Health inspection·May 22, 2025

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to monitor implementation of a fall prevention intervention for 1 of 1 residents sampled regarding fall care plan interventions, of a total sample of 53 residents, (#95). Findings: Resident #95 was admitted to the facility on [DATE] with diagnoses that included unspecified dementiaunspecified severity with other behavioral disturbance, primary open-angle glaucoma (eye condition), bilateral, stage unspecific. His Quarterly Minimum Data Set assessment dated [DATE], indicated he had moderate cognitive impairment. Review of resident #95's medical record revealed a change in condition note dated 3/28/25 which indicated resident #95 was found on the floor. On 3/31/25 an interdisciplinary team (IDT) note indicated the team met to review resident #95's plan of care and fall risk after he was observed on the floor of his room next to his bed. The IDT note described resident #95 stated he had gone to sleep in his bed and woke up suddenly when he fell to the floor. The team noted resident #95 had an increased risk for falls due to impaired vision and a behavior of sleeping with his head at the foot of the bed and his legs at the head of the bed. The fall intervention put into place by the IDT team was a scoop mattress so that resident #95 had borders at the foot of the bed. Review of resident #95's care plan revealed the resident was identified as at risk for falls and injuries related to his impaired vision/blindness, glaucoma, dementia with an initiation date of 4/25/23 and a revision date of 12/04/24. The intervention for the scoop mattress to bed to maintain border of bed was dated 3/28/25. On 5/19/25 at 4:02 PM, resident #95 was lying on his bed in his room. The mattress was standard, flat mattress. He did not have a scoop mattress on his bed. On 5/20/25 at 8:47 AM, resident #95 was lying in bed in his room. A standard mattress was present. On 5/21/25 at 12:34 PM, resident #95 was again lying on a standard mattress with his head at the foot of the bed and his legs at the head of his bed. On 5/21/25 at 2:17 PM, resident #95 was seated on his bed, Certified Nursing Assistant (CNA) M verified resident #95 had a regular mattress on his bed. On 5/21/25 at 5:03 PM, Registered Nurse (RN) L verified resident #95 has a regular mattress on his bed. Resident #95 was seated on his bed. She verified that his care plan indicated that he should have a scoop mattress. On 5/21/25 at 5:26 PM, the Director of Nursing (DON) reviewed resident #95's care plan and verified he should have a scoop mattress on his bed. She explained the intervention was put in place after he was found on the floor on 3/28/25. The DON stated she recalled resident #95 had a scoop mattress on his bed and he had not refused its use. She recalled that RN J assisted with obtaining the scoop mattress for resident #95 and updating resident #95's care plan. She said she and the Assistant (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105479 If continuation sheet Page 2 of 11 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 105479 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Health Central Park 411 North Dillard Street Winter Garden, FL 34787 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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Director of Nursing (ADON) did rounds on the residents to check for safety items and additional care items. The DON could not explain when the scoop mattress had been removed from resident #95's bed and replaced with a regular mattress. On 5/22/25 at 10:00 AM, RN J recalled resident #95 had been found on the floor after he rolled out of his bed in March 2025. She recalled a scoop mattress was placed on resident #95's bed after that time. RN J could not say what happened to resident #95's scoop mattress or why it was not currently on his bed. She acknowledged the facility had no system to track mattresses to indicate when the scoop mattress was added or removed from resident #95's bed. On 5/22/25 at 10:09 AM, the Environmental Director said he did not recall removing or changing resident #95's mattress. He confirmed the facility has no record keeping for when a mattress was changed for a resident, and could not say if the scoop mattress was ever placed on resident #95's bed, or when it was removed. Review of the Fall Prevention and Reduction policy with an issue date of 9/25/24 indicated after a fall nursing staff were to monitor and document the resident's response to interventions, implement change(s) if indicated, and notify the provider. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105479 If continuation sheet Page 3 of 11 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 105479 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Health Central Park 411 North Dillard Street Winter Garden, FL 34787 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 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. 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 Activities of Daily Living (ADLs) were maintained for nail care of 1 of 1 residents reviewed for ADLs, of a total sample of 53 residents, (#141) . Residents Affected - Few Findings: Resident #141 was admitted to the facility on [DATE] with hemiparesis (one sided muscle weakness) to the left side of his body. His minimum data set quarterly assessment dated [DATE] indicated the resident had impairment to his upper and lower extremities on one side. The assessment revealed resident #141 was dependent upon staff for shower and bathing, and had no behaviors, including rejection of ADLs exhibited. The assessment indicated he had mild cognitive impairment, was usually understood and usually understood others. On Tuesday, 5/20/25 at 1:27 PM, an observation of the resident #141's fingernails showed they were approximately 5 millimeters beyond the quick. A dark-colored substance was observed under the length of the fingernails with a small sliver of white nail, approximately 1 millimeter, visible. A review of the Certified Nursing Assistant (CNA) care assignment list showed the resident was scheduled to receive showers on Mondays and Thursdays on the 7:00 AM to 3:00 PM shift and fingernails were to be cleaned and trimmed on shower days. The care plan for ADL self care performance related to impaired mobility listed a goal that the resident will continue to have ADL needs anticipated and met. The intervention for bathing/showering showed the resident required assistance. The intervention also included check nail length, trim and clean on bath day and as necessary. On Thursday, 5/22/25 at 9:23 AM, observation showed resident #142's fingernails were in the same condition as on 5/20/25. His nails were not trimmed and dark-colored substance remained under the nails. At that time the resident stated he wished they would trim and clean his nails. Review of the CNA assignment for Monday, 5/19/25 revealed CNA O was assigned to care for resident #141 that day. In an interview with CNA O on 5/22/25 at 9:50 AM, she stated she gave the resident a bed bath on 5/19/25. She said she did not trim his nails that day, and did not give an explanation why. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105479 If continuation sheet Page 4 of 11 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 105479 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Health Central Park 411 North Dillard Street Winter Garden, FL 34787 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 0679 Provide activities to meet all resident's needs. Level of Harm - Minimal harm or potential for actual harm Based on interview, and record review, the facility failed to provide activities in resident rooms on the weekends for 3 of 4 residents reviewed for activities, of a total sample of 53 residents, (#142, #65, #66). Residents Affected - Some Findings: The care plan for resident #142 revised on 3/12/25 revealed the resident was unable to communicate and all needs were anticipated by staff. The goal indicated the resident would be encouraged to participate in activities that were meaningful to her. Review of the Recreation Therapy Services Attendance and Participation record for April and May 2025 showed the days that social visits were conducted in the resident's room. Social visits were not conducted on Saturday or Sunday. The care plan for resident #65 revised on 3/05/25 revealed the resident wanted staff to invite and encourage him to participate in programs and events. The goal indicated the resident wanted to be invited and assisted to programs. Review of the Recreation Therapy Services Attendance and Participation record for March 2025, April 2025, and May 2025 showed the days that social visits were conducted in the resident's room and attendance to other events. Social visits were not conducted on Saturday or Sunday during the three month timeframe from March 2025 to May 2025. The care plan for resident #66 revised on 3/12/25 revealed the resident needed help with all tasks and wanted staff to visit with her. The goal indicated the resident wanted to be invited and encouraged to attend programs and events. Review of the Recreation Therapy Services Attendance and Participation record for May 2025 showed the days that social visits were conducted in the resident's room. Social visits were not conducted on Saturday or Sunday for the month of May 2025. On 5/21/25 at 11:15 AM, Activities staff R discussed activities provided in the residents' rooms for residents # 142, #65, and #66. She explained social visits were approximately 10-15 minutes in length and the type of activity was documented on the Attendance and Participation record. Activities staff R explained activity was not offered on the days where nothing was documented. She said they had six staff available to provide activities/recreational therapy, two were assigned to the memory care unit and four staff were available for the rest of the facility. Activities staff R conveyed on the weekend, there was one activities/recreational therapy staff person to provide activities for the entire facility and in-room visits did not occur. On 5/19/25 there were 188 residents in the facility. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105479 If continuation sheet Page 5 of 11 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 105479 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Health Central Park 411 North Dillard Street Winter Garden, FL 34787 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 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to provide services to prevent reduction in range of motion by failing to apply bilateral palm guards per the plan of care for 1 of 1 residents reviewed for positioning, of a total sample of 53 residents, (#66). Findings: Resident #66's Minimum Data Set assessment dated [DATE] indicated the staff assessed her cognition as severely impaired. She had a diagnosis of cerebral palsy and impaired functional limitation in range of motion for both upper and lower extremities. The assessment indicated resident #66 was dependent upon staff for all activities of daily living. A care plan revised on 3/12/25 indicated she had bilateral contractions and required the use of bilateral hand splints/palm guards. On 5/19/25 at 12:15 PM, the resident was not wearing palm guards on either hand. An interview with the resident's representative at that time revealed the palm guards had not been on her hands for approximately a week. On 5/20/25 at 10:00 AM, resident #66 did not have palm guards on either hand. On 5/21/25 at 9:30 AM, the resident had a palm guard only on her left hand. On 5/22/25 at 9:15 AM, assigned Licensed Practical Nurse P could not say why the palm guard had not been applied to the resident's right hand. The nurse looked in the resident's drawers but could not locate the palm guard. On 5/22/25 at 12:25 PM, the Rehabilitation Director confirmed the resident required bilateral palm guards daily to prevent a loss of range of motion. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105479 If continuation sheet Page 6 of 11 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 105479 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Health Central Park 411 North Dillard Street Winter Garden, FL 34787 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 0810 Provide special eating equipment and utensils for residents who need them and appropriate assistance. 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 provide the appropriate assistive device for fluids (two-handled cup) during the lunch meal for 1 of 2 residents reviewed for assistive devices while dining on the 500 unit, of a total sample of 53 residents, (#128). Residents Affected - Few Findings: On 5/19/25 at 12:30 PM, during an observation during the lunch meal, resident # 128 was observed with a standard, clear cup with no handles on his lunch tray. The resident had a paper meal ticket that indicated he required adaptive equipment including a two-handle cup. An interview with Licensed Practical Nurse Q at that time, confirmed the resident required a two-handled cup to be able to drink independently. The Minimum Data Set assessment dated [DATE] revealed an impaired functional limitation in range of motion for resident #128's upper and lower extremities on both sides. Review of a care plan revised 4/30/25 for self-care performance deficit listed the goal as the resident would continue to have activities of daily living needs anticipated and met by staff. The intervention for eating detailed resident #128 required one staff to set up for eating, and included use of a cup with handles. On 5/22/25 at 12:25 PM, the Rehabilitation Director stated the resident had a therapy screen in March 2025 which indicated resident #128 continued to require the use of a two-handled cup for fluids. (Photographic evidence obtained) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105479 If continuation sheet Page 7 of 11 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 105479 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Health Central Park 411 North Dillard Street Winter Garden, FL 34787 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 0842 Level of Harm - Minimal harm or potential for actual harm Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Based on interview, and record review, the facility failed to maintain an accurate medical record for 1 of 2 residents reviewed for respiratory care, of a total sample of 53 residents, (#107). Residents Affected - Few Findings: Resident #107 had physician orders dated 3/06/25 for BiPap (Bilevel positive airway pressure) for sleep apnea. The orders included directions for staff to change the BiPap mask and tubing every month. Review of the treatment administration record for April 2025 and May 2025 revealed staff documented with their initials that the BiPap mask and tubing were changed every day. The treatment records also showed similar orders for a CPAP (continuous positive airway pressure) care and tubing changes initialed by nurses as completed. On 5/22/25 at 1:50 PM, assigned Licensed Practical Nurse (LPN) P verified her initials were listed as having changed the BiPap mask and tubing 12 times in May, although the order indicated them to be changed monthly. She was unsure why the treatment record contained orders for BiPAP care and for CPAP care. The LPN stated maybe the orders were entered incorrectly into the computer. On 5/22/25 at 3:30 PM, the Minimum Data Set Coordinator confirmed the orders and treatment records were inaccurate and the resident did not use a CPAP. He stated the order for the tubing change was entered into the system incorrectly and should have listed one day a week for the tubing changes. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105479 If continuation sheet Page 8 of 11 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 105479 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Health Central Park 411 North Dillard Street Winter Garden, FL 34787 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 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 4. Review of the Minimum Data Set assessment dated [DATE] for resident #65 revealed he had an indwelling urinary catheter. The facility policy and procedure with revision date of September 2024 indicated Enhanced Barrier Precautions applied to residents with indwelling medical devices (e.g. urinary catheters). The procedure section instructed staff to perform hand hygiene and don gown and gloves for high-contact care activities and for device care. Residents Affected - Some On 5/19/25 at 10:45 AM, observation of resident #65's room revealed a purple magnet on the door frame that listed EBP for enhanced barrier precautions. A container with gowns and gloves was hanging on the back of the door. On 5/22/25 at 9:45 AM, resident #65's door into the room was closed. The purple EBP magnet was on the door frame. After knocking and gaining permission to open the door, CNA O was seen bathing and dressing resident #65, without a gown on. The CNA was wearing gloves, but not a gown, and said, I forgot, as to why she was not wearing the gown. On 5/22/25 at 10:20 AM, the Infection Preventionist confirmed that residents with indwelling urinary catheters required staff use of gloves and gown for high-contact care activities. Based on observation, interview, and record review, the facility failed to offer hand hygiene prior to meals for 35 residents, at 3 different dining locations and failed to follow evidence based practice for implementation of enhanced barrier precautions for 1 of 1 residents reviewed for enhanced barrier precautions, (#65); of a total sample of 53 residents. Findings: 1. On 5/19/25 at 11:30 AM, 25 residents were observed as they prepared to eat lunch in the main dining room. Hand hygiene for residents was not offered by staff or observed as performed. On 5/20/25 at 11:55 AM, 28 residents were observed as they prepared and ate their lunch in the main dining room. Hand hygiene for residents was not offered by staff or observed as performed. On 5/22/25 at 12:00 PM, 29 residents were observed as they prepared and ate their lunch in the main dining room. Hand hygiene for residents was not offered by staff or observed as performed. On 5/19/25 at 11:30 AM, resident #597 was wheeled into the dining room at 11:34 AM, by Physical Therapy Technician B who stated the resident came directly from working out in rehabilitation and did not use the restroom after working out. Resident #597 was not offered hand hygiene prior to eating his lunch. On 5/20/25 at 11:57 AM resident #597 was wheeled into the dining room by Physical Therapy Assistant A, who stated the resident came directly from doing physical therapy exercises and did not use the restroom after exercising. Resident #597 was not offered hand hygiene prior to eating his meal. On 5/21/25 at 12:48 PM, resident #597 was observed eating lunch in his room. He stated he washed his hands after physical therapy today because he came back to his room. He added, on Monday and Tuesday he went straight from physical therapy into the dining room and wasn't offered a way to wash his hands before eating. He stated it would have been nice to have had that offered by staff. On 5/22/25 at 12:04 PM, resident #77 stated she went on a field trip on the bus that morning. She (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105479 If continuation sheet Page 9 of 11 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 105479 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Health Central Park 411 North Dillard Street Winter Garden, FL 34787 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 Residents Affected - Some added, staff asked them if they needed to use the restroom before lunch, but she didn't need to go. Resident #77 stated she went straight to the dining room from the bus and was not offered her a way to clean her hands. She explained she had hand wipes in her room, but she didn't go to her room and would like staff to offer her a way to clean her hands before she ate her food. On 5/22/25 at 12:13 PM, resident #88 stated she went to all the activities and this morning the residents took turns reading paragraphs of a story out loud. Resident #88 stated she came straight to the dining room from the activity and was not offered a way to clean her hands before eating. She added, months ago they used to provide hand wipes prior to eating and was not sure why they stopped doing that. On 5/22/25 at 12:55 PM, Case Manager C was assisting with meal service in the main dining room and explained she was assigned to the facility's all-hands-on-deck duties from 11:15 AM to 1:30 PM, once or twice per week. She confirmed hand hygiene was not offered to the residents prior to eating their lunch today. The Case Manager explained she had not seen hand hygiene being offered recently, but remembered it was done in the past when they offered wipes or hand sanitizer gel prior to meals. Case Manager C stated it was important for both staff and residents to wash/sanitize hands prior to meals to limit the spread of germs, and for dignity. She added it was one of the most important things. 2. On 5/19/25 at 1:00 PM, four residents were seated in the 300's unit dining room waiting for their lunch. A few minutes later at 1:13 PM, the meal cart arrived and by 1:38 PM all of the residents were observed eating. During that time no hand hygiene was offered or given for the residents prior to eating. On 5/19/25 at 5:44 PM, the 300's Unit Manager (UM) stated some of the residents who ate in the 300's unit dining area came there straight from activities and added, if they need to use the toilet, staff take them to their room and then bring them back to the dining room. On 5/20/25 at 1:25 PM, in the 300's unit dining area, four residents were observed eating lunch in the dining area but no offering of hand hygiene was observed prior to the meal. On 5/22/25 at 1:29 PM, residents #139, #103, #14, and #84 were observed dining in the 300's unit dining room. None of the residents were offered hand hygiene by the staff prior to eating. Resident #84 was observed being assisted with his lunch meal by the 300's UM, who cleaned her own hands but did not offer hand hygiene to the resident before the meal. On 5/22/25 at 1:34 PM, Registered Nurse (RN) E stated she thought resident #103 didn't need her hands washed before the meal because the resident had received a shower earlier in the day. RN E acknowledged the facility may have failed to do offer hand hygiene to the residents this week, and explained it was important to offer hand washing as it was the best tool to prevent infection. 3. On 5/22/25 at 1:00 PM , Certified Nursing Assistant (CNA) D delivered a lunch meal tray to resident #134 who was resting in bed but was not offered hand washing prior to the meal. CNA D stated she did not offer hand hygiene to resident #134 before lunch because she washed the hands of this resident earlier in the morning before breakfast, so she knew it had already been done. On 5/22/25 at 1:05 PM, resident #126 stated he routinely got up at 7:00 AM, needed help to use the bathroom, brush his teeth, shave and wash his hands. He added, later in the mornings, he walked with therapy down the hall and then went back to sit on his bed. Resident #126 stated he had not washed his hands since his morning routine and was not offered hand hygiene by staff prior to the meal. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105479 If continuation sheet Page 10 of 11 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 105479 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Health Central Park 411 North Dillard Street Winter Garden, FL 34787 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 Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete On 5/22/25 at 1:40 PM, the Director of Nursing stated it was important to wash everyone's hands before meals to get rid of microorganisms. She added, it was very important for residents who resided in such close quarters to perform hand hygiene in order to prevent the spread of illnesses among them. The facility's policy entitled hand hygiene, dated May 2022, indicated the purpose of the guidelines was to promote hand hygiene as an essential element of patient safety to reduce health care associated infections. Event ID: Facility ID: 105479 If continuation sheet Page 11 of 11