Health inspection·July 9, 2025

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many FORM CMS-2567 (02/99) Previous Versions Obsolete Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Based on observation, interview, and record review the facility failed to educate residents on what a grievance is, provide grievance forms, and provide a clear and noticeable destination for grievances to be submitted. This failure has the potential to affect all 71 residents who reside in the facility.Findings Include:The facility's CMS (Centers for Medicare and Medicaid Services) Long Term Care Facility Application for Medicare and Medicaid Form 671 dated 7/7/25 and signed by V5/Chief Operating Officer documents 71 residents currently reside within the facility.The facility Grievance/Complaints, Filing policy dated April 2017 documents, Residents and their representatives have the right to file grievances, either orally or in writing, to the facility staff or to the agency designated to hear grievances (e.g., the State Ombudsman). The administrator and staff will make prompt efforts to resolve grievances to the satisfaction of the resident and/representative. Any resident, family member, or appointed resident representative may file a grievance or complaint concerning care, treatment, behavior of other residents, staff members, theft of property, or any other concerns regarding his or her stay at the facility. Grievances also may be voiced or filed regarding care that has not been furnished. Upon admission, residents are provided with written information on how to file a grievance or complaint. A copy of our grievance/complaint procedure is posted on the resident bulletin board.On 7/8/2025 at 10 AM during a Resident Council meeting, R11, R28, R38, R48, and R64 all confirmed they did not know what a grievance was or how to file a grievance. On 7/9/2025 at 11 AM, V7 (Social Service Director) stated I have not had a grievance filed since August of 2024.On 7/9/2025 at 11:15 AM, The facility's Chapel room, on the opposite side of the pews and located in the right corner of the room were several boxes in front of a small table. V7 removed 3 boxes then revealed that the table had pens and several pieces of blank paper. There was a black box labeled grievances. On 7/9/2025 at 11:20 AM, V1 (Administrator) confirmed that the current grievance process was not acceptable and that V7 needed to educate all residents on what a grievance was and how to file a grievance. Event ID: Facility ID: 145457 If continuation sheet Page 2 of 9 Printed: 05/15/2026 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 145457 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/09/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Quincy Healthcare & Sr Living 1440 North 10th Street Quincy, IL 62301 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 0645 PASARR screening for Mental disorders or Intellectual Disabilities Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to ensure a Level II PASARR (Preadmission Screening and Resident Review) evaluation was completed for a resident who required further review after the Level I screen. The facility also failed to ensure staff responsible for PASARR coordination had adequate knowledge of PASARR requirements for one (R32) of three residents reviewed for PASARR's out of a sample list of 34.Findings include:The facility's admission Criteria policy revised 3/2019 documents the facility admits only residents who's medical and nursing care needs can be met. All new admissions and readmissions are screened for mental disorders (MD), intellectual disabilities (ID) or related disorders (RD) per the Medicaid Pre-admission Screening and Resident Review (PASARR) process. The facility conducts a Level I PASRR screen for all potential admissions, regardless of payer source, to determine if the individual meets the criteria for a MD, ID, or RD. If the level 1 screen indicates that the individual may meet the criteria for a MD, ID, or RD, he or she is referred to the state PASARR representative for the Level II (evaluation and determination) screening process. The admitting nurse notifies the social services department when a resident is identified as having a possible (or evident) MD, ID or RD. The social worker is responsible for making referrals to the appropriate state-designated authority.R32's Level I PASARR screening, completed on 01/04/24, documented that R32 required referral for a Level II onsite evaluation, indicating possible serious mental illness and/or intellectual disability requiring further assessment.R32's Medical Diagnosis List documents R32 has Unspecified Dementia, Paranoid Schizophrenia, Depression, and Anxiety Disorder.On 07/07/25 at 12:15 PM, V7 (Social Services Director) stated that a Level II PASARR was not completed for R32. V7 stated she was not aware of what a Level II PASARR meant and did not know the process for initiating or completing it.On 07/07/25 at 2:21 PM, V1 (Administrator) confirmed that several PASARRs were found to be incomplete or improperly processed. V1 acknowledged that V7 requires additional training in PASARR requirements and responsibilities. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145457 If continuation sheet Page 3 of 9 Printed: 05/15/2026 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 145457 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/09/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Quincy Healthcare & Sr Living 1440 North 10th Street Quincy, IL 62301 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 0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. Level of Harm - Actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to identify and provide necessary treatment and services to promote healing and prevent worsening of pressure injuries, assess and document wound conditions, perform weekly wound assessments with measurements, notify the physician of wound progression, administer the correct treatment per the physician's order, and failed to properly apply a wound vacuum for three of four residents (R26, R53 and R62) reviewed for pressure ulcers. These failures resulted in R26, R53 and R62, experiencing deterioration of their pressure injuries without timely or appropriate clinical response.Findings include:The facility's Pressure Injuries Overview policy dated 3/2020 documents Pressure ulcers/injuries occur because of intense and/or prolonged pressure or pressure in combination with shear. The tolerance of soft tissue for pressure and shear may also be affected by skin temperature and moisture, nutrition, perfusion, co-morbidities, and condition of the soft tissue. Avoidable means that the resident developed a pressure ulcer/injury and that one or more of the following was not completed: Monitoring or evaluation of the impact of the interventions; or Revision of the interventions as appropriate. 1.) R53's current care plan dated 01/15/25 documents R53 has redness to the coccyx, a stasis ulcer to the left chin, and a scabbed area on the right great toe. Despite this, R53 was assessed as low risk for skin breakdown, and the care plan was not updated to reflect increased risk or wound progression.R53's Physician Orders document a hydrocolloid dressing was ordered on 05/01/25 for coccyx redness. R53's electronic medical record does not contain documentation of weekly skin assessments or measurements to R53's coccyx. R53's Bath Skin assessment dated [DATE] documents small pinhole open areas on the coccyx. R53's electronic medical chart does not contain documentation of an assessment to R53's coccyx on or after 6/15/25. R53's Minimum Data Set (MDS) dated [DATE] documents R53 is cognitively impaired. On 07/09/25 at 09:28 AM, V4 (Registered Nurse) assessed R53's coccyx as red, macerated, and open, identifying it as a Stage 2 pressure ulcer. V4 stated that weekly wound monitoring was not being conducted and that V6 (Nurse Practitioner) had not been notified. V4 applied an absorbent foam dressing, which was not the dressing ordered by V6.On 07/09/25 at 10:32 AM, V6 confirmed by assessment that R53 had a Stage 2 pressure ulcer and that the incorrect dressing had been applied. V6 stated the wound progression was not reported, and that V6 was unaware of the development of the Stage 2 ulcer. V6 added that weekly monitoring and provider notification should have occurred, and that V6's office had no documentation of the ulcer.On 7/9/25 at 1:00 PM, V3 (Infection Preventionist) stated V3 was not aware of R53's Stage two pressure ulcer on her coccyx. V3 stated the staff should have been doing a weekly skin assessment on R53. 2. R62's Current Care Plan, dated 7/9/2025, documents, I require extensive assistance from 2 staff member to move about in bed, I require assistance with my ADL's (Activities of Daily Living). I am at risk for loss of movement in my joints due to dementia, general weakness.The Facility Wound Log dated 6/5/2025 documents, (R62) Right Buttock. Residents Affected - Few The Facility Weekly Wound Tracking Log dated 7/8/2025 documents, (R62) stage four, location, right buttock. On 7/8/25 at 2:15 PM, V10 (Wound Nurse Practitioner) stated This facility needs lots of training on wound vacuums. The facility should not accept new residents with wound vacuums until they have received training. V10 stated Two residents seen today for wound services both have had their wound vacuums applied incorrectly, which then caused worsening of the wounds and further skin breakdown. V10 stated that the foam which was to be inserted in the wound bed was touching healthy skin, this caused the peri wound to worsen and be macerated. V10 further stated (R62's) wound looks worse than last week because the foam to R62's wound bed was touching the peri wound and the outer skin, the foam has caused the skin surrounding the wound bed to become macerated.On (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145457 If continuation sheet Page 4 of 9 Printed: 05/15/2026 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 145457 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/09/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Quincy Healthcare & Sr Living 1440 North 10th Street Quincy, IL 62301 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 0686 Level of Harm - Actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete 7/8/25 at 2:25 PM V3 (Infection Preventionist) stated There was no drape applied to R62's skin surrounding her wound bed and the foam which was inserted in the wound bed was touching healthy skin and caused the skin surrounding the wound bed to be redder and more excoriated. V3 stated The wound vacuum was not applied per the physician's order which caused the wound to worsen.On 7/9/2025 V3 (Infection Preventionist) stated Weekly skin assessments, documenting wound conditions and measurements, and notifying the physician of wound progression was not done or documentation was not found prior to June of 2025 for R62.3. R26's Current Care Plan, dated 7/9/2025, documents, I am at high risk for skin breakdown. I require limited/extensive assistance from one staff member/ two staff members to move about in bed.The Facility Wound Log dated 6/5/2025 documents, (R26) left lateral leg, right lateral leg, left medial leg, right medial leg, right upper buttock, intragluteal left middle, right buttock.On 7/9/2025 V3 (Infection Preventionist) stated Weekly skin assessments, documenting wound conditions and measurements, and notifying the physician of wound progression was not done or documentation was not found prior to June of 2025 for R26. Event ID: Facility ID: 145457 If continuation sheet Page 5 of 9 Printed: 05/15/2026 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 145457 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/09/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Quincy Healthcare & Sr Living 1440 North 10th Street Quincy, IL 62301 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 0695 Provide safe and appropriate respiratory care for a resident when needed. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to ensure oxygen tubing and humidification supplies were dated, changed weekly, and maintained in a sanitary condition for 6 of 6 residents (R7, R15, R43, R46, R53, and R61) reviewed for oxygen therapy in the sample of 34.Findings Include:The facility's Oxygen Administration policy dated 2001 documents, Verify that there is a physician's order for this procedure. Review the physician's orders or facility protocol. Nasal cannula, nasal catheter, mask (as ordered). After completing the oxygen setup or adjustment, the following information should be recorded in the resident's medical record, the date and time that the procedure was performed for oxygen administration.1. On 7/7/2025 at 10 AM, R7 was sitting in her room, in her recliner chair with oxygen flowing 2 liters per nasal cannula. R7's oxygen tubing was not dated, and the humidification bottle was not labeled. R7's Physician Order Sheet, dated 7/9/2025, documents oxygen therapy at 2 liters per minute per nasal cannula.2. On 7/7/25 at 1:30 PM, R15 was in her room, in her chair, with oxygen flowing at 2 liters per nasal cannula, oxygen tubing not dated, humidification bottle not labeled. R15's Physician Order Sheet, dated 7/9/2025, documents oxygen therapy at 2 liters per minute per nasal cannula. On 7/9/2025, at 12 PM, V2 (Director of Nursing) confirmed R7 and R15's oxygen tubing and humidification bottle attached to oxygen therapy should always be dated. Residents Affected - Some 3.) On 07/07/25 at 11:16 AM, R43's oxygen tubing was not dated. R43's electronic chart did not contain documentation of when R43's oxygen tubing was last changed. R43's current Physician's Orders documents oxygen tubing to be changed weekly and as needed. 4.) On 07/07/25 at 9:47 AM, R46's oxygen tubing and humidification bottle were not dated. Staff were unable to verify the last change date at the time of observation.R46's current Physician's Orders documents oxygen tubing to be changed weekly and as needed.5.) On 07/07/25 at 10:08 AM, R53's oxygen tubing and humidification bottle were not dated. R53's tubing was attached to an in-use oxygen concentrator. No documentation or labeling was present to show the last replacement date.R53's current Physician's Orders documents oxygen tubing to be changed weekly and as needed.6.) On 07/07/25 at 11:25 AM, R61's oxygen tubing and humidification bottle were not dated, and the tubing was observed lying directly on the floor in R61's room. R61's current Physician's Orders documents oxygen tubing to be changed weekly and as needed.On 07/09/25 at 11:09 AM, V2 (Director of Nursing/DON) stated oxygen tubing should be changed weekly and dated. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145457 If continuation sheet Page 6 of 9 Printed: 05/15/2026 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 145457 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/09/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Quincy Healthcare & Sr Living 1440 North 10th Street Quincy, IL 62301 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 0919 Make sure that a working call system is available in each resident's bathroom and bathing area. Level of Harm - Minimal harm or potential for actual harm Based on Observation, Interview and Record Review, the facility failed to ensure a resident call system was effective to directly alert staff of a resident's need for assistance. This failure has the potential to affect all 71 residents residing in the facility.Findings include:The facility's Resident's Call System policy, dated 9/2022, documents Residents are provided with a means to call staff for assistance through a communication system that directly calls a staff member or a centralized work station. Each resident is provided with a means to call staff directly for assistance from his/her bed, from toileting/bathing facilities and from the floor. The resident call system remains functional at all times. If audible communication is used, the volume is maintained at an audible level that can be easily heard. If visual communication is used, the lights remain functional. Calls for assistance are answered as soon as possible. Urgent requests for assistance are addressed immediately.The facility's Resident Council minutes, dated 12/3/24, document six residents attended the meeting and stated call lights are not getting answered in a timely manner.The facility's Resident Council minutes, dated 2/4/25, document eleven residents attended the meeting and stated call lights not being answered in a timely manner is still an issue.The facility's Resident Council minutes, dated 4/1/25, document eight residents attended the meeting and stated residents in the 100/200 hall and the 300/400 hall voiced call lights are not being answered in a timely manner.The facility's Resident Council minutes, dated 5/6/25, document eleven residents attended the meeting and stated call lights not being answered in a timely manner is still an issue.The facility's Resident Council minutes, dated 7/1/25, document ten residents attended the meeting and stated call lights not being answered in a timely manner is still an issue. This meeting record documents Residents had concerns about call lights not being answered in a timely manner and going to the bathroom and staff not answering the call light to get them out of the bathroom.On 7/7/25 at 9:53 AM, R24 stated I have to wait for (staff) help for a long time.On 7/7/25 at 10:35 AM, R29 was sitting in her room and stated Often call light wait times are way too long. At times they take 30 to 60 minutes which is just too long if you have to go to the bathroom. The call lights do not alarm. They show on a board, I think at the nurses station. So if they (staff) aren't around they may not even know when (call lights) are going off. I have called the facility before after waiting too long, and asked for the specific nurses station and told them to get someone down here because I need help!On 7/7/25 at 10:30 AM, the facility's 300/400 hall nurses station was empty with no staff present. At the end of the 400 hall an electronic scrolling board was positioned just below the ceiling and listed room numbers of call lights scrolling laterally from right to left.On 7/7/25 at 11:14 AM, R42 stated residents have to wait long periods for staff to answer call lights.On 7/7/25 at 11:18 AM, R43 stated We have to wait for long periods of time for help.On 7/8/25 at 10:00 AM a Resident Council meeting was conducted. During this group meeting, R28 and R48 stated wait times after pushing their call lights are really long. R11, R28, R38, R48, and R64 all stated that call light wait times are always too long, at varying times of the day.On 7/8/25 at 1:00 PM, V1 (Administrator) confirmed the facility's call light system is silent and does not light up outside of the resident's rooms. V1 stated There is no way to know if a call light is on when staff are in a resident room, away from the nurses' station or when standing in the hallway unless you look at the scrolling board. V1 confirmed this scrolling board does not indicate who pushed their call light first and is not accessible unless staff stand in front of the screens to view.On 7/8/25 at 1:10 PM, the facility's 300/500 hall nurses station was empty with no staff present.On 7/8/25 at 1:14 PM, the facility's 300/400 hall nurses station was empty with no staff present.On 7/8/25 at 1:15 PM V12 (Restorative Certified Nursing Assistant) confirmed the facility's call system is Residents Affected - Many (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145457 If continuation sheet Page 7 of 9 Printed: 05/15/2026 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 145457 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/09/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Quincy Healthcare & Sr Living 1440 North 10th Street Quincy, IL 62301 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 0919 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many FORM CMS-2567 (02/99) Previous Versions Obsolete silent and does not light up by resident rooms. V12 stated Residents complain about call light wait times a lot. Not one resident in general. (Staff) just frequently hear complaints about call light wait times. I have to stand in the hall and look at the scroll to see what lights are going off. There is no way to see the order of who's light went off first unless you go to the nurses' station where there is a monitor. There isn't an alarm to notify a call light and there are no lights in the hall or outside of resident rooms. It's not a direct notification to staff when a resident hits their call light because there isn't always staff at the nurses' station. The only way staff are notified is if they are by the monitor at a nurses' station or looking up at the scroll in the hallways.On 7/8/25 at 1:18 PM, the call light monitor at the 300/500 hall nurses station displayed four active call lights were triggered and remained unanswered in the 100 and 300 halls. These call lights were triggered at 11:40 AM, 12:31 PM, 12:33 PM and 12:52 PM. V12 confirmed that those lights either were not shut off or not answered and that is why they are showing up on the monitor at the nursing station. V12 stated Those call lights are still going off and I have no way to know if they were not shut off in the resident room when answered, or if they have been going off the entire time. If a resident is in the bathroom and hits their call light it is the same way. It does not alarm and does not light up. On the scroll it will say the room number and bathroom beside the room. If we have a power outage or generator surge the system will stop, shutdown and reset. Then you have to stand and wait until it starts scrolling again. Basically, if staff are not staring at the screen there is not immediate notification that a call light is going off. We don't know until we are able to go check the scrolling screen again. I'm sure it's why we can't keep wait times low and respond quickly. There's no way to know if someone needs help when busy providing resident care unless you're up in front of the monitor.The facility's Long-Term Care Facility Application for Medicare and Medicaid form, dated 7/7/25 and signed by V5 (Chief Operating Officer), documents 71 residents reside within the facility. Event ID: Facility ID: 145457 If continuation sheet Page 8 of 9 Printed: 05/15/2026 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 145457 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/09/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Quincy Healthcare & Sr Living 1440 North 10th Street Quincy, IL 62301 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 0947 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many FORM CMS-2567 (02/99) Previous Versions Obsolete Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Based on interview and record review, the facility failed to ensure Certified Nursing Assistants (CNA) were provided and completed a minimum of 12 hours of training that includes Dementia and Abuse over a 12 month period. This failure has the potential to affect all 71 residents residing in the facility.Findings include:The facility's Facility Assessment, dated 7/5/24, documents the facility cares for residents with Cognitive loss/ Dementia. This assessment also documents CNA's (Certified Nursing Assistants) receive yearly competency and on hire. This assessment documents required yearly trainings for CNAs will include Dementia and Abuse/Neglect training.On 07/9/25 at 9:40 AM, V1 (Administrator) confirmed she does not have proof that CNAs working in the facility have had 12 hours of training, including Abuse and Dementia training, in the past year. V1 stated I am not able to locate any training for the CNA's. In January 2025 the training system changed over, and it is now on the computer. I am unable to locate any training for the past 12 months.The facility's Long-Term Care Facility Application for Medicare and Medicaid form, dated 7/7/25 and signed by V5 (Chief Operating Officer), documents 71 residents reside within the facility. Event ID: Facility ID: 145457 If continuation sheet Page 9 of 9