Health inspection·January 7, 2026

F 0610 Respond appropriately to all alleged violations. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and policy review, the facility failed to perform a thorough investigation following an allegation for one resident out of three, (#1). Findings Included: During an interview on 01/07/2026 at 10:18 AM, Resident #1 stated an incident happened two weeks prior while she was being changed by a CNA (Certified Nursing Assistant). Resident #1 stated she was on her bed being pressured by an aide, while being changed. The resident stated the right and left forearms were crossed, both palms facing down and stated having asked the CNA, What are you doing. The resident stated she was on the right side of the bed. The wheelchair was facing a nightstand on the right of the bed. She stated the arms were crossed one over the other and pressed against the surface of the bed and wheelchair. Resident #1 stated having hurt wrists and bruising on her forearms. Resident #1 was observed with two- penny sized dark pink spots on both inside forearms near the wrists. The resident explained being confused about the CNA's actions.Review of Resident #1's medical record revealed the resident was readmitted to the facility on [DATE] with diagnoses to include traumatic subarachnoid hemorrhage without loss of consciousness, hemiplegia and hemiparesis, need for assistance with personal care, unsteadiness of the feet, epilepsy, aphasia and major depressive disorder.Review of Resident #1's quarterly Minimum Data Set (MDS) dated [DATE], showed in section C a Brief Interview Mental Status (BIMS score), of 14, which indicated cognition was intact. Section GG revealed Resident #1 had functional limitation in range of motion with impairment on one side. Resident #1 used a walker and a wheelchair. Section GG revealed for toileting hygiene, showering hygiene and personal hygiene, the resident required partial or moderate assistance.An interview was conducted on 01/07/2026 with Staff A COTA, (Certified Occupational Therapy Assistant). Staff A stated having worked with Resident #1 for balance and coordination, bilateral integration, strengthening, independence and self-care. Staff A stated the resident had a balance deficit and weakness in the right side. Staff A stated during a visit in therapy, later identified as happening on 12/22/2025, upon asking Resident #1 to show her forearms for an exercise, she noticed bruising on the inside forearms. Staff A explained asking Resident #1 about the bruising and stated Resident #1 requested to speak with the person in charge. Staff A stated the bruising's color was dark purple and definitely appeared to be fresh. Staff A stated having been told the bruising was related to two aides the resident was mad at.Review of a psychiatry progress note dated 12/24/2025 revealed, The patient was seen today at staff request after alleging that a CNA grabbed her in a manner, she found uncomfortable during assessment. Patient was unable to describe the CNA involved or provide specific details regarding the alleged event. The patient appeared calm during the evaluation. No injuries or signs of distress were noted at the time of the assessment.Review of a Nurse Practitioner skin and wound assessment note dated 12/22/25 revealed under HPI (History of Presenting illness); Information necessary for today's visit was obtained from the patient evaluated for comprehensive skin assessment for in house skin sweep. scattered bruises noted to upper extremities . Assessment showed: contusion of unspecified upper Residents Affected - Few (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 2 Event ID: 105486 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 105486 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/07/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Vivo Healthcare Gateway 8600 US Hwy 19 N Pinellas Park, FL 33782 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)