Inspection·December 17, 2025

F 0602 Level of Harm - Actual harm Residents Affected - Many them to her. She said she only gets $40 each time she can. Resident #1 looked at the facility provided financial statements for [DATE], and [DATE] and said, Look at me, do you think I buy new clothes?.Resident #1 said she does not smoke and was being charged for tobacco. She said she never drew out that much money for personal care needs. Resident #1 said she was only able to withdraw $100 once so she could buy the former Business Office Manager (BOM) a gift. She said the former BOM said she had lost her car and was living with a friend. She felt bad for the former (BOM), but it turns out she was stealing from me this whole time. She said the former (BOM) would also do weird stuff when she would withdraw money. She said the former BOM would grab money from the safe and would always go to her purse before handing over the money. She said she was furious because, I only have so much. She said that her family took the house and now the facility has taken everything else. Resident #1 was crying and said, This is all I have. Review of the clinical record revealed Resident #2 was admitted to the facility [DATE]. Diagnoses included hypertensive encephalopathy, major depressive disorder, unspecified dementia, and depression.Review of the Quarterly MDS with an assessment reference date of [DATE] documented the resident was independent with Activities of Daily Living (ADLs). The MDS noted the residents' cognitive status was intact.Review of the Resident Fund Management Authorization Service Authorization and Agreement Form to handle resident funds documented Resident #2 signed the form [DATE].Review of Resident #2 Resident Fund Statement for [DATE], documented the resident made the following withdrawals:[DATE] telephone charges $200.00XXX[DATE] personal needs items $300.00XXX[DATE] personal needs items $100.00.Review of the accounting records for October revealed no receipts for the telephone charges or personal care items.On [DATE] at 2:17 p.m., in an interview Resident #2 said the facility manages his money. Resident #2 said he is only allowed $40 each week. When asked about the withdrawals for [DATE], the resident said he never drew out any money in [DATE]. He said, The facility wouldn't even give you that amount if you asked. Resident #2 was observed visibly angry and unable to sit still. Resident #2 said he wants his money back. Review of clinical record revealed Resident #3 was admitted to the facility on [DATE]. Diagnoses included vertigo of central origin, hearing loss, chronic pain, and adjustment disorder.Review of Annual MDS with an assessment reference date of [DATE] documented Resident #3 was independent with Activities of Daily (ADLs). The MDS noted the resident's cognitive status was intact.Review of the Resident Fund Management Authorization Service Authorization and Agreement Form to handle resident funds documented Resident #3 signed the form [DATE].Review of Resident #3 Resident Fund Statement for [DATE], [DATE], and [DATE] documented the resident made the following withdrawals:[DATE] tobacco $60.00XXX[DATE] tobacco $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] tobacco $100.00.Review of accounting records for petty cash disbursements for the month of [DATE] revealed no receipts for Resident #3 tobacco.Review of the accounting records for petty cash disbursements for the month of [DATE] revealed no receipts for Resident #3 for personal needs items.Review of accounting records for petty cash disbursements for the month of [DATE] revealed no receipts for Resident #3 personal care items or tobacco.On [DATE] at 1:34 p.m., in an interview Resident #3 said the facility manages his money and he gets about $250 a month. He said he gets $40 every time he gets money out, never more than that. He said most of the time he has to sign something when he gets his money, but not every time. Review of the clinical record revealed Resident #4 was admitted to the facility on [DATE]. Diagnoses included intervertebral disc degeneration lumbar region, anxiety, and bipolar disorder. The clinical record documented resident was discharged from the facility on [DATE].Review of the Resident Fund Management (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105774 If continuation sheet Page 2 of 11 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 105774 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Indian Beach Nursing and Rehab Center 1755 18th St Sarasota, FL 34230 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 Level of Harm - Actual harm Residents Affected - Many Authorization Service Authorization and Agreement Form to handle resident funds revealed Resident #4 signed the form but was not dated.Review of the Quarterly MDS with an assessment reference date of [DATE] documented Resident #4 was independent/supervision with Activities of Daily Living (ADLs). The MDS noted the resident's cognitive status was intact.Review of Resident #4 Resident Fund Statement documented the resident made the following withdrawals:[DATE] personal care items $50.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $200.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $75.00.Review of accounting records for petty cash disbursements for the month of [DATE] revealed no receipts for Resident #4's withdrawals for personal care items.Review of the accounting records for petty cash disbursements for the month of [DATE] revealed no receipts for Resident #4's withdrawals for personal needs items. Review of the clinical record revealed Resident #5 was admitted to the facility [DATE]. Diagnoses included Chronic Obstructive Pulmonary Disease, Atrial Fibrillation, Anxiety, Bipolar and Metabolic Encephalopathy. The clinical record documented resident was discharged from facility on [DATE].Review of the Annual MDS with an assessment reference date of [DATE] documented Resident #5 was dependent with Activities for Daily Living (ADLs). The MDS noted the residents' cognitive status was severely impaired.Review of the Resident Fund Management Authorization Service Authorization and Agreement Form to handle resident funds documented Resident #5 signed the form [DATE].Review of Resident #5 Resident Fund Statement for [DATE], and [DATE] documented the resident made the following withdrawals:[DATE] personal care items $30.00XXX[DATE] personal care items $10.00XXX[DATE] personal care items $50.00XXX[DATE] personal care items $25.00XXX[DATE] personal care items $100.00.Review of the accounting records for petty cash disbursements for the month of [DATE] revealed no receipts for Resident #5's withdrawals for personal needs items.Review of accounting records for petty cash disbursements for the month of [DATE] revealed no receipts for Resident #5's withdrawals for personal care items. Review of clinical record revealed Resident #6 was admitted to the facility on [DATE]. Diagnoses included Parkinson's Disease, epilepsy, Alzheimer's Disease, schizophrenia and bipolar disorder. The clinical record documented the resident was discharged from the facility on [DATE].Review of the Significant Change MDS with an assessment reference date of [DATE] documented Resident #6 was dependent on staff for personal hygiene, independent with transfer and partial moderate assistance with bathing. The MDS documented that the resident's cognitive status was severely impaired.Review of the Resident Fund Management Authorization Service Authorization and Agreement Form to handle resident funds documented Resident #6 signed the form [DATE].The Resident's Fund Statement documented Resident #6 expired on [DATE].Review of Resident #6's Resident Fund Statement for [DATE], and [DATE] documented the resident made the following withdrawals:[DATE] personal care items $300.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $400.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $200.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $100.00XXX[DATE] personal care items $50.00XXX[DATE] personal care items $50.00XXX[DATE] personal care items $50.00XXX[DATE] personal care items $60.00XXX[DATE] personal care items $50.00XXX[DATE] personal care items $25.00.Review of accounting records for petty cash disbursements for the month of [DATE] revealed no receipts for Resident #6's withdrawals for personal care items.Review of the accounting records for petty cash (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105774 If continuation sheet Page 3 of 11 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 105774 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Indian Beach Nursing and Rehab Center 1755 18th St Sarasota, FL 34230 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 Level of Harm - Actual harm Residents Affected - Many FORM CMS-2567 (02/99) Previous Versions Obsolete disbursements for the month of [DATE] revealed no receipts for Resident #6's withdrawals for personal needs items.On [DATE] at 1:04 p.m., in an interview the Nursing Home Administrator (NHA) said he was investigating missing money from the petty cash box on [DATE] in the amount of $905.00. He said he looked and could not find any of the missing receipts. He said the previous BOM was terminated and he filed a report with Agency for Healthcare Administration, the Sarasota Police and the Department of Children and Families. He said they did not look back to see if other monies were missing. He said the former BOM was hired on [DATE].On [DATE] at 10:41a.m., in an interview the current Business Office Manager said there should always be a signed resident receipt attached to the petty cash check. She said the missing receipts could not be located.She said when a resident is discharged or expires, the accounts should be closed within 30 days. She said there would never be a reason for a resident to be charged for personal care items after discharge or death.On [DATE] at 11:53 a.m., in an interview the Nursing Home Administrator (NHA) said if there is no receipt, there is no explanation of the charges. The NHA said there would be no reason for a discharged resident to be charged for personal care items. The NHA could not explain how Resident #1 was charged for tobacco when she does not smoke. The NHA could not explain how Resident #6 was charged for personal care items after his death.On [DATE] at 11:53 a.m., in an interview the [NAME] President of Revenue Cycle said there should always be a receipt for residents' spending, even if they are spending down. The [NAME] President of Revenue Cycle said the receipts could not be located. He said it looked like residents #1, #2, #3, #4, #5 and #6 have unsupported charges. He said he will start looking at all the residents' accounts, starting with Residents #1, #2, #3, #4, #5, and #6. Event ID: Facility ID: 105774 If continuation sheet Page 4 of 11 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 105774 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Indian Beach Nursing and Rehab Center 1755 18th St Sarasota, FL 34230 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 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Based on record review, review of facility policy and procedure and staff interview, the facility failed to report an allegation of misappropriation of resident property within required timeframe for 1 of 3 incidents reviewed.The findings included:Review of the Facility's Policy Abuse, Neglect, Exploitation & Misappropriation effective date 11/30/2014, revision date 11/28/2017 documented Policy: It is inherent in the nature and dignity of each resident at the center the he/she be afforded basic human rights, including the right to be free from abuse, neglect, mistreatment, exploitation and/or misappropriation of property. The management of the facility recognizes these rights and hereby establishes the following statements, policies, and procedures to protect these rights and to establish a disciplinary policy, which results in the fair and timely treatment of occurrences of resident abuse. Employees of the center are charged with a continuing obligation to treat residents so they are free from abuse, neglect, mistreatment, and/or misappropriation of property. No employee may at any time commit an act of physical, psychological, or emotional abuse, neglect, mistreatment, and/or misappropriation of property against any resident. Violation of this standard will subject employees to disciplinary action, including dismissal, provided herein. Investigation: The Abuse Coordinator or his/her designee shall investigate all reports or allegations of abuse, neglect, misappropriation and exploitation. A Social Service representative may be offered in the role of resident advocate during any questioning or of interviewing of residents. Reporting: Any employee or contracted service provider who witnesses or has knowledge of an act of abuse or an allegation of abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, to a resident is obligated to report such information immediately, but no later than 2 hours after the allegation is made.Review of the facility's allegations of abuse, neglect, exploitation and misappropriation of residents property reports to the Agency for Healthcare Administration revealed that on 10/24/25 at 1:40 p.m., the facility reported an allegation of misappropriation of resident's property to law enforcement.The allegation of misappropriation of resident's property was reported to Agency for Healthcare Administration on 10/24/25 at 3:34 p.m., and to the Abuse registry on 10/28/25.Review of the facility provided investigation revealed that 10/22/25 at approximately 10:30 a.m., the [NAME] President of Finance was contacted and made aware that the former Business Office Manager (BOM) had called off via text message for the second day and there was only $125.00 in the Resident Fund Management System (RFMS) cash box for residents. The cash amount was verified by Human Resources. The [NAME] President of Finances notified the Nursing Home Administrator (NHA) on 10/22/25 and informed him that the residents' cash box should have more funds available since the former BOM cashed a petty cash check on 10/20/25.On 12/16/25 at 1:04 p.m., in an interview the Nursing Home Administrator (NHA) said he was investigating missing money from the petty cash box on 10/22/25 in the amount of $905.00. He said he looked and could not find any receipts for the missing money. He said the previous BOM was terminated and verified the facility filed a report for the allegation of misappropriation of residents' property report with the Agency for Healthcare Administration and law enforcement on 10/24/25, and the Department of Children and Families on 10/28/25. Event ID: Facility ID: 105774 If continuation sheet Page 5 of 11 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 105774 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Indian Beach Nursing and Rehab Center 1755 18th St Sarasota, FL 34230 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 0610 Respond appropriately to all alleged violations. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, review of the facility's policy and procedure, residents and staff interviews, the facility failed to thoroughly investigate an allegation of misappropriation of residents' property for 1 of 1 incident investigation related to misappropriation of residents' personal funds reviewed.The findings included:Review of the facility's policy and procedure titled, Abuse, Neglect, Exploitation & Misappropriation with an effective date of [DATE] and a revision date of [DATE] revealed, It is inherent in the nature and dignity of each resident at the center he/she be afforded basic human rights, including the right to be free from abuse, neglect, mistreatment, exploitation and/or misappropriation of property . Employees of the center are charged with a continuing obligation to treat residents so they are free from abuse, neglect, mistreatment, and/or misappropriation of property. No employee may at any time commit an act of physical, psychological, or emotional abuse, neglect, mistreatment, and/or misappropriation of property against any resident . Misappropriation of resident property is the deliberate misplacement, exploitation, or wrongful, temporary, permanent use of a resident's belongings or money without the resident's consent. Misappropriation includes but is not limited to: . Theft of money from bank accounts . Unauthorized or coerced purchases from residents' funds . A resident who provides monetary assistance to staff, after staff had made the resident believe that staff was in a financial crisis . Procedure . Investigation. The Abuse Coordinator or his/her designee shall investigate all reports or allegations of . misappropriation and exploitation. A Social Service representative may be offered in the role of resident advocate during any questioning of or interviewing of residents.Review of the facility provided incident investigations revealed on [DATE] the facility initiated an investigation of misappropriation of Resident Property.The investigation noted that on [DATE] the Nursing Home Administrator (NHA) was made aware of an alleged misappropriation of resident funds from the Resident Fund Management Service (RFMS) account. When dispersing resident funds to residents, the cash box contained only $125.00. The facility cash box should have contained $1030.00. The facility investigation noted former Business Office Manager (BOM) was the alleged perpetrator.The investigation documented on [DATE] at approximately 10:30 a.m. the [NAME] President of Finance was contacted and made aware that the former BOM had called off via text message for the second day and there was only $125.00 in the Resident Fund Management System (RFMS) cash box for residents. The cash amount was verified by Human Resources. The [NAME] President of Finances notified the Nursing Home Administrator (NHA) on [DATE] and informed him the residents cash box should have more funds available due to the former BOM cashing a petty cash check on [DATE].On [DATE] at 1:04 p.m., in an interview the Nursing Home Administrator (NHA) said he was investigating missing money from the petty cash box on [DATE] in the amount of $905.00. He said he looked and could not find any of the missing receipts. He said the former BOM was terminated and he filed a report with Agency for Healthcare Administration, the Sarasota Police and the Department of Children and Families. The NHA said the former BOM was hired on [DATE]. He said the facility did not go back and investigate to see if other monies were missing.A review of a sample of 6 of 51 residents who chose to have the facility manage their personal funds revealed:Resident #1 signed an authorization for the facility to handle her funds on [DATE]. Review of the Resident Fund Statements revealed in [DATE], and [DATE], Resident #1 withdrew a total of $950.00 for personal needs items, $100.00 for clothing and $550.00 for tobacco.Review of the accounting record revealed no receipts for the withdrawals. On [DATE] at 11:55 a.m., in an interview with Resident #1 said the facility manages her finances. Resident #1 said, I am missing a lot of money. She said the facility gave her financial statements, but no one explained them to her. She said she only gets $40 each time she can. Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105774 If continuation sheet Page 6 of 11 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 105774 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Indian Beach Nursing and Rehab Center 1755 18th St Sarasota, FL 34230 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 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Resident #1 looked at the facility provided financial statements for [DATE], and [DATE] and said, Look at me, do you think I buy new clothes?. Resident #1 said she does not smoke and was being charged for tobacco. She said she never drew out that much money for personal care needs. Resident #1 said she was only able to withdraw $100 once so she could buy the former Business Office Manager (BOM) a gift. She said the former BOM said she had lost her car and was living with a friend. She felt bad for the former (BOM), but it turns out she was stealing from me this whole time. She said the former (BOM) would also do weird stuff when she would withdraw money. She said the former BOM would grab money from the safe and would always go to her purse before handing over the money. She said she was furious because, I only have so much. She said that her family took the house and now the facility has taken everything else. Resident #1 was crying and said, This is all I have. Resident #3 signed an authorization on [DATE] for the facility to handle his personal funds. Review of the resident's funds statements for [DATE], [DATE] and [DATE] revealed Resident #3 withdrew a total of $260.00 for tobacco and $700.00 for personal care items. Review of the accounting records for petty cash disbursement revealed no receipts for the withdrawals for tobacco and personal care items for Resident #3. On [DATE] at 1:34 p.m., in an interview Resident #3 said the facility manages his money and he gets about $250 a month. He said he gets $40 every time he gets money out, never more than that. He said most of the time he has to sign something when he gets his money, but not every time.Resident #2 signed an authorization for the facility to handle his personal funds on [DATE]. Review of the Resident Fund Statements revealed in [DATE], Resident #2 withdrew $200.00 for telephone charges and a total of $400.00 for personal needs items. Review of the accounting records for [DATE] revealed no receipts for the withdrawals for the telephone charges and the personal needs items. On [DATE] at 2:17 p.m., in an interview Resident #2 said the facility manages his money. Resident #2 said he is only allowed $40 each week. When asked about the withdrawals for [DATE], the resident said he never drew out any money in [DATE]. He said, The facility wouldn't even give you that amount if you asked. Resident #2 was observed visibly angry and unable to sit still. Resident #2 said he wants his money back.Review of the clinical record revealed Resident #4 had an admission date of [DATE] and a discharge date of [DATE]. Resident #4 signed an undated form authorizing the facility to manage her personal funds. Review of the Resident Fund Statements revealed a total of withdrawals of in [DATE], and [DATE] after discharge from the facility, Resident #4 withdrew a total of $1600.00 for personal care items. Review of accounting records for petty cash disbursements for the month of [DATE] revealed no receipts for Resident #4's withdrawals for personal care items.Resident #5 signed the Resident Fund Management Authorization Service Authorization and Agreement Form to handle his resident's funds on [DATE]. Review of the clinical record revealed Resident #5 was discharged from the facility on [DATE]. Review of the Resident Fund Statements for [DATE] and [DATE] revealed Resident #5 withdrew a total of $215.00 for personal care items, including $100.00 withdrawn on [DATE] after discharge. Review of the accounting records for petty cash disbursements for [DATE], and [DATE] revealed no receipts for the withdrawals for personal care items. Review of the clinical record for Resident #6 revealed an admission date of [DATE] and a discharge date of [DATE]. Resident #6 signed the Resident Fund Management Authorization Service Authorization and Agreement Form to handle his resident's funds on [DATE].The resident's Fund Statement documented Resident #6 expired on [DATE]. Review of the Resident Fund Statement for [DATE] and [DATE] revealed Resident #6 withdrew a total of $1,885.00, including 11 withdrawals after discharge from the facility. Review of accounting records for petty cash disbursements for [DATE], and [DATE] revealed no receipts for Resident #6's withdrawals for personal care items.On [DATE] at 2:39 p.m., in an interview the NHA said the Regional [NAME] President of Finance did make (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105774 If continuation sheet Page 7 of 11 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 105774 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Indian Beach Nursing and Rehab Center 1755 18th St Sarasota, FL 34230 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 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete him aware that there were missing receipts. He said no one investigated it further. He said he felt the investigation was for what we knew at the time and that was the missing $905.00. He said no residents had come forward to report missing money so they did not go back and look at transactions from the time the former BOM was hired.On [DATE] at 11:53 a.m., in an interview the [NAME] President of Revenue Cycle said the Social Worker handed quarterly statements to the residents as part of the investigation. He said he usually does an audit of the BOM but did not do one in 2025. He said the former BOM had no oversight from the facility or Regional. He said after the $905.00 was missing, they did not go back to investigate.The NHA said the Social Worker was not given any directions other than to deliver the statements enclosed in an envelope and have the resident sign for receiving the envelope. The NHA said the residents were not made aware to examine their statements for accuracy. Event ID: Facility ID: 105774 If continuation sheet Page 8 of 11 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 105774 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Indian Beach Nursing and Rehab Center 1755 18th St Sarasota, FL 34230 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 0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, review of the facility's policies and procedures, residents and staff interviews, the facility administration failed to utilize its resources effectively and provide the necessary oversight to prevent the misappropriation of residents' personal funds for 6 (Residents #1, #2, #3, #4, #5 and #6) of 6 of 51 residents whose funds are managed by the facility.The findings included:Review of the Business Office Manager's job description revealed the duties and responsibilities included to maintain current and accurate computer data including documentation of all account activity performed in A/R (Account Receivable) systems. Complete cash log as required. Maintain compliance with all state, federal, and government agencies. Perform all other business-related duties as assigned. Review of the facility's policy and procedure titled, Abuse, Neglect, Exploitation & Misappropriation with an effective date of [DATE] and a revision date of [DATE] revealed, The center is committed to the prevention of . misappropriation of resident property, and exploitation. The following systems have been implemented . Department Heads and supervisors that monitor staff to identify inappropriate behavior.Review of the facility provided investigations revealed on [DATE] the facility initiated an investigation for an allegation of misappropriation of Resident Property/Exploitation.The investigation noted that on [DATE] the Nursing Home Administrator (NHA) was notified that the cash box contained $125.00. The residents' cash box should have more funds available due to the former Business Office Manager (BOM) cashing a resident petty cash check on [DATE] for $1,030.00.The alleged perpetrator was the former Business Office Manager. The former Business Office Manager was not able to provide receipts or an explanation for the missing money. A total of $905.00 was unaccounted for.The investigation noted that Quarterly statements for [DATE] through [DATE] were printed and provided to residents or responsible parties.The investigation noted that on [DATE] the facility verified the allegation of misappropriation of residents property and noted, Based on the findings of this investigation and reviewing of resident's statements it appears [name] Business Office Manager removed $905.00 from the RFMS (Resident Fund Management Service) petty cash account box and could not provide receipts or an explanation of the location of the missing funds. The event was verified after the audit of the cash box. Interviewed with residents revealed no concerns with accounts.On [DATE], a review of a sample of 6 of 51 residents who chose to have the facility manage their personal funds revealed:Resident #1 signed an authorization for the facility to handle her funds on [DATE]. Review of the Resident Fund Statements revealed in [DATE], and [DATE], Resident #1 withdrew a total of $950.00 for personal needs items, $100.00 for clothing and $550.00 for tobacco.Review of the accounting record revealed no receipts for the withdrawals.On [DATE] at 11:55 a.m., in an interview with Resident #1 said the facility manages her finances. Resident #1 said, I am missing a lot of money. She said the facility gave her financial statements, but no one explained them to her. She said she only gets $40 each time she can. Resident #1 looked at the facility provided financial statements for [DATE], and [DATE] and said, Look at me, do you think I buy new clothes?.Resident #1 said she does not smoke and was being charged for tobacco. She said she never drew out that much money for personal care needs. Resident #1 said she was only able to withdraw $100 once so she could buy the former Business Office Manager (BOM) a gift. She said the former BOM said she had lost her car and was living with a friend. She felt bad for the former (BOM), but it turns out she was stealing from me this whole time. She said the former (BOM) would also do weird stuff when she would withdraw money. She said the former BOM would grab money from the safe and would always go to her purse before handing over the money. She said she was furious because, I only have so much. She said that her family took the house and now the facility Residents Affected - Some (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105774 If continuation sheet Page 9 of 11 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 105774 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Indian Beach Nursing and Rehab Center 1755 18th St Sarasota, FL 34230 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 0835 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some has taken everything else. Resident #1 was crying and said, This is all I have.Resident #3 signed an authorization on [DATE] for the facility to handle his personal funds.Review of the resident's funds statements for [DATE], [DATE] and [DATE] revealed Resident #3 withdrew a total of $260.00 for tobacco and $700.00 for personal care items.Review of the accounting records for petty cash disbursement revealed no receipts for the withdrawals for tobacco and personal care items for Resident #3.On [DATE] at 1:34 p.m., in an interview Resident #3 said the facility manages his money and he gets about $250 a month. He said he gets $40 every time he gets money out, never more than that. He said most of the time he has to sign something when he gets his money, but not every time.Resident #2 signed an authorization for the facility to handle his personal funds on [DATE]. Review of the Resident Fund Statements revealed in [DATE], Resident #2 withdrew $200.00 for telephone charges and a total of $400.00 for personal needs items.Review of the accounting records for [DATE] revealed no receipts for the withdrawals for the telephone charges and the personal needs items. On [DATE] at 2:17 p.m., in an interview Resident #2 said the facility manages his money. Resident #2 said he is only allowed $40 each week. When asked about the withdrawals for [DATE], the resident said he never drew out any money in [DATE]. He said, The facility wouldn't even give you that amount if you asked. Resident #2 was observed visibly angry and unable to sit still. Resident #2 said he wants his money back.Review of the clinical record revealed Resident #4 had an admission date of [DATE] and a discharge date of [DATE]. Resident #4 signed an undated form authorizing the facility to manage her personal funds.Review of the Resident Fund Statements revealed a total of withdrawals of in [DATE], and [DATE] after discharge from the facility, Resident #4 withdrew a total of $1600.00 for personal care items. Review of accounting records for petty cash disbursements for the month of [DATE] revealed no receipts for Resident #4's withdrawals for personal care items.Resident #5 signed the Resident Fund Management Authorization Service Authorization and Agreement Form to handle his resident's funds on [DATE].Review of the clinical record revealed Resident #5 was discharged from the facility on [DATE].Review of the Resident Fund Statements for [DATE] and [DATE] revealed Resident #5 withdrew a total of $215.00 for personal care items, including $100.00 withdrawn on [DATE] after discharge. Review of the accounting records for petty cash disbursements for [DATE], and [DATE] revealed no receipts for the withdrawals for personal care items.Review of the clinical record for Resident #6 revealed an admission date of [DATE] and a discharge date of [DATE].Resident #6 signed the Resident Fund Management Authorization Service Authorization and Agreement Form to handle his resident's funds on [DATE].The resident's Fund Statement documented Resident #6 expired on [DATE].Review of the Resident Fund Statement for [DATE] and [DATE] revealed Resident #6 withdrew a total of $1,885.00, including 11 withdrawals after discharge from the facility.Review of accounting records for petty cash disbursements for [DATE], and [DATE] revealed no receipts for Resident #6's withdrawals for personal care items.On [DATE] at 2:39 p.m., in an interview the NHA said the Regional [NAME] President of Finance did make him aware that there were missing receipts. He said no one investigated it further. He said he felt the investigation was for what we knew at the time and that was the missing $905.00. He said no residents had come forward to report missing money, so they did not go back and look at transactions from the time the former BOM was hired.On [DATE] at 11:53 a.m., in an interview the [NAME] President of Revenue Cycle said the Social Worker handed quarterly statements to the residents as part of the investigation. He said he usually does an audit of the BOM but did not do one in 2025. He said the former BOM had no oversight from the facility or Regional. He said after the $905.00 was missing, they did not go back to investigate.The NHA said the Social Worker was not given any directions other than to deliver the statements enclosed in an envelope and have the resident sign for receiving the envelope. The (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 105774 If continuation sheet Page 10 of 11 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 105774 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Indian Beach Nursing and Rehab Center 1755 18th St Sarasota, FL 34230 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 0835 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete NHA said the residents were not made aware to examine their statements for accuracy.Review of the Facility's Policy Resident Funds Management System (RFMS) Petty Cash effective date [DATE] Policy: The facility will maintain accurate financial records and obtain the residents approval or obtain the approval of their representative/witness for transactions in order to prevent misuse. Procedure: 2) A withdrawal receipt is to be completed by the Business Office Manager indicating date, amount, resident name and purpose if possible. 3) The resident's signature authorizing the amount to be deducted from the resident's account is required. If the resident is unable to sign, a witness to the transaction needs to sign the withdrawal receipt. Cash should not be disbursed prior to the withdrawal receipt being signed by the resident or their resident representative/witness. Event ID: Facility ID: 105774 If continuation sheet Page 11 of 11