Inspection·January 16, 2025

F 0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Level of Harm - Minimal harm or potential for actual harm Based on observations, interviews, and record review the facility failed to ensure proper temperatures and palatable meals were provided to two residents (#2, #6) out of three residents sampled. Residents Affected - Many Findings included: 1. On 1/16/25 at 9:56 a.m., an observation of Resident #6 revealed he was lying in bed watching television. He stated every meal was cold. He stated meals are, Not even lukewarm. Resident #6 stated the food last night for dinner was cold. He described the meal he received as, A hamburger patty with a bun. Resident #6 stated, Happens all the time. A review of Resident #6's admission Record revealed an admission date of 12/16/24. The admission Record revealed diagnoses to include: sepsis, unspecified organism, muscle weakness (generalized), Type 2 Diabetes Mellitus without complications, atherosclerotic, and heart disease of native coronary artery without angina pectoris. A review of Resident #6's Comprehensive Minimum Data Set (MDS) Section C - Cognitive Patterns, dated 12/21/24, revealed a Brief Interview for Mental Status (BIMS) of 15, indicating the resident was cognitively intact. 2. On 1/16/25 at 10:19 a.m., an observation of Resident #2 revealed she was lying in bed, with the bedside table in front of her, and her family member was sitting at the foot of the bed. She stated the temperature of the food for every meal is cold. Resident #2 stated when she requests hot oatmeal for breakfast, It's cold. A review of Resident #2's admission Record revealed an admission date of 10/24/24. The admission Record revealed diagnoses to include: unspecified fracture of right femur, subsequent encounter for closed fracture with routine healing, cognitive communication deficit, Type 2 Diabetes Mellitus without complications, major depressive disorder, recurrent, moderate, muscle weakness (generalized), and chronic systolic (congestive) heart failure. A review of Resident #2's Comprehensive Minimum Data Set (MDS) Section C - Cognitive Patterns, dated 12/5/24, revealed a BIMS of 15, indicating the resident was cognitively intact. On 1/16/25 at 11:15 a.m., an interview with the Dietary Manager revealed was currently conducting food temperature audits. He stated he started the audits in December 2024. He stated residents were complaining that by the time they get their food, it's cold. The Dietary Manager stated most of the time the food is cold because the trays are sitting there. He provided an example related to residents who smoke. The Dietary Manager stated when residents go out to smoke, their meal is delivered, and (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 105202 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 105202 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Apollo Healthcare & Rehabilitation Center 1000 24th St N Saint Petersburg, FL 33713 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)