Health inspection·November 30, 2023

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record review and interviews, the facility failed to respond to grievances for one out of one resident (Resident #44) reviewed for grievances. The resident's family member (Brother) established communication with the facility concerning complaints regarding the resident's loss of items, but no grievance was filed. There were 68 residents residing in the facility at the time of the survey. Findings included: On 11/28/2023 at 12:24 PM, Resident #44 stated that he lost his pajamas about 2 weeks ago. He stated that he told his brother about it and believed that his brother spoke to the nurse over the phone about it. He stated, he had not found the pajamas yet. Review of Resident #44's face sheet revealed an admission date of 10/17/2023. Review of Resident #44's Minimum Data Set (MDS) assessment dated [DATE] to identify his cognitive patterns showed a BIMS (Brief Interview for Mental Status) score of 11, indicating moderate cognitive impairment. Review of the facility's grievance file from October 10, 2023 to November 26, 2023 revealed no grievance was filed on behalf of Resident #44. On 11/30/2023 at 08:09 AM, Resident #44 stated that he didn't tell the staff, but he was certain that he told his brother about his missing property over the phone; however, he didn't know for certain that his brother told the staff. On 11/30/2023 at 10:34 AM, during an interview with Resident #44's brother regarding the missing pajamas, Resident #44's brother stated, Yes, he told me that he lost his pajamas just the bottom part, a gray bathrobe, and some shirts. I called the facility and they transferred me to the laundry. I spoke to a guy there. They said they would take care of it, but I haven't had a chance to talk to them again. On 11/30/2023 at 12:42 PM, during an interview with the Environmental Services Manager (ESM) regarding Resident #44's loss items, she stated, Since I've been here, a month ago, we have some complaints, about 4 of them. It's mostly because the names are not showing in the resident's clothes. That apparently, my team lead [Staff C] received a call on Thanksgiving Day. They found the clothes the next day, and he took them to the room. He said, that he didn't report it because he received the call directly and he took the clothes to the resident. (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 4 Event ID: 105508 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 105508 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/30/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE East Ridge Rehabilitation and Nursing Center 19225 SW 87th Ave Cutler Bay, FL 33157 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)