Inspection·May 23, 2025

F 0689 A review of the Care Plan Report, initiated on 11/18/2024, revealed the following: Level of Harm - Minimal harm or potential for actual harm 1-Focus area: Resident #1 is dependent on staff and family for meeting emotional, physical, and social needs related to physical limitations. (initiated 12/16/24; revised 2/18/25) Residents Affected - Few Goal: The resident will maintain involvement in cognitive stimulation, social activities as desire through review date. Interventions included: -The resident needs assistance/escort to activity functions. Can propel self in wheelchair. -The resident preferred activities are ice cream time, eating in the main dining room, the outdoors, and visiting with family. 2-Focus area: Diabetes Mellitus (initiated 11/15/2024; revised 1/03/25) Goal: The resident will have no complications related to diabetes through the review date. Interventions included: -Avoid exposure to extreme heat or cold. -Observe and report PRN (as needed) any signs and symptoms of hypoglycemia, sweating, tremor, increased heart rate, pallor, nervousness, confusion, slurred speech, lack of coordination, staggering gait. A review of the Progress notes for Resident #1 revealed the following: -5/2/2025 16:38 Health Status Note Note Text: Patient [family member] notified of transfer to hospital. A review of the hospital Emergency Department (ED) Physician record from admission date 5/2/2025 for Resident #1 revealed the following: History of Present Illness: The patient presented to this ED for evaluation via EMS from [Facility name]. Caregivers at [Facility name] found the patient to be somnolent and minimally responsive after he was out sitting in the sun for a bit. They could not arouse him, so EMS was called. No fall reported, no fever, no vomiting or diarrhea. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 2 of 9 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 106025 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/23/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Life Care Center of Sarasota 8104 Tuttle Ave Sarasota, FL 34243 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 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few On arrival here, the patient is awake and alert but poorly interactive, no facial droop, moving all 4 extremities. Medical Decision Making: The ER work up include EKG (electrocardiogram), chest x-ray, routine labs, urinalysis, viral swab, CT imaging of the brain. All are found to be unremarkable, no acute findings. Dehydration and Rhabdomyolysis have both been ruled out. Patient appears to be acting much better after receiving a liter of IV fluid. Impression and Plan: Altered mental state Heat exposure A review of the Progress notes for Resident #1 after the ED visit revealed the following -5/3/2025 06:47 Health Status Note Note Text: Resident brought back from [local hospital] around 2130. [Family member] was with him at bedside. [Family member] brought in a bottle of Aloe Vera and Aquaphor. Aloe Vera orders are in system. New skin care integrity assessment initiated. 2 blisters on top of head, and 2 blisters on each upper thighs noted upon return. Redness to face, neck, and thighs. -5/3/2025 18:30 Health Status Note Note Text: Pt (Patient) noted with a moderate amount of clear yellow drainage emitting from the top of the scalp area. Area cleansed and covered. Spoke with NP (Nurse Practitioner) who gave orders for wound care to evaluate on Monday -5/4/2025 11:06 Health Status Note Note Text: Per orders from NP, stat (emergent) CBC (complete blood count)/CMP (comprehensive metabolic profile) ,stat pharmacy delivery of Prednisone 40 mg, and a hold on PT's (patient's) cream that is applied have all been processed. Benadryl order placed as well. -5/4/2025 15:52 (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 3 of 9 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 106025 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/23/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Life Care Center of Sarasota 8104 Tuttle Ave Sarasota, FL 34243 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 0689 Health Status Note Level of Harm - Minimal harm or potential for actual harm Note Text: Upon further inspection by this RN (Registered Nurse) and weekend supervisor, PTs facial swelling appears to be decreasing. Wife present and agrees. NP notified of current Residents Affected - Few -5/5/2025 08:55 Skin/Wound Note Late Entry: Note Text: Pt seen by [Wound Care Consultant] ARNP [Advanced Registered Nurse Practitioner] today. Pt alert & oriented to self, able to follow directions. Pt noted with blisters in BUE (bilateral upper extremities), bilateral thighs and top of head. Other blister on top of head has popped and dry out. No wound or open skin area. Swelling in R (right) side of jaw line and neck. Pt able to talk clearly, swallow his medication with water without difficulty. Primary ARNP in room at the same time to evaluate pt. MD (Medical Doctor) contacted at that time by ARNP. Pt would not be followed by [Wound Care Consultant] group since pt does not have any skin open area. Will continue to monitor. -5/5/2025 10:50 Provider Note Chief Complaint/History of Present Illness: Re-admit Patient found unresponsive and sent to ER (Emergency Room). CT (Computed Tomography) imaging negative for acute findings .Sent back to facility. Patient then was reported to be outside and a couple days later reported that he had sporadic large fluid filled blisters on head, B/L (bilateral) arms, and B/L groin areas all where sun had been exposed. Head blister has opened, and wound care will follow for this. He is unsure how long he was outside for. Agree with wound care's diagnosis of sun exposure vs (versus) drug induced bullous pemphigoid (a chronic, autoimmune blistering skin disease primarily affecting older adults). He does have increased facial swelling on the right side that has worsened since starting Prednisone 40 mg po (by mouth) QD (daily). Concern for airway protection and recommend to send to ER for IV (intravenous) steroids and eval . -5/5/2025 16:53 Provider Note Chief Complaint/History of Present Illness: .MD evaluated the patient today with POA (Power of Attorney) present. Concern was held regarding the patient's breathing and swelling around his neck predominantly on the right side of his neck. Blisters were present on his arms and thighs. Per report and per MD revise of facility documentation, patient was outside the day before with normal daily activities for the patient. He was subsequentially reported altered outside and was subsequently brought inside for evaluation. Patient typically spends significant time with his spouse in and out of the facility. MD recommended EMS (Emergency (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 4 of 9 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 106025 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/23/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Life Care Center of Sarasota 8104 Tuttle Ave Sarasota, FL 34243 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 0689 Medical Services) to be called and patient was transported to the hospital in stable condition. Level of Harm - Minimal harm or potential for actual harm Plan: Residents Affected - Few MD reviewed imaging and facility records extensively and conferred with additional board-certified physicians internal medicine physicians including a board-certified dermatologist. Per exam patient has darkened pigment on his anterior forearms as well as thighs. Dermatologist advised after serial imaging review that patient likely has a history of long-term photosensitivity reactions indicative of someone with chronic sun exposure. Facility documentation was reviewed by MD the patient was outside for less than an hour and became symptomatic Patient was sent to the ED for a higher level of care for airway protection -5/5/2025 16:53 Event Note Late Entry Note text: At approximately 3:46 p.m. this nurse was notified by other staff members that patient needed assistance, this nurse quickly went with staff members to assess resident. This nurse assessed resident, resident was noted to be responsive, awake and slowly responding. Other nurse helped to assess resident. Resident noted not to appear at baseline medical provider notified gave order to send out via EMS. 911 called per order and resident sent out to hospital. Spouse notified of change in condition and hospital transfer . -5/5/2025 1802 Transfer to Hospital Note Text: Alert and oriented X2, resting in bed .MD was in to see pt. regarding fluid filled blisters, redness of skin and swelling in right neck. 2:30 p.m. orders to sent to ER for evaluation, 911 was called and patient was transferred to hospital via stretcher with paramedics A review of the hospital Emergency Department (ED) Physician record from admission date 5/5/2025 for Resident #1 revealed the following: History of Present Illness: Patient is an [AGE] year-old male who 2 days ago was left out in the sun accidentally by the staff at [Facility name] patient was evaluated at our facility at that time he had some sunburn on both upper thighs and his arms. The redness is turned to blisters on both upper thighs and on his arms. Patient also states he was sent here for evaluation of shortness of breath there was a lab order form from [Facility name]. Patient appears in no obvious distress at this time. Patient denies any chest pain. Impression and Plan: -Leukocytosis (condition in which the white cell count is above normal and is frequently a sign of an infection). (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 5 of 9 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 106025 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/23/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Life Care Center of Sarasota 8104 Tuttle Ave Sarasota, FL 34243 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 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few -Sepsis (condition that arises when the body's response to infection causes injury to its own tissues and organs). An interview was conducted on 5/12/2025 at 11:21 a.m. with Staff A, Registered Nurse (RN). Staff A, RN stated she was the primary nurse for Resident #1 on 5/02/2025. She stated Resident #1's family member came to the facility around 9 to 10 a.m. and spent most of the day with the resident. She said the last time she had seen the resident was before lunch to record his blood sugar. She stated it was around 11:00 a.m. She said the nursing assistant (Staff B, Certified Nursing Assistant, CNA) toileted the resident in the morning and took the resident to activities with the family member. She stated she did not know when the resident went outside or how long he had been outside. She said the family member left the facility around 1:45 to 2:00 p.m. Staff A, RN stated she was walking in the hallway, and she heard staff saying they needed assistance in the patio area around three something in the afternoon. She said she ran to the outside patio and saw Resident #1 in the ice cream parlor, sitting in the wheelchair. She said the resident's eyes were open and she checked for a pulse. She said the resident had a pulse and she starting calling his name and doing a rub on his chest, but he was not able to state his name. She said he was just moaning. She stated Resident #1 appeared tired and lethargic. Staff A, RN stated one of the other nurses (Staff C, Licensed Practical Nurse, LPN) came to help and took over the care for Resident #1 while she went to go get the paperwork to send Resident #1 to the hospital. She could not recall exactly what the resident was wearing at the time. She stated she did not put a progress note into the record at the time of the incident because she thought the other nurse was going to do it. She stated she put a note in the record a few days later when she found out no note was written. She stated the activities staff are supposed to check on the residents and give them water if they are outside. She stated the CNA's are supposed to go and check on their resident's if the resident is outside. She stated is a resident is alert and oriented, they can go outside. An interview was conducted on 5/12/2025 at 11:56 a.m. with Staff C, LPN. Staff C, LPN stated Staff D, Physical Therapist (PT) was walking near the court yard and found Resident #1 unresponsive. She stated around 3:30-3:45 p.m. a staff member was screaming her name to come and help a resident. She said when she arrived she noticed it was Resident #1. She stated Staff D, PT was bringing the resident inside as she arrived in the ice cream parlor. Staff C, LPN stated they moved the resident to the private dining area, and he was very warm to the touch. She said they brought the resident to the ground and laid him on the floor. She stated they checked his blood sugar, and it was okay, so she started putting wet cool rags on his groin and head area. She said she instructed other staff members to call 911 and get paperwork ready for transfer. Staff C stated Resident #1 was responding by opening his eyes and opening his hands, but he was not able to speak. She stated it was warm outside that day, but it was not extremely hot. She stated the resident had on a pair of black basketball shorts, and a gray shirt with sneakers and no hat. She stated he had no obvious skin injuries or head injury at the time. An interview was conducted on 5/12/2025 at 12:07 p.m., with Staff D, PT. Staff D, PT stated she was finishing up her day and had clocked out around 3:40 p.m. She stated she went out to the courtyard to speak with another resident, and she saw Resident #1 sitting in the court yard. She stated she knew Resident #1 well and she went over to say hello. She said he appeared to be resting, and she tried to wake him up, but he was not responding. She said Resident #1 did not appear to be his usual self. She said she went inside the ice cream parlor and asked someone to call for help with a medical emergency. She said she went and brought Resident #1 inside in his wheelchair. She said the nursing staff took over providing care for the resident. She stated she had not seen him throughout the day on 5/02/2025. She stated she did not know how long Resident #1 had been outside and she did not see (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 6 of 9 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 106025 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/23/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Life Care Center of Sarasota 8104 Tuttle Ave Sarasota, FL 34243 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 0689 any other staff members outside in the courtyard at the time. Level of Harm - Minimal harm or potential for actual harm An interview was conducted on 5/12/2025 at 12:15 p.m. with Staff E, Activities Assistant (AA). Staff E, AA stated he saw Resident #1 at 2:15 p.m. and instructed the resident that he could not go outside at the time because the landscapers were working in the courtyard. He stated he brought Resident #1 to activities in the dining room and gave him some ice cream at 2:30 p.m. He stated that was the last time he saw Resident #1. He stated he had seen Resident #1 earlier in the day with his family member in the hallway. He stated he offers water or juice and sunscreen to residents who are outside. He stated there was some areas of shade in the courtyard and Resident #1 can move around freely in his wheelchair. Residents Affected - Few An interview was conducted on 5/12/2025 at 12:27 p.m. with the Director of Nursing (DON). The DON said there is a button for residents to use to go outside and enter the courtyard. She stated staff are responsible to do rounds and check on residents. She stated the CNA's check on residents, but they would not document in the record. She stated the CNA's are required to do two hour checks on the residents depending on their needs. She stated some residents may need more supervision. She stated Staff E, AA was the last one to see Resident #1 around 2:30-2:45 p.m. when the resident went outside to eat his ice cream. She said based on the investigation Resident #1 was outside from 2:45 p.m.-3:45 p.m. The DON stated at 3:45 p.m. Resident #1, appeared he was sleeping in the court yard and the physical therapist stated he was not responsive. She said on Monday she spoke with Resident #1, and he was slow to respond and that is his baseline. She said, He is low speaking. She said the resident told her he just fell asleep out there. She said when Resident #1 came back to the facility they found a blister on the top of his head, and his arm. She said the next day the resident had some swelling on the right side of his neck, and some weeping from his head. The DON said the resident was responding to the treatments ordered and all the lab results appeared in normal limits. She said the doctors were trying to rule out an autoimmune disorder or some type of reaction. She stated Resident #1 has always gone outside and has never had any type of problem related to heat or sun before. She stated Resident #1 is still hospitalized and doctors are still trying to figure out what is going on. She stated the activities staff were responsible for checking in on the residents outside and providing hydration and sunscreen. An interview was conducted on 5/12/2025 at 1:12 p.m. with the Activities Director (AD). The AD stated they are responsible for checking on residents who are outside and offering them water and sunscreen. She stated they are responsible to document resident participation in activities on a participation log. She stated Resident #1 was more independent and able to move around in his wheelchair. She stated he did not participate in all activities, and he would go outside a few times a day. She stated Resident #1 would come and get ice cream in the afternoon and take it outside in the courtyard to eat it. She said this was Resident #1's normal routine. An interview was conducted on 5/12/2025 at 2:23 p.m. with the Nursing Home Administrator (NHA) and the DON. The NHA stated the facility started an investigation into the incident with Resident #1 right away. The NHA stated based on their investigation they believe Resident #1 was outside for a little less than an hour when he was found. The NHA stated there had been no previous concerns with the resident related to being outside. He stated they are still working with the doctor to investigate this incident. He stated they started an Adhoc QAPI plan (Quality Assurance and Performance Improvement Plan). An interview was conducted on 5/12/2025 at 2:47 p.m. with the Primary Care Provider (PCP). The PCP stated he was very familiar with Resident #1. The PCP stated he came in to see the resident the day (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 7 of 9 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 106025 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/23/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Life Care Center of Sarasota 8104 Tuttle Ave Sarasota, FL 34243 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 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few after the incident. He stated he consulted a Dermatologist to discuss the case. He stated Resident #1 has a history of chronic sun exposure and likes to be outside. He stated the Dermatologist believed this may be an autoimmune reaction to the sun exposure or a drug induced illness. He stated they are providing treatment at the hospital and Resident #1's body reacted to something but there is no absolute cause at this time. He stated he did not believe the reaction was related to a sunburn, but the sun might have been the catalyst for the reaction. He stated they are still working on a definite diagnosis. An interview was conducted on 5/12/2025 at 3:15 p.m. with Staff B, CNA. Staff B stated she did not work with Resident #1 very often. Staff B stated she came in at 7:00 a.m. and worked a double that day. She stated she saw Resident #1 at 7:30 a.m. after breakfast. She stated she assisted the resident to the bathroom and took him to activities. She stated a family member came to see Resident #1 and she saw them walking around and then they went to lunch. She said she checked on him around 2:30 p.m. and he was in the activity room eating ice cream. She said that was the last time she saw him before the incident. Staff B stated she was there when Resident #1 returned from the hospital. She said he came from hospital around 9:00 p.m. She said she helped get him to his room. She stated his skin had boils. A telephone interview was conducted on 5/12/2025 at 3:35 p.m. with Resident #1's POA. The POA stated Resident #1 was still in the hospital and was not doing well. The POA stated the hospital was going to transfer the resident to another facility where they had a burn unit. She stated the doctors still do not know what exactly happened, but it was started by the sun exposure for some reason. The POA stated the blisters have gone down some but now they think he may have a staph infection on his head. She stated she arrived at the facility on 5/02/2025 around 11:30 a.m. and stayed until around 1:30 p.m. She stated she did not take the resident outside during her visit and when she left Resident #1 was doing fine. The POA stated she received a call around 4:30 p.m. stating the resident was being sent to the hospital. She said Resident #1 was dressed in shorts and a tee shirt. She stated Resident #1 was being seen by several specialists and wound care. She stated the resident likes to be outside, but he does have some cognitive deficits, and he does not always know when to drink water or to get out of the sun. The POA stated she has never had the resident out in the sun for an hour, and she always gets him back inside after about 20 minutes. She said 20 minutes is as long as she can stand in the heat. The POA stated the resident, Can present better than he is, but he really does not have a concept of how long he was outside or if he needs to drink. A review of the facility's policy titled Inclement Weather Restrictions, Issued 4/12/2018; Revised 9/27/2024, revealed the following: Policy: Most facilities have courtyards, porches, or secured patios that are available for resident use and for outdoor facility activities and events. These are subject to inclement weather restrictions. Procedure: 1. Courtyards, secured patios, and porches are available for use for residents except during inclement weather conditions. Guidelines to consider: a. Temperature < 32 degrees or >90 degrees (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 8 of 9 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 106025 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/23/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Life Care Center of Sarasota 8104 Tuttle Ave Sarasota, FL 34243 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 0689 b. Heat index > 100 degrees Level of Harm - Minimal harm or potential for actual harm c. Excessive wind chill d. Excessive humidity Residents Affected - Few e. Precipitation f. Severe weather watches or warnings 2. Resident should be dressed appropriately for weather conditions if outside. 3. Each facility should provide for periodic monitoring of residents in courtyards, secured patios, or porches to provide hydration in warmer weather. 4. Resident with moderate to severe cognitive impairment should be attended by staff or visitor when outside. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 9 of 9