Inspection·September 18, 2025

F 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete include but not limited to: Alzheimer's, dementia, depression, restlessness and agitation, seizures, and need for personal assistance.Review of the current physician's orders for the month of 9/2025 revealed the following but not limited to orders:- Wound treatment for Right heel: clean with n/s, apply silver alginate to wound bed, cover with gauze island w/bdr (with a bordered dressing), every night shift (order date 8/11/2025).- Air mattress with bilateral bolsters check placement and function, every shift (order date 8/2/2024).- Skin prep to heels for skin protection every night shift (order date 6/6/2024).- Elevate heels when in bed to alleviate pressure as tolerated every shift (order date 9/16/2022).Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #100 had a Brief Interview Mental Status (BIMS) score of 3 of 15 indicating the resident was severely impaired. Section GG revealed the resident had impairment on both sides with upper extremities, impairment on one side with lower extremity and was dependent on staff for ADLs (activities of daily living).Review of the current care plans with a next review date 10/19/2025 revealed the resident was at risk for break in skin integrity r/t (related to) impaired mobility, incontinence, dx. (diagnosis) of anemia, PVD (Peripheral Vascular Disease), history of pressure ulcers and arterial ulcers, with interventions in place to include air mattress with bilateral bolsters, check placement and function, heel elevating boots per current MD (medical doctor) order, pressure reducing mattress. On 9/11/2025 at 1:00 p.m. an interview was conducted with the Nursing Home Administrator (NHA) and the Director of Nursing (DON). They provided the Bed Inspection & Bed Maintenance and Bed Rail Installation policy and procedure with a last review date of 1/17/2025 for review. The policy revealed to conduct regular inspection of all bed frames, mattresses, and bed rails, if any, as part of a regular maintenance program to identify areas of possible entrapment. When mattresses are used and purchases separately frame, the facility must ensure that the bed rails, mattress, and bed frames are compatible.Procedure:1. All new beds will be inspected by the maintenance department upon arrival to the facility. 5 . Routine inspections of the seven zones of entrapment are required for all bed and when there are any changes to the bed frame, mattress.a. Entrapment may occur in flat or raised bed positions:vii. Between head or footboard and mattress end.iv. Ensure that the mattress is appropriately sized for the bed frame. Event ID: Facility ID: 106025 If continuation sheet Page 2 of 18 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 09/18/2025 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 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interviews and policy review, the facility failed to report an injury of unknown origin for one resident (#11) of two residents sampled.Findings Included: On 09/09/2025 at 03:05 p.m. an interview was conducted with Staff M Licensed Practical Nurse (LPN) and Unit Manager (UM), of the Manatee unit. Staff M stated Resident #11 experienced a fall on 09/06/2025. Staff M stated the fall was not observed by staff. Staff M stated resident #11 went to the hospital on [DATE] after the resident complained of pain and an x-ray showed the resident had a hip fracture.On 09/10/2025 at 04:18 p.m. an interview was conducted with Staff R, Certified Nursing Assistant (CNA). Staff R explained seeing Resident #11 on the floor on the right side of the resident's bed and laying on their right side. Staff R stated Resident #11 was not seen falling to the floor. Staff R stated Resident #11 complained of pain while receiving a bed bath.On 09/10/2025 at 04:39 p.m.an interview was conducted with Staff S, Licensed Practical Nurse (LPN). Staff S stated how or why the resident fell was unknown.On 09/11/2025 at 10:40 a.m. an interview was conducted with Staff P, Registered Nurse (RN), and Staff I, CNA. Staff I explained walking by Resident #11's room and observing Resident #11 on the floor and having notified the nurse. Staff I, stated Resident #11 expressed pain in the right hip, while being picked up off the floor.On 09/18/2025 at 12:46 p.m., an interview was conducted with Staff W Physical Therapy Assistant (PTA). Staff W stated Resident #11's family member/decision maker reported the resident was in pain due to a fall over the weekend. Staff W stated one of Resident #11's legs was moved slightly and the resident expressed pain. Staff W stated a nurse was notified. Review of Resident #11's medical record revealed the resident was admitted to the facility on [DATE] and was readmitted on [DATE] with a primary diagnosis of displaced intertrochanteric fracture of right femur, subsequent encounter for closed fracture with routine healing. Other diagnoses included encounter for other orthopedic aftercare, muscle weakness, need for assistance with personal care, end stage renal disease, history of falling, and repeated falls.Review of a hospital history and physical for Resident #11 dated 09/09/2025 showed .the patient presented from nursing facility after having an outpatient X-ray that showed a femoral neck fracture. It was reported the patient had a fall on Saturday and had evaluation outpatient. Patient was complaining of hip pain while at dialysis. The X-ray showed a fracture. Patient does not appear in any discomfort or pain at this time. On arrival patient had a CT (Computed Tomography) of pelvis that showed a comminuted intertrochanteric fracture of the right femur with impaction; healed sacral and left pubic rami fractures. Compression screw noted within the left femoral neck per urology read.Review of a quarterly Minimum data Set (MDS) for Resident #11 dated 06/30/2025 revealed in section B the resident had impaired vision and sometimes understands verbal content. section C revealed the resident had a Brief Interview Mental Status score of 04, which meant severe cognitive impairment. Section GG revealed the resident used a wheelchair and walker for mobility and was dependent on staff for activities of daily living (ADLs) to include toileting hygiene, personal hygiene, and lower body dressing. Resident #11 required partial to moderate assistance for toilet transfers.Review of a progress note dated 09/06/2025 at 4:21 p.m. revealed, nurse alerted to the room. Pt (patient) was found on the floor on her right side, on the right side of the bed. Bed was in the lowest position. Neuros initiated . Nurse helped the CNA (Certified Nursing Assistant) put the patient back in her bed. Nurse cleansed the skin tear RUE (right upper extremity) with normal saline, Zeroform and clean, dry dressing. Physician made aware. POA (power of Attorney) made aware.On 09/18/2025 at 01:23 p.m. an interview was conducted with the Director of Nursing (DON) and the Risk manager (RM)/Assistant Director of Nursing (ADON). The DON stated how the resident fell was (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 3 of 18 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 09/18/2025 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 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete unknown. The DON stated the resident experienced a fall and the injury sustained by Resident #11 was unwitnessed. The DON stated a five-day adverse should have been completed. The DON stated the incident should have been reported.Review of a facility policy titled Abuse- protection of Residents, reviewed 06/17/2024 revealed a policy - the facility will ensure that all residents are protected from physical and psychosocial harm during and after the investigation.Procedure: The following methods to ensure the protection of residents during an investigation may include but are not limited to:5. Notification of the alleged violation to other agencies or law enforcement authorities. Event ID: Facility ID: 106025 If continuation sheet Page 4 of 18 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 09/18/2025 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 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 observations, interviews and record review, the facility failed to implement care plan interventions related to the use of orthotics for one resident (#100) of two residents reviewed during three days (9/8/2025, 9/9/2025, and 9/10/2025) of four days observed. Findings included: During multiple tours conducted on 9/8/2025 between 10:45 a.m. and 2:45 p.m., and on 9/10/2025 at 7:30 a.m. and at 9:50 a.m., Resident #100 was observed in his room lying in bed with no Right-hand splint/brace/hand carrot on and no heel protector boots on either of his feet. On 9/9/2025 at 9:40 a.m. an interview with Resident #100's family member who revealed they visited the resident daily. The family member Resident #100 was six feet four inches and that he lies in bed all day, by choice and his feet are always scrunched up against or positioned on top of the foot board. The family member revealed the resident had wounds on his heels and are being treated but did not think having his feet pressed up against or placed on top of the hard wooden foot board helped with healing and comfort. The family member stated having notified facility staff and assumed there was nothing that could be done. Resident #100 who had cognitive deficiencies with dementia was not interviewable and could not express if the bed was too short and if he had any discomfort or pain related to his feet placed on the foot board. The family member revealed not being aware of Resident #100's heel protector boots or a Right-hand splint/hand carrot device and having not seen them applied to the resident. An interview was conducted on 9/10/2025 at 10:00 a.m. with Staff T, Registered Nurse (RN)/Unit Manager in100 hall. Staff T revealed she was aware and knowledgeable of Resident #100's care and services. Staff T stated not being aware Resident #100 had orders to utilize heel protector boots and stated they would look at the orders to get clarification. She reviewed the record and confirmed he was care planned and ordered for use of heel protector boots while in bed, and with feet to be elevated. Staff T went to Resident #100's room and confirmed Resident #100 was not wearing any type of Right-hand splint/brace or hand carrot device. Staff T revealed she believed it was the responsibility of Physical Therapy (PT) department to maintain the use and donning and doffing of the Heel protective boots and Right-hand splint/ hand carrot device on a daily basis. Staff T stated having reviewed Resident #100's medical record to include the Treatment Administration Record (TAR) for the month of 9/2025 and found there was no documentation of application of the orthotics. Staff T confirmed Resident #100 should be assisted with the heel protector boots and a Right-hand splint/hand carrot device. Review of Resident #100's medical record revealed he was admitted to the facility on [DATE] with diagnoses to include but not limited to: Alzheimer's, dementia, depression, restlessness and agitation, seizures, and need for personal assistance. Review of the current physician orders for the month of 9/2025 revealed the following orders:a . Monitor Splint/Brace/Medical device to R (right) hand. Check skin integrity around or under device, pain and circulation x shift and document any changes in progress notes (order date 8/27/2025).b . Splint/Brace/Medical device: Allmed therapy Carrot Hand Contracture Orthotics. Apply to R hand for at least 1 hour. On during the day and off at night. Assess pain level, circulation and skin integrity, every shift document in progress note any changes (order date 8/27/2025).c . Wound treatment for R heel: clean with n/s, apply silver alginate to wound bed, cover with gauze Island w/bdr, every night shift (order date 8/11/2025).d . Elevate heels when in bed to alleviate pressure as tolerated every shift (order date 9/16/2022). Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #100 had a Brief Interview Mental Status (BIMS) score of 3 of 15 indicating the resident was severely impaired. Section GG revealed the resident had impairment on both sides with upper extremities, impairment on one side with lower extremity and was dependent (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 5 of 18 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 09/18/2025 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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few on staff for ADLs (activities of daily living). Review of the nurse's progress notes dated 6/1/2025 through 9/10/2025 revealed there was no documentation related to the use of orthotics or refusals. Review of a physician's progress note dated 8/25/2025 revealed Resident #100 was seen today for monthly follow up. Resident with Pressure ulcer right heel stage 4, Pressure ulcer left heel stage 3, Wound care onboard managing treatments to include Encourage off-loading of pressure from the affected areas using specialized footwear or heel protectors. Review of Resident #100's Medication Administration Record (MAR)dated 9/2025 revealed:- Monitor splint/brace/medical device to Right hand. Check skin integrity around or under device, pain and circulation every shift document any changes in progress notes and notify MD (medical doctor) if appropriate (order date 8/27/2025). - Splint/Brace/Medical device: Allmed therapy carrot hand contracture orthosis. Apply to R hand for at least one hour. On during the day, and off at night. Assess pain level, circulation, and skin integrity. Every shift document in progress notes of changes and notify MD if appropriate (order dated 8/27/2025)Review of the MAR for all days in 9/2025 indicated documented as completed for both day and night. However, observations revealed no splints were donned or offered on days 9/8/2025, 9/9/2025, and 9/10/2025.Review of the current care plans with a next review date 10/19/2025 revealed:A . Dependent on staff and wife for meeting emotional, intellectual, physical, and social needs r/t cognitive deficits, physical limitations, Alzheimer's. He chooses to stay in bed, with interventions in place. B . Has ADL self-care performance deficit r/t activity tolerance, progressive dementia with impaired cognition, psychosis with delusions, restless agitation, with interventions in place to include: Apply (R) hand carrot for at least one hour a day as tolerated and to be off at night. Assess pain level, circulation and skin integrity during use; Bed Mobility, the resident requires assist of (1) staff for repositioning and turning in bed.C . Impaired skin integrity Arterial ulcers R heel, with interventions in place to include: Enhanced barrier precautions, D . Risk for break in skin integrity r/t impaired mobility, incontinence, dx. of anemia, PVD, history of pressure ulcers and arterial ulcers, with interventions in place to include: Air mattress with bilateral bolsters, check placement and function, heel elevating boots per Current MD Order, Pressure reducing mattress On 9/10/25 at 1:50 p.m. an interview was conducted with Staff W, Registered Occupational Therapist. Staff W revealed he was responsible to don and doff the Right-hand splint/brace/carrot hand roll daily for Resident #100. He further revealed that if he does not get to it, nursing will. Staff W stated not being sure what nursing staff member would be responsible each day. Staff W confirmed on the days he does not work, nursing should be donning and doffing the hand device. He revealed this device is to be used for contracture management and to lower the risk for further breakdown. Staff W did not have any documentation to support when he dons and doffs the device. He also confirmed he does not document in the Medication Administration Record (MAR) or Treatment Administration Record (TAR), and that is the responsibility of the nurse. Various interviews were conducted on 9/10/2025 during the 7 a.m. -3 p.m. shift with assigned Certified Nursing Assistants and nurses on the 100 unit. These nursing staff did not know if Resident #100 utilizes heel protector boots or a Right-hand splint/hand carrot. The nursing staff stated not having seen Resident #100 with the devices. On 9/11/2025 at 2;00 p.m. the Director of Nursing (DON) provided the policy and procedure titled, Personal Centered Care Planning, with a last review date of 8/29/2025 for review. The Policy revealed; Each resident will have a person-centered comprehensive care plan developed and implemented to meet his or her preferences and goals, and address the resident's medical, physical, mental and psychosocial needs. Definitions included: Interventions - are actions, treatments, procedures, or activities designed to meet an objective; Measurable - is the ability to be evaluated or quantified.The Procedure section revealed:1 The facility will develop (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 6 of 18 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 09/18/2025 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 0656 Level of Harm - Minimal harm or potential for actual harm a person-centered care plan that addresses the goals, preferences, needs and strengths of the resident, including those identified in the comprehensive resident assessment, to assist the resident to attain or maintain his or her highest practicable well-being and prevent avoidable decline. 7. The care plan will be developed and implemented to ensure consistency with implementation across all shifts. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 7 of 18 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 09/18/2025 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 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews and record review, the facility failed to to ensure care was provided in accordance with professional standards related to the use of orthotics for one resident (#100) of two residents reviewed during three days (9/8/2025, 9/9/2025, and 9/10/2025) of four days observed.Findings included: During multiple tours conducted on 9/8/2025 between 10:45 a.m. and 2:45 p.m., and on 9/10/2025 at 7:30 a.m. and at 9:50 a.m., Resident #100 was observed in his room lying in bed with no Right-hand splint/brace/hand carrot on and no heel protector boots on either of his feet. On 9/9/2025 at 9:40 a.m. an interview with Resident #100's family member who revealed they visited the resident daily. The family member Resident #100 was six feet four inches and that he lies in bed all day, by choice and his feet are always scrunched up against or positioned on top of the foot board. The family member revealed the resident had wounds on his heels and are being treated but did not think having his feet pressed up against or placed on top of the hard wooden foot board helped with healing and comfort. The family member stated having notified facility staff and assumed there was nothing that could be done. Resident #100 who had cognitive deficiencies with dementia was not interviewable and could not express if the bed was too short and if he had any discomfort or pain related to his feet placed on the foot board. The family member revealed not being aware of Resident #100's heel protector boots or a Right-hand splint/hand carrot device and having not seen them applied to the resident. An interview was conducted on 9/10/2025 at 10:00 a.m. with Staff T, Registered Nurse (RN)/Unit Manager in100 hall. Staff T revealed she was aware and knowledgeable of Resident #100's care and services. Staff T revealed she would follow up with the missing heel protector boots and Right-hand splint/brace. Staff T searched in the resident's room and confirmed both of his feet were without heel protector boots on and were positioned up against the footboard and he was not wearing a Right-hand splint/hand carrot. Staff T. confirmed Resident #100's feet should not have been pressed up against the foot board. Staff T left the room and was observed walking down the hallway with a clear plastic bag with contents to include heel protector boots. Staff T and another staff member entered the room with the bag of heel protector boots and donned them on the resident. A follow -up interview with Staff T confirmed she had to get boots from the therapy department. Staff T revealed the resident showed no behaviors or discomfort when placing the boots on. She confirmed the resident had not been assisted with the heel protector boots. Staff T confirmed not having observed the resident with the orthotics prior to this day. Review of Resident #100's medical record revealed he was admitted to the facility on [DATE] with diagnoses to include but not limited to: Alzheimer's, dementia, depression, restlessness and agitation, seizures, and need for personal assistance.Review of the current physician orders for the month of 9/2025 revealed the following orders:a . Monitor Splint/Brace/Medical device to R (right) hand. Check skin integrity around or under device, pain and circulation x shift and document any changes in progress notes (order date 8/27/2025).b . Splint/Brace/Medical device: Allmed therapy Carrot Hand Contracture Orthotics. Apply to R hand for at least 1 hour. On during the day and off at night. Assess pain level, circulation and skin integrity, every shift document in progress note any changes (order date 8/27/2025).c . Wound treatment for R heel: clean with n/s, apply silver alginate to wound bed, cover with gauze Island w/bdr, every night shift (order date 8/11/2025).d . Elevate heels when in bed to alleviate pressure as tolerated every shift (order date 9/16/2022). Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #100 had a Brief Interview Mental Status (BIMS) score of 3 of 15 indicating the resident was severely impaired. Section GG revealed the resident had impairment on both (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 8 of 18 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 09/18/2025 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 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few sides with upper extremities, impairment on one side with lower extremity and was dependent on staff for ADLs (activities of daily living).Review of the nurse's progress notes dated 6/1/2025 through 9/10/2025 revealed there was no documentation related to the use of orthotics or refusals. Review of a physician's progress note dated 8/25/2025 revealed Resident #100 was seen today for monthly follow up. Resident with Pressure ulcer right heel stage 4, Pressure ulcer left heel stage 3, Wound care onboard managing treatments to include Encourage off-loading of pressure from the affected areas using specialized footwear or heel protectors. Review of Resident #100's Medication Administration Record (MAR)dated 9/2025 revealed:- Monitor splint/brace/medical device to Right hand. Check skin integrity around or under device, pain and circulation every shift document any changes in progress notes and notify MD (medical doctor) if appropriate (order date 8/27/2025).- Splint/Brace/Medical device: Allmed therapy carrot hand contracture orthosis. Apply to R hand for at least one hour. On during the day, and off at night. Assess pain level, circulation, and skin integrity. Every shift document in progress notes of changes and notify MD if appropriate (order dated 8/27/2025)Review of the MAR for all days in 9/2025 indicated documented as completed for both day and night. However, observations revealed no splints were donned or offered on days 9/8/2025, 9/9/2025, and 9/10/2025.Review of the current care plans with a next review date 10/19/2025 revealed:A . Dependent on staff and wife for meeting emotional, intellectual, physical, and social needs r/t cognitive deficits, physical limitations, Alzheimer's. He chooses to stay in bed, with interventions in place. B . Has ADL self-care performance deficit r/t activity tolerance, progressive dementia with impaired cognition, psychosis with delusions, restless agitation, with interventions in place to include: Apply (R) hand carrot for at least one hour a day as tolerated and to be off at night. Assess pain level, circulation and skin integrity during use; Bed Mobility, the resident requires assist of (1) staff for repositioning and turning in bed.C . Impaired skin integrity Arterial ulcers R heel, with interventions in place to include: Enhanced barrier precautions,D . Risk for break in skin integrity r/t impaired mobility, incontinence, dx. of anemia, PVD, history of pressure ulcers and arterial ulcers, with interventions in place to include: Air mattress with bilateral bolsters, check placement and function, heel elevating boots per Current MD Order, Pressure reducing mattressOn 9/10/25 at 1:50 p.m. an interview was conducted with Staff W, Registered Occupational Therapist. Staff W revealed he was responsible to don and doff the Right-hand splint/brace/carrot hand roll daily for Resident #100. He further revealed that if he does not get to it, nursing will. Staff W stated not being sure what nursing staff member would be responsible each day. Staff W confirmed on the days he does not work, nursing should be donning and doffing the hand device. He revealed this device is to be used for contracture management and to lower the risk for further breakdown. Staff W did not have any documentation to support when he dons and doffs the device. He confirmed he does not document in the Medication Administration Record (MAR) or Treatment Administration Record (TAR), and that is the responsibility of the nurse.Various interviews were conducted on 9/10/2025 during the 7 a.m. -3 p.m. shift with assigned Certified Nursing Assistants and nurses on the 100 unit. These nursing staff did not know if Resident #100 utilizes heel protector boots or a Right-hand splint/hand carrot. The nursing staff stated not having seen Resident #100 with the devices. On 9/11/2025 at 3:00 p.m. an interview was conducted with the Nursing Home Administrator (NHA) and Director of Nursing (DON) They provided the facility's policy and procedure titled, splints and braces - upper extremity, review date of 9/20/2024 for review. The policy revealed: The facility will provide splints and braces to upper extremities in accordance with professional standards of practice, as outlined by [name of a digital reference tool and training platform] through the procedure link. The policy showed federal regulation stating - The services (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 9 of 18 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 09/18/2025 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 0688 Level of Harm - Minimal harm or potential for actual harm provided or arranged by the facility, as outlined by the comprehensive care plan, must meet professional standards of quality. The procedure section revealed; The facility will utilize the Lippincott procedures: Splints and braces, upper extremity.The NHA and DON stated the facility did not have a specific policy and procedure related to contracture management program nor had a policy related to splints and braces for lower extremities. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 10 of 18 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 09/18/2025 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 - Some Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record review, and interviews, the facility failed to provide adequate supervision to prevent a fall resulting in major injury and hospitalization for one resident (#11) of two residents reviewed.Findings Included:Review of Resident #11's medical record revealed the resident was admitted to the facility on [DATE] and was readmitted on [DATE] with a primary diagnosis of displaced intertrochanteric fracture of right femur, subsequent encounter for closed fracture with routine healing. Other diagnoses included encounter for other orthopedic aftercare, muscle weakness, need for assistance with personal care, end stage renal disease, history of falling, and repeated falls.Review of a hospital history and physical for Resident #11 dated 09/09/2025 showed .the patient presented from nursing facility after having an outpatient X-ray that showed a femoral neck fracture. It was reported the patient had a fall on Saturday and had evaluation outpatient. Patient was complaining of hip pain while at dialysis. The X-ray showed a fracture. Patient does not appear in any discomfort or pain at this time. On arrival patient had a CT (Computed Tomography) of pelvis that showed a comminuted intertrochanteric fracture of the right femur with impaction; healed sacral and left pubic rami fractures. Compression screw noted within the left femoral neck per urology read.Review of a quarterly Minimum data Set (MDS) for Resident #11 dated 06/30/2025 revealed in section B the resident had impaired vision and sometimes understands verbal content. section C revealed the resident had a Brief Interview Mental Status score of 04, which meant severe cognitive impairment. Section GG revealed the resident used a wheelchair and walker for mobility and was dependent on staff for activities of daily living (ADLs) to include toileting hygiene, personal hygiene, and lower body dressing. Resident #11 required partial to moderate assistance for toilet transfers.Review of progress notes for Resident #11 dated 09/04/2025 revealed Resident #11 who resided in the memory care (Serenity) unit was readmitted to the facility following Covid diagnosis and was moved from the unit for isolation. The progress note dated 09/04/2025 at 4:56 p.m. showed, family member aware [Resident #11] will return to Serenity unit once she is finished with isolation.Review of a physician note dated 09/04/2025 at 4 p.m. revealed under assessment plan, family member stated demented [Resident #11] is confused and demands a UA (urinalysis) . Continue above medications and fall precautions.Review of a progress note dated 09/06/2025 at 4:21 p.m. revealed, nurse alerted to the room. Pt (patient) was found on the floor on her right side, on the right side of the bed. Bed was in the lowest position. Neuros initiated . Nurse helped the CNA (Certified Nursing Assistant) put the patient back in her bed. Nurse cleansed the skin tear RUE (right upper extremity) with normal saline, Zeroform and clean, dry dressing. Physician made aware. POA (power of Attorney) made aware.Review of a progress note dated 09/06/2025 at 9:21 p.m. revealed the resident was given Acetaminophen 325 MG (milligram), Give 2 tablets by mouth as needed for mild pain (1-3).Review of a skilled note dated 09/09/2025 revealed .Resident is a fall risk and assisted with all ADLs by CNA. Resident pain and medications are managed by nursing staff.Review of a physician progress note dated 09/09/2025 at 12:51 p.m. showed, Fall out of bed on 9/6, found on right side, minimum pain-now with increased pain. X-ray ordered, found to have acute left femoral neck fracture.Review of a progress note dated 09/09/2025 at 1:52 p.m. revealed, doctor called from hospital and resident will be admitted to the hospital at this time.On 09/10/2025 at 04:39 p.m. an interview was conducted with Staff S, Licensed Practical Nurse (LPN). Staff S stated Resident #11 experienced a fall on 09/06/2025 and reported being alerted by the CNA of Resident #11's fall. Staff S stated Resident #11 was observed on the floor, after which the resident was assisted to bed, then evaluations were completed for the resident.During an interview on 09/11/2025 at 10:40 a.m. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 11 of 18 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 09/18/2025 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 - Some with Staff I, CNA and Staff P, Registered Nurse (RN), Staff I, CNA explained assisting Staff R, CNA and Staff S, LPN in response to Resident #11's fall. Staff I, CNA stated Staff S, LPN looked at the resident and stated the resident was fine and instructed the CNAs to pick the resident up. Staff I, CNA stated the resident expressed pain in the right hip and grabbed the right hip.On 09/09/2025 at 3:05 p.m. an interview was conducted with Staff M, LPN/Unit Manager (UM) who explained Resident #11 went to a local hospital due to a fall on 09/06/2025. The Unit Manager stated Resident #11 was a long-term care resident residing in the Serenity wing. The resident had a respiratory infection, went to a hospital, was diagnosed with Covid and returned to the facility on [DATE]. Staff M stated the resident went to the Manatee/Cardiac wing, away from the Walkie Talkie residents in the Serenity wing. Staff M stated the resident was placed in the Manatee Wing for isolation and was planning to return to the Serenity wing on 09/09/2025. Staff M stated the resident was found on the floor and skin and pain assessments were performed. The staff member stated the resident had a skin tear to the right upper extremity. Staff M stated neuro checks were initiated but the X-ray was not ordered at the time. Staff M stated on 09/08/2025 the resident started complaining of pain and the X-ray was ordered on 09/09/2025 which showed a dislocation to right hip. Staff M stated the resident was referred to the emergency room for further scans.On 09/10/2025 at 9:34 a.m. an interview was conducted with Staff Y, CNA. Staff Y stated Resident #11 would propel self-down the hall. She stated someone was always watching the resident and the resident had not fallen for at least 6 to 7 months. The staff member stated the resident's bed was usually in a low position, unless care was being performed. Staff Y stated the resident would never use a call light at the time. She stated seldom, the resident would sit up but never tried to get out if bed. Staff Y stated someone was always watching the resident during their shift. The staff member stated resident #11 was familiar to the environment.An interview was conducted with Staff Z, CNA on 09/10/2025 at 9:46 a.m. Staff Z stated Resident #11 was typically in the dayroom, being monitored by staff and even when the resident was not participating in the activities, the resident would be placed in the living room for monitoring. Staff Z stated the resident was not left in the room by themselves. Staff Z stated they never saw the resident using a call light.During an interview with Staff V, LPN on 09/10/2025 at 10:01 a.m., this staff member stated Resident #11 was typically confused and staff tried to keep the resident involved in activities. Staff V stated the resident would not be in the room and would be involved in activities and self-propelling around the unit. Staff V stated the resident could not use the call light and confirmed the resident had not had a fall in the memory care unit. Staff V stated they believed the resident fell out of bed, due to not being able to self-propel around, and after not being able to get out of bed and that was why they attempted to do so by themselves. Staff V stated the staff in the Serenity wing would help transfer the resident.An interview was conducted with Staff AA, CNA/Activities Aide on 09/18/2025 at 09:15 a.m. Staff AA stated Resident #11 was typically involved in the group setting activities and the resident is typically supervised by all staff in the Serenity unit. Staff AA said, in this unit, no resident is left by themselves. Staff AA stated the resident had not fallen in the memory care unit and they spent most of the time rolling self around in the wheelchair.An interview was conducted with Staff U, CNA on 09/10/2025 at 9:30 a.m. Staff U stated the residents in the Serenity unit are watched all day and the every two hours schedule does not apply. Staff U stated the residents, and staff were always in the activities room. Staff U stated the staff makes sure the residents are monitored.An interview conducted on 09/18/2025 at 10:15 a.m. with Staff CC and BB, CNAs revealed the residents in the Serenity unit cannot go anywhere unsupervised, however the resident in the cardiac unit can go anywhere by themselves and do things by themselves. The staff members stated the (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 12 of 18 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 09/18/2025 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 - Some residents in the serenity unit require more supervision than the residents in the cardiac unit. The staff members said, For cardiac unit residents, one can take their eyes off of the resident, but for the Serenity unit, one must keep eyes on the residents. They stated residents who require more attention are placed near the nursing station to receive constant checks. The staff members stated Resident #11 was placed in a different room for Covid isolation. Staff BB confirmed working with the resident when the resident was in the Serenity unit and two other times in the cardiac unit. Staff BB stated if they knew a resident came from the Serenity unit to the cardiac unit, they would pay more attention to the resident because the residents from there required more attention.An interview was conducted with Staff I, CNA on 09/18/2025 at 10:45 a.m. Staff I who typically worked the cardiac unit (Manatee) stated they check on their residents every hour or one and half hours. Staff I stated working with Resident #11 who was confused all the time. Staff I stated not knowing why the resident was in the cardiac unit, but that the resident did require more attention and supervision. Staff I stated Resident #11 tried to get up without assistance and tried to walk without assistance. Staff I stated they were to follow-up every hour or one and a half hour. Staff I confirmed having assisted another CNA in getting the resident back to bed after the fall. Staff I stated the resident mentioned pain on their hip. Staff I stated the nurse checked the resident and took vitals. On 09/18/2025 at 10:35 a.m. an interview was conducted with Staff P, RN who works the cardiac/Manatee unit. Staff P stated residents that come from the Serenity unit required more supervision due to the mental state of the resident. Staff P stated the residents are unable to use call lights. Staff P stated checking on residents during rounds when shift starts. This staff member stated the expectation was to check on a resident every two to three hours. Staff P stated on 09/08/2025 Resident #11 mentioned pain when they were seen by therapy. Staff P stated they notified the provider and an X-ray was requested.On 09/18/2025 a 12:46 p.m. an interview was conducted with the Physical therapy Assistant (PTA) the PTA stated they went to assess the resident because the family member mentioned the resident was in a lot of pain from a fall over the weekend. The PTA stated when they tried to move the resident, the resident would say ouch and so forth. The PTA stated moving the resident's leg slightly and the resident was grimacing. The PTA stated they notified the nurse.A telephone interview was conducted with Resident #11's physician on 09/18/2025 at 12:17 p.m. The physician stated being familiar with the resident. The physician said if a resident has a fall, it is possible not to have pain until a couple days later, though it is seldom. The physician stated even though the X-ray for Resident #11 was delayed by three more days, the result would be no different.An interview was conducted with the Risk Manager (RM) and The Director of Nursing (DON) on 09/18/2025 at 01:23 p.m. The DON and RM stated residents in the secure/memory care unit require more supervision than the residents who are not in the unit. The RM stated Resident#11 was placed in the cardiac unit for isolation because the residents in the secure unit wander into others rooms. the RM stated the resident did not require further supervision because they were not an elopement risk. The DON stated she thought the resident fell because she was trying to take herself to the bathroom. The DON stated the resident was used to being very social and attended activities.Review of a care plan for Resident #11 last revised on 07/07/2025 showed:Focus 1. Resident #11 has an ADL self-care performance deficit related to impaired cognition and need for staff assistance with ADLs and transfers. Resident returned from the hospital and had a fall at the hospital with the left hip fracture and surgical repair. Interventions included resident required assistance of one staff for bed mobility personal hygiene toilet juice and transfers.Focus 2. Resident #11 has a diagnosis of anxiety and is at risk for increased restlessness related to anxiety. Interventions included to observe the resident for behavior episodes and attempts to determine (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 13 of 18 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 09/18/2025 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 - Some FORM CMS-2567 (02/99) Previous Versions Obsolete underlying cause. Consider location time of day persons involved and situations.Focus 3. Resident #11 has impaired cognitive ability/ impaired thought process related to dementia. Interventions included To cue, reorient and supervised as needed and to Keep the residence routine consistent and try to provide consistent caregivers as much as possible in order to decrease confusion.Focus 4. Resident #11 is at risk for falls related to decreased mobility and cognition, initiated and history of recent fall. Interventions included Anti tippers to wheelchair, anticipate and meet the residents needs, assist with ADls as needed, call light within reach, provide appropriate footwear such as non skid socks or rubber soled shoes when ambulating or mobilizing in wheelchair, raised edge mattress, redirect from dining room after dinner and toileting programReview of a facility policy titled, Fall management, Revised 03/11/2025, revealed a Policy The facility will assess the resident upon admission/readmission, quarterly, with change in condition, and with any fall event for any fall risks and will identify appropriate interventions to minimize the risk of injury related to falls. Definitions: 3. Implement interventions, including adequate supervision and assistive devices, consistent with a resident's needs, goals, care plan and current professional standards of practice in order to eliminate the risk, if possible, and, if not, reduce the risk of an accident. Supervision/Adequate Supervision - Refers to an intervention and means of mitigating the risk of an accident. Facilities are obligated to provide adequate supervision to prevent accidents. Adequate supervision is determined by assessing the appropriate level and number of staff required, the competency and training of the staff, and the frequency of supervision needed. This determination is based on the individual resident's assessed needs and identified hazards in the resident environment. Adequate supervision may vary from resident to resident and from time to time for the same resident. Event ID: Facility ID: 106025 If continuation sheet Page 14 of 18 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 09/18/2025 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 0759 Ensure medication error rates are not 5 percent or greater. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record reviews, and interviews, the facility failed to ensure the medication error rate was less than 5%. Thirty medication opportunities were observed, and four errors were identified for our residents (#39, #41, #71 and #88) out of eight residents resulting in an error rate of 13.33%. Findings included: On 9/9/25 at 8:32 a.m., Staff D, Registered Nurse (RN) was observed administering medication to Resident #39. Staff D, RN administered the following medications: Xanax 0.5mg (milligrams), Lexapro 20mg, losartan potassium 50mg, tamsulosin 0.4 mg and Lantus SoloStar pen injector. Staff D, RN dialed the dosage selector to 20 units on the Lantus SoloStar pen injector, cleaned the needle injector port with alcohol and inserted the needle into the injector port. Staff D, RN entered Resident #39's room prepared the injection site and administered the medication. When asked about priming the insulin injector pen Staff D, RN said, I don't do that.Review of Resident #39's admission record showed the resident was originally admitted on [DATE] and re-admitted on [DATE] with diagnoses not limited to Type 2 Diabetes Mellitus. On 9/9/25 at approximately 9:15 a.m., Staff V, Licensed Practical Nurse (LPN) was observed administering medication to Resident #71. Staff V, LPN crushed and administered the following medications: aspirin 81mg, cholecalciferol 1000 units, polysaccharide iron complex 150 mg, famotidine 20 mg, calcium citrate + vitamin D3 (calcium and vitamin D3 supplement).Review of Resident #71's admission record showed the resident was admitted on [DATE] with diagnoses to include fracture of the right femur, iron deficiency anemia and vitamin D deficiency.Review of Resident #71's orders showed orders including calcium citrate +oral tablet (multiple vitamins with minerals) Give 1 tablet two times daily for supplement, ordered date 2/25/25 and discontinued date 9/10/25. On 9/10/25 at 9:18 a.m. during an interview with the Director on Nursing (DON) and review of resident #71's Medication Administration Record (MAR), the DON said she recognized What's wrong and will contact Resident #71's Primary Care Physician (PCP) immediately.On 9/10/25 at 11:30 a.m., Staff A, LPN was observed administering medication to Resident #88. Staff A, LPN obtained fingerstick blood glucose and Resident #88's result was 251. Staff A, LPN reviewed the insulin orders and dialed the dosage selector to 6 units on the insulin Aspart, human pen injector, cleaned the needle injector port with alcohol and inserted the needle into the injector port. Staff A, LPN entered Resident #88's room prepared the injection site and administered insulin Aspart 6 units.Review of Resident #88's admission record showed the resident was originally admitted on [DATE] and re-admitted on [DATE]. The record include diagnoses of Diabetes Mellitus. On 9/10/25 at 11:38 a.m., Staff A, LPN was observed administering medication to Resident #41. Staff A, RN obtained fingerstick blood glucose, Resident #41's result was 396. Staff A, LPN reviewed the insulin orders and dialed the dosage selector to 13 units on the insulin lispro pen Injector, cleaned the needle injector port with alcohol and inserted the needle into the injector port Staff A, LPN entered Resident #41's room prepared the injection site and administered 13 units of insulin lispro. During an interview after the medications were administered, Staff A, LPN said, I forgot when asked about priming the insulin pen injectors. Review of Resident #41's admission record showed the resident was originally admitted on [DATE] and re-admitted on [DATE] with diagnoses to include Type 2 Diabetes Mellitus.During an interview on 9/10/25 at 12:50 p.m. the DON said insulin training was recently provided for the staff, and they were told to prime the pen. She said she expects staff to follow the training that was provided. Review of the facility's policy titled, Insulin Pen Administration, revised date 5/27/25 showed the following: Policy- The facility will ensure residents with orders for Insulin administration through the use of a pen delivery device is performed in accordance with current standards or practice and manufacturer's guidance. Procedure .4 The insulin pen should be Residents Affected - Few (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 15 of 18 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 09/18/2025 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 0759 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete primed prior to each use (in accordance with manufacturer's guidelines) to prevent the collection of air in the insulin reservoir.a. General guidance on priming an insulin pen in the absence of manufacturer's guidance.i). Dial 2 units by turning the dose selector clockwise ii, With the needle pointing up, push on the plunger, and watch to see that at least one drop of insulin appears on the tip of the needle. If not, repeat this procedure until at least one drop of insulin appears.Review of the facility's policy titled, General dose preparation and medication administration, revised date 11/15/24, revealed the following: Applicability- the procedures relating to general dose preparation and medication administration. Procedure .3. Prior to administration of medication, facility staff should take all measures required by facility policy and applicable law, including, but not limited to the following: 3.1 Verify each time a medication is administered that it is the correct medication, at the correct dose, at the correct route, at the correct rate, at the correct time, for the correct resident. Event ID: Facility ID: 106025 If continuation sheet Page 16 of 18 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 09/18/2025 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 0867 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Based on observations, interviews, record reviews, and the Plan of Correction (POC) review, the facility's Quality Assurance Performance Improvement Program (QAPI) failed to implement an effective plan of correction to correct deficient practice identified during the recertification survey originally conducted 9/11/2025 to 9/18/2025 as evidenced by: 1) to ensure two of six sampled residents (#2 and #10) had updated care plan interventions in place related to falls and 2) failed to: 1) prevent a fall with major injury for two Residents (#1 and #2) and, 2) prevent multiple falls for one Resident (#10) out of four residents sampled for injuries and accidents. Cross reference F656 and F689 Findings included:1)Review of the facility's plan of correction for the survey ending on 9/18/2025 with a completion date of 10/18/2025 revealed the following measure would be taken to correct the deficient practice which was identified at

F656:(4) How the corrective action(s) will be monitored to ensure the practice will not recur, i.e., what quality assurance program will be put in place;The Director of Nursing / designee will complete 5 random weekly observations of residents with orthotics to ensure they are being applied and implemented according to the residents' plan of care. Results of the observations will be tracked, trended and reported to the monthly Quality Assurance Performance Improvement meeting for a period of 3 months or until sustained compliance is achieved.On 12/15/2025 and 12/16/2025 a revisit survey, in conjunction with new complaint surveys, was conducted to ensure compliance with F656. During these surveys, it was discovered that F656 remained out of compliance due to Resident #2 and Resident #10's care plans not being updated/revised with appropriate interventions. An interview was conducted with the facility's Nursing Home Administrator (NHA), Director of Nursing (DON) and Regional Nurse Consultant (RNC) on 12/16/2025 at 3:41 p.m. to discuss the corrective action taken by the facility to achieve compliance with

F656 following the survey ending 9/18/2025. The DON stated education was provided to staff focusing on ensuring orthotics are being applied and implemented according to plan of care. The facility did not look at the various aspects of updating/revising residents' plan of care related to other care areas, when the plan of correction was formulated. 2)Review of the facility's plan of correction for the survey ending on 9/18/2025 with a completion date of 10/18/2025 revealed the following measure would be taken to correct the deficient practice which was identified at F689:(4) How the corrective action(s) will be monitored to ensure the practice will not recur, i.e., what quality assurance program will be put in place.The Director of Nursing / designee will complete a monthly audit (if this situation has occurred) of 1 resident who has relocated from the memory care unit to other units in the facility to ensure residents supervision needs are being provided according to the plan of care. Results of the audits will be tracked, trended and reported to the monthly Quality Assurance Performance Improvement meeting for a period of 3 months or until sustained compliance is achieved.On 12/15/2025 and 12/16/2025 a revisit survey, in conjunction with new complaint surveys, was conducted to ensure compliance with F689. During these surveys, it was discovered that

F689 remained out of compliance due to prevent a fall with major injury for two (Resident #1 and #2) and, 2) prevent multiple falls for one Resident (#10).An interview was conducted with the facility's Nursing Home Administrator (NHA), Director of Nursing (DON) and Regional Nurse Consultant (RNC) on 12/16/2025 at 3:41 p.m. to discuss the corrective action taken by the facility to achieve compliance with F689 following the survey ending 9/18/2025. The DON stated the plan of correction was focused on residents who were taken off the memory care unit. One of the things that were looked at were supervision needs for every resident that fell. She does not believe they educated everybody on the entirety of F689 and fall prevention. The check list was used to make sure staff were assessing.Review of the facility's policy titled, (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106025 If continuation sheet Page 17 of 18 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 09/18/2025 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 0867 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Quality Assurance and Performance Improvement (QAPI) Program, dated 11/4/2025, showed: Policy: The facility will have a QAPI program that is ongoing, comprehensive and capable of addressing the full range of care and services it provides. At a minimum, the QAPI program will: 1. Address all systems of care and management practices; 2. Include clinical care, quality of life and resident choice; 3. Utilize the best available evidences to define measure indicators of quality and facility goals that reflect process of care and facility operations that have been shown to be predictive of desired outcomes for residents; and 4. Reflect the complexities, unique care and services that the facility provides. Procedure: 1. The facility will ensure QAPI programs address systems of care and management practices. a. Systems of care (or care delivery systems) are the processes in place to achieve an expected clinical outcome. For example, the system for prevention of pressure ulcers also involves the system for ensuring adequate nutrition, as well as the systems for identification of changes in condition and infection prevention. 4. The authority for the planning and implementation of the Quality Assurance Performance Improvement (QAPI) program is delegated by the Board of Directors to the Divisional/Regional teams and the Executive Director at the facility. 5. The Executive Director assumes responsibility for the implementation and coordination of the Quality Assessment and Assurance (QAA) activities as defined in the facility's QAPI plan. The QAPI program is designed to sustain during times of transitions in leadership or staffing. 6. The Executive Director will assure the QAPI plan is reviewed annually by the Quality Assessment and Assurance (QAA) Committee. The QAA committee will make any necessary revision to the plan on an ongoing basis as indicated. Any changes to the plan will be communicated to the residents/patients, families, and associates through meetings and other means that are agreed upon by the QAA committee as they occur. Event ID: Facility ID: 106025 If continuation sheet Page 18 of 18