Health inspection·April 10, 2025

F 0660 home infusion of Intravenous (IV), and to follow up with Primary Care Physician (PCP). Level of Harm - Minimal harm or potential for actual harm Review of the Nursing progress notes dated 03/21/25 at 9:48 AM revealed Resident #1 left the facility accompanied by the son and the transporter. Resident #1 had an intact and patent peripherally inserted central catheter (PICC) line to left arm. Residents Affected - Few Review of the record did not reveal any follow-up call to Resident #1 and/or family by Social Services staff or other members of the the clinical care team, a day after discharge. Review of the Nursing progress notes dated 03/22/25 at 3:01 PM revealed a call was received from Resident #1's son stating the IV medications were not received at his house. Resident #1's son came to the facility and was told by the Physician Assistant (PA) that the IV scripts were faxed to pharmacy and a copy was given to Resident # 1's son. Further review of the progress notes revealed Resident #1's son came back to the facility again stating the pharmacy, where the order was faxed, was unable to provide the IV medications, so the PA informed the facility's Pharmacy to provide a 3-day supplies of IV antibiotics and to follow up with Resident #1's insurance. There was no documentation on 03/23/25 regarding follow up with Resident #1's insurance and a follow up from any facility staff regarding the IV antibiotics. Review of Nursing progress notes, dated 03/24/25, revealed Resident #1's son called the facility again stating the IV antibiotics were not received from the Pharmacy. An additional review of the Nursing progress notes dated 03/25/25 revealed the IV antibiotics were still not received by Resident #1. Review of the Social Services (SS) progress notes dated 03/27/25 revealed the SS staff contacted Resident #1's son for a follow up. Resident #1's son stated that the durable medical equipment (DME) was not received. The Social Worker (SW) contacted the DME company [name provided] to inquire about the delay. The DME company's representative stated that the company [name provided] did not send the clinical history for equipment. The SW contacted the company [name provided] to get documentation sent to the DME company and she had remained on the line for confirmation. The company's [name provided] representative faxed the clinical documents to the DME company. Resident #1's son was notified and was appreciative of the facility's assistance. An interview was conducted with Staff B, Licensed Practical Nurse (LPN), on 04/09/25 at 11:06 AM, who when asked if she had given the IV antibiotics to Resident #1, responded, 'yes'. When asked if she had given the discharge instructions to the resident's family regarding IV antibiotics, she responded, 'yes'. Staff B also stated it is the responsibility of the Social Worker to make sure the resident has IV antibiotics medications instructions with the pharmacy information. An interview was conducted with Staff C, Director of Social Services, on 04/09/25 at 11:19 AM, who stated that she did not confirm the pharmacy receipt of the IV antibiotic prescribed for the resident. She did not document the discharge instructions for the IV medications. She remembered that Resident #1's family had to call the facility on 03/24/25 and on 03/27/25 to make sure the medication was faxed to the pharmacy. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105680 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 105680 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/10/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Nspire Healthcare Lauderhill 2599 NW 55th Ave Lauderhill, FL 33313 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 0660 Level of Harm - Minimal harm or potential for actual harm When asked about the discharge process, Staff C responded that she usually calls the day after the resident leaves the facility for follow up. When asked why she did not follow-up call the day after Resident #1 was discharged from the facility, she did not respond. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105680 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 105680 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/10/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Nspire Healthcare Lauderhill 2599 NW 55th Ave Lauderhill, FL 33313 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 0726 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews and interviews, the failed to facility to ensure Licensed Practical Nurses (LPNs) have the competencies and skill sets necessary to provde residents' needs of Intravenous (IV) antibiotics for 1 of 2 sampled residents, Resident #1, as evidenced by lack of required IV training and certificate. The findings included: Review of the professional key standard for Licensed Practical Nurses (LPNs) documented: LPNs must be certified in IV [intravenous] therapy and have completed 30 hours of post-graduation IV hydration training, including 4 hours dedicated to central line care. Record review revealed Resident #1 was admitted on [DATE] with diagnoses that included Sepsis following a Hospital Procedure, Acute Respiratory Failure, Alkalosis, and Osteomyelitis. Review of admission Minimum Data Set (MDS) assessment under Section C of the Brief Interview for Mental Status (BIMS) revealed that Section C was disabled by question C600, indicating Resident #1 had signs and symptoms of delirium. Section N revealed Resident #1 was receiving anticoagulant, antibiotic, and opioid medications. Review of the physician orders dated 03/17/25 revealed an order for: Cefepime HCL intravenous [IV] solution, 1 GM (Gram)/50 ml (milliliter), use 2000 mg intravenously every 12 hours for bone and joint infection for 27 days. Review of the Medication Administration Record (MAR) for 03/2025 revealed Staff B, Licensed Practical Nurse (LPN), administered the IV medication Cefepime on 03/17/25 and 03/20/25 at 12:00 PM. An additional review of 03/25 MAR revealed Staff B performed peripheral IV line flushing using 5 ml (milliter) Normal Saline every 12 hours, to maintain patency of IV access on 03/11/25, 03/12/25, 03/17/25 and 03/20/25 at 9:00 AM. An interview was conducted with Staff B on 04/09/25 at 11:06 AM, who when asked if she administered IV antibiotics to Resident #1, who stated, Yes, I hung IV antibiotics for her. She added IV medications and antibiotics can be administered by LPN alone without RN supervision at this facility. An interview was conducted with Staff E, Regional Registered Nurse (RN) Consultant, on 04/09/25 at 2:49 PM, who when asked if LPNs need IV certifications before administering IV medications, she responded, They do not need certifications. An additional interview was conducted with Staff B on 04/09/25 at 3:00 PM, who when asked if she has IV certification to hang IV antibiotics, she responded, No. An interview was conducted with Staff F, LPN, on 04/09/25 at 3:14 PM, who when asked if she performs IV flushing and administering IV medications, she responded, No, I am still working on getting my IV certification. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105680 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 105680 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/10/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Nspire Healthcare Lauderhill 2599 NW 55th Ave Lauderhill, FL 33313 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 0726 Level of Harm - Minimal harm or potential for actual harm An interview was conducted with the Director Of Nurses (DON) on 04/09/25 at 3:30 PM, who stated that LPNs who provide IV antibiotics administration and IV access line flushing have IV certifications. When asked to provide a copy of the IV certification of Staff B, LPN, she stated, she would provide it later because the Human Resource Staff already left for the day. She added it would be emailed to the surveyor. No IV certification of Staff B, LPN, was provided to this surveyor 2 days after the survey. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105680 If continuation sheet Page 5 of 5