Inspection·June 22, 2023

F 0610 Respond appropriately to all alleged violations. Level of Harm - Minimal harm or potential for actual harm Based on record review and interview, the facility failed to implement corrective actions to minimize allegations of abuse and injuries to residents with dementia and behavioral symptoms directed towards others. The failure affected 2 of 5 sampled residents, Residents #2 and #4. Residents Affected - Few The findings included: 1. Record review conducted on 06/21/23 revealed the facility had an allegation of abuse on 05/02/23 regarding Resident #2. Review of the progress notes dated 05/02/23 documented as follows: 'The resident pointed out to me that she has two skin tears on both forearms. When asked what happened patient states that early this morning, the aide came in to change her, she told the aide she was not soiled and did not want to be changed, she said the aide grabbed her by her both arms and rolled her to be changed and she started screaming, then the nurse came in. The resident was evaluated for injuries, bruise found to left upper arm and call made to family member and the physician was notified.' The facility reported the allegation of abuse and investigated the event. The facility's corrective action included staff education regarding working with difficult and combative residents and informed of sustained skin conditions. Further review of the documents provided failed to include evidence the facility completed the corrective actions to minimize reoccurrence. Interview with Staff A, Certified Nursing Assistant (CNA), conducted by phone on 06/22/23 at 9:51 AM revealed on 05/02/23, she was floated to another unit, she did not know the resident, was not aware the resident had dementia and did not know the resident did not want to be changed, so she proceeded to do so and the resident started to fight her and called her names, then she called the nurse. The resident sustained skin tears. Staff A confirmed she had not received training regarding how to handle difficult and combative residents since the event occurred. Interview with the Administrator on 06/22/23 starting at 12:03 PM confirmed there was no evidence of the education to the staff regarding how to handle difficult residents that are combative. The administrator also confirmed there was no evidence Staff A, the aide involved in the event, had completed Dementia training. The Administrator noted the facility had gone through a change of ownership and the personnel records were no longer available for the previous owner. 2. Review of a second incident dated 06/01/23 revealed Resident #4 sustained a skin tear and a red (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 4 Event ID: 105762 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 06/22/2023 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)