Inspection·June 3, 2025

F 0576 Ensure residents have reasonable access to and privacy in their use of communication methods. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to ensure privacy of delivered mail for one resident (Resident #1) out of three residents that receive personal mail. As evidenced by mail addressed to Resident #1 was opened without his consent. This has the potential to affect 176 residents residing in the facility at the time of this survey. Residents Affected - Few The findings included: Record review of the Mail/Package Screening Policy and Procedure (reviewed dated January 2025); Policy Statement-To prevent contaminated mail/packages from circulating through the facility, mail, express shipping packages and messenger deliveries are subject to our established screening and handling precautions; Policy Interpretation and Implementation-1) To aid in preventing the spread of contaminated materials, the following delivery precautions have been established: a) Mail, express packages and messenger deliveries must be delivered to the administrative office; 5) To prevent the spread of contaminated mail to our resident population and upon written consent from the resident, the resident's incoming mail (e.g. letters) will be opened before delivery to the resident. Our facility will open only private mail addressed to the resident. Mail from federal or state agencies will not be opened and 6) Should a resident refuse to consent to having his/her private mail opened, the administrative office will forward such mail to the resident's representative of record. Review of the Resident Rights Policy and Procedure (revised January 2025); Policy Statement-Employees shall treat all residents with kindness, respect and dignity; Policy Interpretation and Implementation-1) Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to: h. Privacy in sending and receiving mail. Review of the Demographic Face Sheet for Resident #1 documented the resident was admitted on [DATE] with diagnoses to include diabetes mellitus, morbid severe obesity, hypertension, insomnia, atrial fibrillation, mixed anxiety and depressed mood. Review of the Minimum Data Set (MDS) Annual Assessment for Resident #1 dated 5/09/25 revealed the resident had no cognitive impairment, he was able to make his own decisions and make his needs known and required independent assistance for ADLs (Activities of Daily Living). On 6/03/25 at 9:04 AM observation and interview with Resident #1, revealed the resident sitting up in bed on his cellular telephone. He stated, I received a [state agency] letter and it was opened when given to me. I told them to respect my privacy and not to do it again. On 6/03/25 at 11:54 AM, interview with the Director of Social Services. She stated, He told us we (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 5 Event ID: 105229 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 105229 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Sands at South Beach Care Center, The 42 Collins Avenue Miami Beach, FL 33139 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)