Inspection·January 6, 2023

F 0550 Level of Harm - Minimal harm or potential for actual harm Review of the grievance log lacked any entry for Resident #304. During the interview on 01/06/23 beginning at 2:00 PM, the Social Services Director (SSD) stated she was unaware of the described event but agreed with the concern. 3. Review of the record revealed Resident #305 was admitted to the 200 pod on 12/30/22. Residents Affected - Few During an interview and observation on 01/03/23 at 11:11 AM, Resident #305 stated she would love a cup of decaf coffee. The resident explained she was a cardiac patient and could not have caffeine, and had been asking for decaf coffee since she was admitted to the facility. Resident #305 stated when she asked the staff for decaf, they tell her they don't have any. During a subsequent interview and observation on 01/03/23 at 12:23 PM, Resident #305 was eating her dessert but had not touched the spaghetti and meatballs. The resident stated she does not like pasta, and pointed out that her food menu documented dislikes pasta. On 01/03/23 at 12:30 PM, Resident #305 stated that someone came in and wanted to know if she was done (with the lunch), but didn't take time to offer anything else. The resident stated, I think she was in a hurry. On 01/04/23 at 4:23 PM, Resident #305 stated she again asked for decaf coffee that morning and did not get any. During an interview on 01/04/23 at 4:34 PM, the Kitchen Manager was told about Resident #305's request for decaf coffee. The Kitchen Manager stated he had plenty of decaf and would go speak with the resident. During an interview on 01/05/23 at 12:08 PM, Resident #305 explained the Kitchen Manager spoke with her the previous night and said, What do you mean they tell you we don't have decaf. We have plenty of it. Resident #305 stated the staff bring in the trays, drop them off and walk right back out the door, not waiting even a second to see if you need anything else. Resident #305 then stated, And there is a new line they are using (referring to responses by the CNAs). The resident explained they answer her with the comment, It's not on me. Resident #305 stated, Either they are too busy or just too lazy to go pour a cup of coffee. During the interview on 01/06/23 beginning at 2:00 PM, the Social Services Director (SSD) stated she was unaware of the described event but agreed with the concern. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 2 of 19 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to develop and update care plans to reflect the status of behaviors such as combativeness, agitation and wandering; and the use of antianxiety and antibiotic medications for 1 of 23 sampled residents, Resident #36. The findings included: Clinical record review revealed Resident #36 was admitted to the facility on [DATE] with diagnoses that included: Fracture and Parkinson's Disease. The admission minimum data set (MDS), assessment reference date 10/19/22, revealed a brief interview for mental status (BIMS) score of 03, indicating Resident #36 was cognitively impaired. This MDS recorded that Resident #36 had no behavior issue, it indicated behavior was not exhibited. The clinical records revealed care plans was initiated on 10/12/22. The care plans were started to be reviewed on 10/25/22 with review completion date on 12/13/22. Further review of clinical records revealed the following Physician orders: a. dated 11/21/22, Ativan Injection solution 2 MG/ML (Lorazepam), Inject 0.5 mg intramuscularly every 8 hours as needed for anxiety for 14 Days. b. 12/02/22, Ciprofloxacin gives 500 mg by mouth two times a day for urinary tract infection UTI [urinary tract infection] for 7 Days. c. 12/05/22, Ativan injection solution 2 MG/ML (Lorazepam), inject 0.5 mg intramuscularly every 8 hours as needed for anxiety for 14 Days. d. 01/03/23, Lorazepam injection solution 2 MG/ML, inject 0.25 ml intramuscularly every 8 hours as needed for anxiety/agitation for 14 Days. Review of additional clinical records revealed the following progress notes below: a. dated 10/20/22 written at 8:10 AM indicated Resident #36 was alert with confusion, Resident (#36) was very agitated during the night, walked without walker, CNA [Certified Nursing Assistant] found in the bathroom washing her clothes, she was redirected. b. clinical progress note dated 11/08/22 written at 6:35 AM indicated Resident #36 was alert with confusion, Resident (#36) had been up almost all night walking around with her walker or with wheel chair walking in the resident's room door to door, she packed her clothes too; she was redirected and she started walking again; sometimes Resident (#36) was very agitated, jumping, shaking, yelling; the nurse gave her the medications scheduled, plus as needed pain medication, it was not effective; the nurse called the medical doctor (MD) to explain the mood and behavior of Resident (#36); we have to do something. We continue to monitor the Resident (#36). c. clinical progress note dated 11/08/22 written at 10:30 AM indicated writer was going to enter another resident's room and observed Resident (#36) walking out from her bathroom with left hand (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 3 of 19 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few holding a trash bag and right hand noted with a glove on. Observed Resident (#36) attempting to grab a tissue from the floor. Upon entering the room, resident sustained a fall and hit her hand on the back of the bathroom door, Resident (#36) landed on her buttocks. d. clinical progress note dated 11/11/22 written at 7:38 AM indicated Resident #36 was alert with confusion, Resident (#36) was very agitated during the night, walking around all over 400 POD, attempted to open resident's rooms, combative, she was redirected; resident became calm by 4 AM; Residentn#36 continued antibiotic by mouth for pneumonia. e. clinical progress note dated 11/11/22 written at 10:52 PM indicated Resident #36 was alert and verbally responsive. Antibiotic in progress for pneumonia. Resident (#36) remained with excessive agitation. Refusing to stay in bed or sit quietly. f. clinical progress note dated 11/20/22 written at 8:47 PM revealed Resident (#36) was very agitated during this shift unable to stay in bed or seating down. Resident (#36) was crawling on the floor. Ativan prn 0.5mg was administer as prescribed. g. clinical progress note dated 12/02/22 written at 1:38 PM revealed new order received for Cipro 500mg twice a day for 7 days. h. clinical progress note dated 12/02/22 written at 2:40 PM antibiotic started for urinary tract infect (UTI). First dose given immediately upon receiving physician order. Resident (#36) received at 2 PM. i. clinical progress note dated 12/05/22 written at 9:00 PM revealed Resident #36 was extremely agitated, refusing to sit down. Resident #36 swinging arms, kicking her legs. Ativan given per order. j. clinical progress note dated 12/22/22 written at 06:30 AM revealed Resident (#36) was alert with confusion, Resident (#36) was agitated during the night, we put her to bed several times, she refused to stay in, Ativan 0.25 ml administered to right arm at 3:40 AM. k. clinical progress note dated 01/02/23 written at 5:13 PM indicated Resident #36 was throwing items off table, attempting to ambulate times 7. l. progress note dated 01/02/23 written at 5:32 PM documented Resident #36 threw a bowl of soup hitting a CNA. Resident #36 threatening staff, throwing anything she can get her hands on. Review of the November and December 2022 medication administration records (MARs) documented Resident #36 had received the following medications: Azithromycin (antibiotic) on 11/09 through 11/13/22 at 0900 [9:00 AM] and 11/19/22 at 0900. Ativan injection solution 2 MG/ML (Lorazepam), inject 0.5 mg intramuscularly (IM) was administered on 11/18 through 11/21, 11/24, 11/25, 11/27 and 11/28/22. Ciprofloxacin oral tablet 500 mg was administered from 12/02 through 12/09/22. Ativan injection Solution 2 MG/ML (Lorazepam) 0.5 mg injected intramuscularly on 12/04 through 12/08/22, 12/13 through 12/16/22, 12/21, 12/22, 12/26, 12/27/22, and 12/29 through 12/31/22. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 4 of 19 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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 0656 Ativan injection solution 2 MG/ML (Lorazepam) injected 0.25 mg intramuscularly on 01/01/23 and 01/03/23. Level of Harm - Minimal harm or potential for actual harm On 01/06/23 at 12:42 PM, a side-by-side review of Resident #36's record was conducted with Staff A, the MDS coordinator, who acknowledged the lack of care plans development and the lack of updated care plans to reflect Resident #36's status of behaviors such as: combativeness, agitation and wandering; and the use of antianxiety and antibiotic medications. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 5 of 19 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 5. Review of the record reviewed Resident #17 was admitted to the facility on [DATE]. Further review revealed the most recent Minimum Data Set (MDS) assessment was completed 09/28/22. The record lacked any evidence of a care plan meeting with participation of the IDT (Interdisciplinary Team), the resident and or his representative. During an interview on 01/06/23, the Social Services Director (SSD) stated Resident #17 was scheduled to have a care plan meeting soon, in conjunction with the current quarterly assessment dated [DATE]. The SSD was asked to locate and provide evidence of the care plan meeting in conjunction with the September 2022 MDS assessment. During a subsequent interview on 01/06/23 at 12:10 PM, the SSD stated she was unable to find any evidence of a previous care plan meeting. 3. Resident #6 was admitted to the facility on [DATE]. During interview with Resident #6 on 01/03/23, she stated that she did not recall anyone discussing her plan of care or attending a care plan meeting. On 12/28/22, a Care Plan Conference Note documented, Care conference held .The patient did not attend. The patient was invited and chose not to attend . During the interview on 01/03/23, Resident #6 stated she did not recall ever being invited to attend a care plan meeting at that time. Resident #6 has a BIMS of 13, which indicated she is cognitively intact. A review of the MDS Assessments and Care Plan Meetings conducted for Resident #6 in 2022 showed that a previous quarterly MDS assessment was completed on 09/15/22, but no Care Plan meeting was ever conducted following this September 2022 assessment. Based on record review, interview, and policy review, the facility failed to ensure care plan meetings were completed timely and/or with participation by the interdisciplinary team (IDT), such as the Certified Nursing Assistant (CNA) and residents for 8 of 23 sampled residents reviewed for care plans meetings (Residents #13, #53, #6, #27, #17, #36, #49, and #81). The findings included: A review of the policy, titled, Social Services Guidelines - Documentation, revealed, in part, The interdisciplinary care conference is the culmination of the care planning process and is held in conjunction with MDS (Minimum Data Set) activity. The interdisciplinary team (IDT) includes representatives from nursing, including a nursing assistant familiar with the care of the patient, dietary, social services, activities, and rehabilitation team, if involved in the care of the patient. prior to the care conference, the patient is assessed through the MDS assessment process, and based on the findings for each care area, care plans are written and, or revised together with the patient, patient representative, and family. The care conference is then scheduled to be held within seven [7] days of the close of the MDS. The purpose of the care conference is for the IDT to review their current findings and their focus moving forward. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 6 of 19 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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 0657 Level of Harm - Minimal harm or potential for actual harm Social services oversee the coordination of the care conference and typically facilitate the care conference meeting. The patient, patient representative, and family are invited to attend and participate in the care conference. However, the care conference is held with the IDT even if the patient, patient representative, and family choose not to attend. Residents Affected - Some The patient and/or patient representative may request a care conference to be scheduled at any time. Documentation for the care conference is completed in PCC (Point Click Care electronic medical record program) using a care plan progress note. Only one interdisciplinary note is written summarizing the care conference discussion and it should start by identifying the individuals present. Staff members and visiting professional are always identified by title, not name. Family members and others invited by the patient, and family are listed by name. Timely and accurate documentation serves as credible evidence that patients' psychosocial needs are being evaluated and medically related social services are being provided. 1. In an interview with Resident #13 on 01/05/23 at 9:05 AM, it was revealed she had not been informed of what is happening with her care and has never attended a care plan meeting. The resident stated that her daughter gets invited to meetings but that she does not. The resident stated she does not understand why they do not take her to the meetings when they get her up every day and could wheel her down to where the meetings take place. The resident stated that she has all her faculties, makes her own decisions, and would like to be part of the care planning or at least informed of what is going on with her care while in this facility. Medical record review for Resident #13 revealed the resident was admitted to the facility on [DATE]. A review of the Minimum Data Set (MDS), dated [DATE], a quarterly assessment, revealed the resident has a BIMS (Brief interview for Mental Status) of 14, which revealed the resident is cognitively intact. Further review of the record does not reveal documentation of any care plan meetings until 01/04/23. The resident was admitted on [DATE] and the 5-day admission assessment was completed on 06/21/22. There was no care plan meeting documented after this assessment. A quarterly assessment was completed on 09/21/22 and there was no care plan meeting documented following this assessment. There was a quarterly assessment completed on 12/22/22. A care plan meeting was conducted on 01/04/23, but the resident was not included in that meeting. An interview conducted on 01/05/23 at 12:40 PM with the Social Services Director (SSD) and the administrator revealed there was a care plan meeting done yesterday (01/04/23) for this resident and the daughter attended by phone. The SSD stated the daughter works full time so attends meetings by phone and does visit at night. The SSD stated the daughter is trying to work around the fact that the resident believes she is going home to stay with her, and the daughter stated that is not happening. The administrator stated if the resident is a BIMS of 14, then she should be included in her care plan meetings. The SSD stated they invite residents to care plan meetings in person and families are called a week prior to the meeting by the receptionist. It is documented by the SSD that the resident was invited to the care plan meeting but refused. A subsequent interview with Resident #13 on 01/05/23 at 2:00 PM revealed the resident was aware her daughter attended a care plan meeting after it was over but stated she was not invited to the care plan meeting. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 7 of 19 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some 2. Medical record review for Resident #53 revealed the resident was admitted to the facility on [DATE]. A comprehensive assessment was completed on 11/02/22 and there is no documentation of a care plan meeting for this resident. 4. On 01/03/23 at 10:15 AM, an interview was conducted with Resident #27. The resident has a BIMS (Brief Interview for Mental Status) of 15, which indicated the resident has intact cognition. He was asked if anyone at the facility has conducted a meeting with him concerning his care and goals for his stay at the facility. The resident stated he has not had any meetings recently and he isn't sure what his next step is for his stay at the facility. Review of Resident #27's diagnoses included encounter for orthopedic aftercare following surgical amputation of left leg above the knee and was dated 08/27/22 also included an acquired absence of right leg above the knee with a date of 10/05/22. The MDS (Minimal Data Set which includes assessment of all residents in Medicare or Medicaid certified nursing homes) was reviewed for Resident #27. On 09/02/22 and 10/20/22, an assessment was completed by the facility to include a significant changed had occurred with Resident #27. Reviewed of the resident's documentation revealed an IDT (Interdisciplinary Team) meeting was never held with the resident to discuss his care or his goals following the amputation of his left leg in 08/22 and amputation of his right leg in 10/22. On 01/06/23 at 9:21 AM, an interview was conducted with Staff A, (RN MDS Coordinator) who stated 'we do not conduct the IDT meetings'. She stated we gather the information and give it to the Social Services department and the Social Service Director conducts the meetings. On 01/06/23 at 09:26 AM, an interview was conducted with the Social Service Director. She reviewed Resident #27's chart and was unable to locate any IDT meeting since 07/14/22. She stated no meetings were completed after the significant changes were documented following the resident's left and right leg amputations. 6. Record review for Resident #36 revealed review and revision of the admission care plan were started on 10/25/22 with completion on 12/13/22, and a care conference held on 12/13/22 with nurse, dietary, and social services. There was no evidence of certified nursing assistance (CNA) participation in this care plan review. On 01/06/23 at 3:27 PM, a side-by-side review of Resident #36's record was held with Staff A, MDS coordinator. In interview, she agreed there was no evidence of CNA participation in this care plan review. 7. Record review for Resident #49 revealed review and revision of the admission care plan were started on 08/03/22 with completion on 08/04/22, and a care conference held on 11/08/22 with nurse, activity and dietary. There was no evidence of CNA participation in this care plan review. On 01/06/23 at 3:29 PM, a side-by-side review of Resident #49's record was held with Staff A. In interview, she agreed there was no evidence of CNA participation in this care plan review. 8. Record review for Resident #81 lacked evidence of care plan review following the completion of the quarterly MDS assessment dated [DATE]. It was revealed the last care conference was held on 05/20/22 with the unit manager, activity, dietary, social services, and the doctor. There was no evidence of CNA participation in this care plan review. On 01/06/23 at 3:31 PM, a side-by-side review of Resident #81's record was held with Staff A. In interview, she agreed with the findings. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 8 of 19 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure timely treatment of a fungal rash for 1 of 4 sampled residents reviewed for non-pressure ulcer skin conditions (Resident #306). Residents Affected - Few The findings included: Review of the record revealed Resident #306 was admitted to the facility on [DATE]. Review of the admission Evaluation dated 12/31/22 at 9:45 PM documented redness and a rash to the resident's sacrum and groin. A subsequent admission progress note dated 12/31/22 at 11:11 PM documented redness and rashes noted to both groin and buttock, and that medications were verified with the physician. Review of the physician orders lacked any type of skin treatment for the rash until 01/04/23. The physician's order dated 01/04/23 documented to apply Zinc Oxide ointment topically every shift until antifungal cream was available, and then to apply Nystatin External Cream topically every shift for 21 days for an acute fungal rash. The resident's base line care plan lacked any skin issues or interventions. The initial Nurse Practitioner's note and assessment dated [DATE] lacked any documented fungal rash. During an observation on 01/04/23 at 10:34 AM, Staff H, Licensed Practical Nurse (LPN), was noted opening a new tube of Zinc Oxide at the bedside of Resident #306. Upon observation of the resident, a diverse bright red bumpy rash was noted to the buttock and groin area. Upon application of the ointment, Resident #306 was heard moaning and seen grimacing. After the observation, Staff E, Nurse Practitioner, was stating in the common area near the room of Resident #306 and was overheard asking the LPN if she needed anything for the resident. The LPN was overheard informing the Nurse Practitioner of the rash and the need for treatment. During an interview on 01/06/23 at 11:52 AM, Staff H was asked the process if a resident was admitted with a rash. Staff H explained she would notify the physician or nurse practitioner to discuss the rash and obtain an order. The LPN also explained they had a standard protocol to apply Zinc oxide until any ordered medication arrived. Staff H agreed there were no orders or treatment provided for Resident #306's fungal rash until 01/04/23, four days after admission to the facility. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 9 of 19 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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 0697 Provide safe, appropriate pain management for a resident who requires such services. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to ensure the provision of ordered pain medications for 1 of 2 sampled residents (Resident #304). Residents Affected - Few The findings included: Review of the record revealed Resident #304 was admitted to the facility on [DATE]. Review of the admission Evaluation and baseline care plan dated 12/22/22 at 11:09 PM documented the resident had additional diagnoses of fibromyalgia and neuropathy, both of which can be painful. This admission assessment documented the resident had frequent pain relieved by medication, and the baseline care plan documented to provide medications as ordered. During an observation and interview on 01/03/23 at 1:23 PM, Resident #304 was lying in bed, grimacing, and moaning. When asked what was wrong, Resident #304 stated she had not had her pain medication since yesterday, and finally got it about 30 minutes ago. Resident #304 explained when she asked for pain medication yesterday, the nurse sent in an aide to tell her they only had Tylenol and the pharmacy was supposed to deliver the pain medication. When asked what medication she was taking, Resident #304 stated she takes oxycodone 10/325 mg (milligrams) every six hours. Staff I, Occupational Therapist (OT), was in the resident's room applying ice to her back for pain. Resident #304 continued to explain she also had issues getting her pain medications in the past. Resident #304 stated she had recently had back surgery and was scheduled to go to the surgeon's office the next day to get the staples removed. Review of the current orders and December 2022 and January 2023 Medication Administration Records (MARs) revealed Resident #304 had a current order for Percocet (oxycodone with acetaminophen/Tylenol) 10/325 mg, two tablets to be given four times daily, at midnight, 6 AM, 12 noon, and 6 PM. Further review of the MARs and corresponding progress notes revealed the following: On 12/31/22 at 6 PM, the Percocet 10/325 mg tablets were not administered as they were not available in the Omnicell (medication storage system) and they were awaiting delivery from the pharmacy. On 01/01/23 at midnight, the Percocet 10/325 mg tablets were not administered as they were not available and pending delivery from the pharmacy. On 01/01/23 at 6 AM, the Percocet 10/325 mg tablets were not administered as they were not available and pending delivery from the pharmacy. On 01/03/23 at midnight, the Percocet 10/325 mg tablets were not administered as they were not available in the Omnicell, and they were waiting for pharmacy to drop ship them. On 01/03/23 at 6 AM, the Percocet 10/325 mg tablets were not administered as they were not available, and they were waiting for pharmacy to drop ship them. Review of these MARs indicated Resident #304 did not receive her any pain medications from 12/31/22 at 6 PM until 01/01/23 at 12 noon, and then again from 01/03/23 at midnight until 01/03/23 at 12:34 PM, missing 5 ordered doses over the four days. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 10 of 19 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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 0697 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few During an interview on 01/04/23 at 3:45 PM, Staff I, OT, stated Resident #304 had told her she was supposed to get her pain medication on 01/03/23 at 6AM, and she had just gotten in when she was applying the ice to her back for additional pain relief. During an interview on 01/05/23 at 10:54 AM, Staff G, Registered Nurse (RN), was asked the process when pain medications were not available in the medication cart. The RN explained she would check to see the last time the medication was given, review the orders, look in the paper chart to find the hard copy prescription, and fax it to the pharmacy. The RN would also request an authorization to obtain the medication from the Omnicell. During an interview and side-by-side review of the record on 01/05/23 at 12:39 PM, 100/200/300 Unit Manager agreed with the failure to provide the pain medications as per orders for Resident #304. The Unit Manager stated the process was the nurses were to use the Omnicell, as there were both 5/325 mg and 10/325 mg doses available. The Unit Manager explained that if there was none in the Omnicell, then the nurses should call the pharmacy for a 'drop ship,' which would mean the pharmacy would deliver the medications within the hour, utilizing a nearby pharmacy. The Unit Manager stated they had been having trouble with the pharmacy and were in the process of changing pharmacies. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 11 of 19 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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 0732 Post nurse staffing information every day. Level of Harm - Potential for minimal harm Based on observation, interview and record review, the facility failed to ensure posting of staffing hours daily for 6 of 9 days reviewed. Residents Affected - Many The findings included: On 01/03/23 at 9:10 AM, an inquiry was made of the Director Of Nursing (DON), and the surveyor requested about posting of staffing hours. The DON stated, it should be posted in the front lobby. The DON subsequently proceeded to go to the front lobby accompanied with the surveyor in search of the staffing hours. When we arrived, the staffing hours that were posted was dated 12/28/22, there were other staffing hours dated from 12/02-through 12/27/22. The current staffing hours were not posted. When inquired about who was responsible to post the staffing hours, the receptionist stated, it was supposed to be the business office staff. The DON stated no, it was supposed to be the staffing coordinator, but the staffing coordinator was currently out on medical leave. At 9:19 AM, the DON went to the business office and obtained the current staffing hours dated 01/03/22 and placed it at the front desk. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 12 of 19 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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 0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 2. Review of the record revealed Resident #17 was admitted to the facility on [DATE] with diagnosis to include Hypertension (high blood pressure). Review of the current order revealed Resident #17 was ordered Metoprolol 25 mg (milligrams) twice daily on Monday, Wednesday, and Friday, and once daily on Tuesday, Thursday, and Saturday. These two physician orders documented the nurses were to hold the medication if the resident's systolic blood pressure reading (the top number) was less than 110 or his pulse was less than 60 beats per minute. Residents Affected - Few Review of the December 2022 and January 2023 Medication Administration Records (MARs) lacked any documented blood pressure or pulse readings for the Metoprolol administrations on Tuesday, Thursday. and Saturday. Review of the blood pressure and pulse summary records lacked any documented values on 12/08/22 and 12/10/22 at or around the 5 PM medication administration time. Further review of the December 2022 MAR revealed Resident #17 had a blood pressure reading of 100/66 on 12/30/22 at 9:00 AM and the resident was provided the medication outside of the physician ordered parameters. During an interview on 01/06/23 at 12:08 PM, Staff H, Licensed Practical Nurse (LPN), confirmed there should be blood pressure and pulse monitoring before the administration of all doses of Metoprolol, and agreed there was none documented on the MARs for the Tuesday, Thursday, Saturday doses. The LPN did identify some of the readings in the vital sign summaries but could not confirm consistent monitoring as per the physician orders. Based on record review and staff interview, the facility failed to ensure staff adequately monitored Blood Pressure and provided Blood Pressure medications as per physician-ordered parameters for 2 of 5 sampled residents reviewed for unnecessary medications (Residents #6 and #17). The findings included: 1. Resident #6 was admitted with diagnosis to include Coronary Artery Disease. Resident #6's Care Plan, initiated on 06/06/19 and last revised on 12/28/22, documented Resident #6 had Cardiac Disease related to Hyperlipidemia, Hypertension, and Coronary Artery Bypass with stents. The interventions included, Administer medications as ordered, obtain vital signs as indicated. A review of the December 2022 electronic Medication Administration Record (e-MARs) showed orders for the following blood pressure medications with parameters: Metoprolol 25 mg bid [twice daily] for HTN (Hypertension), hold for SBP (systolic blood pressure) < [less than] 110, HR (heart rate) <60. Clonidine HCI 0.1 mg q 8 hrs [every 8 hours] as needed for HTN, for SBP > [greater than] 160. Blood Pressure and Heart rates were to be monitored twice a day. The Blood Pressure and Heart Rate were not recorded at 5:00 PM and the 5:00 PM, and blood pressure medications were not initialed as given on 12/03/22, 12/05/22, 12/06/22, 12/13/22, 12/14/22, 12/20/22, 12/24/22, 12/25/22, and 12/28/22. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 13 of 19 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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 0757 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few On 01/06/23 at 2:15 PM, the Director of Nursing (DON) was informed of the missing monitoring and administration of Blood Pressure medications for the month of December 2022. He acknowledged the missing documentation on the eMAR. On 01/06/23 at 2:50 PM, the DON brought copies of additional Progress Notes for dates and times medication and BP/HR monitoring were missing from eMAR. On 12/06/22, the nurse's note documented BP is 104/50 and HR is 55 On 12/25/22 at 17:33 (5:33 PM), the nurse's note documented, Heart rate 47; On 12/27/22 at 17:42 (5:42 PM), the nurse documented HR=55. On all other days noted above, the Progress Note for 17:00 (5:00 PM) medication times only documented the physician order: Metoprolol Tartrate Tablet 25 mg give 25 mg by mouth two times a day for HTN Hold for SBP less than 110, hr<60. There is no documentation as to why medication was not provided. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 14 of 19 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and interview, the facility failed to ensure medications were secured for 1 of 6 medication carts, utilized by two different nurses on the 400 pod. The findings included: On 01/03/23 at 12:30 PM, the 400-pod medication cart was observed left unlock and unattended. Staff C, a licensed practical nurse (LPN), was in room [ROOM NUMBER] assisting residents, at the location where the medication cart was placed. Staff C would not have been able to see the medication cart. At 12:33 PM, when Staff C came out the room, she was made aware of the unlock medication cart. She acknowledged the finding. On 01/04/22 at 10:31 AM, the 400-medication cart was left unlock and unattended. The nurse went to administer medications in room [ROOM NUMBER]. During that time, Resident #36 (a resident with confusion, BIMS of 03), was observed sitting immediately next to the medication cart. Resident #36 was observed touching the medication cart. There were 3 other residents with confusion sitting on the 400 pod. The surveyor kept watch of the medication cart until Staff B, LPN, came out the room at 10:35 AM. During this time, the surveyor notified Staff B of the unlock medication cart, who stated thank you, yeah I needed to make sure the medication cart is kept lock, especially with this resident next to the medication cart (referring to Resident #36). She then proceeded to lock the medication cart. Photographic Evidence Obtained. On 01/06/23 at 1:17 PM, an interview was held with the Director Of Nursing (DON). He was shown photographic evidence of the unlock medication carts. He acknowledged the findings. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 15 of 19 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, record review and policy review, the facility failed to maintain an infection prevention and control program to prevent the development and transmission of communicable diseases and infections for 6 of 7 sampled residents, as evidenced by: Staff failed to ensure COVID-19 symptom monitoring for Residents #17, #306, #65, #53, and #355; failed to ensure proper indwelling urinary catheter maintenance and care for Residents #53 and #49; and failed to ensure an ointment belonging to another resident was not used for Resident #49. Residents Affected - Some The findings included: Review of the policy COVID-19 Clinical Monitoring and Measures Plan, dated 10/10/22, documented, Standard Measures: Complete COVID-19 Screening UDA, including vital signs on all symptomatic patients. Enhanced Measures: Enhanced Measures become effective when any employee presents with a positive COVID-19 test OR a resident test [sig] positive AND was not previously being cared for in transmission based (airborne-droplet) precautions prior to testing. Enhanced Measures are those implemented above and beyond Standard Measures outlined above. Complete COVID-19 Screening UDA, including vital signs on all patients residing on the affected unit/hall every shift. For symptomatic patients no on the affected unit/hall, complete COVID-19 Screening UDA daily. As per the Nursing Home Administrator (NHA) who provided the policy, the COVID-19 Screening UDA would be documented under the Assessment tab in the electronic medical record (EMR) as COVID-19 Surveillance. Review of the policy, titled, Catheter Care: Indwelling Catheter-Resident Service . Procedure: . 11. Secure catheter tubing to resident's leg using a securement device or Velcro leg strap as ordered and clinically indicated - prevents traction on the urethra. 12. Check that tubing is not looped, kinked, clamped or positioned above the level of the bladder and off the floor - place bag in catheter bag holder if appropriate. Review of the COVID-19 daily line listing revealed the facility had their first COVID-19 positive result on 12/22/22, placing the facility in outbreak mode, whereas their above mentioned Enhanced measured would have been initiated. 1. Review of the record revealed Resident #17 was admitted to the facility on [DATE] and was transferred to the designated COVID-19 unit on 12/29/22 after having tested positive for the COVID-19 virus. Review of the Assessment tab in the EMR (electronic medical record) lacked the initiation of the COVID-19 monitoring as of the facility outbreak date of 12/22/22 and lacked any additional COVID-19 monitoring until after surveyor questioning on 01/05/23. Review of the Oxygen Saturation Summary identified only one reading obtained on 01/03/23 for Resident #17, since the COVID-19 outbreak on 12/22/22. 2. Review of the record revealed Resident #306 was admitted to the facility on [DATE], at which time she tested negative for the COVID-19 virus. Review of the Assessment tab in the EMR revealed one COVID-19 Surveillance monitoring on 12/31/22, and lacked any addition monitoring until 01/05/23, after surveyor questioning. The COVID-19 Surveillance dated 01/05/23 and 01/06/23 both documented the vital signs from admission [DATE]). (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 16 of 19 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Further review of the record revealed the order dated 12/31/22 to obtain COVID-19 SARS-CoV2 antigen test on Day 1 (12/31/22), Day 3 (01/02/23), and Day 5 (01/04/23). This order incorrectly scheduled the COVID-19 testing to be done on 12/31/22, 01/03/23, and 01/05/23. Resident #306 tested positive on 01/03/23. During an interview and side-by-side review of the record on 01/06/23 at 11:52 AM, Staff H, Licensed Practical Nurse (LPN), confirmed the COVID-19 monitoring assessments were documented under the Assessment tab in the EMR, stating they just started that this week. Staff H agreed to the lack of documented COVID-19 monitoring for Resident #306. 3. Review of the record revealed Resident #53 was admitted to the facility on [DATE] and was transferred to the designated COVID-19 unit on 12/26/22 after having tested positive for the COVID-19 virus. Review of the Assessment tab in the EMR lacked the initiation of the COVID-19 monitoring as of the facility outbreak date of 12/22/22 and lacked any additional COVID-19 monitoring until after surveyor questioning on 01/05/23. Review of the Oxygen Saturation Summary did not identify any oxygen saturation monitoring for Resident #53, since the COVID-19 outbreak on 12/22/22 until 01/05/23. 4. Review of the record revealed Resident #65 was admitted to the facility on [DATE] and was transferred to the designated COVID-19 unit on 12/29/22 after having tested positive for the COVID-19 virus. Review of the Assessment tab in the EMR lacked the initiation of the COVID-19 monitoring as of the facility outbreak date of 12/22/22 and lacked any additional COVID-19 monitoring until after surveyor questioning on 01/05/23. Review of the Oxygen Saturation Summary did not identify any oxygen saturation monitoring for Resident #65, since the COVID-19 outbreak on 12/22/22. 5. Review of the record revealed Resident #355 was admitted to the facility on [DATE] and was transferred to the designated COVID-19 unit on 12/25/22 after having tested positive for the COVID-19 virus. Review of the Assessment tab in the EMR lacked the initiation of the COVID-19 monitoring as of the facility outbreak date of 12/22/22 and lacked any additional COVID-19 monitoring until after surveyor questioning on 01/05/23. Review of the Oxygen Saturation Summary did not identify any oxygen saturation monitoring for Resident #53, since the COVID-19 outbreak on 12/22/22 until 01/05/23. In an interview with the Director of Nursing (DON) on 01/05/23 at approximately 2:30 PM, the DON stated that he could not locate vital signs / COVID monitoring in Resident #355's record either. On 01/05/23 at approximately 3:30 PM, the administrator provided a handwritten copy of vital sign monitoring from the COVID unit for Resident 355. The form included blood pressure and temperature. The oxygen saturation was not monitored. This form was dated from 12/25/22 until 01/01/23. There was no monitoring documented prior to 12/25/22 and no further monitoring noted after 01/01/23 until 01/05/23, after surveyor intervention. 6. During an observation on 01/03/23 at 4:06 PM and 01/05/23 at 9:43 AM, Resident #53 was noted lying in a low bed. An indwelling urinary catheter bag was noted hanging from the bed frame, and directly on the floor. The catheter bag contained a dignity flap but lacked any covering or protection from the floor. Photographic Evidence Obtained. An interview was conducted with Staff J, Certified Nursing Assistant (CNA), on 01/05/23 at 12:40 PM regarding Resident #53 catheter bag. Staff J stated that the bags are to never touch the floor. They are emptied at least once per shift and more often if needed. They are to be hung below the bladder but off of the floor. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 17 of 19 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some During an observation on 01/06/23 at 10:45 AM, Resident #53 was noted lying in bed with eyes closed. The bed was in the low position and the indwelling catheter bag was hanging on the side of the bed frame and directly on the floor. The catheter bag contained a dignity flap but lacked any covering or protection from the floor. Photographic Evidence Obtained. 7. Clinical record review revealed Resident #49 was initially admitted to the facility on [DATE] with a re-admission on [DATE]. The 5-day MDS assessment, reference date 11/11/22, recorded a Brief Interview for Mental Status (BIMS) score of 07, indicating Resident #49 was moderately cognitively impaired. This MDS recorded no moods or behavior issues. This MDS documented Resident #49 required extensive assistance by 2 plus persons with activity of daily living, and that Resident #49 had an indwelling catheter in place due to neurogenic bladder (condition of lack bladder control). Resident #49 had pertinent diagnoses to include neurological conditions, septicemia, urinary tract infection (UTI) in the last 30 days and non-Alzheimer's dementia. Additional progress note dated 07/18/22 revealed Resident #49 was a [AGE] year-old female admitted to facility for long-term care from another skilled nursing facility. Resident #49 was with diagnosis of UTI on antibiotic by mouth. Further review of Resident #49'sclinical record revealed the following Physician orders: dated 11/08/22 maintain 16 F indwelling foley catheter every shift for Neurogenic Bladder. 01/04/23 Urinalysis/culture and sensitivity. 01/06/23 Nitrofurantoin (antibiotic) oral capsule give 100 mg by mouth two times a day for UTI for 7 Days. Review of the comprehensive care plan with revision completion date 11/08/22, indicated Resident #49 uses an indwelling urinary catheter due to neurogenic bladder due to Multiple sclerosis. Another comprehensive care plan revealed Resident #49 was on antibiotic therapy related to sepsis. Review of a nurse practitioner progress note, dated 01/03/23, written at 9:00 AM, documented Resident #49 had a chief complaint of acute UTI. The progress note indicated Resident (#49) was 'being seen today with complaints of new onset of mild pelvic discomfort with urination that has been present for 1-3 days. Associated symptoms include flank pain. Exacerbating factors include history of frequent UTIs, urinary retention, presence of foley catheter. Past treatments include oral antibiotic. There is positive pelvic tenderness. Resident (#49) seen today due to medical history and vast differential diagnosis to consider, as well as concerns for potential for skin breakdown, infection with medical decline to include Polynephritis (kidney infection), sepsis (infection in the blood stream) and death.' Another progress note dated 01/05/2023 written at 12:00 PM by the nurse practitioner indicated a chief complaint of UTI. The progress noted revealed Resident #49 was '[AGE] year-old female with history of recurrent UTI with chronic foley for complaint of pelvic discomfort 3 days ago. Her white blood cells (WBC) were slightly elevated at 12.7 and neutrophils at 80.7, urinalysis was suspicious with pending result of culture and sensitivity. Her BUN [blood, urea nitrogen] is 70 with creatinine at 1.06 urine amber. Staff said she has been drinking but said she looks pale and dry. Pt seen today due to multiple chronic medical conditions leading to significant risk for increased discomfort, recurrent falls, poor progression in therapy, worsening condition, and rehospitalization.' (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 18 of 19 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/06/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some On 01/03/23 at 9:24 AM, an observation was conducted on Resident #49 who was noted lying in bed alert with some confusion. She had a foley catheter in place, in which the catheter bag was observed touching the floor, while the bed was in low position, and the bed remote was located out of Resident #49's reach (towards the foot of the bed). During this time, Resident #49 was constantly moaning of pain touching her private area stating, it hurts. At 9:31 AM, the nurse practitioner (NP) was observed standing next to Resident #49's room. The surveyor made her aware Resident #49 was moaning with pain and the NP stated, she's had recurrent UTIs, she's always like that. On 01/06/23 at 1:20 PM an interview was held with the Director Of Nursing (DON), who was made aware of Resident #49's foley bag being on the floor. Photographic Evidence Obtained and was shown to the DON. He acknowledged the findings. 8. On 01/05/23 at 11:45 AM, perineal and catheter care observation on Resident #49 was conducted by Staff D, Certified Nursing Assistant. After the care, Staff D, had a tube of zinc oxide 20%, which she was observed applying on Resident #49's groin area. When inquired about the zinc oxide, Staff D had shown the surveyor the tube, which had another resident's name written on it from the pharmacy. At this time, Staff F, Licensed Practical Nurse (LPN), obtained the Zinc oxide from Staff D, acknowledged the incorrect resident's name, and took the Zinc outside the room. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105762 If continuation sheet Page 19 of 19