Inspection·October 2, 2025

F 0880 An electronic review of the physician orders dated 07/23/24 documented EBP for wound, every shift. Level of Harm - Minimal harm or potential for actual harm An additional review of physician orders dated 08/22/25 documented to clean the right lateral foot with normal saline soaked gauze, apply collagen with gauze dressing, daily, every day shift for vascular ulcer. Residents Affected - Few a. During a perineal care observation on 10/02/25 at 12:08 PM, Staff F, Certified Nursing Assistant (CNA) was observed cleaning the sacral area of Resident #5. Staff F was observed looking for something, left the resident's side proceeded to completely open the door using the same gloves she was using for perineal care. She was observed to go back and continued cleaning the resident's sacral area without removing her gloves. An interview was conducted with Staff F, on10/02/25 at 11:00 AM, when she was asked why she did not change her gloves and performed hand hygiene during the perineal care, when she touched the door with the same gloves she used during a perineal care and she did not respond. b. During a wound care observation on 10/02/25 at 1:45 PM, Staff F was observed to put down the right foot on the resident's bed after it was cleansed and dried with clean gauzes by a Wound Care Registered Nurse (RN). The Wound Care RN continued with the application of collagen and Kerlix dressing, after she observed blood in the area. She did not re-cleanse and redried the area. She did not tell Staff F to keep the right foot up after it was cleansed and dried, to prevent the newly cleansed area from making contact with the chuck's barrier, where the right foot with dirty dressing was placed at the beginning of wound care. When Staff F was asked why she put the right foot down after it was cleansed and dried by the Wound Care RN, she did not respond. When the Wound Care RN was asked why she did not tell Staff F to keep the right foot elevated after it was cleansed, she did not respond. When she was asked why she did not re-cleanse the right foot after the blood was observed, she did not respond. 2. During the facility tour it was noted that there were many Enhance Barrier Precautions identified rooms throughout the facility. An observation was made of the 100 Unit where there were six rooms identified with Enhanced Barrier Precautions (EBP), but the required Personal Protection Equipment (PPE) for the rooms was not observed in the hall or in the rooms. Staff E, CNA, was asked where the PPE was kept. She replied she thought at the nurses' station. The PPE was not visible and readily accessible at the nurses' station. An observation of the 200 Unit on the second floor identified eight rooms with EBP signs on the doors. The 200 Unit has two long hallways that are on either side of the elevators. On the walls closest to the elevators, the facility had PPE caddies mounted. These caddies were sparsely filled with PPE. On 10/02/2025 at 3:10 PM, An interview was conducted with Staff I, Registered Nurse (RN), while on the third floor, which is the 300 Unit. During the interview, it was noted that the 300 Unit had PPE caddies mounted near the elevators like the 200 Unit. Staff I was asked about the placement of PPE for Enhanced Barrier Precautions (EBP), and she stated she believed the rooms should have PPE on the door or on the wall next to the room. Staff I stated that they only have two caddies on the floor, (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105298 If continuation sheet Page 2 of 3 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 105298 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/02/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE FT Lauderdale Health & Rehabilitation Center 2000 East Commercial Blvd Fort Lauderdale, FL 33308 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0880 Level of Harm - Minimal harm or potential for actual harm and it is too far away from the end of the hall. Staff I stated that she believed people would not use PPE if they were at the end of the hallway away from the PPE caddies. At approximately 3:30 PM on 10/02/2025, the surveyor noted that in the 100-unit, the facility had hung two caddies for PPE that had been previously absent on 10/02/25 at 10:22 AM. Residents Affected - Few On 10/02/25 at 3:35PM, an interview was conducted with Staff H CNA. Staff H was asked if she was working with someone on EBP and got feces on her gown would she get a new one? Staff H stated she would call for help to have someone bring a new gown for her. When asked what would she do if no one was available. Staff H stated she would make sure the resident was safe and then walk down the hall to get a new gown. When asked if having the caddies on the door or between two rooms would be easier for her and her co-workers, she admitted that it would be easier to get a new gown if that were the case. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105298 If continuation sheet Page 3 of 3