Health inspection·January 22, 2026

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some visibly damaged. A section of the floor contained missing and mismatched tiles. During the tour of the second shower room in the East Wing the toilet bowl contained dark brown standing liquid which caused heavy staining, consistent with prolonged buildup, poor drainage, or inadequate cleaning and maintenance. CNA A stated she verbally reported identified issues to the Maintenance or Housekeeping Director when she saw them because she did not have their phone numbers. She added that reporting could occur the next day if they were not in the facility since her shift was from 3:00 PM to 11:00 PM. CNA A stated if an environmental issue was identified after hours, she would inform her supervisor. She further stated she had not taken any residents to the shower room that day and therefore did not know the condition of each shower room prior to the tour. On 1/22/26 at approximately 9:15 AM, during a tour of shower room two in the East Wing with CNA C, the toilet remained in the same condition as the previous day, with dark brown standing liquid and heavy staining. On 1/21/26 at 3:43 PM, the Maintenance Director stated he had been working at the facility for approximately six months. He shared he had recently hired a technician but had been working alone for the past three weeks. He indicated he was responsible for all aspects of maintenance including interior and exterior areas. He shared he asked CNAs to enter work orders when issues required his attention in resident rooms and indicated he checked work orders three to four times per day, prioritizing urgent issues. He mentioned issues were also discussed during morning meetings and addressed daily. He explained when he was hired in August 2025, he focused on completing the East Wing renovation project and the repairs for the [NAME] Wing were planned next. He stated issues identified in residents' rooms should be fixed as soon as possible. On 1/21/26 at 4:00 PM, a tour of the [NAME] Wing was conducted with the Maintenance Director and the Regional Life Safety Director. room [ROOM NUMBER] was confirmed to have stains on the ceiling near bed B and in the bathroom, as well as holes in the wall near the dresser on the B side. Hallway handrails on the [NAME] Wing had patches of red paint. The Maintenance Director validated the broken closet door and entrance door in room [ROOM NUMBER], the patchwork flooring, and the deteriorated conditions in rooms #28, #29, and #27. He stated repairs and painting were needed. The Regional Life Safety Director indicated they had paint and supplies available but were waiting for additional labor assistance. Both the Maintenance Director and the Regional Life Safety Director acknowledged the findings and stated the conditions observed on the tour did not reflect a homelike environment. On 1/22/26 at 12:05 PM, a tour of shower room one in the East Wing was conducted with the Maintenance Director. He acknowledged two 2-inch by 2-inch tiles were missing from the shower stall floor and stated he had been unaware of the condition. Review of the facility's maintenance logs from November 2025 through the present date of survey, 1/22/26, revealed no documented work orders or repairs related to the deteriorated shower room conditions, unsanitary toilet, damaged resident room doors, wall surfaces, or hallway flooring identified during the facility tour. On 1/22/26 at 2:06 PM, the Housekeeping Director stated he had been working at the facility for three weeks. The Environmental Services District Manager was present during the interview. The Housekeeping Director stated he was responsible for ensuring the housekeepers and floor technicians maintained all areas of the facility as clean. He indicated resident rooms were cleaned daily and inspected randomly, and a calendar was used for deep cleaning and special projects. The Housekeeping Director and District Manager reviewed the photographs of the East Wing shower rooms and stated the grouts were degraded or missing, there appeared to be growth on the walls, and the conditions looked funky. The Housekeeping Director stated both housekeeping and maintenance were responsible for ensuring the showers were clean and functional. The Housekeeping Director indicated replacement of tiles and grout repairs were maintenance's responsibility. The Housekeeping Director acknowledged housekeepers entered the shower (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105471 If continuation sheet Page 2 of 5 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 105471 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/22/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Rehabilitation Center of Orlando 9311 S Orange Blossom Trl Orlando, FL 32837 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 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete rooms daily and were responsible for notifying him when additional work was needed. He stated no housekeeper had reported the clogged toilet in shower room two. The District Manager stated the toilet appeared clogged for some time due to the visible ring inside the bowl. The Housekeeping Director indicated he expected the staff to notify him so the issue could be corrected. On 1/22/26 at 4:45 PM, the Administrator stated she was aware of the environmental findings in the East Wing shower rooms and the resident rooms identified in the [NAME] Wing. She validated the conditions were unacceptable and not homelike. Review of the Director of Maintenance job description, revised July 2024, indicated the primary purpose of the position was to plan, organize, develop, and direct the overall operation of the maintenance department in accordance with current federal, state and local standards to ensure the facility was maintained in a safe and comfortable manner. Duties included conducting ongoing inspections to identify areas and equipment requiring improvement and repair. Review of the facility's policy titled Housekeeping, revised 3/10/23, stated its purpose was to promote a sanitary environment and reduce the transmission of infectious agents. Review of the facility's policy titled Preventive Maintenance Program, revised 3/10/23, revealed the intent to implement a program promoting a safe, functional and comfortable environment for all residents. The procedure indicated maintenance was based on regular and routine inspections and repairs. Event ID: Facility ID: 105471 If continuation sheet Page 3 of 5 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 105471 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/22/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Rehabilitation Center of Orlando 9311 S Orange Blossom Trl Orlando, FL 32837 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 0867 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Based on observation, interview, and record review, the facility failed to ensure implementation of its Quality Assurance and Performance Improvement (QAPI) program to the extent that previously identified areas of concern were thoroughly monitored and performance was adequately tracked to ensure prior improvement measures were realized and sustained. Findings: Cross reference F584 Review of the facility's survey history revealed a deficiency related to failure to provide a homelike environment during the last recertification survey dated 7/24/25. Review of the facility's Plan of Correction (POC), dated 8/18/25, identified staff was re-educated on the components of the regulation with emphasis on ensuring a clean and homelike environment in the dining room. The POC indicated newly hired and agency staff would receive education during orientation and prior to working a shift. During the current survey, a deficiency related to F584 was again identified. As a result of the repeat citation, it was determined the facility failed to implement sufficient auditing, monitoring, and oversight to ensure sustained compliance with the homelike environment requirements beyond the limited focus identified in the prior POC. On 1/22/26 at 4:45 PM, the Administrator (NHA) stated during the last recertification survey, the homelike environment concern was related specifically to centerpieces not being available in the dining room. She explained during development of the POC through QAPI, the facility focused primarily on common areas related to residents' dining experience and had not considered the homelike environment throughout the facility. She explained the POC and auditing process did not include shower rooms or residents' rooms. The NHA further shared ever since she began working as the NHA, there had been significant turnover and operational challenges, including three changes of Director of Nursing within six months, a new Maintenance Director, and periods without a Staffing Coordinator. She stated the facility had been in survival mode for a period of time and acknowledged the lack of key personnel may have contributed to missed environmental concerns. She indicated continuity had been difficult to maintain but stated the facility was in the process of building a new management team. The NHA mentioned housekeeping had been an area of focus, however limited progress had been made. She acknowledged the facility was aware there were a lot of things to fix and time was needed to address the issues. Review of the facility's policy Quality Assurance and Performance Improvement, revised 3/10/23, revealed the program was intended to ensure comprehensive, data-driven activities focused on indicators of outcomes of care and quality of life. The policy indicated the QAPI program was designed to address all care and services provided by the facility and ensure ongoing monitoring and sustained improvement. Event ID: Facility ID: 105471 If continuation sheet Page 4 of 5 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 105471 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/22/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Rehabilitation Center of Orlando 9311 S Orange Blossom Trl Orlando, FL 32837 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 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to adhere to proper infection control practices related to the use of personal protective equipment (PPE) outside of a resident's room, on one of two units, (West Wing).Findings: On 1/21/26 at 11:05 AM, Certified Nursing Assistant (CNA) B was observed standing by a medication cart in the [NAME] Wing hallway talking with a nurse while holding a soiled bag and wearing gloves on both hands. After a couple of minutes, CNA B continued walking down the hallway toward the soiled utility room. CNA B then removed the glove from her left hand but kept the glove on her right hand while holding the soiled bag and entering the utility room. On 1/21/26 at 11:08 AM, CNA B acknowledged she was observed wearing gloves in the hallway, then explained she was not really wearing gloves while holding the bag. She confirmed the finding and stated she knew she was not supposed to wear gloves in the hallway because it was a break in infection control practice. CNA B said, I guess I got distracted. On 1/21/26 at 11:27 AM, the [NAME] Wing Unit Manager (UM) confirmed staff should not wear gloves in the hallways. She indicated doing so was an infection control concern as it could contaminate areas outside of the resident's room. The UM validated staff must remove their gloves inside the resident's room before exiting. On 1/22/26 at 3:35 PM, the Director of Nursing confirmed the CNA who walked down the hallway wearing gloves was an infection control concern. Review of the facility's policy titled Nursing - Infection Control Prevention and Control Program, effective 2/21/23, revealed its purpose was to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment. The policy described its purpose was to prevent the development and transmission of communicable diseases and infections. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105471 If continuation sheet Page 5 of 5