Inspection·October 26, 2023

F 0907 Provide enough space and equipment to meet each resident's needs Level of Harm - Minimal harm or potential for actual harm Based on observation and interview, the facility failed to ensure linen supplies were readily available for resident care on 3 of the 4 patient floors. Residents Affected - Some The findings include: During the facility tour on 10/26/2023 at approximately 12:06 PM, observation of the clean linen cart of the 1st floor noted only three gowns and one sheet. Staff A, a Certified Nursing Assistant (CNA), was asked if linen frequently runs out. Staff A confirmed that the linen does run out and stated they eventually bring another cart. A tour of the second floor clean linen cart on 10/26/2023 at approximately 12:12 PM noted an empty linen cart except for 3 sheets and what appeared to be a pillowcase. Staff C, another CNA, confirmed that the carts are typically empty by mid-morning and that makes it difficult to complete care in a timely manner. When asked if they restock, she stated that, at some point in the morning/afternoon another cart comes up, but if they must perform immediate incontinent care, they are having to go search for supplies which takes time. A tour of the third floor clean linen cart on 10/26/2023 at approximately 12:45 PM noted an empty linen cart except for approximately 4 sheets, 2 gowns, and a couple of pillowcases. Staff D, another CNA, stated that they must use facility owned washcloths to provide care if someone has an incontinence episode. She stated that, if someone one had an incontinence episode, that they have to go look for linen which can delay care. When asked if the patients have to wait, Staff D stated sometimes they do. In an interview on 10/26/2023 at approximately 1:15 PM, Staff F, a housekeeper, stated that she had heard there were no linens upstairs. She stated the second carts were sent upstairs so they should have linens now. Staff F was advised that the concern is that 3 of the 4 floors had almost no linen by lunch time and if a patient needed care, they didn't have supplies. She stated they deliver two carts during the day shift: one in the morning and one mid-day. One cart is delivered to each floor on the evening shift and night shift picks up a cart when they come in to start their shift. Staff F stated she is concerned that staff are throwing linens away because they are soiled, because they aren't sending these linens down to get cleaned. She stated that the staff does not send the morning laundry down the laundry chute until the end of the shift. It would be better if they sent it throughout the day so they could wash it. The housekeeper stated that she believes that CNA's are throwing laundry away or they are hoarding it. Staff F showed pictures of the laundry stash that they have found on the floors. When asked what would be a reason for hoarding linen, Staff F confirmed probably because they run out, but also possibly because they throw it away. The Director of Housekeeping stated that he has another order for linens coming next week and that they are constantly ordering. (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 106051 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 106051 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/26/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Coral Bay at Pensacola, LLC 600 W Gregory St Pensacola, FL 32502 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)