Inspection·April 7, 2022

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Dietary Procurement, the Regional Director of Dietary Procurement stated that they were aware of some of the issues prior to buying the facility and they are on the docket to be fixed. During an interview conducted on 04/07/22 at 10:15 AM with the Director of Maintenance, he stated residents can report issues to any staff, staff enter issues/concerns into the TELS computer system, maintenance is notified by computer and phone, they prioritize the work based on importance for the resident. The TELS system also notifies maintenance department if a ticket sits too long, and maintenance staff can put in notes such as waiting on parts. Once the work is completed maintenance staff closes out the ticket. Event ID: Facility ID: 105505 If continuation sheet Page 2 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 0641 Ensure each resident receives an accurate assessment. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record reviews, the facility failed to accurately code the Minimum Data Set (MDS) for 2 of 30 sampled residents reviewed for MDS accuracy (Resident #74 and Resident #53). Residents Affected - Few The finding included: 1) A chart review showed that Resident #53 was readmitted to the facility on [DATE] with diagnoses of End Stage Renal Disease, Anemia, and Peripheral Vascular Disease. A review of the Physicians' orders showed that Resident #53 had a hospice consult dated 02/04/22 and was admitted to hospice on 02/11/22. Further review of the significant change MDS dated [DATE] which was 6 days after Resident #53 was admitted to hospice, under section O, did not show that Resident #53 was coded as being on hospice. Further review of the Nutrition screening note dated 02/22/22, showed that Resident #53 was on hospice care due to end-stage disease. A review of the care plan for Resident #53 showed that a hospice care plan was not initiated until 03/04/22 which was about 3 weeks later. An interview was conducted on 04/06/22 at 9:20 A.M. with Staff B, Minimum Data Set (MDS) Coordinator, who stated that she did not code Resident #53 for hospice on the significant MDS that she completed on 02/17/22. She also stated that any residents that are on hospice, will be communicated in the morning meetings, and the billing department will send her a change of billing notice once the resident is on hospice. In an interview conducted on 04/06/22 at 9:37 AM, the Director of Nursing, stated that because they have so many residents on hospice, any new hospice residents will be communicated to MDS in the morning meetings. Within a few days, she expects the MDS office to update the care plan, and the MDS to reflect the changes. She further reported that if the hospice company does not leave the paperwork in the paper chart, the team may not know that the resident is now on hospice. 2) Resident #74 was admitted to the facility on [DATE] with a medical history significant for a Stroke, Depression, Inability to talk and swallow, presence of a percutaneous endoscopic gastrostomy tube (PEG--used for infusing tube feedings directly into a resident's stomach), dementia, and muscle weakness. A review of the Quarterly Minimum Data Set (MDS) completed on 03/05/22 shows Resident #74's Brief Interview of Mental Status (BIMS) score was 99, meaning the resident was unable to participate in the assessment due to her mental status. This MDS showed Resident #74 was coded as being under Hospice services, however there were no orders for hospice. The resident had an active physician order for Full Code status, and no notes or care plans were found to indicate that there was a change in her status to Hospice services. Further review of older MDS's (dated 12/03/21, 09/02/21, 07/19/21, 04/20/21, 01/18/21, 10/18/20, and 07/18/20) all showed the resident was not under hospice services at any other time. An interview was conducted on 04/06/22 at 9:20 with Staff B, Minimum Data Set (MDS) Coordinator. When asked how long she has worked at the facility, she stated for 17 years. When asked how often MDS (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 3 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 0641 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete and Care Plan assessments are completed, she stated she does her assessments with admissions, quarterly, and if there is a significant change noted for a resident. Staff B clarified that a significant change is determined if a resident is changed to hospice or dialysis, has multiple or changing wounds, has a change in walking status, suffers from a stroke, or has a decline or improvement in 2 or more care areas on the MDS assessment. When asked how she receives the information to complete the MDS's and Care Plans, Staff B said she reviews the resident's charts, hospital records, physician's notes, asks resident's families, and attends care plan meetings. When the surveyor asked her about Resident #74's Quarterly MDS, completed on 03/05/22, showing that the resident is coded as hospice, she agreed it had been coded in error and that Resident #74 was not on hospice. Event ID: Facility ID: 105505 If continuation sheet Page 4 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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** 3) Review of the facility's policy provided by the Director of Nursing titled Activities of Daily Living (ADLs), supporting revised in March 2018 documented .appropriate care and services will be provided for residents who are unable to carry out ADLs independently .in accordance with the plan of care, including appropriate support and assistance with: .dining (meals and snacks) .a resident's ability to perform ADLs will be measured using clinical tools, including the MDS (Minimum Data Set) .MDS definitions: supervision- oversight, encouragement or cueing provided . Residents Affected - Few 4) Review of Resident #11, clinical record documented an admission to the facility on [DATE] with no readmission. The resident's diagnoses included, Parkinson's Disease, Essential Hypertension, Adjustment Disorder with Mixed Anxiety and Depressed Mood and Major Depressive Disorder with Psychotic Symptoms. Review of Resident #11's Minimum Data Set (MDS) comprehensive (admission) assessment dated [DATE] documented a Brief Interview of the Mental Status (BIMS) score of 13 of 15, indicating that the resident had no cognitive impairment. The assessment documented under Functional Status that the resident needed supervision (oversight, encouragement, or cueing) with eating and needed extensive assistance from the staff for transfers, toilet use and personal hygiene. Review of Resident #11's MDS quarterly assessment dated [DATE] documented a Brief Interview of the Mental Status (BIMS) score of 03 of 15 indicating that the resident had severe cognitive impairment. The assessment documented under Functional Status that the resident needed supervision (oversight, encouragement, or cueing) with eating and needed extensive assistance from the staff for transfers, toilet use and personal hygiene. Review of Resident #11's MDS quarterly assessment dated [DATE] documented a Brief Interview of the Mental Status (BIMS) score of 11 of 15 indicating that the resident had moderately severe cognition impairment. The assessment documented under Functional Status that the resident needed supervision (oversight, encouragement, or cueing) with eating and was total dependent on staff for transfer and dressing. Review of Resident #11's care plan titled (Residents name) is at risk for malnutrition related to .history of Parkinson's disease, recent weight loss .revised on 01/20/22 documented an intervention that read allow adequate time to consume food/fluids provided .provide adequate supervision/assistance as indicated with meals . Review of the resident's care plan titled (Residents name) has self-care deficits related to ADL (activities of daily living) self-care performance deficit related to .new diagnosis of Parkinson's disease .no revision date . documented an intervention that read provide assistance as needed . Review of Resident #11's meals intake record documented an intake of 50% for breakfast and lunch from 04/04/22 to 04/06/22. On 04/04/22 at 10:45 AM, observation revealed Resident #11 lying in her bed, eyes open. The surveyor attempted to conduct an interview with the resident, however, and she was mumbling and was not (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 5 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 able to answer questions asked. Level of Harm - Minimal harm or potential for actual harm On 04/04/22 at 1:12 PM, observation revealed Resident #11 in her room with her lunch tray in front of her. Residents Affected - Few On 04/04/22 at 1:20 PM, observation revealed the resident continued to be in her room sitting in bed with her lunch tray in front of her and she was staring at the wall in front of her. Further observation revealed the TV set, next to the wall she was staring at was off. On 04/04/22 at 1:27 PM, observation revealed the resident continued to be in her room sitting in bed with her lunch tray in front of her and drinking milk from a cup. Further observation revealed the residents' utensils (fork and knife) were clean and on top of each other. The meat was not cut up into pieces. Observation revealed the resident only consumed a cup of milk from her lunch tray, less than 25% meal intake. On 04/04/22 at 1:28 PM, observation revealed Staff R, Certified Nursing Assistant (CNA) entered the room across from Residents 11 and did not enter her room to encourage her or cue her to eat as per the most recent MDS assessment. On 04/04/22 at 1:30 PM, observation revealed Staff S, CNA, collecting resident's lunch trays, but did not enter Resident #11's room to check on the status of the resident with her tray. On 04/04/22 at 1:35 PM, observation revealed Staff R, CNA, entered Resident #11's room and removed the residents lunch tray without encouraging, cuing or assisting the resident with her meal, Staff R removed the residents' tray. The resident intake was 25 % of her meal. On 04/05/22 at 8:20 AM, observation revealed Resident #11 in bed with her breakfast tray across from her. The resident had her eyes closed. The surveyor attempted to interview the resident, however, she was asleep. On 04/05/22 at 8:28 AM, observation revealed Staff R, entered Resident #11's room, stirred up the resident's grits (hot cereal) and with a spoonful of grits, she guided the resident's hand to her mouth. Further observation revealed Resident #11 continued to eat the girts herself after Staff R cued and assisted her. Subsequently, an interview was conducted with Staff R. She stated Resident #11 fed herself and that sometimes she was sleepy and she helped her for breakfast. Staff R stated she was coming back to help the resident. On 04/05/22 08:36 AM, observation revealed Staff R brought a chair to Resident #11's room and proceeded to assist the resident with feeding. On 04/05/22 at 8:41 AM, observation revealed Staff R, feeding Resident #11. Observation revealed the resident ate 100% of her grits and was also chewing on the sausage. Staff R stated the resident ate with no problem. On 04/05/22 at 8:45 AM, observation revealed Staff R, removed the resident tray. A side-by-side review of the tray was conducted with Staff R and she stated the resident ate 75% of her breakfast with assistance. On 04/06/22 at 7:46 AM, observation revealed Staff R, entered Resident #11's room and delivered her (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 6 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few roommate breakfast tray. Further observation revealed Resident #11 had a spoon in her hand and was feeding herself grits. On 04/06/22 at 8:04 AM, observation revealed Staff R, entered Resident #11's room and stood by the resident bedside. The resident was observed staring at the wall and holding the spoon high. Staff R asked the resident if she was eating. Resident #11 did not respond. Further observation revealed the resident continued to feed herself her grits. Furthermore, observation revealed the residents' scrambled eggs, the pieces of bread, the milk and the juice were untouched. On 04/06/22 at 8:07 AM, observation revealed Resident #11 with her eyes closed, asleep, holding a piece of bread. The resident's scrambled eggs, the milk, and the juice remained untouched. On 04/06/22 at 8:18 AM, observation revealed Resident #11 asleep, eyes closed with her breakfast tray in front of her. Further observation revealed no staff entering her room to provide cues, or encouragement with the meal. On 04/06/22 at 8:19 AM, observation revealed the facility's Director of Nursing (DON) entered Resident #11's room and covered the scrambled egg with the plate lid. Further observation revealed the DON did not encourage or cue the resident to eat. The DON left the room at 8:22 AM. On 04/06/22 at 8:27 AM, multiple observations revealed Resident #11 did not receive supervision, encouragement or cuing during breakfast time from 8:04 AM until 8:32 AM. Multiple observations revealed the resident dozing off, her eyes closed with the food tray in front of her since 7:45 AM. On 04/06/22 at 8:32 AM, observation revealed Staff T, CNA entered Resident #11's room and encouraged the resident to eat more. Observation revealed Staff T standing next to the resident and assisting the resident to drink her milk. Further observation revealed no chair noted in the resident's room for the staff to sit and assist Resident #11 with eating. On 04/06/22 at 8:33 AM, an interview was conducted with Staff T and stated she was not the assigned aide for Resident #11. Staff T confirmed the resident ate a slice of bread and her grits thus far. On 04/06/22 at 8:38 AM, observation revealed Staff T, brought a chair to the resident's room and proceeded to feed the resident. Subsequently, observation revealed Staff T feeding Resident #11. The resident drank her glass of milk and ate half of the scrambled egg with assistance. On 04/06/22 at 8:39 AM, observation revealed Staff R, CNA, Resident #11's regular assigned aide entered her room. Consequently, an interview was conducted with Staff R and stated the resident ate her grits and the bread by herself. She stated she left the room because the resident was eating and she was feeding other residents. Staff R stated she had to help Resident #11 to eat on 04/05/22 and she ate 75% of the meal. Staff R stated she was assigned to Resident #11 on 04/04/22. She was apprised that the resident only drank her milk (25%) and that she was not assisted with eating. On 04/06/22 at 8:41 AM, a joint interview was conducted with Staff R and Staff T, and was asked if she believed Resident #11 should be provided with eating/feeding assistance and stated Yes. They both were apprised that Resident #11 had been staring at the wall with her meal tray in front of her and had not been timely assisted. Staff R, stated Resident #11 was independent with eating/feeding. On 04/06/22 at 8:48 AM, observation revealed Staff T, removed Resident #11's tray from her room. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 7 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 She stated the resident ate 50% of her breakfast with assistance. Level of Harm - Minimal harm or potential for actual harm On 04/07/22 at 8:58 AM, an interview was conducted with Staff U, a Registered Nurse (RN) who stated Resident #11 was sometimes alert and oriented to place, person, and time. She stated sometimes the resident was not feeding herself and when they fed her, she ate. Residents Affected - Few On 04/07/22 at 10:32 AM, an interview was conducted with Staff R, who stated she fed Resident #11 today for breakfast and that she ate 100%. Subsequently, a side-by-side review of the resident's meal intake record was conducted with Staff R. She was apprised that based on surveyor's observation of Residents #11's meal tray on 04/04/22 for lunch time, the resident did not eat 50% of her lunch as she reported. On 04/07/22 at 9:12 AM, a joint interview was conducted with the Corporate Minimum Data Set (MDS) consultant and Staff B, MDS Coordinator. The Corporate MDS consultant stated that Resident #11's BIMS of 11 indicated moderate cognition impairment. Staff B, stated the resident required supervision with eating. The Coordinator stated the assessment information came off of the CNA tasks. She was asked how she would know if the residents had any changes related to eating. She stated the staff will come to her and that she goes to the floor periodically. Staff B stated that supervision with eating meant providing Resident #11 with encouragement and cuing when eating her meals. On 04/07/22 at 10:27 AM, an interview was conducted with the facility's Director of Social Services (DSS). The DSS stated she did a face to face Brief Interview of Mental Status (BIMS) with Resident #11 in 01/20/22. She stated she had not heard of any cognition changes from the staff. The DSS added that the residents is incapacitated by her Primary Care Physician and her husband is the proxy. On 04/07/22 at 12:29 PM, during an interview, the DON was apprised of multiple observations of Resident #11 and not been encouraged/cuing or assisted during meals. She stated the resident fluctuated between meal intake and time. She stated that if the resident needs supervision with eating, they need to go into the room and see if she is eating and see if there are any issues. Based on observation, interview, and record review, the facility failed to identify the need for assistance with fingernail grooming (Resident #119 and Resident #129); and failed to provide assistance during dining (Resident #11) for 3 out of 4 sampled residents reviewed for Activities of Daily Living (ADL). The findings included: Review of facility job description on 04/06/22 at 1:13 PM for Certified Nursing Assistant (CNA) provided by the (DON) effective 05/01/18 indicated the following: Summary: Perform activities of daily living for the residents assigned under the direction and supervision of a Nurse. Is responsible for assisting nursing in providing resident care. Essential Duties and Responsibilities: Provide personal care to residents, including bathing (bed, shower, tub, whirlpool) shampooing, combing hair, oral care, personal hygiene, shaving, nail care and dressing . Review of facility's un-dated policy and procedure on 04/06/22 at 1:25 PM for Care of Fingernails/Toenails, provided by the (DON) revised November 2001 indicated this procedure may involve potential/direct exposure to blood, body fluids, infectious diseases, air contaminants, and hazardous chemicals Purpose: The purposes of this procedure are to clean the nail bed, to keep nails trimmed/to prevent infections Key procedural points: 1. Nails can be cleaned during bath care .Steps in the Procedure (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 8 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 10. Trim fingernails in an oval shape and toenails straight across. 11. Smooth the nails with a nail file or emery board, if necessary. Apply lotion if requested . 1) During an initial observational tour conducted on 04/04/22 at 10:05 AM, Resident #119 was noted to have long, dirty, unkempt fingernails on both hands(Photographic evidence obtained). Resident #119 was re-admitted to the facility on [DATE] with diagnoses which included Dementia, Cerebrovascular Accident (CVA) and Diabetes Mellitus Type II. He had a Brief Interview Mental Status (BIM) score of 13 (cognitively intact). On 04/04/22 at 10:16 AM a brief interview was conducted with Resident #119, in which he was asked if he prefers his fingernails long or if he would like to have his fingernails to be trimmed and cut. He replied that he remembers telling someone here at the facility, about trimming his fingernails once, but nothing happened. During a second observational tour conducted on 04/04/22 at 1:40 PM, Resident #119 was still noted to have long, dirty, unkempt fingernails on both hands. During a third observational tour conducted on 04/04/22 at 3:28 PM, Resident #119 was still noted to have long, dirty, unkempt fingernails on both hands. During a fourth observational tour conducted on 04/05/22 at 9:52 AM, Resident #119 was still noted to have long, dirty, unkempt fingernails on both hands. During a fifth observational tour conducted on 04/05/22 at 2:46 PM, Resident #119 was still noted to have long, dirty, unkempt fingernails on both hands. During a sixth observational tour conducted on 04/06/22 at 10:07 AM, Resident #119 was still noted to have long, dirty, unkempt fingernails on both hands. Record review of Resident #119's Monthly CNA ADL (Activities of Daily Living) Flowsheet Record dated 03/25/22 thru 03/31/22 revealed that the resident's ADLs for Personal Hygiene indicated that the resident required limited to total assistance of one (1) person physical assistance. Record review of Resident #119's Care plan initiated 03/27/19 and revised 03/21/22 indicated Focus: Resident #119 has self-care deficits related to CVA with right and left Hemiparesis, Arthritis and Knee Pain. Interventions: allow the resident the opportunity to perform the task themselves prior to offering assistance .set up items needed for (ADLs) and keep desired items within easy reach .Goal: Resident #119 will maintain his optimal level of (ADL) functions through next review date. Further record review of the Minimum Data Set (MDS) sections A and G dated 03/15/22 for Resident #119 indicated that the resident is totally dependent requiring one (1) person physical assistance. However, Resident # 119's fingernail care had not been done, on the dates from 04/04/22 thru 04/06/22; until after surveyor inquisition/intervention. An interview was conducted with Staff N, a certified nursing assistant (CNA) on 04/06/22 at 11:05 AM, in which she revealed that they had not provided fingernail care to Resident #119 and she said that it is the responsibility of the CNAs to clean and trim the residents fingernails. She further acknowledged that the resident's fingernails were long, sharp, untrimmed, and unkempt. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 9 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few An interview was conducted with Staff O, a Registered Nurse on 04/06/22 at 11:09 AM, regarding Resident #119's long, unkempt nails and he also agreed that Resident #119's fingernails were long, sharp, untrimmed and unkempt. 2) During an observational tour conducted on 04/04/22 at 10:10 AM, Resident #129 was observed with long, dirty, sharp, jagged fingernails on both hands (Photographic evidence obtained). Resident #129 was admitted to the facility on [DATE] with diagnoses which included Peripheral Vascular Disease, Osteoporosis and Glaucoma with blindness in one (1) eye. She had a Brief Interview Mental Status (BIM) score of 15 (cognitively intact). On 04/04/22 at 10:19 AM a brief interview was conducted with Resident #129 in which she was also asked if she prefers her fingernails long or if she would like to have her fingernails to be trimmed, and cut and she also replied that she remembers telling someone here about trimming her fingernails once, but nothing happened. During a second observational tour conducted on 04/04/22 at 1:37 PM, Resident #129 was observed with long, dirty, sharp, jagged fingernails on both hands. During a third observational tour conducted on 04/04/22 at 3:30 PM, Resident #129 was observed with long, dirty, sharp, jagged fingernails on both hands. During a fourth observational tour conducted on 04/05/22 at 9:55 AM, Resident #129 was observed with long, dirty, sharp, jagged fingernails on both hands. During a fifth observational tour conducted on 04/05/22 at 2:48 PM, Resident #129 was observed with long, dirty, sharp, jagged fingernails on both hands. During a sixth observational tour conducted on 04/06/22 at 10:12 AM, Resident #129 was observed with long, dirty, sharp, jagged fingernails on both hands. An interview was conducted with Staff N, a certified nursing assistant (CNA) on 04/06/22 at 11:16 AM, in which she revealed that they had not provided fingernail care to Resident #129, and she said that it is the responsibility of the CNAs to clean and trim the residents fingernails. She further acknowledged that the resident's fingernails were long, sharp, untrimmed, and unkempt. An interview was conducted with Staff O, a Registered Nurse on 04/06/22 at 11:22 AM, regarding Resident #129's long, unkempt nails and he also acknowledged that Resident #129's fingernails were long, sharp, untrimmed and unkempt. Record review of the Resident #129 's Monthly CNA ADL (Activities of Daily Living) Flowsheet Record dated 03/29/22 thru 03/31/22 revealed that resident's (ADL)s for Personal Hygiene indicated that the resident required extensive to total dependence with one (1) person physical assistance. Record review of the Resident ##129 's Care plan initiated 08/30/19 and revised 01/19/22 indicated Focus: Resident #129 requires supervision with most (ADL's) secondary to impaired vision due to being legally blind, has existing diagnosis: Glaucoma with subjective complaints of visual distortion. Interventions: allow the resident the opportunity to perform the task themselves prior to offering assistance .set up items needed for (ADLs) and keep desired items within easy reach .Goal: Resident #129 will maintain her optimal level of (ADL) functions through next review date. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 10 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Further record review of the Minimum Data Set (MDS) sections A and G dated 03/18/22 for Resident #129 Indicated that limited assistance with setup help An interview was conducted with the Activities Director on 04/06/22 at 11:30 AM in which she stated that her department has been doing fingernail polishing and filing for all of the residents every Tuesday from 2-4 PM in the facility's Activity room, by either one (1) of her three (3) activities assistants or done by herself. However, she added that her department is not allowed to cut any of the resident's fingernails. The Activities Director said that her department has not provided nail care service to Resident #119 nor for Resident #129. She added that if her staff were to see a resident with long, dirty fingernails that she would alert the Assistant Director of Nursing (ADON) of the wing involved and to let them know to follow-up with the resident. The Director also acknowledged that Resident # 119's and Resident #129 fingernails were all long, untrimmed and unkempt. On 04/06/22 at 11:27 AM, An interview was conducted with Staff M, a Registered Nurse/Assistant Director of Nursing (RN/ADON), for the North 1 Unit, regarding Resident #129's fingernails being long, sharp and untrimmed and they she agreed that it is the responsibility of the CNAs to clean and trim the residents nails and they further acknowledged that the resident's fingernails were long and that they should have been cleaned/trimmed/cut. On 04/06/22 at 11:45 AM, An interview was conducted with the Director of Nursing (DON) regarding Resident #119's and Resident #129's fingernails being long, dirty, sharp and untrimmed and she also acknowledged that it is the responsibility of the CNAs to clean and trim the residents nails and she further acknowledged that the resident's fingernails were long and dirty and that they should have been cleaned/trimmed/cut. Resident #119's and Resident #129's fingernails were not cleaned and trimmed, until after surveyor inquisition/intervention. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 11 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 0692 Provide enough food/fluids to maintain a resident's health. 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 maintain acceptable parameters of nutritional status and failed to provide nutritional interventions in a timely manner for 1 of 6 sampled residents (Resident # 69) reviewed for nutrition. Residents Affected - Few The findings included: A review of the facility's policy titled Nutritional Assessment dated 10/18/21 showed the following: the nutritional assessment will be a systematic, multidisciplinary process that includes gathering and interpreting data and using that data to help defined meaningful interventions for the resident at risk for with impaired nutrition. In an observation conducted on 04/04/22 at 1:00 PM, Resident #69 was observed with his lunch meal. At 1:07 PM, he was observed eating on his own with no assistance from staff with the tray 10% consumed. At 1:20 PM, Resident #69 consumed only 20% of his lunch meal. In this observation, Resident #69 stated that he has not been eating well and that he does not like the food choices provided for him. A chart review showed that Resident #69 was readmitted to the facility on [DATE] with diagnoses of Protein Calories Malnutrition, Dysphagia, and Anemia. The physician's orders showed a diet for Regular texture with no additional nutrition supplements ordered. The Minimum Data Set (MDS) dated [DATE] showed that Resident #69 had a Brief Interview of Mental Status (BIMS) score of 15, which is cognitively intact. A review of the weight log showed that the following weights were recorded: on 02/11/22 upon readmission he was at 152 pounds, on 02/20/22 he was at 145 pounds (5 pounds weight loss), and on 03/08/22 he had an additional 2-pound weight loss. This showed a 4.45 percent weight loss from 02/11/22 to 03/08/22. A Nutrition risk assessment note dated 02/15/22 showed that Resident #69 was at risk for malnutrition and that he is eating 76 percent to 100 percent of his meals. It further showed that Resident #69's Ideal Body Weight was 154 pounds, and he will be followed for intake of meals and weight changes. Some of the interventions were to follow up with nutritional recommendations and interventions as needed. Further review of the chart did not show any nutritional interventions or notes that were done since readmission on [DATE]. The care plan dated 03/15/22 showed that Resident #69 will maintain adequate nutrition by consuming greater than or equal to 75% of most meals by the next review date. The CNA's (Certified Nursing Assistants) Documentation of the percentage consumed showed that Resident #69 ate the following percentage of his meals from 03/23/22 to 03/31/22: 2 meals at 26% to 50%, 8 meals at 51% to 75%, and 9 meals at 76% to 100%. In an observation conducted on 04/06/22 at 3:20 PM, showed that a new weight was taken for Resident #69 after the surveyor requested. A new updated weight was noted at 140 pounds which showed that Resident #69 had a significant weight loss of 7.89 percent. In this observation, Resident #69 said that he has not been eating well and that he has not had much of an appetite. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 12 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 0692 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few In an interview conducted on 04/06/22 at 11:55 AM, Staff C, Dietary Technician, stated that she has been working in the facility full time and that the Registered Dietitian comes in on the weekends and at night. All residents will have an admission assessment with their weight taken upon admission, 3 days after admission, weekly for 4 weeks, and monthly thereafter. Follow-up notes are done during care planning and any weight loss changes will be reported by the Restorative Certified Nursing Assistants (CNA). Staff C further said that she will go see the residents for any updated food preferences and any supplements they may like. For an intake of meals, she often looks at the CNA's percent documentation to see how well the residents are eating. When asked by the surveyor as to why Resident #69 did not have a follow-up note addressing the 7 pounds weight loss since 03/08/22 she said unfortunately, he did not get triggered for weight loss. She then said he would benefit from a supplement and said, knowing him he would probably refuse when asked how she knows that he will refuse, she said, I should not say that. When showing the percentage intake of meals for Resident #69, she acknowledged that he ate about 50% of his meals daily. In an interview conducted on 04/06/22 at 3:35 PM, Staff C stated that she visited Resident #69 and provided him with nutritional supplements, and updated his menu preferences. In an interview with the Director of Nursing on 04/07/22 at 12:30 PM, she acknowledged all findings. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 13 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 0693 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 2) During an observation for Resident #65, conducted on 04/04/22 at 11:11 AM, a tube feeding (TF) bottle (Glucerna 1.5) was noted in the room, not running. Closer observation showed that the tube bottle was started on 04/02/22 at 2 AM at 50cc/hr. The (TF) in the room showed that it was on the 650 ml mark out of a 1000 ml bottle. The (TF) which started on 04/02/22 at 50 ml/h should have already been discarded on 04/04/22 by 11 AM. The infusion rate of 50 x 21 hours would have provided 1,050 ml, in total, which should have been infused by 04/03/22, and a new bottle should have been started on this date, as well. (Photographic evidence obtained.) Record review revealed Resident #65 was re-admitted to the facility on [DATE] with diagnoses which included Dementia, Cerebral Infarction, Hemiplegia/Hemiparesis, Epilepsy, Diabetes Mellitus Type II and Glaucoma with right eye blindness. He had a Brief Interview Mental Status (BIM) score of 3 (severely impaired). A review of Resident #65's physician orders read the following: nothing by mouth (NPO) diet, (NPO) texture two times a day Glucerna 1.5 @ (at) 50mL/hr. x 21 hrs./day via PEG (On @ 2pm, Off @ 11am); every six (6) hours flush enteral tube with 250cc water. In another observation conducted on 04/04/22 at 3:12 PM, the same (TF) bottle was running at 50ml/hr. Closer observation showed that a new sticker was placed over the old sticker which showed that the same bottle was hung on 04/04/22. An interview was conducted on 04/07/22 at 10:27 AM, with Staff F, Registered Nurse (RN) regarding the following questions: When was the TF hung? She replied, the tube feeding comes off at 11 AM and is resumed/placed on at 2 PM. What is the order? She replied that the order is for Glucerna 1.5 @ 50mL/hr. x 21 hrs./day via PEG (On @ 2pm, Off @ 11am). Was it running this morning when you started your shift? She answered, yes. Is/has the resident been tolerating the tube feeding well? She answered, yes. On 03/02/22 Resident #65's care plan documented that he is at risk for malnutrition-related to dependence on enteral feeding for nutrition and hydration with the nutritional deficit and potential for dehydration. Interventions include providing tube feeding as ordered. Goals are for the resident to receive adequate nutrition and hydration. Based on observations, interviews, and record review, the facility failed to assure that enteral nutrition has been followed by the practitioner's order for 2 of 3 sampled residents (Resident #104 and #65) reviewed for tube feeding. The findings included: A review of the facility's policy titled Feeding Systems, dated October 2019, showed the following: confirm the physician's order in place for enteral feeding and to discard feeding bag and administration set every twenty-four hours. 1) In an observation for Resident #104, conducted on 04/04/22 at 11:00 AM, a tube feeding bottle (Jevity 1.5) was on hold. Closer observation showed that the tube feeding bottle was at the 750 millimeters (ml) mark out of a 1000 ml bottle. The bottle had a date of 04/04/22 with a start time of 2 AM, running at 55 ml an hour. A tube feeding that started at 2 AM and ran at 55 ml an hour should have (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 14 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 0693 had 495 ml of formulary infused and not the 250 ml left in the bottle. Level of Harm - Minimal harm or potential for actual harm Another observation conducted on 04/05/22 at 10:45 AM, showed a tube feeding bottle (Jevity 1.5) running at 55 ml an hour. Closer observation showed that the tube feeding bottle had a start time of 5:15 AM and was at the 950 ml mark out of a 1000 ml bottle. A tube feeding that was infused at 55 ml an hour should have had 275 ml of formulary infused and not the 50 ml that was infused. Residents Affected - Few An observation conducted on 04/06/22 at 8:00 AM, showed a tube feeding bottle with (Jevity 1.5) running at 55 ml an hour. Closer observation showed that the bottle was started at 6:15 AM, with a date of 04/06/22. The tube feeding was at the 1000 ml mark out of a 1000 ml capacity bottle. The tube feeding that started at 6:15 AM on 04/06/22 should have been at the 890 ml mark as per Physicians' orders. In an observation conducted on 04/07/22 at 8:07 AM, the tube feeding (Jevity 1.5) ran at 55 ml an hour. Closer observation showed that the Tube feeding bottle was started at 6:15 AM and dated 04/06/22. The bottle was at the 300 ml mark out of a 1000 ml bottle. A chart review showed that Resident #104 was admitted on [DATE] with diagnoses of Dementia, Gastrostomy Malfunction, and Unspecific Protein and Calorie Malnutrition. An order was noted for enteral feeding of Jevity 1.5 at 55 ml an hour times 21 hours at 2:00 PM and off at 11:00 AM which was dated 02/17/22. The care plan dated 03/07/2022 showed that Resident #104 is at risk of complications related to tube feeding and to administer the tube feeding as ordered. A risk screen conducted on 12/25/21 showed that Resident #104 is tolerating his tube feeding and that the current tube feeding order is meeting his needs as per order. In an interview conducted on 04/07/22 at 8:25 AM, with Staff A, a Licensed Practical Nurse (LPN) stated that Resident #104 is tolerating his tube feeding with no residuals. He further said that the tube feeding was already running when he arrived this morning. In an interview conducted on 04/07/22 at 1:20 PM, with Staff G, Clinical Dietitian, she was told that the multiple observations conducted on Resident #104, did not show that the tube feeding was running as per physician's orders. She further acknowledged all findings. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 15 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews and record review, the facility failed to secure medications for 2 of 2 sampled residents, (Resident #103 and #117) reviewed during the initial pool; failed to ensure a treatment cart was locked while unattended; and failed to ensure medications were secured during medication cart review in the facility's north and south wings. The findings included: Review of the facility's policy titled Storage of Medications no revision date noted documented Drugs and Biological's should be stored in a safe, secure, and orderly manner .in cabinets, drawers, or carts . 1) Review of Resident #117's clinical record documented an admission to the facility on [DATE] with no readmission. The resident's diagnoses included, in part, Generalized Anxiety Disorder, Atrial Fibrillation, Essential Hypertension, and Retention Of Urine. Review of Resident #117's Minimum Data Set (MDS) admission assessment dated [DATE] documented a Brief Interview of the Mental Status (BIMS) score of 13 of 15, indicating that the resident had no cognition impairment. The assessment documented under Functional Status that the resident needed extensive assistance from the staff with her Activities of Daily Living (ADLs) including transfers, dressing and toilet use. Review of Resident #117's physician order dated 03/10/22 documented, CycloSPORINE Emulsion 0.05 % Instill 1 drop in both eyes, every 12 hours for dry eyes due to inflammation. Physician order dated 03/10/22 documented, Difluprednate Emulsion 0.05 % Instill 1 drop in both eyes two times a day for dry eyes. Review of Resident #117's March and April 2022 Medication Administration Record (MAR) documented CycloSPORINE Emulsion 0.05 % Instill 1 drop in both eyes every 12 hours for dry eyes due to inflammation and Difluprednate Emulsion 0.05 % Instill 1 drop in both eyes two times a day for dry eyes, administered as ordered. On 04/04/22 at 10:29 AM, observation revealed Staff H, a Licensed Practical Nurse (LPN) entered Resident #117's room, closed the door and on her way out the resident's room, she came to the door and asked for pain medication. On 04/04/22 at 10:34 AM, an interview was conducted with Resident #117 and stated that she had been in the facility for over three weeks and believed she was going home the next day. Observation revealed a small clear plastic zip lock bag on top of the resident bed. The bag contained two eye drops bottle. During the interview, Resident #117 stated the facility staff was administering two eye drops sometime during the day and sometimes twice a day. She did not know if the drops were the same that she had in the bag. She stated the staff were bringing the eye drops from their cart. The resident stated she uses Durezol eye drops for her right eye and did not know the reason for the drops. The resident added that she administered herself the eye drops when they did not bring it to her. A side-by-side review of the resident's eye drops bottle in the zip lock bag was conducted with Resident (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 16 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few #117. One bottle read Durezol 0.05% ophthalmic a second bottle read Olopatadine Hydrochloride 0.1% for topical ophthalmic use only. The resident stated she used Olopatadine Hydrochloride for allergies on her left eye. During the interview, Resident #117 confirmed Staff H entered the room and gave her a pain pill. On 04/05/22 at 8:53 AM, an interview was conducted with Staff H, LPN and acknowledged she gave Resident #117 pain medication on 04/04/22 in the morning. Staff H was asked if she noticed the resident had a zip lock bag with two bottles of eye drops on top of her bed. Staff H stated she did not see her zip lock bag with eye drops on her bed and that she was not familiar with the resident. Staff H stated the residents are not supposed to have any medications in their room. On 04/05/22 08:57 AM, an interview was conducted with Staff P, a Registered Nurse (RN). She stated residents are not supposed to have medications with them and added usually they are collected upon on admission. A side-by-side review of Resident #117's April 2022 Medication Record Administration (MAR) was conducted with Staff P. The review revealed the resident was receiving CycloSPORINE 0.05% every 12 hours for dry eyes due to inflammation, ordered on 03/10/22 and was scheduled for 9:00 AM and 9:00 PM. The resident was receiving Difluprednate emulsion 0.05% 1 drop in both eyes twice a day for dry eyes ordered on 03/23/22 and was scheduled for 9:00 AM and 5:00 PM. On 04/05/22 at 9:10 AM, during the interview, Staff P was asked to check Resident #117's zip lock bag for the bottles of eye drops. Observation revealed the resident had a bottle of Icy Hot (an over-the-counter pain ointment) on her hand and was waving at Staff P with the bottle. During an interview, Resident #117 stated the nurse, took her eye drops bottle today (04/05/22). On 04/05/22 at 9:24 AM, an interview was conducted with Staff Q, Assistant Director of Nursing (ADON) and stated that she saw that Resident #117 had a bag with bottles of eye drops and took them from her to compare with what they had ordered for her. A side-by-side review of the resident's eye drops retrieved by Staff Q and her current physician eye drops was conducted with Staff Q and Staff P. Staff Q stated they had a physician order for one eye drop (Durezol) same as Difluprednate emulsion 0.05% but not for Olopatadine Hydrochloride 0.1%. Staff Q stated the residents are to bring the medications they bring from home to the nurse at the desk. She added that if they did not have an order for the medication, they will call the doctor to let them know. She stated usually, they give the medications back to the family. On 04/05/22 at 9:48 AM, during an interview, Staff Q, ADON (Assistant Director of Nursing), it was stated that on the date of admission, the nurse, and the Certified Nursing Assistant (CNA) will go over the residents' property/belongings. Staff Q, was apprised Resident #117 had a bottle of Icy Hot ointment on her hand while conducting a review of the resident's room with Staff P. She was apprised that Staff P did not retrieve the bottle from the resident. On 04/07/22 at 12:45 PM, during an interview with the Director of Nursing (DON) she was apprised of the findings. 2) During observational room rounds conducted on 04/04/22 at 10:23 AM of Resident #103, it was observed that there was an (OTC) bottle of Systane Lubricant eyedrops with an expiration date of 11/21 sitting on his over-the-bedside table. The eye medication bottle was unsecured, in plain sight and accessible to other residents, staff members and visitors (Photograhic evidence obstained). Resident #103 was originally admitted to the facility on [DATE] with diagnoses which included Hip (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 17 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Fracture, Hypertension, Malnutrition and Depression. He had a Brief Interview Mental Status (BIM) score of 15 (cognitively intact). During a brief interview with Resident #103 on 04/04/22 at 10:38 AM, this surveyor inquired of Resident #103, regarding the eye medication bottle on his over-the-bedside table, the resident replied that he uses the non-prescription eye medication himself whenever he needs it, and he added that he brought in the bottle himself some time ago. . On 04/04/22 at 1:51 PM, Resident #103 was observed to have an (OTC) bottle of Systane Lubricant eyedrops with an expiration date of 11/21 sitting on his over-the-bedside table unsecured, in plain sight and accessible to other residents, staff members and visitors. On 04/04/22 at 3:41 PM Resident #103 was observed to have an (OTC) bottle of Systane Lubricant eyedrops with an expiration date of 11/21 sitting on his over-the-bedside table unsecured, in plain sight and accessible to other residents, staff members and visitors. On 04/05/22 at 10:02 AM Resident #103 was still observed to have an (OTC) bottle of Systane Lubricant eyedrops with an expiration date of 11/21 sitting on his over-the-bedside table unsecured, in plain sight and accessible to other residents, staff members and visitors. An interview was conducted on 04/05/22 at 1:08 PM with Resident #103's nurse, Staff F, a Registered Nurse (RN), and with Staff M, a Registered Nurse/Assistant Director of Nursing (RN/ADON), for the North 1 Unit, regarding the eye medication bottle observed on Resident #103's over-the-bedside table and they both acknowledged that the eye medication bottle should not have been there. During an interview conducted on 04/05/22 at 1:25 PM with Staff M, an (RN/ADON), for the North 1 Unit, she indicated that Resident #103 does not self-administer any of his own medications and neither was he assessed to be able to do. Side-by-side record review was conducted with Staff M, an (RN/ADON), for the North 1 Unit, in which it was noted that neither Resident #103's hard copy chart nor his computerized Point-Click-Care (PCC) medical record indicated that the resident had any self-assessment completed in order for him to be to administer his own medications. Furthermore, there was no order on Resident #103's Medication Administration Record (MAR) for this over-the-counter (OTC) medication to be administered to this resident. On 04/05/22 at 2:08 PM the Director of Nursing (DON) further acknowledged and recognized that the (OTC) eye drop medications should not have been left at the resident's bedside. Review of facility policy and procedure on 04/06/22 at 11:56 AM for Storage of Medications provided by the (DON) effective date October 2010 indicated Policy: Drugs and biologicals should be stored in a safe, secure and orderly manner .Policy Interpretation and Implementation 3. No discontinued, outdated or deteriorated drugs or biologicals are available for use in this Center. All such drugs are destroyed 7. Drugs are stored in an orderly manner in cabinets, drawers or carts. Review of facility policy and procedure on 04/06/22 at 12:06 PM for Administration of Drugs (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 18 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few provided by the (DON) effective date October 2010 indicated Policy: Drugs will be administered in a timely manner and prescribed by the resident's attending physician or the Center's Medical Director. Policy Interpretation and Implementation: 1. Only licensed medical and nursing personnel or other lawfully authorized staff members may prepare, administer, and record drugs. 2. Drugs must be administered in accordance with the written orders of the attending physician. 3. All current drugs and dosage schedules must be recorded on the resident's Electronic Medication Administration Record (eMAR) Review of policy titled Storage of Medications with no date revealed compartments containing drugs and biologicals are locked when not in use, and trays or carts used to transport such items are not left unattended. (Compartments include, but are not limited to drawers, cabinets, rooms, refrigerators, cart, and boxes). On 04/05/22 at 11:18 AM, during a med cart review with Staff I-LPN of the south wing med cart #1, it was discovered that the second drawer down from the top on the right side of the cart had 1 loose pill (photographic evidence obtained). During an interview conducted on 05/05/22 at 11:20 AM with Staff I-LPN she stated that there should not be any loose pills in the med cart. Example 5), on 04/05/22 at 2:17 PM during a med cart review with Staff J-LPN of the north wing med cart #2 it was discovered that the second drawer down from the top on the right side of the cart had a half of a pill and a quarter of a pill loose (photographic evidence obtained). During an interview conducted on 04/05/22 at 2:20 PM with Staff J when asked about the loose pills in the med cart she stated she did not put them there. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 19 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 0808 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and record review, the facility failed to follow the physician's orders for a therapeutic diet (mechanical soft) for 2 of 2 sampled residents, reviewed for nutrition (Residents #122 and Resident #76). This had the potential to affect 79 residents on a mechanical soft diet. The findings included: A review of the Nutrition Care Manual under section Dysphagia Level 3: Advanced or Mechanical Soft, showed the following: no hard sticky, or crunchy foods, foods should be moist, meat cut up and chopped, food particles are served in bite-sized pieces and less than 1 inch. (https://www.nutritioncaremanual.org/topic.cfm?ncm_toc_id=273657). The Nutrition education for a mechanical soft diet which was provided by the facility's Speech Therapist showed the following: Raw vegetables are not allowed on the mechanical soft diet and only well-cooked vegetables. 1. A record review for Resident #122 showed that he was readmitted to the facility on [DATE]. Order dated 04/20/18 for a No added salt, mechanical soft diet. Review of Speech Therapy Evaluation dated 05/10/18 showed the following: Treatment diagnosis of dysphagia and will safely consume mechanical soft foods (NDD Level 2) diet with the use of compensatory strategies using verbal and visual cues with no overt signs or symptoms of aspiration or oral dysphagia to meet nutritional needs via PO (by mouth) intake. In an observation conducted on 04/04/22 at 12:30 PM for the lunch meal, Resident#122 was observed with his lunch meal. Closer observation showed that he had a mechanical soft diet with chopped chicken, dry overcooked rice, and chopped and diced beets. Closer observation showed a large piece of raw parsley on the plate (photographic evidence obtained). In an observation conducted on 04/06/22 at 11:35 AM, during the lunch tray line, Staff D, Cook, was observed plating a mechanical soft diet lunch meal. Closer observation showed that she placed a large piece of raw parsley on the plate before handing it out to be placed in the meal cart. In this observation, she stated that the parsley is used for garnish on all the mechanical soft diets and all pureed diets. When asked by the surveyor if it is also placed on the regular diets she said no An interview was conducted on 04/07/22 at 10:20 AM, with Staff E, Speech-Language Pathologist (SLP), who stated that the facility has only one type of mechanical soft diet that is chopped up with lots of gravy. All vegetables need to be steamed and soft and then said if it is soft and chopped up well it is okay, and residents on the mechanical soft diet should not have any raw vegetables. Staff E further said that she usually observes residents during mealtimes to make sure they are provided with the correct food consistencies. When showed Resident #122's picture with the parsley that was provided on his mechanical soft diet she said, the rice looked too hard and dry and needed gravy to make it soften. When asked if the raw parsley on the plate was a choking hazard, she said yes. According to Staff E, the kitchen did not have any mechanical soft diet resources that she gave to them. In an interview conducted on 04/07/22 at 10:40 AM, Staff D, stated that the raw parsley that was observed on the tray line the day before is used for garnish on all regular diets and that the (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 20 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 0808 Level of Harm - Minimal harm or potential for actual harm mechanical soft diets/pureed diets she uses parsley flakes. Staff D further said that she will sometimes use slices of raw lemon for garnish as well. When asked if the raw parsley should be placed on a mechanical soft diet consistency, she said no. Staff D reported that the parsley is not part of any recipes but that it used to be. According to Staff D, there is a diet spreadsheet in the kitchen with all the foods allowed on each diet consistency. Residents Affected - Few In an interview conducted on 04/07/22 at 12:00 PM, Staff G, Consultant Dietitian, acknowledged all findings. 2) During a lunch observation conducted on 04/04/22 at 1:09 PM, Resident #76 was observed feeding herself. Closer observation showed a meal ticket for a mechanical soft, low concentrated sweets (LCS), no added salt (NAS), regular texture, thin consistency diet. However, there was a portion of green, leafy Parsley garnish also noted to be on her lunch along-side of her chopped meat, diced beets, and rice portions. Resident #76 was re-admitted to the facility on [DATE] with diagnoses which included Chronic Obstructive Pulmonary Disease, Morbid (severe) Obesity and Gastroesophageal Reflux Disease. She had a Brief Interview Mental Status (BIM) score of 11 (moderately impaired). A record review showed that Resident #76 had a diet order documented for LCS/NAS regular texture thin Liquids Small Portions with Lunch and Dinner dated 04/03/19. A review of the Speech Language Pathologist screening form dated 03/09/22 showed that Resident #76 requires a mechanical soft diet for ten (10) days which was never provided or captured in the Physician's orders. (Photographic evidence obtained of incorrect meal provided to Resident #76.) Further review of the care plan revised on 03/08/22 showed that Resident #76 was to be provided the diet as ordered for LCS/NAS regular texture thin Liquids Small Portions with Lunch and Dinner. A brief interview was conducted with Resident #76 on 04/04/22 at 1:11 PM, who stated that her rice grains on the lunch plate were somewhat hard like little kernels, as she was eating it. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 21 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 0825 Provide or get specialized rehabilitative services as required for a resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and record review the facility failed to provide rehab services for 1 of 1 sampled residents, Resident #108. Residents Affected - Few The findings included: 1) Resident #108 was admitted to the facility on [DATE] with a medical history significant for sciatica after a fall, blood clot, and shortness of breath. During the initial interview conducted on 04/04/22 at 9:55 AM with Resident #108, she stated she was upset that she had not been receiving rehabilitation services during her stay at this facility. She stated she was in this facility because she hospitalized after she suffered a fall and has not been able to walk since, but no one can tell her why she is unable to walk. She said she wants to become stronger so she can feed herself again and participate better in her activities of daily living. Review of Resident #108's Minimum Data Set (MDS) completed on 03/01/22 showed her Brief Interview of Mental Status (BIMS) score was 14, which indicates she was mentally intact. Further review of this MDS indicated Resident #108's assessed functional status showed she needed extensive assistance with two or more staff members for bed mobility and was totally dependent on two or more staff members for toileting. Review of Resident 108's admission MDS completed on 08/29/21 showed that initially she required extensive assistance of one staff member for bed mobility and toileting. This indicates Resident #108 had a regression of functional status from her admission assessment in August to the reassessment in March. No active orders were noted in Resident #108's chart for physical or occupational therapy or for restorative nursing services. Review of the Physical Therapy Discharge note written on 09/30/21 revealed that Resident #108 had four goals of therapy-bed mobility, walking, transferring, and patient education and training. All goals were described as not met according to the therapy discharge note. Further review of the Occupational Therapy Discharge note also written on 09/30/21 revealed that Resident #108 had three goals of therapy-dressing, toileting, and transfers. All goals were described as not met according to the therapy discharge note. Review of the Care Plan completed on 03/15/22 showed care plans in place for Resident #108 regarding the deficit in her ability to preform her activities of daily living and her risk for falls due to her decreased mobility. Both of these areas had interventions in place including staff to assist with bed mobility, transfers, positioning, and toileting and also preforming range of motion exercises to increase Resident #108's mobility. An interview was conducted on 04/06/22 at 12:25 PM with Staff K, Therapy Director. She stated she has worked at this facility for two and a half years. When asked how often residents are assessed for therapy, she said any resident, family, or staff member can ask for a therapy consult. The surveyor asked if a resident can be reassessed after they have already been treated by the therapy team. She stated that residents can be reassessed at any time if the resident, family, or staff member verbalizes there has been a decline in the resident's functional status. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105505 If continuation sheet Page 22 of 23 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2022 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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 0825 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete An interview was conducted on 04/07/22 at 9:15 AM with Staff L, Occupational Therapist and Staff K, Therapy Director. Staff L said he has worked at this facility for 10 years. When asked how the therapy department determines therapy goals for residents, he stated the therapists do a complete evaluation of the resident, determine what the resident's baseline functional status is, and determine what their goal is for their functional status. He said the therapists determine how often and for how many weeks the resident receives therapy based on the evaluation. He said the resident's goals are assessed as needed and at each reevaluation, which is on the pre-determined end of care date. When the resident reaches their end date, the therapist can determine with the resident and family if continuing therapy is required. He said if the resident's goals are not met, the therapists assess for why and if there are alternate interventions that can be used to help meet the goals. When asked why Resident #108 was discontinued from therapy services since all of her goals were not met, Staff K stated that there was room for further improvement; she said that if Resident #108 had reached her potential for therapy at that end of therapy date, then the note would have stated that. She said Resident #108 was reevaluated on 04/06/22 for occupational therapy services and that she would be reevaluated on 04/07/22 for physical therapy. She said occupational therapy was going to begin working with her again to help her reach her potential for therapy. Event ID: Facility ID: 105505 If continuation sheet Page 23 of 23