Inspection·May 19, 2023

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews and record reviews, the facility failed to ensure residents who were dependent on staff for shaving, received those services for 4 of 4 residents (R2, R4, R9, R29) reviewed for Activities of Daily Living in the sample of 21. Residents Affected - Some Findings Include: 1. On 5/17/2023 at 9:23 AM, R9 was observed with hair on her chin measuring two centimeters long. R9 stated she was shaved by staff two weeks ago. R9 said she is embarrassed to be seen with long chin hair, but she said she is not able to shave herself. On 5/17/2023 at 2:07 PM, interview with V2 (Director of Nursing/DON) stated she expects staff to do shaving with showers unless resident refuses. She stated staff should also shave when resident's facial hair is observed to be long. R9's MDS (Minimum Data Sheet) dated 2/13/2023 shows R9 had intact cognitive functions and needed extensive assist with one-person physical assist with personal hygiene. Facility's General Care Policy dated 7/28/2022 stated .1. Upon admission or readmission, the facility will evaluate the resident for physical and psychosocial needs. Physical needs would include but are not limited to ADL (Activities of Daily Living), wound care, medical needs, etc. 2. The facility will assist the resident to meet these needs, unless it shows that the resident's needs cannot be met in the facility. Facility's Shower and Hygiene Policy dated 7/28/2022 stated .Procedures:1. Administer resident shower once weekly and/or as often as necessary. Any resident who needs hygienic care will be provided care to promote hygiene (facial, body, perineal care, etc.). 2. On May 16, 2023 at 10:35 AM, R29 had facial hair on her chin and upper lip. R29's chin hair was about 1.5 inches long. R29 said she did not like having facial hair and wanted her facial hair removed. R29's EMR (Electronic Medical Record) shows R29 was admitted to the facility with diagnoses including weakness and need for assistance with personal care. R29's MDS (Minimum Data Set) dated February 23, 2023 shows R29 had severe cognitive impairment and required extensive assistance from staff for personal hygiene. R29's care plan dated August 25, 2022 shows R29 has an ADL (Activities of Daily Living) self-care performance deficit and impaired mobility. 3. On May 16, 2023 at 11:01 AM and May 17, 2023 at 11:56 AM, R4 was in bed with facial hair on chin about an inch long. R4's MDS dated [DATE] shows R4 had moderate cognitive impairment and required extensive assistance from staff for personal hygiene. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145944 If continuation sheet Page 2 of 10 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 145944 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/19/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avantara Aurora 400 West Sullivan Road Aurora, IL 60506 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 0677 R4's care plan dated July 29, 2022 shows R4 requires assistance with ADL's. Level of Harm - Minimal harm or potential for actual harm 4. On May 16, 2023 at 11:23 AM, R2 had facial hair on her chin. Residents Affected - Some R9's EMR shows R2 was admitted to the facility with diagnoses including weakness and need for assistance with personal care. R2's MDS dated [DATE] shows R2 had moderate cognitive impairment and required supervision from staff for personal hygiene. R2's care plan dated shows R2 had an ADL self-care performance deficit related to cognitive impairment, disease process, impaired balance, limited mobility, and physical inactivity. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145944 If continuation sheet Page 3 of 10 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 145944 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/19/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avantara Aurora 400 West Sullivan Road Aurora, IL 60506 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 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 observation, interview, and record review the facility failed to implement interventions to reduce hazards and risks for a resident related to the placement of a self-release lap belt. This applies to 1 resident (R18) in a sample size of 21 residents reviewed for safety interventions. Findings include: On May 16, 2023, at 1:04 pm R18 was sitting in a manual wheelchair and did not have a self-release lap belt. On May 16, 2023, at 1:04 pm R18 stated sometimes he slips a little because he does not have a seat belt. R18 stated slipping down in his chair is especially a problem when he goes outside or over a threshold. On May 18, 2023, at 9:42 am R18's non-working electric wheelchair was in his room and had a self-release lap belt attached. On May 18, 2023, at 9:48 am R18 was sitting outside in a manual wheelchair and did not have a self-release lap belt. On May 18, 2023, at 9:48 am R18 was found outside of the facility on the front patio. R18 stated he still did not have a self-release lap belt. When he slips down in his chair, he feels like he is going to fall out of his wheelchair. On May 18, 2023, at 10:49 am V16 (Physical Therapy Director) stated she was not involved in R18's original assessment. V16 stated R18 would benefit from having a self-release lap belt based on his physique and for his safety. V16 did not speak to R18 about his lap belt. V16 stated she had not received any requisitions for a lab belt for R18. On May 18, 2023, at 11:10 am V17 (Assistant Administrator/Social Services Director) stated R18 never spoke to her about his lap belt. V17 did not know who was responsible to ensure R18 had a self-release lap belt placed on his current wheelchair. On May 18, 2023, at 1:06 pm V2 (Director of Nursing) stated Restorative, and Therapy are responsible to ensure R18 received a lap belt. On May 18, 2023, at 5:12 pm V1 (Administrator) stated there is no specific policy related to following resident assessments. V18 shouldn't have to ask for a lap belt if that was something he needed. Review of R18 EMR (Electronic Medical Record) shows he is cognitively intact. R18 has a right above the knee amputation, absence of his left hip joint and is obese. R18's care plan dated July 03, 2021, includes impaired mobility function related to total amputation. High risk for falls related to use of antidepressants, cardiovascular medications, hypnotics, narcotic analgesics, and bilateral amputation. Use of physical soft self-release belt. R18 assessment dated [DATE], for the use of a self-release belt reviewed. R18 uses a self-releasing belt to his chair to prevent him from leaning forward while he is propelling in the scooter. He is a bilateral amputee and is unable to hold himself in (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145944 If continuation sheet Page 4 of 10 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 145944 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/19/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avantara Aurora 400 West Sullivan Road Aurora, IL 60506 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 alignment when he encounters bumps on the sidewalk. He is able to remove and reapply the seat belt with ease on command. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145944 If continuation sheet Page 5 of 10 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 145944 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/19/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avantara Aurora 400 West Sullivan Road Aurora, IL 60506 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 Based on observation, interview, and record review the facility failed to administer medications as ordered. There were 34 opportunities with 2 errors resulting in a 5.88% error rate. This applies to 2 residents (R20 and R52) observed during medication pass. Residents Affected - Few Findings Include: 1. On May 17, 2023 at 8:33 AM, V8 (LPN/Licensed Practical Nurse) was observed during medication administration. V8 opened a new Humalog Kwikpen for R20, attached needle to the top of pen and turned the pen to seven units of insulin. V8 went to R20's room and administered the seven units of insulin. V8 did not prime insulin pen after attaching needle to pen and prior to administering the dose of insulin. On May 18, 2023 at 9:05 AM, V2 (DON/Director of Nursing) said the nurse needs to prime the needle with at least one unit of insulin and then administer the ordered amount of insulin. On May 18, 2023 at 1:48 PM, V11 (Pharmacist) said Humalog pens should be primed with two units of insulin prior to each administered dose. The EMR (Electronic Medical Record) shows R20 was admitted to the facility with diagnoses including type 2 diabetes mellitus. R20's MAR (Medication Administration Record) for May 2023 shows an order for Humalog Kwikpen seven units two times a day at 8 AM and 4 PM. 2. On May 17, 2023 at 9:15 AM, V15 (RN/Registered Nurse) was observed during medication administration. V15 prepared medication for R52, which included Potassium Chloride ER (Extended Release) 10 mEq (Milliequivalents). V15 crushed R52's Potassium Chloride ER with other medication and administered them to R52. On May 18, 2023 at 9:05 AM, V2 (DON) said extended release medication should not be crushed. V2 said if extended-release medication was crushed, it would become immediate release. On May 18, 2023 at 1:48 PM, V11 (Pharmacist) said Potassium Chloride ER was not recommended to be crushed and could cause throat or stomach irritation if crushed. The EMR shows R52 was admitted to the facility with diagnoses including hypertensive heart disease, osteoporosis, and slow transit constipation. R52's MAR for May 2023 shows an order for Potassium Chloride [NAME] ER Oral 10 mEq by mouth in the morning for low potassium. The facility's Medication Pass policy, revised on March 28, 2023, documents to Make sure to check before crushing meds. Some meds should not be crushed (extended-release meds, K-dur, etc.). FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145944 If continuation sheet Page 6 of 10 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 145944 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/19/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avantara Aurora 400 West Sullivan Road Aurora, IL 60506 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 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. 2. On 5/16/2023 at 12:10 PM, R30 had a tube of Hydrocortisone cream 1% on his nightstand. The medication was not labeled. He stated his family brought the cream to the facility. On 5/18/2023 at 2:50 PM, R30 had a tube of Hydrocortisone cream 2.5% on his bedside table. The medication was not labeled. He stated his family brought the cream to the facility. R30 stated he wanted to have his own tube because he can apply the medication when he needed it. R30 said he applied it twice a day. On 5/18/2023 at 9:20 AM, interview with V2 (DON-Director of Nursing) stated there should be no medication by the bedside. V2 said if staff notices medication brought from home, staff should immediately remove it from the resident's room. Review of R30 Physician Order Sheet on 5/16/2023 at 1:00 PM shows that R30 did not have an order for Hydrocortisone cream 1% and did not have an order to keep it by his bedside. Review of R30 Physician Order Sheet on 5/18/2023 at 3:11 PM shows R30 did not have an order for Hydrocortisone cream 2.5% and did not have an order to keep it at bedside. Facility's Prohibited Items and Search Policy dated 2/10/2023 stated .A. Prohibited Items- describes prohibited or unauthorized items which may be resident specific based on assessment. Some items are clearly prohibited but other items may be considered contraband depending on the situation that may be used by a client to harm themselves or someone else or interferes with the rights of others. The following are considered prohibited items, although not an exhaustive list .k) Medications OTC (Over the Counter) and prescribed. Facility's Storage of Medications Policy dated 08/2020 stated . Medication and biologicals are stored safely, securely, and properly, following manufacturer's recommendations or those of the supplier. The medication supply is accessible only to licensed nursing personnel, pharmacy personnel or staff members lawfully authorized to administer medications. Based on observation, interview, and record review, the facility failed to dispose of an expired medication and failed to prevent the expired medication from being administered to a resident. The facility also failed to safely store medications, failed to obtain a physician's order for an over-the-counter medication, and failed to obtain a physician's order to keep medication at the bedside. This applies to 2 of 2 residents (R13, R30) in a sample of 21 reviewed for medication storage. Findings Include: 1. On May 17, 2023 at 12:55 PM, V8 (LPN/Licensed Practical Nurse) opened the medication refrigerator and removed a bottle of Lorazepam 2 mg (Milligram)/ml (Milliliter) oral solution. The bottle's sticker showed an expiration date of December 9, 2022. R13's Individual Controlled Substance Record shows a received-on date of the medication on July 24, 2022 and first documented use of December 16, 2022. R13's Individual Controlled Substance Record shows R13 received the Lorazepam oral solution on March 31, 2023 and on April 12, 2023. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145944 If continuation sheet Page 7 of 10 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 145944 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/19/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avantara Aurora 400 West Sullivan Road Aurora, IL 60506 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 0761 Level of Harm - Minimal harm or potential for actual harm On May 18, 20023 at 9:05 AM, V2 (DON/Director of Nursing) said the staff should not be using expired medication. On May 18, 2023 at 2:30 PM, V11 (Pharmacist) said the manufacturer's guidance shows Lorazepam oral solution should be discarded 90 days after being opened and does not recommend using past the 90 days. Residents Affected - Few The facility's Storage of Medications policy revised on August 2020 showed Once opened, these products will be acceptable to use until the manufacturer's expiration date is reached and unless the medication is an item for which the manufacturer has specified a usable duration after opening, no expired medication will be administered to a resident, and all expired medications will be removed from the active supply. The policy also documents the medication supply is accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medications. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145944 If continuation sheet Page 8 of 10 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 145944 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/19/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avantara Aurora 400 West Sullivan Road Aurora, IL 60506 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 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm 3. On May 17, 2023, at 11:31 am V3 (Wound Nurse) observed completing dressing changes for R27. During the dressing change V3 removed her gloves after cutting a piece of xeroform and did not sanitize her hands before applying new gloves. During the dressing change V3 was observed pushing a dressing supply wrapper down into the resident's garbage can with her gloved hand. V3 then applied an ace wrap to R27's right lower extremity without removing her gloves and performing hand hygiene. V3 then wiped the metal tip of the scissors with a small alcohol prep pad but did not wipe the handle of the scissors before placing the scissors back in her treatment cart. V3 stated the scissors were not single patient use. V3 did not know the contact time for disinfecting the scissors. Residents Affected - Few On May 18, 2023, V2 (Director of Nursing) stated V3 should not have pushed garbage down with her gloved hand and return to completing any part of R27's dressing change without cleaning her hands. She should be cleaning her hands every time she removes her gloves. V3 should have used our disinfectant to clean the scissors. The contact time for the disinfectant is three minutes. She should not be using alcohol pads to clean the scissors. On May 18, 2023, V1 (Administrator) stated there was no specific policy for dressing changes or disinfecting equipment we follow standard practices. R27's EMR (Electronic Medical Record) was reviewed. R27 is cognitively intact. Physician orders for wound care: left calf cleanse with wound cleanser and gently pat dry. Apply xeroform gauze to open areas. Wrap with roll gauze and secure change every three days and as needed. Care plan date-initiated December 12, 2020, R27 has a potential for impairment to skin integrity due to decreased mobility and independence. The facility's Incontinent and Perineal Care policy, revised on July 28, 2022, documents to Remove gloves and dispose to designated plastic bag. Wash hands. Put on new set of clean gloves to put on clean briefs/incontinent pads, to make resident comfortable, groom and change clothing. The facility policy Hand Hygiene dated July 28, 2022, documents hand hygiene consists of either hand washing or the use of alcohol gel. Hand hygiene is recommended after removing gloves including during wound dressing change. The facility Infection Prevention and Control policy dated March 10, 2023, documents hand hygiene will be performed by staff before and after direct patient care and after each situation that necessitates hand hygiene. Alcohol based hand rubs or hand washing for twenty seconds will be used. Disinfectant bleach wipes will be used to disinfect non-disposable scissors used on wound treatment for 1-4 minutes depending on the brand. Based on observation, interviews and record reviews, the facility failed to use appropriate hand hygiene practices with gloving when providing incontinence care and wound dressing change, failed to provide catheter care in accordance with infection control standards, and failed to properly disinfect scissors after use. This applies to 3 out of 3 residents (R27, R49, R62) observed for infection control in a sample of 21. Findings Include: 1. On 5/17/2023 at 8:50 AM, R62 was observed lying on her bed with indwelling catheter. R62 had bowel movement and feces was all over R62's perineum and buttocks area. V4 (LPN-Licensed Practical Nurse) was in the room and called V5 (CNA- Certified Nurse Assistant) to assist her with incontinence care. During incontinence care, V4 (LPN) was observed to change her gloves six times without applying (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145944 If continuation sheet Page 9 of 10 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 145944 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/19/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avantara Aurora 400 West Sullivan Road Aurora, IL 60506 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 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few hand sanitizer or washing her hands. V4 was observed wiping the indwelling catheter tube towards the urinary meatus three times. On 5/17/2023 at 9:00 AM, interview with V4 (LPN) stated she needed to use hand sanitizer or wash hands in between changing gloves. She stated indwelling catheter tubing should be wiped away from the urinary meatus and not towards it for infection control. On 5/18/2023 at 9:20 AM, interview with V2 (DON-Director of Nursing) stated she expected staff to use hand sanitizer or wash hands in between changing gloves. She stated she expected staff to clean the indwelling catheter away from the urinary meatus to prevent infections. 2. On May 17, 2023 at 12:11 PM, V12 (CNA) and V13 (CNA) provided incontinence care for R49. During incontinence care, V13 wiped feces using a washcloth off R49's buttocks and removed dirty linens from underneath R49. V13 grabbed new linens and a clean incontinence brief with the same gloves and positioned the bedding under R49. V13 applied barrier cream to resident's buttocks. V13 removed gloves and without performing hand hygiene, applied new gloves. V13 placed dirty linens onto the ground and V12 picked up the dirty linens and placed it into the dirty linen cart. V12 removed gloves and did not perform hand hygiene prior to applying new gloves. The EMR (Electronic Medical Record) shows R49 was admitted to the facility with diagnoses including nontraumatic intracerebral hemorrhage, palliative care, and hemiplegia and hemiparesis following stroke. R49's significant change MDS (Minimum Data Set) dated March 20, 2023 shows R49 had severe cognitive impairment and was totally dependent on staff for toileting and personal hygiene. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145944 If continuation sheet Page 10 of 10