Inspection·April 30, 2025

F 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Record review revealed Resident #12 was admitted to the facility on [DATE]. Review of the current MDS assessment dated [DATE] documented Resident #12 had a Brief Interview for Mental Status (BIMS) score of 10, on a 0-15 scale, indicating moderate cognitive impairment, and that she was dependent on staff for self-care needs. Review of the care plan dated 02/24/25 in part documented that Resident #12 has a behavior problem of yelling out loud while in her room, with no distress noted during the times of yelling out. An observation of Resident #12 on 04/27/25 at 10:53 AM revealed the resident was asleep in bed and the call light was on the floor behind her bed. Photographic Evidence Obtained. During an interview on 04/27/25 at 11:34 AM, Resident #12 was requesting help to get up. The call light was located on the floor and the surveyor gave the call light to Resident #12. She held the call light and pushed it herself without assistance. During an interview on 04/29/25 at 8:35 AM, when Resident #12 was eating breakfast independently she said, this ice cream is to die for. The call light was observed on the floor behind her bed and not accessible to Resident #12. Photographic Evidence Obtained. During an interview on 04/30/25 at 9:24 AM, when asked about Resident #12 and how she uses the call light, Staff E, Certified Nursing Assistant (CNA), said the resident usually screams when she wants something, she does not use the call light, but I make sure it is nearby. Staff E was then asked how the call light stays on Resident #12's bed since it does not have a clip on it, Staff E, replied it has a long cord. Staff E was advised that on 04/27/25 and 04/29/25 the call light had been observed on the floor and not accessible to the resident. Staff E was then asked, do you think a clip on the call light would help keep it on the bed and off the floor and Staff E replied Yes. Staff E then agreed to ask the Maintenance Department to add a clip to the call light in Resident #12's room. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 2 of 35 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 04/30/2025 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 0641 Ensure each resident receives an accurate assessment. Level of Harm - Potential for minimal harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 2. Record review revealed Resident #1 was admitted to the facility on [DATE] with hospice services. A comprehensive assessment dated [DATE] documented the resident was not receiving hospice services. Residents Affected - Some Based on interviews and record reviews, the facility failed to accurately document the discharge status for 1 of 3 sampled residents reviewed as closed records, Resident #87; and the facility failed to document the Hospice status for 1 of 2 sampled residents reviewed, Resident #73. The findings included: 1. Record review revealed Resident #87 was admitted to the facility on [DATE] and discharged to an Assisted Living Facility (ALF) on 02/14/25. Review of the admission Assessment, dated 01/20/25, documented the resident was admitted post fall for therapy. Review of the Social Services admission Assessment, dated 01/21/25, documented, Resident plan to return back to ALF. Resident granddaughter will continue to provide care. Review of Resident #87's baseline care plan, dated 01/20/25, documented: I prefer to: Discharge to the community. The goal of the care plan was documented as: I will discharge to appropriate environment as determined by my progress and preference. A Discharge summary, dated [DATE], documented, Note Text: Resident alert and oriented X 4. Resident schedule to discharge to ALF w/ Home Health . Review of Resident #87's Discharge MDS, dated [DATE], documented the resident's discharge status as 'Short-term general hospital (acute hospital, IPPS)'. During an interview, on 04/30/25 at 1:05 PM with the MDS Coordinator, when the concern was brought to her attention, the MDS Coordinator acknowledged the resident was discharged home with Home Health to an ALF, and stated that she would correct and resubmit. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 3 of 35 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 04/30/2025 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 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record reviews and interviews, the facility failed to provide personal hygiene as part of Activities of Daily Living (ADLs) and failed to accurately identify a resident's personal hygiene kit for 1 of 2 sampled residents, Resident #62. Residents Affected - Few The findings included: Record review of the provided document titled, Job Description, Certified Nursing Assistant (CNA), with an effective date of 04/20, revealed the following: provide personal care (i.e. grooming, bathing, dressing, oral care etc.) of residents daily and as needed; strong attention to detail and accuracy; excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity. Record review documented Resident #62 was admitted to the facility on [DATE] with diagnoses that included Spondylolisthesis, Major Depressive Disorder, Essential Primary Hypertension, and Myocardial Infarction. Review of annual Minimum Data Set (MDS) assessment dated [DATE], under Section C documented the Brief Interview for Mental Status (BIMS) score of 14 indicating Resident #62 had intact mental cognition. Under Section GG for personal hygiene, the same MDS revealed Resident #62 had a score of 01 or dependent on personal hygiene which included the ability to maintain personal hygiene, including combing hair, shaving, washing/drying face and hands (excluding baths, showers, and oral hygiene). Section GG for oral hygiene revealed Resident #62 acquired a score of 03 indicating partial or moderate assistance in the ability to use suitable items to clean teeth. Review of nursing care plan with a focus on ADLs (Activities of Daily Living) revealed Resident #62 has an alteration in ADL function and mobility related to metabolic encephalopathy, stenosis, and muscle weakness. One of the interventions included assisting as indicated with bathing, grooming, meals, ambulation and wheelchair mobility. An additional review of the Nursing care plan with a focus on Resident #62's choices to not get out of bed and maintain activities in bed, revealed the following interventions: to allow resident to make decisions about treatment regime, to provide sense of control, and to provide consistency in care to promote comfort with ADL. Record review of the facility document with code number 28, titled, Document Survey Report V 2, page 5, with ADL Interventions including shaving, personal hygiene, washing face and hands on 04/27/25 from 7 AM to 3 PM, revealed a box with no number code, staff initials and time indicating staff did not perform the interventions. On 04/28/25 from 7 AM to 3 PM, the parallel box had a number code, staff initials and a documented time indicating the ADL interventions were done. Review of page 9 revealed on 04/27/25 and on 04/30/25, Resident #62's oral care box had no staff initials, no documented time, and a missing letter Y (representing yes), indicating oral care was not provided on those dates. Page 10 revealed that Resident #62 did not receive a bed bath on 04/26/25, (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 4 of 35 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 04/30/2025 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 0677 04/27/25 and 04/28/25. Level of Harm - Minimal harm or potential for actual harm During an observation of Resident #62 conducted on 04/27/25 at 12:30 PM revealed he was in bed with his head elevated at about 45-degree angle. He was awake with a meal table across his upper abdominal area. The meal table had a peeled brownish tipped banana directly on top of the meal table, and a bowl of cereal next to it. Resident #62's long white hair was uncombed and standing up on top of his head. Additional observation revealed Resident #62 had randomly distributed long white hair on top and sides of the mouth, and below chin areas. Resident #62 stated he wanted a shave and had asked a staff 2 times, but the staff did not listen. Residents Affected - Few During this conversation, Staff D, Certified Nursing Assistant (CNA), entered the room, and Resident #62 asked her for a shave. Staff D responded, I will come back and do it later. Resident #62 asked the staff to brush his teeth, to which Staff D responded, I already brushed your teeth. Resident #62 stated, No, you did not brush my teeth. I want my teeth brushed. During observation conducted on 04/28/25 at 08:53 AM, Resident #62 was observed in bed with a meal tray in front of him. He was sleepier than yesterday (04/27/25) with randomly distributed long white hair on top of head, both sides, and above mouth, and below the chin area. His face was unclean. He stated he did not want to eat breakfast and closed his eyes. During an interview conducted with Staff D on 04/28/25 at 8:58 AM, when asked if she had provided the requested shaving by Resident #62 yesterday, responded, I will do it later. Resident #62 started to look up and stated, I want a shave, and I want my teeth brushed. Staff D responded to Resident #62, I already brushed your teeth. When Staff D was asked if she had provided oral hygiene before breakfast, she responded, Yes, I brushed Resident #62's teeth. When asked where the facility staff stored the personal hygiene kit for Resident #62, she responded, In the bathroom next to the shower area. When asked if Resident #62 gets up to shower, she responded, Sometimes. When asked how she identified Resident 62's personal hygiene kit since there are 2 residents sharing the bathroom, she responded, I know his personal hygiene basin. She stated his personal basin has a yellow emesis basin, a white toothbrush inside a clear cup, a bottle of mouthwash, a Kling rolled dressing, a deodorant, a extra clear plastic cup, and a can of shaving cream. When asked why Resident #62 had a rolled Kling dressing and where he used it , she responded, I do not know why. She then proceeded to put the personal hygiene kit inside Resident #62' bedside table on the second drawer. It was observed that the basin had no visible label or tag indicating it belongs to Resident #62. During observation conducted on 04/28/25 at 4:00 PM, Resident #62 was observed with uncombed hair on top of head, randomly distributed long white hair on and around mouth, and below the chin areas. In an interview conducted on with Resident #62 on 04/29/25 at 9:12 AM, he stated he wanted a shave. A staff member came in and stated she would tell the assigned CNA regarding Resident #62's request. During another interview conducted with Resident #62 on 04/29/25 at 10:44 AM, he was smiling and stated he had a shave. Staff A, CNA, came in and stated she gave Resident # 62 a shave today. When asked to show where he put his personal hygiene basin, she stated inside his drawer. Staff A showed the personal basin kit that had a package of towelette on the second drawer of the bedside table. On the top drawer was an emesis basin with a blue-colored toothbrush. There were no Kling rolled (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 5 of 35 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 04/30/2025 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 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few dressing, a bottle of mouthwash, a can of a popular name brand shaving cream, a white colored toothbrush and clear cups observed. When Staff A was asked where Resident #62's shaving cream was, she responded, I got one from Central Supply. When asked about the popular brand shaving can, she responded, No, he does not have that. When asked why Resident #62's personal hygiene basin is not stored in the bathroom, she responded, Resident #62 does not go to the bathroom. When asked about the Kling dressing, mouthwash, and deodorant, she responded, Resident #62 does not use them. Are you talking about the basin of the other resident in the room? When asked about the gray colored personal hygiene basin with white colored toothbrush, clear cups, a deodorant bottle, a bottle of mouthwash, a can of shaving cream container, she responded, 'It belongs to Resident in bed next to the door. When asked how she would know if the gray basin belonged to the resident in bed next to the door since there are no labels on and around the gray colored basin, she responded, I know the residents' personal hygiene basin inside this room. In an interview conducted with the roommate of Resident #62 on 04/29/25 at 10:18 AM, he stated that he keeps his personal hygiene basin in the bathroom. Upon inspection, it revealed that the gray basin inside the bathroom with a yellow emesis basin with a white colored toothbrush in a clear cup, a bottle of mouthwash, a bottle of deodorant, another clear cup, and a popular name brand can of shaving cream, belonged to Resident #62's roommate. The rolled Kling dressing was missing. The basin did not have a label to indicate whose it belongs to. In an interview conducted with the Development Coordinator Staff on 04/29/25 11:15 AM, when asked how CNAs would identify a resident's personal hygiene basin, responded, Staff label it with room number on the sides of the basin. When asked regarding personal hygiene and resident's care, the Development Coordinator Staff stated that the CNAs are to provide personal care and hygiene including shaving and brushing teeth regularly, and as requested by the resident during ADL care. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 6 of 35 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 04/30/2025 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 observations, record reviews and interviews, the facility failed to follow the physician ordered blood pressure (BP) parameters for one of 5 sampled residents, for Resident #52; and failed to meet the professional standards of medication administration via enteral tubing for 1 of 2 sampled residents, Resident #52; and failed to administer the medications timely for 1 of 5 sampled residents for Resident #52. Residents Affected - Few The findings included: Record review of the provided document, titled, Medication Administration, with a revision date of 10/23, revealed that medications are administered by licensed Nurses or other Staff who are legally authorized to do so in this state, as ordered by physician and in accordance with professional standards of practice, in a manner to prevent contamination and infection. Statement number 8 revealed to obtain and record vital signs, when applicable or per physician's orders. When applicable, hold medications for those vital signs outside the physician's prescribed parameters. 1. Record review documented Resident #52 was admitted to the facility on [DATE] with diagnoses that included Atrial Fibrillation, Congestive Heart Failure, Laryngeal Cancer with status post Chemotherapy, and Dysphagia with status post Percutaneous Endoscopic Gastrostomy (PEG) tube placement. Review of admission Minimum Data Set (MDS) assessment dated [DATE], under Section C of the Brief Interview for Mental Status (BIMS) revealed a score of 13, indicating Resident #52 had moderate cognitive function. Review of physician orders dated 04/15/25 revealed Midodrine Hcl (Hydrochloride) oral tablet, 10 MG ( milligram), give 1 tablet via Percutaneous Endoscopic Gastrostomy (PEG) tube one time a day for hypotension. Hold for systolic blood pressure (SBP) more than 130. Review of April 2025 Medication Administration Record (MAR) for Resident #52 revealed on on Tuesday, 04/15/25 at 9:00 AM, a blood pressure (BP) of 133/69, and a check mark with 3 letter initials parallel to the Midodrine medication , indicating that a nurse administered Midodrine medication on 04/15/25 at 9:00 AM for a systolic blood pressure of 133. Further review of the same April 2025 MAR revealed a BP of 138/60 on Sunday, 04/20/25 at 9:00 AM and a check mark and initials parallel to Midodrine medication, indicating Midodrine was administered by a nurse at 9:00 AM on 04/20/25 for a systolic blood pressure of 138. In an interview conducted with Staff G, Registered Nurse (RN) on 04/29/25 at 11: 33 AM, when asked what a check mark and initials in a MAR box parallel to the medication and time meant, she responded, The check mark means the medication was administered to the resident, while the 2 or 3 letter initials represent the nurse who administered the medication at the indicated time. When Staff G was asked regarding the MAR indications that a medication was not administered, responded, There would not be a check mark, but nurse's initials comprising of 2 or 3 letters, and a number representing hold, would further indicate that the medication was not administered. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 7 of 35 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 04/30/2025 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 Residents Affected - Few When asked what the number 5 meant in the facility's MAR, she responded, It means hold or the medication was not administered. 2. Record review of the provided document titled, Medication Administration via Enteral Tube, with a revision date of 03/22, revealed the following: to ensure safe and effective administration of medications via enteral feeding tubes by utilizing best practice guidelines. Statement letter g revealed that enteral tube placement must be verified prior to administering any fluids or medications. Statement number 11, letter b revealed to administer within 60 minutes prior to or after scheduled time unless otherwise ordered by Physician. Record review documented Resident #52 was admitted to the facility on [DATE] with diagnoses that included Atrial Fibrillation, Congestive Heart Failure, Laryngeal Cancer with status post Chemotherapy, and Dysphagia with status post Percutaneous Endoscopic Gastrostomy (PEG) tube placement. Review of admission Minimum Data Set (MDS) assessment dated [DATE] under Section C of the Brief Interview for Mental Status (BIMS) revealed a score of 13 indicating Resident #52 had intact cognitive function. Review of the physician orders dated 04/14/25 documented to check tube for proper placement by visual inspection of aspirated stomach contents prior to instilling medications. A medication administration observation was conducted on 04/29/25 beginning at 10:00 AM with Staff C, Registered Nurse (RN). Staff C crushed the following medications to be administered via enteral tube: 1. 'Dapaglifozin Propanediol oral tablet, 1 tablet, 5 mg (milligram), expires on 03/13/26. Give 1 tablet via PEG tube one time a day for Diabetes Mellitus II'. 2. 'Midodrine Hcl (Hydrochloride) oral tablet 10 mg, 1 tablet, expires on 03/04/26. Give one tablet via PEG-tube one time a day for hypotension. Hold for systolic blood pressure (BP) of more than 130'. Staff C stated Resident #52's systolic BP was 104. 3. 'Ferrous Sulfate 325 mg, 1 tablet, expires on 12/27. Give one tablet via PEG Tube one time a day for anemia'. When all medications and supplies were ready, Staff C donned on Personal Protective Equipment (PPE) after entering Resident #52's room. Staff C opened the entry port at the tip of the enteral tube using her gloved hands, connected the syringe, took off the syringe plunger and started instilling 30 ml of water into the barrel of the syringe. When asked if she should flush the tubing before doing any check, she responded, I have to flush first. Staff C did not check the enteral tube placement by visually inspecting the aspirated stomach contents before flushing the enteral tube with water. Staff C started pouring the first cup of crushed medication with some water on 04/29/25 at 10:26 AM into the tubing. When Staff C was asked about the ordered scheduled time of medication administration for Resident #52, Staff C responded that these medications are scheduled for 9:00 AM. During record review of Medication Administration Record (MAR) for April 2025, it was revealed that the above medications had check marks, and Nurse's initials on 04/29/25 at 9:00 AM. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 8 of 35 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 04/30/2025 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 During an interview related to medication administration in an enteral tube with Staff B, Licensed Practical Nurse (LPN) on 04/29/25 at 3:00 PM, when asked why she aspirated the stomach contents before administering a crushed medication tablet via enteral tube, responded, I make sure, I check the placement of the PEG tube before administering the medication. I do this by looking at the return flow of stomach contents after I aspirated using a syringe. Residents Affected - Few In an interview conducted with the Director of Nursing (DON) on 04/30/25 at 11:45 AM, when asked about the process of administering medications through the enteral tube, responded I check for the PEG tube placement by aspirating stomach contents first, before I flush the enteral tube with some water, then I instill the crushed medication. When asked about the acceptable medication administration time, if it is scheduled for 9:00 AM, she responded One hour before and one hour after 9:00 AM is the acceptable medication administration time. When asked if the acceptable medication administration time is included in Medication Administration policy, she responded, I think so. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 9 of 35 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 04/30/2025 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 0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, and interview, the facility failed to ensure physician ordered wound care was provided as ordered for 1 of 1 sampled resident, Resident #61, who had a facility acquired pressure ulcer. Residents Affected - Few The findings included: Record review revealed Resident #61 was admitted to the facility on [DATE] and admitted to Hospice services on 02/15/25. Review of the current physician orders documented as of 03/13/25, the stage IV (a wound extending into the muscle and or bone) pressure ulcer should be cleansed with Dakins solution and Collagen particles were to be placed in the wound and then covered with a Superabsorbent dressing. Review of the Nurse Practitioner's (NP) wound care note dated 04/23/25 documented the stage IV pressure ulcer was acquired on 06/05/24, with current contradictory orders to cleanse with Dakins solution and apply Hydrofera Blue to the wound bed, covering with a Superabsorbent dressing. This note documented the use of the Hydrofera Blue was to minimize pain, minimize risk of infection, and to continue with palliative wound management while on Hospice services. Further review of all weekly progress notes by the NP documented the use of the Hydrofera Blue treatment since 03/26/25. During the wound care observation on 04/30/25 at 10:26 AM, the Wound Care Nurse (WCN)provided wound care using the Collagen Particles. When asked where the NP was for this weekly visit, the WCN stated she was on her way. The WCN finished the wound care and when asked again about the NP, the WCN stated she had a phone conference. When shown the Nurse Practitioner's wound notes that documented the use Hydrofera blue since 03/26/25, the Wound Care Nurse explained the Nurse Practitioner sends her a weekly spreadsheet with the resident information and orders for input into the facility's electronic records. The WCN stated it was her mistake, as she did not catch the change. When asked if the NP was in the room with her during care each week, the WCN stated she was. When asked why the NP did not catch that she was using the Collagen Particles instead of the Hydrofera Blue, the WCN did not answer. During an interview on 04/30/25 at 11:12 AM, when asked what the current treatment order for Resident #61, the Nurse Practitioner stated, Hydrofera Blue, and has been for a while, as it seems to be working better for this wound. When asked how she ensured the WCN was providing the correct wound treatment, the NP stated she was in the room with the WCN, and she had been using the Hydrofera Blue. The NP stated she was not in the room today because she had a conference call, she had to participate in. When told the WCN used the Collagen Particles today and had been using them because she was unaware of the change to Hydrofera blue, the NP stated she did not understand how that could be. When told the WCN stated she enters the orders from the spread sheet, manually into the facility's electronic system, the NP was unaware of that process. The NP stated again the Hydrofera blue should be daily for this resident. During a side-by-side review of the NP's notes, it was revealed the Hydrofera Blue was ordered every other day, at which time the NP stated that dressing could stay in place for up to three days. Upon further review of the notes, the NP documented the change to daily as of 04/16/25 and stated that was when the secondary wound opened. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 10 of 35 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 04/30/2025 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 observations, record reviews and interviews, the facility failed to follow the physician ordered splints for one resident on one sampled resident reviewed for splints, Resident #48. The findings included: Record review documented Resident #48 was admitted to the facility on [DATE] with diagnoses that included Aphasia following unspecified Cerebrovascular Accident, Pressure Ulcer of Sacral Region, Hemiplegia and Hemiparesis following Cerebral Infarction affecting Left Non-Dominant Side. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview of Mental Status (BIMS) score of 00 indicating there was no score documented for mental cognition, as the resident was unable to answer the questions. Section GG revealed Resident #48 had impairment on both sides of upper extremities and both sides of lower extremities. Review of the physician orders dated 03/28/25 revealed to apply left elbow splint for 6 hours as tolerated per day, may remove for care, every shift. Review of the care plans did not indicate focus, goals and interventions associated with the left elbow splint. Record review of April 2025 Medication Administration Record (MAR) revealed the left elbow splint was applied during both the 7 AM to 7 PM, and the 7 PM to 7 AM shifts, as indicated by Nurses initials and check marks. During an observation on 04/27/25 at 8:55 AM, Resident #48 had received perineal care form a private Aide. When the private Aide was asked regarding a blue splint sitting on top of the bedside table, she responded, The Staff Certified Nursing Assistant [CNA] will put it on [Resident #48] later. During observations on 04/27/25 at 10:26 AM, 12:45 PM, and at 2:39 PM, the blue splint was still on top of the bedside table and not on Resident #48's left elbow. In an observation conducted on 04/28/25 at 9:05 AM, Resident #48's blue splint was observed on the floor on the right side of the foot part of the bed. Staff D, CNA came in and picked up the splint. She was observed to put the splint on top of the bedside table. In another observation on 04/28/25 at 9:45 AM, the Staff Coordinator and Staff CNA transferred Resident #48 from bed to a wheelchair. Neither staff member applied the blue splint on resident's elbow after the transfer. During a dining room observation on 04/28/25 at 1:10 PM, Resident #48 was not wearing a left elbow splint. In another observation on 04/29/25 at 9.07 AM, 10:01 AM and 11:30 AM, Resident #48 was observed not wearing a splint on left elbow. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 11 of 35 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 04/30/2025 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 During another observation on 04/30/25 at 9:32 AM, when the resident was asked if she had breakfast, responded Yes, with a low voice. A blue splint was observed on top of the bedside table. An interview was conducted with the Staff Development Coordinator on 04/30/25 at 1:00 PM regarding the application of splint to resident. She responded, staff put it on the resident all the time. When she was asked regarding documentation of how long the splint is kept on Resident # 48's elbow, she responded, It is recorded in MAR. In an interview Staff I, Registered Nurse (RN), on 04/30/25 at 1:17 PM, when asked if Resident #48 was wearing the elbow splint, stated, she would check. Five minutes later, she came back from checking and stated, Yes, she was. When she was asked how often Resident #48 uses the blue splint on the left elbow, Staff I, RN responded, All the time. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 12 of 35 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 04/30/2025 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** 3. Record review revealed Resident #28 was admitted to the facility on [DATE]. A comprehensive assessment dated [DATE] documented the resident was cognitively intact and required substantial / maximum assist with activities of daily living (ADLs). The assessment documented Resident #28 had weight loss and was not on a prescribed weight loss regimen. Residents Affected - Few Resident #1 was care planned on 02/21/25 for at nutritional risk related to significant weight loss. Review of Resident 31's weights revealed: 03/09/25, 1:50 PM: 227.0 Lbs. 03/03/25, 6:31 PM: 234.0 Lbs. 02/24/25, 6:17 PM: 234.0 Lbs. 02/17/25, 6:08 PM 234.0 Lbs. 02/10/25, 5:14 PM: 234.0 Lbs. 02/04/25, 3:27 PM: 234.0 Lbs. 02/03/25, 5:55 PM: 250.0 Lbs. 01/27/25, 7:06 PM: 250.0 Lbs. 01/20/25, 5:16 PM: 250.0 Lbs. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 13 of 35 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 04/30/2025 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 A Dietary Note dated 02/27/25 documented Resident #28 was being monitored for significant weight loss. 5% weight loss in 7 days (02/03/25 250#, 02/10/25 234#). May not be true weight (250# listed multiple times from 12/02/25-02/03/25). BMI [Body Mass Index]: 35.6 (morbidly obese). Weight loss favorable and desirable. PO [oral] intake between 51-100%. ADON [Assistant Director of Nursing] reports resident had cast removed on 01/13/25 and that may have affected weight. Discussed weight loss weight res. [resident]. She is happy about weight loss and wants to continue to lose weight. Will maintain current recommendations: -ice cream lunch/dinner -weekly weights until stable Will continue to monitor and f/u as needed. A Dietary Note dated 03/06/25 documented Resident #28 is being monitored for significant weight loss. Plan of action discussed with team in clinical meeting. MD aware. CBW [current body weight] (03/03/25): 234# -5% weight loss x7 days (2/3/25): 250# May not be true weight (250# listed multiple times from 12/02/25-02/03/25) BMI: 35.6 (morbidly obese). Weight loss favorable and desirable. PO intake between 51-100%. Res happy about weight loss and wants to continue to lose weight. Will maintain current recommendations: -ice cream lunch/dinner Recommend: -monthly weights Will continue to monitor and f/u as needed. A Dietary Note dated 03/14/25 documented Resident #28 is being monitored for significant weight loss. Plan of action discussed with team in clinical meeting. MD aware. CBW (3/9/25): 227#? -7.5% weight loss x90 days (12/9/25): 250# BMI: 34.5 (morbidly obese). Weight loss favorable and desirable. PO intake between 51-75%. Resident happy about weight loss and wants to continue to lose weight. She requests to be placed on monthly weights. Will maintain current recommendations: (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 14 of 35 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 04/30/2025 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 -ice cream lunch/dinner Level of Harm - Minimal harm or potential for actual harm Recommend: -monthly weights. Residents Affected - Few An interview was conducted with Resident #28 on 04/27/25 at 12:00 PM in her room. The resident acknowledged she had some weight loss. The resident stated she did not know why she had weight loss. The resident was observed refusing the lunch tray and stated she would accept a grilled cheese sandwich. The resident did not consume the grilled cheese sandwich. There was no ice cream on the tray. An observation of Resident #28 was conducted on 04/28/25 at 12:00 PM in her room. The resident had her lunch tray pushed to the side. Resident #28 stated her lunch was not appealing and she did not want it. There was no ice cream on the tray. The surveyor requested to the Director of Nursing (DON) for Resident #28 to be weighed on 04/29/25 in the morning. The resident weighed 199#. An interview was conducted with the RD on 04/29/25 at 1:50 PM. The RD stated the restorative CNA (Certified Nursing Assistant) was responsible for monthly weights. The RD stated if a weight was missing, she would email the CNA. If a resident had weight loss, she would discuss reweighs, and place the resident on a list for weekly weights. If there appeared to be a discrepancy in a weight, the RD would request the resident be weighed again. The RD stated she would further discuss food preferences with the resident. The RD acknowledged she had concerns with the validity of Resident #28's weights. The RD stated she had not requested a reweigh for the resident. The RD further acknowledged Resident #28's last recorded weight was 227# on 03/09/25 (greater than 30 days). The RD stated she had not discussed Resident #28's food preferences in regard to her weight loss. The RD stated Resident #28's weight was 199# this morning (12.3% weight loss). No new interventions were documented in place. Based on observations, interviews and record reviews, the facility failed to address residents' weight loss in a timely manner, for 3 of 10 sampled residents, reviewed for nutrition, Resident #40, Resident #13, Resident #28. The findings included: Review of the facility's policy titled Weight Monitoring showed the following: Weights shall be monitored as per the schedule below unless otherwise ordered by the healthcare provider; Monitor weight monthly. Weight analysis: The newly recorded resident weight should be compared to the previously recorded weight. 1. Record review showed Resident #40 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnosis of Aphasia following nontraumatic intracerebral hemorrhage and hemiplegia and hemiparesis following cerebral infarction affecting the dominant right side. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview of Mental Status (BIMS) score of 00, indicating they were unable to conduct the interview. A thorough review of the weight log for Resident #40 showed the following respectively: 04/29/2025: 113.0 pounds (# / Lbs). (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 15 of 35 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 04/30/2025 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 04/01/2025: 111.0 pounds. Level of Harm - Minimal harm or potential for actual harm 03/06/2025: 109.0 pounds. 02/08/2025: 109.0 pounds. Residents Affected - Few 01/30/2025: 108.2 pounds. 01/13/2025: 109.4 pounds. 01/11/2025: 108.0 pounds. 01/06/2025: 108.0 pounds. 12/27/2024: 109.0 pounds. 12/03/2024: 109.0 pounds. 11/25/2024: 107.0 pounds. 11/13/2024: 107.0 pounds. 11/08/2024: 107.0 pounds. 11/01/2024: 107.0 pounds. 10/23/2024: 107.8 pounds. 10/16/2024: 113.4 pounds. 10/02/2024: 114.0 pounds. 08/02/2024: 124.1 pounds. 06/07/2024: 123.4 pounds. 05/15/2024: 119.0 pounds. 04/10/2024: 126.0 pounds. Further review showed a 10.1 pound weight loss from 08/02/2024 to 10/02/2024 which indicates a 8.13% weight loss in 2 months. Resident #40 had an overall trending weight loss of 13.77% from 08/02/2024 to 11/01/2024 (3 months). Review of the Dietary progress note indicated Resident #40's weight loss recorded on 10/02/24 was addressed on 10/17/24 (15 days after the weight loss). The Registered Dietitian (RD) documented in the progress note the following: Resident #40 is monitored for significant weight loss; 7.5% weight loss in 2 months (08/02/24); Per Oral intake is estimated between 51% and 75%. Resident #40 received the following: 120 mL Med Pass twice a day, weekly weights until weight stable, fortified food twice (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 16 of 35 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 04/30/2025 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 a day. Level of Harm - Minimal harm or potential for actual harm Review of Resident #40's physician's orders showed the following: Med Pass 2.0 twice a day for Nutritional Supplement 120 mL by mouth started on 10/15/24 and discontinued on 11/14/24, which was 13 days after the recorded weight loss (10/02/24). Residents Affected - Few In an observation conducted on 04/27/2025 at 12:05 PM, the surveyor observed Resident #40's meal ticket that consisted of: 3oz. of Roast Breast Turkey, 2 ounces (oz.) of Turkey gravy, ½ cup of [NAME] Bean Casserole, 4oz. of Fortified Mashed Potatoes, ½ cup of Seasoned Cornbread Stuffing,1 Ea. [each] of Fran's Spice Cake, 8oz. of Iced Tea, 8 oz. of 2% Milk. Resident #40's tray did not have fortified mashed potatoes. In an interview conducted on 04/29/25 at 1:50 PM, the RD stated the restorative CNAs are the ones who weigh the residents and when there is a missing weight, she sends an email to inform the team in their weekly meetings. The RD explained she reviews the weights monthly to identify weight loss / weight gain / discrepancy and if any, asks for reweight. If a significant weight loss is identified, she communicates with the team, writes a progress note and orders to weigh the resident weekly. The RD stated she puts in adequate interventions usually on Wednesdays because that is when she is in the facility and progress notes are expected once a week. For Resident #40, the RD explained she started working for this facility at the beginning of June so during the period of the weight loss (10/02/24) she had just started to take over and get acclimated. The RD acknowledged the delay in addressing the weight loss and further explained the orders are put in place before the progress notes are recorded, and the fortified food is put directly on the meal tracker. 2. Record review showed Resident #13 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnosis of disease of digestive system and unspecified dementia, unspecified severity with agitation. The MDS annual assessment dated [DATE] revealed a BIMS score is 12, indicating moderate cognitive impairment. A thorough review of the weight log for Resident #13 showed the following respectively: 04/29/25: 172.0 pounds. 04/01/25: 167.0 pounds. 03/05/25: 162.4 pounds. 02/03/25: 163.0 pounds. 01/20/25: 163.0 pounds. 01/13/25: 162.0 pounds. 12/27/24: 162.0 pounds. 12/03/24: 159.0 pounds. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 17 of 35 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 04/30/2025 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 11/27/24: 168.0 pounds. Level of Harm - Minimal harm or potential for actual harm 11/18/24: 160.0 pounds. 11/16/24: 163.8 pounds. Residents Affected - Few 11/06/24: 160.6 pounds. 10/18/24: 160.1 pounds. 10/02/24: 166.0 pounds. 08/02/24: 192.0 pounds. 06/07/24: 194.0 pounds. 05/15/24: 189.0 pounds. 04/10/24: 191.0 pounds. Further review showed a 26 pounds weight loss from 08/02/2024 to 10/02/2024 which indicates a 13.54% weight loss in 2 months. Resident #13 had an overall trending weight loss of 16.35% from 08/02/2024 to 11/06/2024 (3 months). Review of the Dietary progress note indicated Resident #13's weight loss recorded on 10/02/24 was addressed on 10/16/24 (14 days after the identified weight loss). The RD stated in the progress note the following: Resident #13 is monitored for significant weight loss; 7.5% weight loss in 2 months (08/02/24) and 10.0% in 6 months (04/10/24); Per Oral intake is estimated between 51% and 75%. Resident #13 received the following: 60 mL Med Pass twice a day, weekly weights until weight stable, fortified food twice a day and Peanut Butter and Jelly sandwich with lunch. Review of Resident #13's physician's orders showed the following: Med Pass 2.0 twice a day for Nutritional Supplement 60 mL by mouth started on 10/15/24 and discontinued on 01/31/25. The Med Pass was initiated 13 days after the recorded weight loss (10/02/24). In an observation conducted on 04/29/25 at 12:45 PM, the surveyor observed Resident #13's meal ticket consisted of: 8oz. of Ground Cheese Baked Ziti double portion, ¾ cup of Tossed Salad double portion, 2 packets of Dressing, ½ Ea. Key Lime Jello Squares, 8oz. of coffee, 4oz. of Assorted Juice, 4oz. of Fortified Mashed Potatoes, 1 Ea. Peanut Butter Jelly. Resident #13's tray did not have the Peanut Butter Jelly sandwich. In an interview conducted on 04/29/2025 at 3:40 PM, the RD stated Resident #13 had a significant weight loss (13.54%) on 10/02/24. The RD acknowledged the progress note was not put in place in a timely manner on 10/16/24. The RD stated addressing a significant weight loss in a timely manner means putting interventions in place within 2 days of the identified weight loss. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 18 of 35 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 04/30/2025 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 0695 Provide safe and appropriate respiratory care for a resident when needed. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record reviews and interviews, the facility failed to ensure it obtained current physician's orders for Oxygen therapy administration for 2 of 3 sampled residents, Resident #75 and Resident #289; failed to obtain orders for changing and dating the oxygen tubing; failed to document the oxygen administration in Medication Administration Record (MAR) for 2 of 3 sampled residents, Resident #75 and Resident #37; failed to initiate a care plan for Oxygen therapy for Resident #289; failed to obtain current physician orders for a nebulizing treatment and failed to date and change the nebulizing tubing for 1 of 3 sampled residents for Resident #75. Residents Affected - Few The findings included: Record review of the provided document, titled, Medication Administration, with a revision date of 10/23, revealed that medications are administered by Licensed Nurses, as ordered by Physicians and in accordance with professional standards of practice, in a manner to prevent contamination or infection. Statement number 10 revealed to review the Medication Administration Record (MAR) to identify medications to be administered. Statement number 17 revealed to sign the MAR after administration. 1. Record review revealed Resident #75 was admitted to the facility on [DATE] with diagnoses that included Pneumonia, Pleural Effusion, Essential Primary Hypertension, Hyperlipidemia, Unspecified Atrial Fibrillation, Hypoosmolality, Hyponatremia, and Insomnia. Review of admission Minimum Data Set (MDS) assessment dated [DATE] under Section C documented the Brief Interview for Mental Status (BIMS) score of 15 indicating Resident #75 had intact cognitive function. Under Section O dated 02/17/25, it revealed a yes response to Oxygen therapy indicating Resident #75 was receiving oxygen therapy. Review of Resident #75's care plan initiated on 02/06/25 and revised on 02/24/25 indicated Focus: The Resident may use oxygen as needed. Interventions: Administer oxygen as ordered (refer to MAR for current order) .Observe oxygen saturation levels via pulse oximetry as ordered and report as needed Provide respiratory treatments as ordered and monitor effectiveness. Goal: Resident #75 will have minimized risk of respiratory distress through review date. Review of the physician orders from 02/04/25 to 04/28/25 revealed no orders for Oxygen therapy and nebulizing treatments. There were also no orders regarding the care and management of both the Oxygen therapy system and the nebulizing therapy system. In an interview conducted with Resident #75 on 04/27/25 at 11:04 AM regarding Oxygen therapy, she responded she gets them when she has difficulty breathing. When asked about nebulizing treatments, she responded, she gets it too. During an observation of Resident # 75 conducted on 04/27/25 at 11:07 AM, she was observed resting in bed with Oxygen infusing at two (2) liters via Oxygen concentrator. The tubing had no visible tag with date. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 19 of 35 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 04/30/2025 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 0695 Level of Harm - Minimal harm or potential for actual harm During another observation on 04/27/25 at 3:45 PM, a small nebulizing box was seen on top of Resident #75's bedside table with half of tube exposed and half inside the drawer. The nebulizing tube was not dated. In an interview conducted with Resident#75 on 04/29/25 at 4:00 PM, she stated she had received nebulizing treatment yesterday. Residents Affected - Few During an observation on 04/29/25 at 11:46 AM, a nebulizing treatment box with clear tubing was observed on top of Resident #75's bedside table. The nebulizing tube was not dated. In another interview and observation on 04/30/25 at 9:29 AM, Resident #75 was sitting in a wheelchair. A nebulizing box was observed on top of bedside table. The tube was not dated. When asked about nebulizing treatment, Resident #75 responded, she received one yesterday. An interview was conducted with the Director of Nursing (DON) on 04/30/25 at 1:45 PM regarding residents receiving Oxygen therapy and nebulizing treatment without a physician's orders. The DON stated that there should be physician orders for Oxygen therapy and nebulizing treatments. When asked if staff document the administration of Oxygen therapy in Medication Administration Record (MAR), she responded, yes. An interview was conducted with Staff D, Licensed Practical Nurse (LPN) on 04/30/25 at 2:55 PM, regarding resident receiving Oxygen therapy without a physician's order. Staff D acknowledged there was no current order on file for Oxygen and stated that she could not recall how long she had been receiving it. She added that the resident also received nebulizing treatment, and she administered them before. 2. Record review revealed Resident #37 was admitted to the facility on [DATE] with diagnoses that included Cerebral Infarction due to Unspecified Occlusion or Stenosis of the Left Anterior Cerebral Artery, Hemiplegia and Hemiparesis following Cerebral Infarction, Atrial Fibrillation, Presence of Cardiac Pacemaker, Type II Diabetes Mellitus with Diabetic Peripheral Angiopathy without Gangrene, and Atelectasis. Review of the MDS assessment dated [DATE] under Section C, revealed a BIMS score of 9 indicating Resident #37 had moderate impaired cognitive function. Section O revealed a highlighted yes for oxygen therapy indicating Resident #37 was receiving Oxygen therapy at the facility. Record review of the physician orders dated 04/07/25 revealed Oxygen at 2 liters per minute via nasal cannula as needed, every shift, was ordered. There were no physician orders for the care and management (including dating and changing of Oxygen tubing) of the Oxygen therapy system noted. Record review of the April 2025 MAR for Resident #37 revealed the care and management of the Oxygen therapy system was not documented. During an observation of Resident #37 on 04/27/25 at 12:45 PM, she was observed sitting in wheelchair with Oxygen infusing at two and half (2.5) liters via oxygen concentrator. The clear Oxygen tubing was not dated. On 04/28/25 at 10:00 AM, Resident #37 was observed sitting in wheelchair with oxygen infusing at 2 liters via oxygen concentrator. The Oxygen concentrator was making very loud noises. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 20 of 35 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 04/30/2025 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 0695 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few An interview was conducted on 04/28/25 at 10:00 AM with Resident #37, who stated she wears the Oxygen cannula all the time. When asked how often staff changed her oxygen tubing, she did not respond. An interview was conducted with Staff D, Licensed Practical Nurse (LPN) on 04/29/25 at 3:55 PM who stated she frequently checks the physician orders for Oxygen therapy, nebulizing treatments and Oxygen tubing changes. When asked if she documents the Oxygen therapy administration and nebulizing treatments in MAR, she responded, yes. When asked how she cares for the Oxygen therapy system, she responded, Per Physician order. 3. Record review revealed Resident #289 was admitted on [DATE] with diagnoses that included Perforation of Intestine, Acute Respiratory Distress, Atrial Fibrillation, Pleural Effusion, and Acute Pulmonary Edema, Acute Respiratory Failure with Hypoxia and Pneumonia. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] under Section C of the BIMS revealed a score of 9 indicating Resident #289 had moderate impaired cognitive function. Under Section O, dated 04/29/25, revealed a highlighted yes to Oxygen therapy indicating Resident #289 was receiving Oxygen therapy in the facility. Review of the physician orders did not include Oxygen therapy administration. There were no orders regarding Oxygen system and nebulizing system care and management. There was no care plan in place for Resident #289's oxygen or equipment. Record review of April 2025 MAR revealed no documented box for Oxygen therapy administration. There was also no documented boxes for Oxygen system and nebulizing system care and management. Observation of Resident #289 on 04/27/25 at 11:06 AM revealed he was resting in bed with Oxygen infusing at two (2) liters via Oxygen concentrator with no current physician order noted. The oxygen tubing was not dated. During an interview with Resident #289's spouse on 04/27/25 at 12:08 PM, when asked how long Resident #75 had been receiving Oxygen therapy, she responded, since we arrived at this facility. When asked how long Resident #289 has been receiving nebulizing treatment, she responded, I can't remember. When asked how often staff changed the oxygen tubing, and nebulizing tubing she responded, I do not know. On 04/28/25 at 9:35AM, Resident #289 was observed resting in bed with Oxygen infusing at two (2) liters via Oxygen concentrator with no current Physician order noted in place. During another observation on 04/28/25 at 3:30 PM, Resident #289 was observed in bed with Oxygen infusing at two (2) liters via Oxygen concentrator with no physician order. An interview was conducted with the Staff Development Coordinator on 04/30/25 at 1:00 PM, who stated Oxygen therapy, nebulizing treatments and Oxygen system care and management are done and documented in MAR according to physician orders. When she was asked about the policy for Oxygen Therapy, she stated she would ask the Director of Nursing (DON). There was no policy provided to the end of the survey. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 21 of 35 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 04/30/2025 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 observations, interviews and record reviews, the facility failed to adhere to physician ordered fluid restrictions for 2 of 3 sampled residents reviewed for dialysis, Residents #24 and 44. Residents Affected - Few The findings included: 1. Record review revealed Resident #24 was admitted to the facility on [DATE]. Review of the resident's most recent complete assessment, a Medicare 5-day Minimum Data Set (MDS) assessment, with a reference date of 04/07/25, documented Resident #24 had a Brief Interview for Mental Status (BIMS) score of 12, indicating moderate cognitive impairment. Resident #24's diagnoses at the time of the assessment included: Anemia, Atrial fibrillation, Coronary artery disease, Heart failure, Hypertension, Orthostatic hypotension, GERD, Diabetes Mellitus, Hyperlipidemia, Non-Alzheimer's dementia, Anxiety disorder, Depression, Chronic lung disease, Acute ischemic heart disease, Sacroilitis, Cardiomegaly, Ulcerative rectosigmoiditis, Acute myocardial infarction, Cardiac septal deficit, and Interstitial Pulmonary Diseases. Review of Resident #24's physician orders included: On 04/22/25: Fluid Restriction: 1200 mL (600 mL-kitchen; 600 mL- Nursing) 7a-7p = may give (300 mL-nursing; 300 mL kitchen) 7p-7a = may give (300 mL-nursing; 300 mL kitchen) - every 12 hours for Fluid Restriction Resident must be encouraged to comply with fluid restriction orders. Dialysis Days: M, W, F; Pick up Time:12:30 PM. Review of Resident #24's care plan documented for noncompliance with dietary orders and fluid restrictions, Resident chooses to not allow care in the following areas: Dietary Orders, refuses to eat his lunch and to take a lunch bag with him to dialysis, noncompliant with fluid restriction Date Initiated: 04/28/2025 Revision on: 04/28/2025. The goals of the care plan included: o Right to Refuse will not compromise other Residents Honor Resident's Rights Date Initiated: 04/28/2025 Target Date: 07/06/2025 o Will maintain highest level of function through next review date Date Initiated: 04/28/2025 Target Date: 07/06/2025. Interventions to the care plan included: o Allow the resident to make decisions about treatment regime, to provide sense of control Date Initiated: 04/28/2025 o Diet as ordered (Refer to POS for Current order Date Initiated: 04/28/2025 o Educate resident on risk vs benefits of resident choice. Date Initiated: 04/28/2025 o Educate resident/family/caregivers of the possible outcome(s) of not complying with treatment or (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 22 of 35 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 04/30/2025 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 care Date Initiated: 04/28/2025 Level of Harm - Minimal harm or potential for actual harm o If refusing or resisting try again later Date Initiated: 04/28/2025 Residents Affected - Few Review of Resident #24's Care plan for fluid restrictions documented, Resident is at risk for fluid deficits r/t Fluid Restriction, diuretic use, ESRD. Date Initiated: 04/02/2025 Revision on: 04/27/2025. The goal of the care plan was documented as, Will have a minimized risk from s/s of fluid deficit as evidenced by moist mucous membranes and adequate skin turgor by next review date. Date Initiated: 04/02/2025 Revision on: 04/23/2025 Target Date: 07/06/2025. Interventions to the care plan included: o Educate resident and resident representative on the importance of fluid intake. Date initiated: 04/02/25. Revision on: 04/23/2025 o Educate the resident/resident representative on limiting exposure to heat. Date Initiated: 04/02/2025 Revision on: 04/23/2025 o Encourage/provide fluids of choice. (Amount as ordered) Date Initiated: 04/02/2025 Revision on: 04/23/2025 On 04/28/25 at 10:33 AM, Resident #24 was observed in therapy. The resident was interacting with a therapist and was noted to be non-sensible in the conversation. Staff confirmed that the resident was confused this morning. During an observation in Resident #24's room, it was noted that there was a 32-oz (ounce) foam cup of fluid on the overbed table. During an interview, on 04/28/25 at 10:44 AM, with Resident #24's spouse, when asked about the fluid restrictions, Resident #24's spouse replied, He is allowed 32-oz a day of liquid - there is no urination and he is aware of it. I can give him a little bit of fluid every time I am here. I can give him fluids when he needs them (holding hands up with finger and thumb approximately 2 inches apart to indicate an amount of fluid that she can give to the resident). Resident #24's spouse was not able to demonstrate knowledge of the fluid restrictions and was not able to demonstrate knowledge of the risks of being noncompliant with the restrictions. On 04/29/25 at 12:41 PM, Resident #24 was observed in bed with lunch on the overbed table. Next to the tray that contained the lunch meal was a cup that contained fresh ice and water as evidence by an accumulation of condensation on the outside of the cup and on the overbed table and ice floating in the cup. It was noted that the tray ticket that accompanied the lunch did not reflect the order for fluid restrictions. On 04/30/25 at 7:07 AM, Resident #24 was observed in bed with a full 32-oz foam container of fluid on overbed table. During an interview, on 04/30/25 at 11:36 AM, with Staff F, Registered Nurse (RN), when asked about the fluid restrictions for Resident #24, Staff F replied, he is allowed to have 300 cc of water. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 23 of 35 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 04/30/2025 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 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few During an interview, on 04/29/25 at 2:36 PM, with Staff J, CNA, stated, 'sometimes if they want, I have to do it. 11-7 does it.' During an interview, on 04/30/25 at 11:53 AM, with the Registered Dietitian (RD), when asked about the risks of not being compliant with fluid restrictions, the RD replied, when they are on dialysis the electrolyte imbalance, the edema - too much fluid gained and lost can lead to heart palpitations, poor cognition, lethargy, stress on the body and the kidneys and would be holding onto the fluids and the kidneys would not be able to filter out the toxins. The RD was not able to provide documentation of education provided to Resident #24 or the resident's spouse of education regarding the risks associated with being noncompliant with fluid restrictions. The RD acknowledged that Resident #24's spouse was unaware and assisting Resident #24 with being noncompliant. Photographic Evidence Obtained. 2.Record review revealed Resident #44 was admitted to the facility on [DATE]. Review of the resident's most recent full assessment, a Medicare 5-day MDS assessment, with a reference date of 04/06/25, documented Resident #44 had a BIMS score of 13, indicating intace cognition. Resident #44's diagnoses at the time of the assessment included: Anemia, Hypertension, MDRO (Multi-Drug Resistant Organism - upon admission), Septicemia (upon admission), Hyperkalemia, Hip fracture, Parkinson's disease, Respiratory failure with hypoxia, Post cholecystectomy syndrome, Dependence on renal dialysis, elevated white blood cell count, glaucoma, Breakdown of ventricular intracranial shunt, muscle weakness, and lack of coordination. Review of Resident #44's physician orders included: Renal diet diet, Regular texture, Thin consistency - 1500 mL fluid restriction (750 mL- kitchen; 750 mL nursing) for ESRD - dated 03/31/24 with a revision date of 04/04/25. 1500 mL fluid restriction- 750 mL from nursing 750 mL from dietary Nursing- 7a-7p- Day shift- 375 mL 7p-7a- Night shift- 375 mL - every 12 hours Please encourage resident to adhere to fluid restriction 04/03/25 Resident #44's care plan for dialysis documented, Resident \ has potential for complications related to dialysis for diagnosis of Renal Failure. Date Initiated: 02/03/25 Revision on: 04/02/25 The goal of the care plan was documented as, Residents risk for developing complications related to hemodialysis will be minimized through next review date. Date Initiated: 02/03/2025 Target Date: 08/10/2025 Interventions to the care plan included; o Observe nutritional status. Provide diet as ordered(See current Dr. orders). Fluid restrictions as ordered(See current Dr. orders). Vitamins supplements as ordered(See current Dr. orders). Wt. as ordered(See current Dr. orders). Notify MD of significant weight changes Certified Nursing Aide Dietary Manager Dietitian Date Initiated: 02/22/2025 During an interview, on 04/28/25 at 9:26 AM with Resident #44, when asked about fluid restrictions, Resident #44 replied, There is a lady that comes in and takes my water and throws it out and doesn't bring me new water. Resident #44 was not able to demonstrate knowledge or awareness of the fluid (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 24 of 35 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 04/30/2025 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 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few restrictions. During the interview, it was noted that there were 2 large foam cups on the resident's nightstand, one appeared to contain coffee which resident stated was from son's most recent visit, the second cup appeared to be half full of water that the resident claimed was his water when asked. During an observation of lunch, on 04/29/25 at 12:24 PM, Resident #44 was noted to have a 32-oz foam cup of water on over bed table that appeared to be a fresh cup of water as evidenced by the cup sweating. During an interview, on 04/30/25 at 11:36 AM, with Staff F, RN, when asked about the fluid restrictions for Resident #24, Staff F replied, he is allowed to have 300 cc of water. During an interview, on 04/29/25 at 2:36 PM, with Staff J, CNA for 3 years, stated 'sometimes if they want, I have to do it. 11-7 does it.' During an interview, on 04/30/25 at 11:53 AM, with the Registered Dietitian (RD), when asked about the risks of not being compliant with fluid restrictions, the RD replied, when they are on dialysis the electrolyte imbalance, the edema - too much fluid gained and lost can lead to heart palpitations, poor cognition, lethargy, stress on the body and the kidneys and would be holding onto the fluids and the kidneys would not be able to filter out the toxins. The RD was not able to provide documentation of education provided to Resident #24 or the resident's spouse of education regarding the risks associated with being noncompliant with fluid restrictions. The RD acknowledged that Resident #24's spouse was unaware and assisting Resident #24 with being noncompliant. Photographic Evidence Obtained. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 25 of 35 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 04/30/2025 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 0732 Post nurse staffing information every day. Level of Harm - Potential for minimal harm Based on observation and interview, the facility failed to ensure the nurse staffing hours were posted for the correct day for 1 of 4 days of the survey. Residents Affected - Some The findings included: An off-hour recertification survey was conducted on 04/27/25. Upon entrance to the facility at 8:30 AM, the daily staffing sheet was dated for 04/25/24. An interview was conducted with the Nursing Home Administrator (NHA) on 04/30/25. The NHA stated it is the responsibility on the weekend supervisor to update the daily staffing sheet. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 26 of 35 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 04/30/2025 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 0758 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure behavior monitoring for 3 of 5 sampled residents reviewed for unnecessary medications, Residents #2, #24, and #28. The findings included: 1. Record review revealed Resident #4 was admitted to the facility on [DATE]. A comprehensive assessment dated [DATE] documented the resident had severe cognitive impairment. The resident was receiving antipsychotics and antidepressants. The resident was care planned for at risk for complications related to the use of psychotropic drugs: antidepressant for management of symptoms of depression and antipsychotic for management of mood disorder and Dementia. Review of Resident #4's physician orders revealed an order dated 01/26/25 for Escitalopram Oxalate (an antidepressant) Tablet 10 milligrams one time a day for Depression. An order dated 01/27/25 for Antidepressant Medication - Escitalopram Observe for sadness, tearfulness, and/or self-isolation. Document 'Y' if resident has behaviors and 'N' if the resident does not have behaviors. If 'Y' document in the PNs (progress notes) every shift. Review of Resident #4's Behavior Monitoring Record for 04/25 revealed no documentation of behaviors for night shift (7P-7A). The record furthermore had missing documentation of behaviors for the day shifts (7A-7P) on 04/03/25, 04/04, 04/07, 04/08, 04/09, 04/10, 04/11, 04/17, 04/20, and 04/22. 2. Record review revealed Resident #28 was admitted to the facility on [DATE]. A comprehensive assessment dated [DATE] documented the resident was cognitively intact. The assessment further documented the resident had received antipsychotics, antianxiety, and antidepressants. Resident #28 was care planned for complications related to the use of psychotropic drugs: - Anxiolytics for the management of anxiety/agitation. - Antidepressant for management of depression, Bipolar Disorder. - Antipsychotic meds for management of psych management. Review of Resident #28's physician orders revealed orders for Seroquel (an antipsychotic) 100 milligrams (mg) in the morning and 150 milligrams at bedtime on 12/04/24, Duloxetine HCL (an antidepressant) 30 mg daily for depression on 11/16/24, and and Alprazolam (antianxiety) 0.25 mg every 12 hours for anxiety. Antidepressant Medication - Observe for sadness, tearfulness, and/or self-isolation. Document 'Y' if resident has behaviors and 'N' if the resident does not have behaviors. If 'Y' document in the PNs. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 27 of 35 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 04/30/2025 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 0758 every shift Level of Harm - Minimal harm or potential for actual harm Antianxiety Medication - Observe for restlessness. Document 'Y' if resident has behaviors and 'N' if the resident does not have behaviors. If 'Y' document in the PNs. Residents Affected - Few every shift Antipsychotic Medication - Observe for delusions, hallucinations and/or paranoia. Document:'Y' if resident is having behaviors and 'N' if the resident does not have behaviors. If 'Y' document in the PNs every shift. Review of Resident #28's Behavior Monitoring Record revealed no documentation of the resident's behaviors on night shift, and sporadic documentation for day shift. An interview was conducted with the Unit Manager (UM) on 04/30/25 at 10:00 AM. The UM acknowledged the above findings. 3. Record review documented Resident #24 was admitted to the facility on [DATE]. Review of the Medicare 5-day MDS assessment, with a reference date of 04/07/25, documented Resident #24 had a BIMS score of 12, indicating moderate cognitive impairment. Resident #24's diagnoses at the time of the assessment included: Non-Alzheimer's dementia, Anxiety Disorder, Depression, and Acute myocardial infarction. Review of Resident #24's orders included: Donepezil HCl Oral Tablet 10 MG (Donepezil Hydrochloride) - Give 1 tablet by mouth one time a day for Dementia - 04/22/25 Escitalopram Oxalate Oral Tablet 20 MG (Escitalopram Oxalate) - Give 1 tablet by mouth one time a day for Depression - 04/24/25. LORazepam Oral Tablet 2 MG (Lorazepam) - Give 1 tablet by mouth one time a day for Anxiety - 04/24/25. SEROquel Oral Tablet 25 MG (Quetiapine Fumarate) - Give 1 tablet by mouth at bedtime for Depression (Major Depression with Psychosis) - 04/25/25 Paxil Oral Tablet 30 MG (Paroxetine HCl) - Give 1 tablet by mouth at bedtime for Depression - 04/25/25. Antianxiety Medication - Observe for restlessness. Document 'Y' if resident has behaviors and 'N' if the resident does not have behaviors. If 'Y' document in the PNs. - every shift - 04/23/25 Antidepressant Medication - Observe for sadness, tearfulness, and/or self-isolation. Document 'Y' if resident has behaviors and 'N' if the resident does not have behaviors. If 'Y' document in the PNs. - every shift - 04/23/25 Psychiatry consult due to visual hallucination and paranoia - 04/24/25. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 28 of 35 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 04/30/2025 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 0758 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Side Effect Observation: 1-Dystonia, torticollis (stiffness of neck); 2-Anticholingergic symptoms:dry mouth/blurred vision,constipation/urinary retention; 3-Hypotension ; 4-Sedation/drowsiness; 5-Increased falls/dizziness ;6-Cardiac abnormalities (tachycardia, bradycardia, irregular, H.R., NMS); 7-Anxiety/agitation; 8-Blurred Vision; 9-Sweating/rashes; 10-Headache; 11-Urinary retention/hesitancy; 12-Weakness; 13-Hangover effect; 14-Pseudoparkinsonism; 15-Insomnia; 16-New Onset Confusion - every shift for medication side effect monitoring - 04/22/25. Review of Resident #24's care plans for psychosocial well-being, documented, Resident has potential for Psychosocial Wellbeing problem related to visual hallucinations and paranoia, dysthymia. Date Initiated: 04/25/2025 Revision on: 04/27/2025. The goal of the care plan was documented as, Will verbalize feelings related to emotional state by review date - Date Initiated: 04/25/2025 Target Date: 07/06/2025 Interventions to the care plan included; o Administer cognitive medication as ordered (Refer to POS/MAR for current order) Date Initiated: 04/25/2025. Review of Resident #24's care plans for psychotropic medication use, documented, Resident has a potential for adverse effects r/t use of psychotropic medication use. - Antidepressant for the management of depressive signs and symptoms - Antianxiety medication for the management of anxiety signs and symptoms - Antipsychotic for the management of Dementia with psychosis. Date Initiated: 04/02/2025 Revision on: 04/27/2025 The goal of the care plan was documented as, Resident will have a reduced risk of adverse reactions related to medication use through next review date. Date Initiated: 04/02/2025 Revision on: 04/02/2025 Target Date: 07/06/2025. Interventions to the care plan included: o Administer medications as ordered by physician. Observe side effects and effectiveness. Date Initiated: 04/02/2025 o Consult with pharmacy & MD for Gradual dose reduction when clinically appropriate. Date Initiated: 04/02/2025 o Observe for adverse reactions to medication and report to MD as needed. Date Initiated: 04/02/2025 o Observe for changes in cognition, mood/behavior and functional level and report to MD as indicated Date Initiated: 04/02/2025 Review of the Medication Administration Record (MAR) on 04/30/25 at 8:34 AM revealed that staff providing monitoring PM [evening] meds were not documenting per the physicians' orders (Y or N). During an interview, on 04/30/25 at 11:30 AM, interview with Staff F, Registered Nurse (RN), acknowledged that there was no indication documented as 'Y or N' during the PM medication administration. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 29 of 35 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 04/30/2025 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 0803 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews and record reviews, the facility failed to provide food that meet the residents' nutritional needs, for 5 of 5 sampled residents that has the potential to affect 29 residents on Fortified foods observed during lunch; failed to follow the approved menu for lunch on 04/27/25 that has the potential to affect 93 residents who eat orally, Resident #53, Resident #25, Resident #40, Resident #13, and Resident #61; and failed to provide foods that meet the residents' needs or preferences, for 7 of 7 sampled residents observed during dining, Resident #18, Resident #65, Resident #67, Resident #64, Resident #15, and Resident #68. The findings included: 1. Record review showed Resident #53 was admitted on [DATE] and readmitted on [DATE] with diagnosis of hereditary and idiopathic neuropathy and incisional hernia without obstruction or gangrene. The admission Minimum Data Set (MDS) assessment discharge return anticipated dated 02/25/25 revealed the Brief Interview of Mental Status (BIMS) score is 99, indicating the resident wase unable to conduct the interview. During an observation conducted on 04/27/25 at 12:00 PM, the surveyor observed Resident #53's meal ticket that consisted of: 2 cups of apple juice with each meal, 6 ounces (oz) Mechanical Soft Chinese Pepper Steak, 1/2 cup of Mechanical Soft Seasoned Cornbread Stuffing, 1 ea. [each] Fran's Spice Cake, 4oz. of Apple Juice, 4oz, of Fortified Mashed Potatoes, 8oz. of Water and 4oz. of Nutritious Frozen Dessert Cup. Observation of Resident #53's tray consisted of Mechanical Soft Chinese Pepper Steak, Mechanical Soft Seasoned Cornbread Stuffing and green peas. The tray did not have the Fortified Mashed Potatoes or the water, and had green peas that Resident #53 stated that she doesn't eat. During another observation conducted on 04/29/25 at 12:17 PM, the surveyor observed Resident #53's meal ticket that consisted of: 2 cups of apple juice with each meal, 8oz. of Mechanical Soft Cheese Baked Ziti, ¾ cup of Tossed Salad, 2pc. of Dressing, 1ea. Dinner Roll Buttered, 1ea. Margarine, 1ea. Key Lime Jello Squares, 4oz. of Apple Juice, 4oz of Nutritious Frozen Dessert Cup, 4oz of Fortified Mashed Potatoes and 8oz of water. Observation revealed Resident #53's tray did not have the 2 cups of apple juice, the tossed salad, dressing, or the fortified mashed potatoes. 2. Record review showed that Resident #25 was admitted on [DATE] with diagnosis of atherosclerotic heart disease of native coronary artery without angina pectoris and presence of intraocular lens. The quarterly MDS assessment dated [DATE] revealed the BIMS score was 11, indicating moderate cognitive impairment. During an observation conducted on 04/27/25 at 12:10 PM, the surveyor observed Resident #25's meal ticket that consisted of: #8 scoop of Mechanical soft Roast Breast Turkey, 2 ounces (oz.) of Turkey gravy, 1/2 cup of Carrots, 4oz. of Fortified Mashed Potatoes, 4oz. of Ice Cream, 4oz. of Apple Juice and 8oz. of Coffee. Resident #25's tray consisted of [NAME] Beans, Mechanical Soft Roast Breast of Turkey, Turkey Gravy, and a mechanical soft cornbread stuffing like. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 30 of 35 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 04/30/2025 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 0803 Observations revealed the tray did not have carrots, fortified mashed potatoes or ice cream. Level of Harm - Minimal harm or potential for actual harm During another observation conducted on 04/28/2025 at 12:10 PM, the surveyor observed Resident #25's meal ticket that consisted of: 4oz. of Mechanical Soft Chicken Tenders, 1/2 cup of Carrots, 4 oz. of Fortified Mashed Potatoes, 4oz. of Soft Potato Salad, 1 Dinner roll, 1ea. Margarine, 4oz. of Ice Cream, 4oz. of Apple Juice, 8oz. of coffee. Residents Affected - Some Observation revealed Resident #25's tray did not have the Soft Potato Salad. 3. Record review showed that Resident #40 was admitted on [DATE] and readmitted on [DATE] with diagnosis of aphasia following nontraumatic intracerebral hemorrhage and hemiplegia and hemiparesis following cerebral infarction affecting the dominant right side. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the Brief Interview of Mental Status (BIMS) score is 99, indicating they were unable to conduct the interview. During an observation conducted on 04/27/25 at 12:05 PM, the surveyor observed Resident #40's meal ticket that consisted of: 3oz. of Roast Breast Turkey, 2 ounces (oz.) of Turkey gravy, ½ cup of [NAME] Bean Casserole, 4oz. of Fortified Mashed Potatoes, ½ cup of Seasoned Cornbread Stuffing,1 Ea. of Fran's Spice Cake, 8oz. of Iced Tea, 8 oz. of 2% Milk. Observation revealed Resident #40's tray did not have fortified mashed potatoes or 2% milk. 4. Record review showed that Resident #13 was admitted on [DATE] and readmitted on [DATE] with diagnosis of disease of digestive system and unspecified dementia, unspecified severity with agitation. The Annual Minimum Data Set (MDS) assessment dated [DATE] revealed the Brief Interview of Mental Status (BIMS) score was 12, indicating moderate cognitive impairment. Review of the Dietary progress note dated 10/16/24 indicated Resident #13 had weight loss recorded on 10/02/24. Resident #13 was ordered to receive the following: 60 mL Med Pass twice a day, weekly weights until weight stable, fortified food twice a day and Peanut Butter and Jelly sandwich with lunch. During an observation conducted on 04/29/25 at 12:45 PM, the surveyor observed Resident #13's meal ticket that consisted of: 8oz. of Ground Cheese Baked Ziti double portion, ¾ cup of Tossed Salad double portion, 2 packets of Dressing, ½ Ea. Key Lime Jello Squares, 8oz. of coffee, 4oz. of Assorted Juice, 4oz. of Fortified Mashed Potatoes, 1 Ea. Peanut Butter Jelly. Observation revealed Resident #13's tray did not have the Peanut Butter Jelly sandwich. 5. Record review showed Resident #18 was admitted on [DATE] and readmitted on [DATE] with diagnosis of multiple sclerosis and chronic obstructive pulmonary disease. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the Brief Interview of Mental Status (BIMS) score was 15, indicating no cognitive impairment. During an observation conducted on 04/27/25 at 12:15 PM, the surveyor observed Resident #18's meal ticket that consisted of: #8 scoop of Mechanical soft Roast Breast Turkey, 2oz. of Turkey gravy, 1 Ea. [each] Fran's Spice Cake, 4oz. of Apple Juice and Mechanical Soft Grilled Cheese (cut in quarters)- 1 sandwich. Resident #18's tray consisted of green beans, Mechanical soft Roast Breast Turkey, Turkey gravy, 1 Ea. Fran's Spice Cake, and a soft mechanical yellow element. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 31 of 35 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 04/30/2025 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 0803 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some The surveyor observed that Resident #18's tray was untouched. Resident #18 stated that she does not eat what's on her tray and she requested a Soft Grilled Cheese that she did not get. 6. Record review showed Resident #65 was admitted on [DATE] and readmitted on [DATE] with diagnosis of aphasia following cerebral infarction hemiplegia and hemiparesis following cerebral infarction affecting the dominant right side. The quarterly MDS assessment dated [DATE] revealed the BIMS score is 01, which indicated severe cognitive impairment. During an observation conducted on 04/27/2025 at 12:08 PM, the surveyor observed Resident #65 meal ticket consisted of: 3oz. of Roast Breast Turkey, 2oz. of Turkey gravy, ½ cup of [NAME] Bean Casserole, ½ cup of Seasoned Cornbread Stuffing,1 Ea. of Fran's Spice Cake, 4oz. of Assorted Juice. Resident #65's tray consisted of: Chinese Pepper Steak, Mashed Potatoes, [NAME] Beans, assorted juice and Fran's Spice Cake. Observation revealed the tray did not match the meal ticket. 7. Record review showed Resident #67 was admitted on [DATE] with diagnosis of chronic pulmonary edema and adult failure to thrive. The quarterly MDS dated [DATE] revealed the BIMS score ws 14, indicating intact cognitive function. ring another observation conducted on 04/28/2025 at 11:55 AM this surveyor observed that Resident #67 meal ticket consisted of: 8oz. of Mechanical Soft Ham and Pinto Beans, 4oz. of Mechanical Soft Okra, 1 Dinner roll, 1ea. Margarine, 1ea. Chocolate Chip Bar, 8oz. of Honey thick 2% Milk, ½ cup of Fruit, 1/3 cup of Chicken Salad and 4oz. of Nutritious Shake. Observation revealed Resident #25's tray did not have fruits, dinner roll or margarine. 8. Record review showed Resident #64 was admitted on [DATE] with diagnosis of anemia and vitamin deficiency. The quarterly MDS dated [DATE] revealed the BIMS score was 15, indicating no cognitive impairment. During another observation conducted on 04/28/25 at 12:00 PM, the surveyor observed Resident #64's meal ticket that consisted of: 8oz. of Ham and Pinto Beans, 4oz. of Fried Okra, 1ea. Biscuit, 1ea. Margarine, 1ea. Chocolate Chip Bar, 4oz. of Apple Juice and 4oz. of Nutritious Shake. Observation revealed Resident #25's tray did not have the biscuit or margarine. 9. Record review showed Resident #15 was admitted on [DATE] and readmitted on [DATE] with diagnosis of atherosclerotic heart disease of native coronary artery without angina pectoris and pemphigoid. The Annual MDS dated [DATE] revealed the BIMS score was 13, indicating intact cognitive function. During an observation conducted on 04/28/25 at 12:15 PM, the surveyor observed Resident #15's meal ticket that consisted of: 8oz. of Chicken Tenders, 8oz of Okra, 1 cup of Potato Salad, 4 oz. of Fortified Mashed Potatoes, 1 Biscuit, 1ea. Margarine, 1ea. Chocolate Chip Bar, 4oz. of Assorted Juice, 8oz. of Hot Tea, 1 packet (Pkt.) of Sugar substitute, 4oz. of Nutritious Shake. Observation revealed Resident #25's tray did not have Potato Salad. 10. Record review showed Resident #68 was admitted on [DATE] and readmitted on [DATE] with (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 32 of 35 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 04/30/2025 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 0803 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some diagnosis of hereditary and idiopathic neuropathy and incisional hernia without obstruction or gangrene. The MDS discharge return anticipated dated 02/25/25 revealed the BIMS score was 99, indicating the resident was unable to conduct the interview. During an observation conducted on 04/29/2025 at 12:41 PM, the surveyor observed Resident #68's meal ticket that consisted of: 8oz. of Mechanical Soft Cheese Baked Ziti, 4oz of Mechanical Soft Diced Carrots, Soft Dinner Roll, 1ea. Key Lime Jello Squares and 8oz. of Whole Milk. Observation revealed Resident #68's tray did not have the Dinner Roll. The surveyor asked the Dietary Aide if she could facilitate a dinner roll to Resident #68. The Dietary Aide answered the resident was on a Mechanical Soft diet and didn't get anything like a dinner roll, biscuits or garlic bread. In an interview conducted on 04/29/25 at 4:00 PM, the Dietary Manager (DM) stated she has been working in this facility for 21 years. The DM explained she has 2 checkpoints on the tray line to make sure that the meal ticket matches the tray: first staff puts the condiments, juices and meal tickets; and the second staff is at the end of the tray line and puts the desserts, the plates, checks the meal tickets and covers the plate. The second staff member is the one that reads the meal ticket to the cook. The DM stated she doesn't know what happened during these past days. She explained that residents on Mechanical Soft diet don't get salad but carrots, same for biscuit or garlic roll, they get dinner rolls that are soft. 12. The posted menu for lunch on 04/27/25 documented the residents were to be served 'Green Bean Casserole'. During an observation of lunch being served in the Main Dining Room, on 04/27/25 at 11:36 AM, Staff L, Cook, was observed plating the residents' meals from a hot holding unit in the Dining Room. During the observation, it was noted the residents were being served what appeared to be buttered green beans. During an interview, on 04/27/25 at approximately 1:00 PM, with the Dietary Manager, when asked about not serving 'Green Bean Casserole', the Dietary Manager stated that all of the ingredients for the dish were not delivered on 04/24/25, and they were unable to prepare the 'Green Bean Casserole'. 11. Record review revealed Resident #61 was admitted to the facility on [DATE] and developed a stage IV (a wound extending into the muscle and or bone) pressure ulcer as of 06/05/24. Review of the care plan initiated on 07/09/23 and revised on 08/19/24 documented the resident was at risk for skin breakdown and to provide nutritional supplements as ordered. On 04/29/25 at 12:21 PM, the lunch meal for Resident #61 was taken into the resident's room by Staff K, Certified Nursing Assistant (CNA). An observation of the meal ticket documented Resident #61 was to receive fortified mashed potatoes. Observation of the meal lacked the fortified mashed potatoes. Photographic Evidence Obtained. Staff K proceeded to feed Resident #61. During a subsequent observation and interview on 04/29/25 at 12:43 PM, when asked if Resident #61 received the fortified mashed potatoes, Staff K, CNA, went back to her tray that had been placed on the cart to be returned to the kitchen, and confirmed the lack of potatoes. The CNA stated she had not noticed. Review of the resident's lunch ticket also documented, Nutritious Frozen Dessert Cup. The CNA held up the Mighty Shake and asked, Is this it? The resident only took a sip or two of the shake and only ate about 25% or less of the pureed food. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 33 of 35 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 04/30/2025 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 0803 During an interview on 04/29/25 at 4:00 PM, the Certified Dietary Manager (CDM) acknowledged the lack of fortified mashed potatoes upon observation of the photographic evidence. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 34 of 35 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 04/30/2025 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 0851 Level of Harm - Minimal harm or potential for actual harm Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Based on observation and interview, the facility failed to submit required staffing information based on payroll based journal. Residents Affected - Few The findings included: The facility triggered for excessively low weekend staff per the PBJ (payroll based journal) staffing data report for the 1st quarter of 2025. Review of the 2 week staffing hours for the 1st quarter of 2025 was conduycted. The document revealed low staffing hours on 12/22/24, 12/25/24, 12/26/24, and 12/27/24. An interview was conducted with the Nursing Home Administrator (NHA) on 04/29/25 at 12:00 PM. The NHA presented corrected hours on the 2 week staffing sheet, with corroborating payroll document. The NHA stated the information / hours was input incorrectly. The NHA acknowledged the information submitted to CMS was incorrect and prompted PBJ to trigger for low staffing. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105146 If continuation sheet Page 35 of 35