Inspection·July 8, 2023

F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few nurse would call the family. She stated some families would come and pick up the resident's belongings but if they could not, nursing staff would pack and secure the personal belongings. She stated the facility's procedure after a death was for nurses to collect the lockboxes, and secure them until the supervisor could pick them up. On [DATE] at 11:48 AM, review of a grievance for resident #15 dated [DATE] with the SSD revealed a concern related to lost items, specifically two debit cards. The SSD stated all the resident's items had been secured. He noted the Unit Manager on C wing had both lock boxes, which were still locked, inside a plastic bag, and placed behind the nurse's station by the C wing Unit Manager. He stated in searching resident #15's personal items, he found his wallet in the lock box but the debit cards were missing. He stated he was aware the resident had both cards because on [DATE] he went to the store for personal items for the resident and returned the card and personal items on [DATE] (Friday) to the resident. The SSD stated on [DATE] the daughter reported both cards were missing or stolen. On [DATE] at 12:37 PM, Registered Nurse Unit Manager on C wing stated lockboxes were usually used to lock resident's medications. She stated the usual practice was be to remove the lockbox from the resident room, and secure it if the resident deceased . She stated she removed the resident's lockboxes from his room after breakfast but before lunch on [DATE] (Monday). She stated she gave the lockboxes to the SSD. She explained, I did not see a wallet, his wallet was not in the lockbox. She then stated the lock box was locked. On [DATE] at 12:50 PM, the Social Services Director stated he received two lockboxes from the C Wing Registered Nurse Unit Manager. He said there was inhaler medication in one, and a wallet, inhaler and some cigarettes in the other. He stated the keys for both lockboxes were in a plastic bag attached to the outside of the lock boxes. This indicated resident #15's personal items inside the lockboxes with keys had been left unsecured in his room for over 23 hours after he died. On [DATE] at 1:06 PM, Certified Nursing Assistant (CNA) D validated she was the assigned caregiver for the resident on the 7 AM to 3 PM shift on [DATE]. She stated she knew he kept his lockbox key but it wasn't in the bed with him because he was wearing a gown. She said she did not pack any of his personal belongings after he died and did not think about the lock box. She explained it should have been given to the nurse for safekeeping. On [DATE] at 10:42 AM, the Executive DON telephoned License Practical Nurse B. He confirmed he was assigned to resident #15 on the 3 PM to 11 PM shift on [DATE]. He explained he did not know the resident had a lockbox as it was not mentioned by the off going nurse. He stated he would not leave the lockbox in the room because someone could access it if the keys were there. He conveyed he would have secured the lock box and called the daughter and/or given it to the supervisor. On [DATE] at 10:52 AM, License Practical Nurse C was contacted by telephone. She noted she was assigned to resident #15 from 7 AM to 3 PM shift on [DATE] She stated she was aware the resident had lockboxes in his room for medications. She was aware she needed to secure the lock box if the resident was no longer able to. She indicated she would have taken the lockbox and put it in the medication room but she did not remember to do this. The facility did not provide a policy or guidelines regarding lockboxes. The Abuse prevention program policy with an effective date of 2012 showed the facility had designated and implemented process, which strive to reduce the risk of abuse, neglect, exploitation, (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105728 If continuation sheet Page 2 of 3 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 105728 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/08/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Orlando Health and Rehabilitation Center 830 West 29th Street Orlando, FL 32805 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 0602 mistreatment, and misappropriation of residents' property. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105728 If continuation sheet Page 3 of 3