Health inspection·February 10, 2026

F 0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, resident representative and staff interviews, the facility failed to ensure resident's refunds were refunded within 30 days after discharge for 1 (Resident #1) of 1 sampled resident due a refund.The findings included:Review of the clinical record revealed Resident #1 had an admission date of 12/9/25 and discharge date of 12/16/25. On 2/10/26 at 9:56 a.m., in a telephone interview the resident's life companion said Resident #1 had been discharged since 12/16/25 and a refund was due to her. He said they spoke with the Administrator the previous week but were still waiting on the money to be refunded.On 2/10/26 at 10:51 a.m., in an interview the Business Office Manager (BOM) said Resident #1 came to the facility as Medicaid pending. She stayed for a few days and decided she didn't want to stay there. The BOM said Resident #1 did not want to provide her information for the Medicaid application and she was advised that they would need to flip her over to private pay. The BOM said Resident #1spent seven days at the facility. She was admitted on [DATE] and was discharged on 12/16/25. He gave the facility a check for $2660.00. The rate is $380.00 per day. The BOM said when Resident #1 discharged she called and asked about the refund. The BOM said that when Resident #1 was admitted , she was Medicaid pending and paid a patient responsibility of $891.00. She said the facility owed Resident # a refund for the patient liability she paid. She told the resident the check had already been processed and they would have to issue her a refund. I told her we would have to issue her a refund as the check had already processed. BOM said the checks were not issued directly by the facility.The BOM provided documentation showing Resident #1 was active 12/9/25 and stop billing on 12/16/25. She also provided an invoice for December 9, 2025, through December 15, 2025, for a private Room and Board at $380.00/day. The invoice noted a charge of $2660.00 for 7 units. On 2/10/26 at 1:18 p.m., the Administrator provided admission documentation from the transferring facility indicating Resident #1 needed a Medicaid pending bed and help with Medicaid application. In an interview, the Administrator said Resident #1 came in Medicaid pending then decided not to give the needed information to complete the Medicaid application. They switched her over to private pay. The Administrator verified he spoke with Resident #1 and her life partner. The Administrator said they owed a refund to Resident #1 but the checks were not cut at the facility, but at the corporate level.Review of the facility's Resident Refund Policy with a date implemented of 05/2025 and a date reviewed of 1/2026 revealed that the timeframe refund for private pay, Issued within 30-45 days after the resident account is fully reconciled.On 2/10/26 at 1:14 p.m., in an interview the Regional Business Office Manager said Resident #1 was discharged on 12/16/25 and there had been confusion on the refund amount. The Regional BOM said they had the check, but as of today 2/10/26, Resident #1 does not have her refund yet. Regional BOM said their facility policy is private pay refunds were issued within 30-45 days after the resident is fully reconciled. She said she believed that everyone came together to reconcile on the amount that was supposed to be refunded on January 6, 2026. She verified their policy did not Residents Affected - Few Page 1 of 2 105702 105702 02/10/2026 Vivo Healthcare Meadows 5157 Park Club Drive Sarasota, FL 34235

F 0582 specify that refunds must be provided 30 days from the date of discharge. She verified that Resident #1 was discharged on 12/16/25 and was still waiting on her refund. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 105702 Page 2 of 2