Inspection·May 30, 2025

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Based on record review and interview, the facility failed to demonstrate prompt efforts to address grievances, including steps taken to investigate the grievance and failed to maintain evidence of the result of the grievance voiced by the family member of 1 (Resident #1) of 3 residents reviewed for grievances. The findings included: Review of the facility policy titled Resident Right - Grievances, issued 11/7/2024 revealed, It is the policy of the facility to allow the resident and or legal representative to voice a grievance in such a manner to acknowledge and respect resident rights . The resident has the right to and the facility will make prompt efforts by the facility to resolve grievances the resident may have . All residents, staff, and visitors will have access to the professional designated to manage the Grievance Program, Grievance Officer. The grievance policy must include . Ensuring that all written grievance decisions include the date the grievance was received, a summary statement of the resident's grievance, the steps taken to investigate the grievance, a summary of the pertinent findings or conclusions regarding the residents concern(s), a statement as to whether the grievance was confirmed or not confirmed, any corrective action taken or to be taken by the facility as a result of the grievance, and the date the written decision was issued. On 5/29/25 at 10:07 a.m., in a telephone interview Resident #1's niece in-law said Resident #1 passed away at the facility on 3/11/25. She said she lives out of state. She spoke with several people at the facility and asked them to box and store Resident #1's belongings until she could pick them up in a few weeks. When she arrived on 3/27/25 to pick up the resident's ashes and belongings, the Social Worker (SW) handed her a small plastic bin. Many of Resident #1's belongings were missing. The SW took her to various closets, including Resident #1's former room to search for the missing items but nothing was found. She said the next day she called and spoke with the former interim Administrator who said he would look for the missing items and call her back. Resident #1's niece said the Administrator never called her back even after she left several phone messages. The niece said she did not have an inventory of Resident #1's belongings but really wanted his address book to contact his friends and a book he wrote his memories in. Review of Resident #1's clinical record failed to reveal an inventory list. There was no documentation in the clinical record of communication with Resident #1's family about the disposition of the resident's possessions. On 5/29/25 at 11:24 a.m., in an interview the Administrator said an inventory list is completed on admission. When new items come, the inventory list should be updated. She said sometimes family (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 7 Event ID: 105439 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 105439 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Naples Health and Rehabilitation Center 2900 12th Street N Naples, FL 34103 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)