Health inspection·October 5, 2023

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Based on interview and record review, the facility failed to implement their policy and procedures on abuse for one (Resident #1) out of one sampled resident whose abuse report was reviewed. This facility practice had the potential to have a negative impact on the health and safety of all 263 residents residing in the facility at the time of the survey. The findings included: Review of the facility's Abuse Reporting Timeline Audit revealed an abuse of unknown injury or fracture occurred on 09/25/2023. Review of Immediate Federal Report revealed the Immediate Report was completed and filed on 09/27/2023 at 8:28 PM while the administrator was notified on 09/25/2023 at 10:30 AM. Interview with the Director of Nursing (DON) on 10/05/2023 at 01:55 PM, the DON confirmed that the initial report was filed about 2 days after the alleged abuse first reported. The DON stated, The procedure is to report the incident right away. I had a case where they sent the resident to the hospital without bruises or redness. After they told me there was a fracture, I did the report. It was a teachable moment. The day I received the result that the resident had a fracture, I reported it right away, and I did a QAPI (Quality Assurance and Performance Improvement) to explain my report. We did the PIP (Performance Improvement Plan). The staff sent the resident to the hospital without mentioning it to me. Yes, the alleged abuse was on September 25, 2023 and I filed the report on September 27, 2023, but that's when I received the x-ray report. The DON reported, one of our nurses reported it to the administrator. The administrator then told our charge nurse, but she forgot to tell me. Review of the facility's Abuse, Neglect, Exploitation or Misappropriation Policy and Procedure dated September 2022 revealed: Policy Statement: All reports of resident abuse (including injuries of unknown origin), neglect, exploitation, or theft/misappropriation of resident property are reported to local, state, and federal agencies (as required by current regulations) and thoroughly investigated by facility management. Findings of all investigations are documented and reported. Policy Interpretation and Implementation Reporting Allegations to the Administrator and Authorities Page 1 of 3 105510 105510 10/05/2023 Unity Healthcare and Rehabilitation Center 1404 NW 22nd Street Miami, FL 33142

F 0609 1. Level of Harm - Minimal harm or potential for actual harm If resident abuse, neglect, exploitation, misappropriation of resident property or injury of unknown source is suspected, the suspicion must be reported immediately to the administrator and to other officials according to state law. Residents Affected - Few 2. The administrator or the individual making the allegation immediately reports his or her suspicion to the following persons or agencies: a. The state licensing/certification agency responsible for surveying/licensing the facility; b. The local/state ombudsman; c. The resident's representative; d. Adult protective services (Where state law provides jurisdiction in long-term care); e. Law enforcement officials; f. The resident's attending physician; and g. The facility medical director. 3. Immediately is defined as: a. Within two hours of an allegation involving abuse or result in serious bodily injury; or b. 105510 Page 2 of 3 105510 10/05/2023 Unity Healthcare and Rehabilitation Center 1404 NW 22nd Street Miami, FL 33142

F 0609 Within 24 hours of an allegation that does not involve abuse or result in serious bodily injury. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 105510 Page 3 of 3