightstand. An interview was conducted on 01/09/24 at 12:15 PM with Resident #87 who stated they took her orange juice away this morning before she could finish it. An interview was conducted on 01/09/23 at 1:45 PM with the Registered Dietician (RD) who stated she has worked at the facility just over a year and is part time. She stated she is the only dietician for the facility. She stated she is in the facility on Mondays, Wednesdays and Fridays as needed. When asked if she assesses residents for hydration status, she stated all residents are assessed for hydration which is part of the nutrition assessment. All residents are assessed on admission and quarterly thereafter and as needed in between. When asked about Resident #87, the RD stated she spoke to the resident today and the resident had no concerns and is very happy. The resident is on a honey consistency (liquids) which was implemented on 12/27/23. When asked if she has any concerns with the resident's fluids or hydration status, she stated no she has no concerns with her eating or hydration. When asked what the amount is of fluids she calculated that Resident #87 needs daily, she said it should be 1,550 to 1,860 milliliters. The RD stated the resident is taking in 240 milliliters with each meal and has fluids in between meals with med pass. The RD stated the resident had water at the bedside earlier when she visited her today. When asked if the resident can feed or drink fluids by herself, she verified the resident (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 13 of 27 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 01/11/2024 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 - Minimal harm or potential for actual harm needs assistance with more than half of the effort to eat/drink. She is only able to see how the resident is doing with fluids at each meal not the fluids in between meals. When asked if she speaks to staff about how much fluid the resident is taking in between meals, she said no. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 14 of 27 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 01/11/2024 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 dispose of expired medication in 1 of 2 medication rooms, 100 Unit, reviewed for medication storage. The findings included: Review of the facility's policy, titled, Medication Storage, with a revised date of 05/04/22, included: It is the policy of this facility to ensure all medications housed on our premises will be stored in the pharmacy and/or medication rooms according to the manufacturer's recommendations and sufficient to ensure proper sanitation, temperature, light, ventilation, moisture control, segregation, and security. Unused medications: The pharmacy and all medication rooms are routinely inspected by the consultant pharmacist for discontinued, outdated, defective, or deteriorated medications with worn, illegible, or missing labels. These medications are destroyed in accordance with our Destruction of Unused Drug Policy. On 01/10/24 at 4:15 PM, a review of the Medication (Med) Storage Room on the 100 unit was done with Staff A, Licensed Practical Nurse (LPN). The following expired items were located in a cabinet above the sink: Paxlovid 150mg 100mg dose pack with Resident name on the label blacked out and an expiration date of 04/2023, Cyclosporine Ophthalmic Emulsion (For resident who expired in the facility on 08/29/22) with an expiration date of 08/2023, and Maxorb II AG Alginate wound dressing with antibacterial silver with an expiration date of 08/01/23. During an interview conducted on 1/10/24 at 4:17 PM with Staff A, LPN, who stated she has worked at the facility for 2.5 years. The LPN stated she never heard of the resident, did not know that expired medications were in the Med Storage Room, and they should have been destroyed or sent back to the pharmacy. An interview was conducted on 01/11/24 at 12:20 PM with the Consultant Pharmacist who stated he has been working with the facility since April of 2023. When asked if he checks the med rooms for any discontinued or outdated medications, he said they have a team that comes in once a month to check for those types of items. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 15 of 27 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 01/11/2024 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 0800 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 2. Resident #69 was initially admitted on [DATE] and most recently readmitted on [DATE] after being sent out to the hospital on [DATE] related to Tachycardia. According to the resident's most recent complete assessment, a Medicare-5-day Minimum Data Set (MDS) assessment, dated 12/11/23, Resident #69 had a Brief Interview for Mental Status (BIMS) score of 08, indicating that the resident was moderately cognitively impaired. Resident #69's diagnoses at the time of the assessment included: Anemia, CAD (Coronary Artery Disease), Hypertension, MDRO (multidrug-resistant organisms), Pneumonia, DM (Diabetes Mellitus), Hyperlipidemia, Malnutrition, Anxiety disorder, Respiratory Failure, Atrial Fibrillation, Allergic Rhinitis, Unilateral primary Osteoarthritis, History of falling, Displacement of internal fixation device of bones, Human metapneumovirus, Acute pulmonary edema, and Pleural effusion. Resident #69's diet orders included: 12/27/23 - Regular diet, Pureed texture, Nectar consistency. 12/22/23 - Frozen Nutritional Treat - two times a day for Nutritional Support with lunch and dinner. 01/01/24 - ProStat - one time a day for Protein Supplement for 30 Days Give 30ml with med pass. Resident #69's care plan for nutrition, initiated on 08/26/22, documented, Resident is noted for DX [diagnosis] protein calorie malnutrition. The goal of the care plan was documented as, Resident will maintain adequate nutritional status as evidenced by no signs/symptoms of malnutrition, and consuming at least 50% meals daily through review date. This care plan had a target date of 02/29/24. Interventions to the care plan included: o Provide and serve diet as ordered. o Provide and serve supplements as ordered. During an observation of lunch being served to the residents in their rooms, on 01/08/24 at 12:30 PM, Resident #69 was observed eating lunch, with the Speech Therapist (ST) at the bedside for evaluation to upgrade to thin liquids to promote hydration, according to ST. It was noted that the resident did not receive the frozen nutritional treat as ordered. It was also noted that the tray ticket that accompanied the meal did not reflect the order for Frozen Nutritional Treat for the lunch meal. On 01/09/24 at 4:15 PM, an interview was conducted with the Registered Dietitian (RD) who was made aware of the concerns. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 16 of 27 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 01/11/2024 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 0800 Level of Harm - Minimal harm or potential for actual harm Based on observations, interviews, and record review, the facility failed to provide diets as ordered for 1 of 7 sampled residents reviewed for nutrition, Resident #89; and failed to provide supplements as ordered for 2 of 7 sampled residents reviewed for nutrition, Residents #69, and #89. The findings included: Residents Affected - Few 1. Record review for Resident #89 revealed the resident was admitted to the facility on [DATE] with diagnoses that included: Chronic Kidney Disease Stage 4, Unspecified Hearing Loss, Dehydration and Adult Failure to Thrive. Review of the Minimum Data Set (MDS) assessment for Resident #89 dated 12/31/23 revealed in Section C a Brief Interview of Mental Status Score of 13 indicating an intact cognitive response. In Section B, it revealed Ability to hear (with hearing aid or hearing appliances if normally used) is adequate. Review of the Physician's Orders for Resident #89 revealed an order dated 09/27/23 for Regular diet Regular texture, Thin consistency, large portions. Review of the Physician's Orders for Resident #89 revealed an order dated 12/22/23 for House shake three times a day for Nutritional Supplement Give 120ml with meals. Review of the Care Plan for Resident #89, with an initiated date of 10/02/23 and a revised date of 12/22/23, with a focus on the resident noted for diagnosis of protein calorie malnutrition related to stage 4 CKD (Chronic Kidney Disease), Depression, Dehydration, GERD (Gastroesophageal reflux disease), anemia, history TIA (transient ischemic attack), Dementia, difficulty walking, and history of being admitted with underweight BMI. The goal was for the resident to maintain adequate nutritional status as evidenced by maintaining weight within +/- 3%, no signs and/or symptoms of malnutrition, and consuming at least 75% of most meals daily through review date. The interventions included: 'Administer medications as ordered. Monitor/Document for side effects and effectiveness.' The interventions included: 'Explain and reinforce to the resident the importance of maintaining the diet ordered. Encourage the resident to comply. Explain consequences of refusal, obesity/malnutrition risk factors. Monitor/document/report PRN any signs/symptoms of dysphagia: Pocketing, Choking, Coughing, Drooling, Holding food in mouth, Several attempts at swallowing, Refusing to eat, Appears concerned during meals. Monitor/record/report to MD (Medical Doctor) PRN (as needed) signs/symptoms of malnutrition: Emaciation (Cachexia), muscle wasting, significant weight loss: 3lbs in 1 week, >5% in 1 month, >7.5% in 3 months, >10% in 6 months. Obtain and monitor lab/diagnostic work as ordered. Report results to MD [physician] and follow up as indicated. OT to screen and provide adaptive equipment for feeding as needed. Provide and serve diet as ordered. Provide and serve supplements as ordered. Provide, serve diet as ordered. Monitor intake and record q meal. RD to evaluate and make diet change recommendations PRN [as needed].' On 01/08/24 at 10:05 AM, an attempt was made to interview Resident #89, but the resident just kept saying, I can't hear you. On 01/08/24 at 12:39 PM, an observation was made of Resident #89 lying in bed and looking thin with sunken cheeks. The resident's lunch tray was on the overbed table and untouched, no house shake was (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 17 of 27 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 01/11/2024 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 0800 present, and no large portions listed on meal ticket. The lunch portions looked normal size. Level of Harm - Minimal harm or potential for actual harm On 01/09/24 at 8:00 AM, an observation was made of Resident #89 lying in his bed. The breakfast tray was on the overbed table next to the bed. On the breakfast tray was a house shake. Breakfast portions looked normal size. The meal ticket did not list large portions, it did list 'house shake'. Residents Affected - Few On 01/09/24 at 12:00 PM, observation of Resident #89 lying in bed with an untouched lunch tray at bedside, no house shake was present, and no large portions listed on meal ticket. The portions looked normal size. An interview was conducted on 01/09/24 at 12:40 PM with Staff A, Licensed Practical Nurse (LPN), who stated she has worked at the facility for 2.5 years. When asked about Resident #89, she said he usually only eats 2 meals a day; if he eats breakfast, he typically does not eat lunch and if he does not eat breakfast, he will eat lunch. He typically eats his dinner. When asked if he gets any supplement drinks, she stated he gets a house shake with his breakfast and dinner. When asked if he gets large portions of food for his meals, she stated I don't think so; if he does, it would be on his meal ticket. An interview [NAME] conducted on 01/09/23 at 1:45 PM with the Registered Dietician (RD) who stated she has worked at the facility just over a year and is part time. She stated she is the only dietician for the facility. She stated she is in the facility Mondays, Wednesdays and Fridays as needed. When asked if a resident comes in with an underweight BMI, she stated she would possibly put interventions in place such as a supplement if they are not eating well. Typically supplements consist of fortified foods, shakes (house shakes) that come from the kitchen, frozen tray cups, and Prostat that would be given during med pass. The house shake is typically called a house shake. It comes in a carton and is supplied with the meal. When asked about Resident #89, she stated when the resident got to the facility in September 2023, he was underweight, and we offered a house shake with breakfast and dinner. She stated she speaks to staff to verify if he is consuming the house shake and she documented in her assessment or progress note what the resident is consuming. She explained to the resident that he would benefit from a supplement and offered a house shake. She did not note in her assessment or progress note what percentage of the house shake he was consuming. The RD verified that only 1 day out of the last 30 days, the resident ate 75-100% of all meals according to documentation by staff. The RD stated he is getting the large portions and the house shake. The RD stated she would check to see what the resident is eating on a quarterly basis, or the staff would notify her if the resident was not eating meals. When asked if she had verified that the resident was receiving large portions, she said no. An interview was conducted on 01/09/24 at 2:45 PM with the Certified Dietary Manager (CDM) who stated he has worked at the facility since October 2023. When asked if it is indicated on the meal ticket the resident is getting large portions, he said yes it should be at the top of the meal ticket. When asked about Resident #89 if he was getting large portions with each meal and a house shake with each meal, he pulled the meal tickets for the resident and stated the resident is not getting large portions, and the resident is only receiving a house shake with breakfast and dinner. The CDM stated he did have a resident that no longer wanted to receive large portions and is not sure if this is the resident. When asked when he changes the meal ticket and if he documents this in the resident's chart, he said no, he just notifies the RD, and the RD will document any changes in the resident's record. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 18 of 27 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 01/11/2024 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 adaptive eating equipment for 1 of 7 sampled residents reviewed for nutrition, Resident #87. Residents Affected - Few The findings included: Record review for Resident #87 revealed the resident was originally admitted to the facility on [DATE] with the most recent readmission date of 12/27/23 with diagnoses that included: Multiple Sclerosis, Paraplegia, Neuromuscular Dysfunction of Bladder and Muscle Weakness. The Minimum Data Set (MDS) assessment for Resident #87 dated12/31/23 revealed in Section C a Brief Interview of Mental Status (BIMS) score of 15, indicating an intact cognitive response. In Section GG for eating and oral hygiene, the resident had an admission performance of dependent with a discharge goal of substantial / maximum assistance. Review of the Care Plan for Resident #87 dated 08/07/23 with a focus for at risk for malnutrition related to MS (Multiple Sclerosis) paraplegia, depression, sepsis, history of UTI (Urinary Tract Infection), GERD (Gastroesophageal Reflux Disease), HTN (Hypertension), receives therapeutic diet, need for mech alt diet, obesity, high BMI (Body Mass Index), and significant weight loss in 2 months and 90 days. Resident desires weight loss. The goal is for the resident to maintain adequate nutritional status as evidenced by maintaining weight within +/- 3%, no s/sx (signs/symptoms) of malnutrition and consuming most of meals daily through review date. The interventions included: Explain and reinforce to the resident the importance of maintaining the diet ordered. Encourage the resident to comply. Explain consequences of refusal, obesity/malnutrition risk factors. Monitor/document/report PRN any s/sx of dysphagia: Pocketing, Choking, Coughing, Drooling, Holding food in mouth, Several attempts at swallowing, Refusing to eat, Appears concerned during meals. OT (Occupational Therapy) to screen and provide adaptive equipment for feeding as needed. Provide adaptive equipment with meals as ordered. Provide and serve diet as ordered. Provide and serve supplements as ordered. Provide, serve diet as ordered. Monitor intake and record every meal. Review of the Dietary Profile for Resident #87 dated 12/13/23 included, Current Adaptive Equipment listed as built-up utensils, cup with handle and lid, divided plate. Review of Occupational Therapy Notes for Resident #87 dated 12/15/23 included, Skilled interventions focused on facilitation of posture control, fine motor coordination training, gross motor coordination, initiation cues to facilitate skill performance and weight shifting to improve safety with positioning in high back reclining wheel chair, pt/nurse/cna and restorative nurse re-educated on safe positioning in wheelchair with lateral supports in wheelchair for meals and functional tasks. Patient and staff educated and received printouts RNP [restorative nurse program] for UEs (upper Extremities/hands exercises. Patient and staff also reeducated with AE (Adaptive Equipment) for self-feeding, patient tolerated 4-6 scoops using right hand with hand over hand assistance and support of right elbow due to hand tremors for feeding tasks, patient continues to require TA-Dep (A). Patient stated, 'I still want to try sometimes'. Patient and staff re-educated on safe positioning for dining, (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 19 of 27 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 01/11/2024 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 patient requires 2x assist to repositioning patient in wheelchair, patient is a Hoyer transfer. Level of Harm - Minimal harm or potential for actual harm On 01/08/24 at 12:45 PM, an observation was made of Resident #87 sitting in wheelchair in room with her mother present. The only fluid at the bedside was a cup of juice on her lunch tray and the only built-up utensils on her tray was a built-up spoon. Residents Affected - Few On 01/09/24 at 8:00 AM, an observation was made of Resident #87 sitting up in bed with milk and orange juice on her breakfast tray with only 1 two-handled sippy cup. On 01/09/24 at 12:15 PM, an observation was made of Resident #87 sitting up in bed lunch tray with water and juice and 2 two-handled sippy cups. The only built-up utensil provided was a built-up spoon. An interview was conducted on 01/08/24 at 12:45 PM with Resident #87 who was asked if they provide a separate two-handled sippy cup for each beverage, and she said no. When asked if they provide a built-up knife, built-up fork, and built-up spoon with each meal, she said no, usually just the spoon. An interview was conducted on 01/08/24 at 12:47 PM with Staff M, Speech Therapist / ST, who stated Resident #87 can have any liquid as long as it is honey consistency. The resident cannot have a straw. The resident uses a two-handled sippy cup and built-up utensils. An interview was conducted on 01/09/24 at 10:15 AM with the Director of Rehabilitation (DOR) who stated she has worked at the facility for 3 years. When asked about the adaptive equipment for Resident #87, she stated the resident is typically fed hand-over-hand due to her difficulty. The resident likes to start the meal with hand-over-hand with the adaptive utensils. We were going to discontinue the built-up utensils, but the resident refused, stating that she still wants to try even if it is a few bites. The DOR stated the resident was started on honey thickened liquids on 12/27/23 and since then it has been difficult for the resident to pull the liquid up through the sippy cup and would prefer to just drink the honey thickened liquids in an open cup. The DOR said the two-handled sippy cups were discontinued as of 01/09/24. An interview was conducted on 01/11/24 at 10:30 AM with the Certified Dietary Manager who stated he has been working at the facility since October 2023. When asked about adaptive equipment, he said sometimes they do not always get the sippy cups returned to the kitchen, so it is an issue to be able to send a separate sippy cup for each beverage on the resident's meal tray. When asked about built-up utensils, he stated if a resident has an order for built-up utensils, they should receive those with each meal tray, and it would include a knife, fork, and spoon. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 20 of 27 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 01/11/2024 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 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Level of Harm - Minimal harm or potential for actual harm 2. The facility's policy, titled, Food: Preparation, dated October 2019, documented, in part: Residents Affected - Some Definitions: Ready-to-eat food - means food that is in form that is edible without additional preparation to achieve food safety. Time / Temperature Control for Safety Food (formerly known as potential hazardous food) - means a food that requires time/temperature controls for safety (TCS) to limit pathogenic organism growth or toxin formation. TCS foods include and animal food that is raw or heat treated, a plant food that is heat treated or consists of raw seed sprouts, cut melons, leafy greens, cut tomatoes or mixtures of cut tomatoes that are not modified in a way to prevent microorganism growth. Action Steps 4. the Dining Services Director/Cook(s) is responsible for food preparation techniques, which minimize the amount of time, that food items area exposed to temperatures greater than 41 degrees Fahrenheit (F) and/or less than 135 degrees F, or per state regulation. 11. The Cook(s) insures that all foods are held at appropriate temperatures, greater than 135 degrees F (or as state regulation) for hot holding and less than 41 degrees F for cold food holding. The facility's policy, titled, Hemodialysis, implement November 2020 and most recently revised on 11/28/22, documented, in part: Compliance Guidelines: d. Nutritional / fluid management including documentation of weights, resident compliance with food / fluid restrictions or the provision of meals before, during and/or after dialysis and monitoring intake and output measurements as ordered. The facility's contract with dialysis company, effective 02/02/09, documented, in part: A. Obligations of Nursing Facility and/or Owner 3. Preparation of ESRD [End Stage Renal Dialysis] Residents. The Nursing Facility shall ensure that ESRD Residents are prepared to spend an extended length of time at the ESRD Dialysis Unit and have received proper nourishment and any medications prescribed, as appropriate, before coming to the ESRD Dialysis Unit. On 01/10/23 at 6:58 AM, Resident #55 was out of the facility to dialysis, according to staff. The resident had left the facility at approximately 5:00 AM. During an interview on 01/10/24 at 8:44 AM, with the Food Service Director (FSD) and Staff C, Cook, when asked about the meal that was provided to the resident to take to the dialysis center, the [NAME] stated that resident was given a chicken salad sandwich, Ginger ale, cookies, and graham (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 21 of 27 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 01/11/2024 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 - Some crackers. When asked how the meal was packaged to maintain safe temperature, the cook stated that the lunch was given to the resident in a zip-lock bag with a smaller zip lock bag for ice to keep the food cold. The FSD stated that he was not concerned with the temperature of the meal due to the dialysis center puts it in the fridge when he gets there. The FSD further stated that he could not confirm that the dialysis center did put the meal in working refrigeration, how long the meal would be out of refrigeration, and how long it would be before the resident consumed the meal that was provided. At the conclusion of the interview, the FSD accompanied this surveyor to a storage room, where the facility had a box of soft-sided coolers. The FSD stated that he was not aware that the items were actually coolers and stated that he thought that the items were for 'promotional' purposes. The FSD acknowledged the facility was not using an appropriate means to keep the potantially hazardous foods at a safe temperature. Based on observation and interview, the facility failed to prepare, store and serve food in a sanitary manner; and failed to provide an appropriate cooling medium for a dialysis meal for 1 of 1 sampled residents reviewed for dialysis, Resident #55. The findings included: On 01/08/24 at 9:09 AM, a brief initial tour of the main kitchen was conducted accompanied by the Certified Dietary Manager (CDM). The following was observed: (1) a burnt pot on the pot shelf with the clean pots. (2) stove and oven is dirty, with burnt on food and grease, (3) The tabletop can opener holder was very dirty, with black grease (4) The ceiling vent near the dish washing area was dirty with black dust. On 01/08/24 at 9:30 AM, an interview was conducted with the CDM. The findings were reviewed. The CDM acknowledged the findings. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 22 of 27 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 01/11/2024 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 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 4. Resident #1 was admitted to the facility on [DATE]. Record review revealed she had been admitted with diagnoses to include Viral pneumonia, Hypothyroid and Anxiety disorder. The Brief Interview for Mental Status (BIMS) score was 15 on the Minimum Data Set (MDS) admission assessment with an assessment reference date of 12/19/23, indicating intact cognition. On 01/08/24, per review of progress notes, the resident woke up with a painful left wrist. A left wrist x-ray was ordered by the physician. On 01/09/24 at 5:03 PM, a telephone call was placed to Staff F, Nurse Practitioner (NP), who was asked if he ordered the x-ray for 01/08/24 or 01/09/24. He stated he wanted the x-ray to be done yesterday (01/08/24) because he was aware the resident was to be discharged home yesterday (01/08/24). He also stated that he was not aware that the resident had not had her x-ray yet. This surveyor also asked Staff F why he did not order pain medication for the resident since he wrote in his notes that she was complaining of pain on her left wrist, which is swollen and warm, X rays are ordered, Tylenol for pain is given to patient. But no Tylenol was ordered or administered to Resident #1 when she was in pain yesterday morning. Staff F stated he was not aware that he did not order Tylenol for Resident #1, only put it in the progress notes. Additionally, on 01/08/24, the pain level was marked as NA and 0 on the Medication Administration Record indicating she had no pain while the progress notes stated she had pain in the left wrist. 5. Resident #300 was admitted to the facility on [DATE] post hospitalization. On 01/08/24 at 12:15 PM, during an interview, the resident stated his left knee hurt. This surveyor reported this to Staff G, Licensed Practical Nurse (LPN), who was caring for him that day. On 01/09/24 at 10:45 AM, the surveyor asked Resident #300 how his knee was feeling. The resident replied that he was supposed to have an x-ray but no one came to take the x-ray. On 01/09/24 at 4:55 PM, mobile x-ray walked into the facility to take his x-ray. A review of the physician orders for Resident #300 revealed no order for the x-ray. A review of the Order Summary Report dated 01/10/24 at 12:51 PM revealed no order for a knee x-ray. Based on observations, interviews, and record review, the facility failed to maintain accuracy of medical records for 5 of 19 sampled residents, Residents #87, #1, #300, #250, and #39. The findings included: 1. Record review for Resident #39 revealed the resident was originally admitted to the facility on [DATE] with the most recent readmission date of 07/14/23 with diagnoses that included: Chronic Obstructive Pulmonary Disease and Gastrostomy Status. The Minimum Data Set (MDS) assessment for Resident #39 dated 10/18/23 revealed in Section C a Brief Interview of Mental Status (BIMS) score of 8, indicating moderate cognitive impairment. Review of the Physician's Orders for Resident #39 revealed an order, dated 09/19/23, for enteral feed order two times a day Jevity 1.5 at 55ml per hour via G-Tube continuously x 20 hours. Start at (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 23 of 27 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 01/11/2024 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 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 5:00 PM daily. Stop at 1:00 PM daily. Flush 50ml water before starting and after stopping feeds. Ensure to record the amount infused per pump reading once a shift. Review of the Medication Administration Record (MAR) and the Treatment Administration Record (TAR) for Resident #39 from 11/01/23 to 01/07/24 revealed no documentation of amount of tube feeding infused per pump that the received as per orders. Review of the Nursing Progress Notes for Resident #39 from 11/01/23to 01/07/24 revealed no documentation of amount of tube feeding infused per pump that they received as per orders. Review of the Care Plan for Resident #39 dated 08/30/22 revealed a focus on the 'resident requires an enteral feeding tube to meet nutrition and hydration needs.' The goal was for the resident documented 'to tolerate tube feeding without signs or symptoms of aspiration throughout the next review date.' The interventions included: 'Provide tube feeding as ordered.' On 01/08/24 at 10:49 AM, an observation of Resident #39 lying in bed with a bag of tube feeding labeled with a date of 01/07/24, Jevity 1.5 (Formulary Type), R (rate) 55 [ml/hour]. There was no resident's name on the bag of tube feeding. The tube feeding was at the 300 mark out of a 1,000-milliliter capacity bag. The tube feeding was infusing at a rate of 55 milliliters per hour via electric pump. On 01/09/24 at 11:10 AM, an observation was made of Resident #39 lying in bed with a bag of tube feeding labeled with a date of 01/08/24, Jevity 1.5 (Formulary Type), 55 ml (milliliters). There was no resident name on the bag of tube feeding. The tube feeding was at the 300-milliliter mark out of a 1,000-milliliter capacity bag. The tube feeding was infusing at a rate of 55 milliliters per hour via electric pump. An interview was conducted on 01/11/24 at 10:25 AM with Staff I, Registered Nurse (RN), who stated he has worked at the facility for 6 months and he works from 7:00 AM to 7:00 PM shift. When asked about the tube feeding for Resident #39, Staff I stated the tube feeding is already running when he comes on duty, the tube feeding is off from 1:00 PM to 5:00 PM. When asked if he verifies the resident received the total amount of tube feeding by looking at the tube feeding pump, he stated yes. When asked if he documents the amount of tube feeding the resident received, he said no. 2. Record review Resident #87 revealed the resident was originally admitted to the facility on [DATE] with the most recent readmission on [DATE] with diagnoses that included: Multiple Sclerosis, Paraplegia, Muscle Weakness, Neuromuscular Dysfunction of Bladder, and Urinary Tract Infection. Review of the Minimum Data Set assessment for Resident #87 dated 12/31/23 revealed in Section C a Brief Interview of Mental Status score of 15, indicating a intact cognitive response. Review of the Physician's Orders for Resident #87 revealed the resident had an order dated 11/30/23 to change suprapubic catheter 18F every month, every night shift starting on the last day of month and ending on the last day of month for Neurogenic Bladder. Review of the Physician's Orders for Resident #87 revealed the resident had an order dated 01/04/24 to change suprapubic catheter PRN (as needed for leakage or blockage). Review of the Physician's Orders for Resident #87 revealed the resident had an order dated 01/04/24 (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 24 of 27 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 01/11/2024 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 0842 Level of Harm - Minimal harm or potential for actual harm to change suprapubic drainage bag PRN unless specified by MD (Medical Doctor) or for specific medical reason/symptom. Review of the Physician's Orders for Resident #87 revealed the resident had an order dated 01/04/24 for suprapubic catheter care every shift. Residents Affected - Few Review of the Certified Nursing Assistant (CNA) Tasks for Bowel and Bladder Elimination, Question Urinary continence, dated 12/28/23 -01/10/24, documented the following: On 12/28/23, incontinence x1, continent not rated due to indwelling catheter x1, and continence not rated due to condom catheter x2. On 12/29/23, incontinent x2. On 12/30/23, incontinent x6 On 12/31/23, incontinent x2. On 01/01/24, incontinent x4. On 01/02/24, incontinent x1, not applicable x1, continent not rated due to condom catheter x2. On 01/03/24, incontinent x2. On 01/04/24, incontinent x1, continence not rated due to indwelling catheter x2. On 01/05/24, incontinent x1, did not void. On 01/06/24, continence not rated due to indwelling catheter x4. On 01/07/24, incontinent x1, continence not rated due to indwelling catheter x1. On 01/08/24, Incontinent x2. On 01/09/24, continence not rated due to indwelling catheter x2. On 01/10/24, incontinent x1. Review of the Care Plan for Resident #87 dated 10/02/23 with a focus on the resident requires suprapubic urinary catheter due to : Potential for infection related to catheterization. The goal was for the resident to be minimized of having signs and symptoms of urinary tract infection through the next review. The interventions included: Change catheter every month. Empty drainage bag PRN. Irrigate as needed. Keep the catheter off the floor. Monitor for signs and symptoms of infection and report to physician. Teach the resident self-care techniques as appropriate. On 01/08/24 at 12:45 AM, an observation was made of Resident #87 sitting in the wheelchair with the suprapubic catheter in place to leg-drainage bag. An interview was conducted on 01/08/24 at 12:45 PM with Resident #87 who stated she has a (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 25 of 27 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 01/11/2024 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 0842 suprapubic urinary catheter. Level of Harm - Minimal harm or potential for actual harm An interview was conducted on 01/11/24 at 12:50 PM with Staff H, Certified Nursing Assistant (CNA), who stated she has worked at the facility for 1 year. When asked where the CNA documents bladder elimination, she stated it is under tasks. When asked how she documents a bladder elimination for a suprapubic catheter, she said it is documented under continence not related to indwelling catheter, if it is a male with a condom catheter, it is documented under continence not rated due to condom. Residents Affected - Few 3. Record review for Resident #250 revealed the resident was originally admitted to the facility on [DATE] and readmitted to the facility on [DATE] with diagnoses that included: Dislocation of C5/C6 Cervical Vertebrae, Anxiety, and Cognitive Communication Deficit. Review of the Minimum Data Set (MDA) assessment for Resident #250 revealed it was not yet completed. Review of the Physician's Orders (active and discontinued) for Resident #250 revealed no order to insert or reinsert the indwelling urinary catheter. Review of the Physician's Orders for Resident #250 revealed an order dated 01/06/24 for Foley care every shift every day and night shift. Review of the Certified Nursing Assistant (CNA) Tasks for Resident #250 regarding bladder elimination from 01/06/24 to 01/10/24 documented the following: On 01/06/24, incontinent x1. On 01/07/24, incontinent x1. On 01/08/24, continent x1, continence not related to indwelling catheter x1. 01/09/24, continent x1, continence not related to indwelling catheter x1. On 01/10/24, continence not related to indwelling catheter x1. Review of the Care Plan for Resident #20 dated 01/03/24 with a focus on Benign Prostatic Hypertrophy [BPH] - Potential for incontinence and urinary retention. Potential for pain and discomfort. The goal was to reduce risk of pain and discomfort associated with BPH. through the next review date. The interventions included: Administer medications as ordered. Call light within reach. Notify physician if medication not effective. Observe during room visits or when in activities, signs of pain or discomfort and notify nurse. Urology consult as needed. Review of the Nursing Progress Note for Resident #250 dated 01/06/24 included: Resident complained of difficulty to urinate. Abdomen is distended, resident complained of pain on assessment. MD notified new order received. To insert 16 French Foley catheter. [name] at bedside aware. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 26 of 27 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 01/11/2024 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 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Review of the Nursing Progress Note for Resident #250 dated 01/06/24 included: 16 French Foley catheter inserted as ordered 1000 ml of clear yellow urine output. Resident denied pain at this time. Will continue to monitor. Review of the Nursing Progress Note for Resident #250 dated 01/07/24 included: Resident pulled out catheter, pcp [Primary Care Physician] answering service informed and gave an order to reinsert it in the AM. Review of the Nursing Progress Note for Resident #250 dated 01/07/24 included: Foley catheter reinserted with no complications. On 01/08/24 at 12:08 PM, an observation was made of Resident # 250 with a Foley catheter in place attached to a leg bag. The resident was lying in bed and pulled his pants down to his knees to show the surveyor his leg bag. An interview was conducted on 01/11/24 at 10:25 AM with Staff I, RN, who stated he has worked at the facility for 6 months. When asked if you needed an order to insert or reinsert an indwelling urinary catheter he said, yes of course. When asked if the resident had an indwelling urinary catheter, and should they have a care plan or update a care plan to reflect the resident's status of having an indwelling urinary catheter, he said yes. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 27 of 27