Inspection·December 15, 2025

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete ask another staff member to assist them with communication, if needed. The DON stated the facility does not provide training to staff in different languages. The DON confirmed they have no documented training regarding language barriers. The DON confirmed having heard concerns about staff with thicker accents, being difficult to understand, those concerns have been conveyed to the NHA. The DON said there are a couple of CNAs that have language barriers and difficultly understanding English. The DON said that if there are any complaints, then staff would create a grievance. Administration would then follow up with that staff member. The DON stated she is not sure if a policy for language barriers exists. The DON confirmed not being aware of issues with nurses and the language barrier. The DON stated no care issues have occurred due to language barriers. The DON said , This is a fairly new thing in our facility and staff speaking another language to each other in front of a resident is a dignity concern.Review of the facility policy titled Resident Rights, with a revision date of 2/1/2025 revealed the following: . 4. If a resident's knowledge of English or the predominant language of the facility is inadequate for comprehension, a means to communicate the information concerning rights and responsibilities in a language familiar to the resident will be made available and implemented.Review of the facility Resident Rights document not dated revealed: Resident rights. The resident has the right to a dignified existence, self-determination, and communication with and access to persons [sic] and services inside and outside the facility. 4. Respect and Dignity. The resident has a right to be treated with respect and dignity, including: . right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences, except when to do so would endanger the health or safety of the resident or other residents. Event ID: Facility ID: 105529 If continuation sheet Page 2 of 5 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 105529 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Heritage Park Health Center by Harborview 2302 59th St W Bradenton, FL 34209 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 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews and record review, the facility failed to ensure a safe, clean, comfortable and homelike environment to include resident bathrooms had functioning toilets, and the environment was maintained and sanitary from raw sewage odor in six (A, B, C, D, E, and F) of six-unit zones. Findings included:On 12/15/2025 at 9:10 a.m. upon facility entrance to the facility there was a heavy raw sewage odor.An interview was conducted with Staff I, receptionist, on 12/15/2025 at 9:10 a.m. Staff I confirmed the sewage odor and believed it came from the public bathrooms, located in the lobby area. Staff I said the odor is really bad in the a.m. but later in the day it seems to go away. Staff I stated reporting the odor to the Maintenance Director (DOM). Staff I stated receiving complaints from visitors as well as residents in the building, regarding the odor. Staff I stated not knowing how long the sewage odor had been on, but it has been ongoing since her employment, which was in the beginning of 11/2025. The sewage odor was present in the corridors and outside of the conference room. On 12/15/2025 at 9:20 a.m. and 12:20 p.m., a facility tour, including all 68 resident rooms were entered for observation. During tour, the strong sewage odor was present in the main hallway of the 300 hall and beginning of the 200 hall to include outside resident rooms 200 - 206. The following was observed: a. Resident room [ROOM NUMBER]-bathroom toilet bowl water was continuously running and would not stop even after jiggling the tank handle.b. Resident room [ROOM NUMBER]-bathroom toilet bowl was clogged and filled with fecal matter and brown paper towels. The toilet would not flush with over three attempts. The Housekeeping Director (HD) came into the bathroom with a plunger trying to unclog the toilet, unsuccessfully.c. Resident room [ROOM NUMBER] bathroom had a clogged toilet, filled with fecal matter and brown paper towels. The toilet would not flush, after repeated attempts.d. Resident room [ROOM NUMBER]-bathroom toilet bowl had low water fill and would not flush.e. Resident room [ROOM NUMBER]-bathroom had a clogged toilet, filled with fecal matter and brown paper towels. The toilet would not flush, after repeated attempts.f. The main hallway at and around resident rooms 200 - 206 with sewage odor.g. Resident room [ROOM NUMBER]-bathroom toilet had low water fill and would not flush. h. Resident room [ROOM NUMBER]-bathroom toilet would not flush, after repeated attempts.i. Resident room [ROOM NUMBER]-bathroom toilet would not flush, after repeated attempts.j. Resident room [ROOM NUMBER]-bathroom toilet would not flush, after repeated attempts.k. Resident room [ROOM NUMBER]-bathroom had a clogged toilet, filled with fecal matter. The toilet would not flush, after repeated attempts.l. Resident room [ROOM NUMBER]-bathroom had a clogged toilet filled with fecal matter and brown paper towels. The toilet would not flush, after repeated attempts.m. Resident room [ROOM NUMBER]-bathroom toilet had a clogged toilet filled with fecal matter. The toilet would not flush, after repeated attempts.n. Resident room [ROOM NUMBER]-bathroom toilet was clogged. The toilet would not flush, after repeated attempts.On 12/15/2025 at 9:25 a.m. the HD was observed in resident room [ROOM NUMBER] bathroom utilizing a plunger in the toilet. The HD said the staff continually unclog toilets in either resident bathrooms or other bathrooms in the facility. The HD said each time the clog occur the staff report the incident to the DOM. The DOM follows up by either fixing a toilet and at times contacting an outside plumbing service. The HD confirmed the facility does have a sewage odor, especially in the morning. The HD said not knowing exactly where the odor comes from or what the administration and maintenance department are doing about that odor but does know they are aware of it and working on. The HD confirmed the toilet clogs are ongoing, and the sewage odor has been on and off for a couple of months.On 12/15/2025 during the 7-3 shift from approximately 9:20 a.m. through to 12:00 p.m., interviews with (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105529 If continuation sheet Page 3 of 5 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 105529 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Heritage Park Health Center by Harborview 2302 59th St W Bradenton, FL 34209 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 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some various staff were obtained. Staff B, Licensed Practical Nurse (LPN); Staff C, Certified Nursing Assistant (CNA); Staff D, CNA; Dietary Manager (DM); Staff F, Social Service (SS); and the Business Office Manager (BOM) all confirmed the sewage odor throughout the facility Staff B, LPN, Staff C, CNA, Staff D, CNA, DM, Staff F, SS, and the BOM also confirmed the sewage odors have been ongoing for months and there are resident rooms that have clogged toilets that have to be unclogged, regularly. Staff B, C, D, E, F, and G all said they have contacted the administration and maintenance department about the odors and feel they are constantly working on getting the issue fixed, to no avail. An interview was conducted on 12/15/2025 at 2:15 p.m. with the Nursing Home Administrator (NHA), and the DOM. The NHA and DOM confirmed the facility physical plant has been having issues with toilet flushing and with sewage odor for several months. The DOM said the staff can usually fix the toilet flushing problems with simple plunging. The DOM said they are constantly educating staff and residents certain products cannot be flushed down the toilet. Only physical matter and toilet paper should be placed in the toilet; this would prevent clogging. The DOM said a work order is completed to identify a toilet as clogged, then housekeeping or maintenance staff will unclog the toilet. The Maintenance Director said work orders are brought to his attention by staff either verbally, or of course in writing. The DOM said clogged toilets are always high priority to correct. The DOM said over the last two months, several toilets needed unclogging and fixing. He was not aware of the thirteen toilets observed today (12/15/2025), that were clogged and or not working properly. He confirmed there were no current work orders for toilet clogs today (12/15/2025). The NHA and the DOM confirmed the sewage odor being present for the past several months. The NHA and DOM stated staff and residents have complained about the odor. The DOM said he has been employed at the facility for many years and from time to time this sewage odor occurs. The DOM provided the following documentation to show how they have been working on the problem.1. An outside sourced commercial plumbing services reported to the facility on [DATE] to include work relating to sewage back up in the front desk area restrooms and provided maintenance and repair.2. An outside sourced commercial plumbing services reported to the facility on [DATE] to include work relating to clearing a rooftop vent. There was nothing noted related to responding to sewage problems.3. An outside sourced commercial plumbing services reported to the facility on 6/23/2205 to include work related to a water pipe leak in the front entrance area. There was nothing noted related to responding to sewage problems4. An electronic communication mail (Email) dated 3/17/2025 indicating order for toilet wax rings (package of 6).No current documentation was provided. Review of the facility policy titled, Routine Cleaning and Disinfection with a revision date of 11/1/2025 revealed: Policy - It is the policy of this facility to ensure the provision of routine cleaning and disinfection in order to provide a safe, sanitary environment and to prevent the development and transmission of infections to the extent possible. Definitions: Cleaning refers to the removal of visible soil from objects and surface and is normally accomplished manually or mechanically using water and detergents or enzymatic products. Disinfection refers to thermal or chemical destruction of pathogenic and other types of microorganisms. Policy Explanation and Compliance Guidelines: 1. Routine cleaning and disinfection of frequently touched or visibly soiled surface will be performed in common areas, resident rooms, and at times of discharge. The policy did not specifically speak to odors and toilet clogs. However, the NHA confirmed foul odors and toilet unclogging would fall under this policy.Review of the facility policy titled, Preventative Maintenance Program, revision date of 6/1/2024, revealed: Policy - The preventative maintenance program shall be developed and implemented to ensure the provision of a safe, functional, sanitary environment for residents, staff and the public. Policy Explanation and Compliance Guidelines revealed: 1. The Maintenance director (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105529 If continuation sheet Page 4 of 5 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 105529 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Heritage Park Health Center by Harborview 2302 59th St W Bradenton, FL 34209 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 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete is responsible for developing and maintaining a schedule of maintenance services to ensure that the buildings, grounds, and equipment are maintained in a safe and operable manner.Interview with the NHA and the Maintenance Director both revealed this policy does not specifically speak to constant sewage odors, but this area of odors would fall under this policy. Review of the facility policy titled, Resident Rights, revision date 2/1/2025, revealed: Policy - The facility will inform the resident [NAME] orally in writing, in language that the resident understands, of his or her rights and all rules and regulations governing resident conduct and responsibilities during the stay in the facility. The facility will also provide the residents with prompt notice (if any) of changes in any State or Federal laws related to resident rights or facility rules during the resident's stay in the facility. Receipt of any such information must be acknowledged in writing. Policy Explanation and Compliance Guidelines revealed to include but not limit: . 8. Safe environment - The resident has a right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Photographic evidence obtained. Event ID: Facility ID: 105529 If continuation sheet Page 5 of 5