Inspection·March 30, 2026

K0000 Bldg. 01 | INITIAL COMMENTS An unannounced Fire & Life Safety Recertification survey was conducted on The Nursing Center at La Posada, a nursing home in Palm Beach Gardens, Florida. The Nursing Center at La Posada is not in compliance with 42 CFR 483 Subpart B, 42 CFR 488.307, and National Fire Protection Association (NFPA) 101 (2012 Edition), NFPA 99 (2012 Edition) requirements for nursing homes. Initial Plan Review: 2006 Existing NFPA 220 Construction Type: II (000) Number of beds: 60 Census: 38 The following is a description of the noncompliance. | K0000 | |

K0521 SS = F Bldg. 01 | HVAC CFR(s), NFPA 101 HVAC Heating, , and air conditioning shall comply with 9.2 and shall be installed in accordance with the manufacturer's specifications. 18.5.2.1, 19.5.2.1, 9.2 This STANDARD is NOT MET as evidenced by: Based on observation and staff interview the facility failed to comply with NFPA 101 2012. Heating and air conditioning shall comply with 9.2. This deficient practice could affect all occupants in the facility in case of a fire or other emergency. The findings included: During staff interview and observation on | K0521 | The statement made on this plan of Correction are not and do not constitute agreement with the alleged deficiencies herein. To remain in compliance with all Federal and State regulations the center has taken or will take the actions set forth in the following plan of correction. How the corrective action will be accomplished for those residents found to have been affected by the deficient practice: Corrective Action for Affected Areas: The exhaust fan located in the janitorial closet in the lobby was inspected by the Environmental Services Director and maintenance team immediately following identification of the deficient practice. A work order was generated for repair/replacement, and the fan was repaired/replaced and tested for proper operation. | Nursing Center at La Posada, The 3600 MASTERPIECE WAY, PALM BEACH GARDENS, Florida, 33410

K0521 SS = F Bldg. 01 Continued from page 1 at 2:30 PM with the Environmental Services Director the exhaust fan in the janitorial closet in the lobby was not functioning. The Environmental Services Director acknowledged that the exhaust fan in the Janitorial closet in the lobby was not functioning. During staff interview and observation on at 3:00 PM with the Environmental Services Director the exhaust fans in -2666 were not functioning. The Environmental Services Director acknowledged that the exhaust fans in -2666 were not functioning. NFPA 101 2012 19.5.2.1, 9.2

K0521 Continued from page 1 The exhaust fans in resident through 2066 were inspected by the Environmental Services Director and maintenance team immediately following identification. Work orders were generated for repair/replacement, and HVAC company was immediately notified. Identification of Other Areas/Potentially Affected Areas: An audit of all exhaust fans and systems throughout the facility, including resident rooms, janitorial closets, bathrooms, and common areas, was conducted to identify any additional non-functioning units. Any additional deficient findings identified during the audit were immediately addressed through repair and work orders as well as notifying our HVAC repair company Systemic Changes/Measures Put in Place: The facility has implemented a preventative maintenance program for all HVAC and exhaust systems to ensure ongoing compliance with NFPA 101 requirements. A monthly environmental/safety inspection tool has been updated to include verification of proper operation of exhaust fans and systems in resident rooms and common/service areas. The Environmental Services Director and maintenance staff were re-educated on the importance of promptly identifying and deficiencies and maintaining documentation of repairs. Monitoring: The Environmental Services Director or designee will conduct monthly audits of exhaust fans and systems for three (3) months to ensure continued compliance. 106067 Nursing Center at La Posada, The 3600 MASTERPIECE WAY, PALM BEACH GARDENS, Florida, 33410 PREFIX TAG ID PREFIX TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) COMPLETION DATE

K0521 SS = F Bldg. 01

K0521 Continued from page 2

K0741 SS = F Bldg. 01 Smoking Regulations CFR(s): NFPA 101 Smoking Regulations Smoking regulations shall be adopted and shall include not less than the following provisions: (1) Smoking shall be prohibited in any room, ward, or compartment where flammable liquids, combustible gases, or . . . is used or stored and in any other hazardous location, and such area shall be posted with signs that read NO SMOKING or shall be posted with the international symbol for no smoking. (2) In health care occupancies where smoking is prohibited and signs are prominently placed at all major entrances, secondary signs with language that prohibits smoking shall be required. (3) Smoking by patients classified as not responsible shall be prohibited. (4) The requirement of 18.7.4(3) shall not apply where the patient is under direct supervision. (5) Ashtrays of noncombustible material and safe design shall be provided in all areas where smoking is permitted. (6) Metal containers with self-closing cover devices into which ashtrays can be emptied shall be readily available to all areas where smoking is permitted. 18.7.4, 19.7.4 This STANDARD is NOT MET as evidenced by: Based on observation and staff interview the facility failed to comply with NFPA 101 2012. Smoking shall be in designated areas equipped with the proper requirements instituted. This deficient practice could affect all occupants in the facility in case of a fire or other emergency.

K0741 Audit findings will be reported to the Quality Assurance and Performance Improvement (QAPI) Committee monthly for three (3) months. Based on audit outcomes, the QAPI Committee will determine if further action or continued monitoring is necessary. The statement made on this plan of Correction are not and do not constitute agreement with the alleged deficiencies herein. To remain in compliance with all Federal and State regulations the center has taken or will take the actions set forth in the following plan of correction. Corrective Action for the Identified Deficient Practice: On , the two employees observed smoking in the non-designated hazardous area behind the generator containing diesel fuel were immediately instructed to extinguish smoking materials and relocate to the designated smoking area. The flowerpot containing cigarette butts was removed from the hazardous area immediately. The area behind the generator was inspected to ensure no smoking materials or fire hazards remained. Identification of Other Potentially Affected Areas: The Environmental Services Director and Administrator conducted a facility-wide inspection to identify any other unauthorized smoking areas or evidence of improper smoking practices. Any evidence of unauthorized smoking areas, including ashtrays, cigarette receptacles, or cigarette debris, was removed immediately. Systemic Changes / Measures Put in Place: |---|---|---|---| |---|---| |---|---|---|---|---| | K0741 SS = F Bldg. 01 | Continued from page 3 The findings included: During staff interview and observation on at 4:00 PM with the Environmental Services Director, it was observed that two employees were smoking behind the generator containing diesel fuel. There was a flowerpot filled to the top with cigarette butts revealing this area was being constantly used to smoke. The Environmental Services Director acknowledged and observed the employees smoking in a non-designated hazardous area with a flowerpot filled with cigarette butts. NFPA 101 2012 19.7.4 | K0741 | Continued from page 3 The facility's smoking policy was reviewed and reinforced with all staff to ensure smoking occurs only in designated, approved smoking areas. All staff were re-educated on fire safety procedures, the hazards of smoking near combustible and hazardous materials, and the location of approved smoking areas. Additional signage was installed and/or reinforced indicating "No Smoking" in hazardous and non-designated areas. Supervisors and department managers were instructed to monitor compliance during routine rounds. Monitoring: The Environmental Services Director or designee will conduct random daily rounds for two (2) weeks and weekly audits thereafter for three (3) months to ensure staff are using only designated smoking areas. Findings from these audits will be reported monthly to the Quality Assurance and Performance Improvement (QAPI) Committee for review and further recommendations as needed. | | Nursing Center at La Posada, The 3600 MASTERPIECE WAY, PALM BEACH GARDENS, Florida, 33410 TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) DATE

E0000 Initial Comments E0000 During the Fire & Life Safety Recertification survey, conducted on at The Nursing Center at La Posada, a nursing home, Emergency Preparedness was reviewed. The Nursing Center at La Posada is not in compliance with Emergency Preparedness per Code of Federal Regulations (CFR) 42, Part 483.73, Requirement for Long-Term Care Facilities.

E0030 Names and Contact Information E0030 SS = F CFR(s): 483.73(c)(1) $403.748(c)(1), $416.54(c)(1), $418.113(c)(1), $441.184(c)(1), $460.84(c)(1), $482.15(c)(1), $483.73(c) (1), $483.475(c)(1), $484.102(c)(1), $485.68(c)(1), $485.542(c)(1), $485.625(c)(1), $485.727(c)(1), $485.920(c)(1), $486.360(c)(1), $491.12(c)(1), $494.62(c)(1). (c) The facility must develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least every 2 years (annually for LTC facilities). The communication plan must include all of the following:} (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians ( { Other [facilities]. (v) Volunteers. [*For Hospitals at $482.15(c) and CAHs at $485.625(c)] The communication plan must include all The statement made on this plan of Correction are not and do not constitute agreement with the alleged deficiencies herein. To remain in compliance with all Federal and State regulations the center has taken or will take the actions set forth in the following plan of correction. How the corrective action will be accomplished for those residents found to have been affected by the deficient practice: The facility immediately reviewed and revised the Emergency Preparedness Program (EPP) Communication Plan to include current names and contact information for all facility staff, including department heads and essential personnel, as well as the names and contact information of all attending physicians and medical providers responsible for resident care. This information has been compiled and maintained in the Emergency Preparedness Binder. 2 How the facility will identify other residents having the potential to be affected by the same deficient practice: All current residents have the potential to be affected by this deficient practice in the event of an emergency requiring physician communication or resident transfer. Therefore, the updated Communication Plan applies to all residents 106067 Nursing Center at La Posada, The 3600 MASTERPIECE WAY, PALM BEACH GARDENS, Florida, 33410 APPROPRIATE DEFICIENCY)

E0030 Continued from page 1 E0030 Continued from page 1 SS = F of the following: currently residing in the facility and all future admissions. (I) Names and contact information for the following: 3. What measures will be put into place or systemic (i) Staff. changes made to ensure that the deficient practice will not recur: (ii) Entities providing services under arrangement. The facility has implemented the following systemic (iii) Patients' physicians corrective measures: ( ) Other [hospitals and CAHs]. The Emergency Preparedness Program (v) Volunteers. Communication Plan was revised to specifically require inclusion of: *[For RNHCls at §403.748(c):] The communication plan must include all of the following: Current names and contact numbers of all staff, including direct care staff, department managers, (1) Names and contact information for the following: and emergency contacts; (i) Staff. Current names and contact information for all residents' attending physicians and ancillary (ii) Entities providing services under arrangement. medical providers; (iii) Next of kin, guardian, or custodian. Contact information for receiving facilities, ( ) Other RNHCls. transportation vendors, pharmacies, and emergency management agencies. (v) Volunteers. A designated member of the leadership team *[For ASCs at §416.45(c):] The communication plan (Administrator and/or designee) will review and must include all of the following: update the communication list monthly and immediately upon staffing or physician changes. (1) Names and contact information for the following: The updated Communication Plan will be reviewed (i) Staff. during quarterly Emergency Preparedness Committee meetings. (ii) Entities providing services under arrangement. Staff responsible for emergency preparedness and (iii) Patients' physicians resident transfers will be in-serviced on the revised ( ) Volunteers. policy and location/accessibility of the updated Communication Plan. *[For Hospices at §418.113(c):] The communication plan must include all of the following: 4. How the facility will monitor its corrective actions to ensure the deficient practice is being corrected (1) Names and contact information for the following: and will not recur: (i) Hospice employees. The Administrator and/or designee will conduct (ii) Entities providing services under arrangement. (iii) Patients' physicians. 3600 MASTERPIECE WAY, PALM BEACH GARDENS, Florida, 33410 TAG CROSS-REFERENCED TO THE COMPLETION DATE

E0030 Continued from page 2 E0030 Continued from page 2 SS = F *For HHAs at §484.102(c)] The communication plan must include all of the following: (1) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Patients' physicians. ( ) Volunteers. *For OPOs at §486.360(c)] The communication plan must include all of the following: (2) Names and contact information for the following: (i) Staff. (ii) Entities providing services under arrangement. (iii) Volunteers. ( ) Other OPOs. (v) . . . and donor hospitals in the OPO's Donation Service Area (DSA). This REQUIREMENT IS NOT MET as evidenced by: Based on record review and interview with the Administrator, the facility failed to provide a communication plan in their Emergency Preparedness Program (EPP) that included the names and contact information of staff and residents' physicians. This in the event of an emergency would leave residents from the lack of medical and support staffing, during the transfer of the residents to other facilities. The findings included: During record review and staff interview with the Administrator at 3:00 PM the facility failed to provide list of staff and physician contact information. The Administrator acknowledged that there was not a current updated list of employees and resident's physicians information and telephone numbers. Nursing Center at La Posada, The 3600 MASTERPIECE WAY, PALM BEACH GARDENS, Florida, 33410 TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) DATE

E0030 Continued from page 3 SS = F Per 42 CFR 483.73(c)(1)(ii)(iii)

E0030 SetBranch Nursing Center at La Posada, The 3600 MASTERPIECE WAY , PALM BEACH GARDENS, Florida, 33410

K0000 Bldg. 05 INITIAL COMMENTS An unannounced Fire & Life Safety re-licensure survey was conducted on at The Nursing Center at La Posada, a nursing home in Palm Beach Gardens, Florida in accordance with National Fire Protection Association (NFPA) 1 and 101 (2021 Edition) and applicable requirements of Florida State Fire Marshal's Rules and Regulations, Florida Administrative Code (F.A.C) 69A-3, F.A.C. 69A-53, F.A.C. 59A-4, and Florida Statutes (F.S.) 400 Part II, and F.S. 633.0215, adopting National Fire Protection Association (NFPA) 1 and 101 (2021 Edition) known as the Florida Fire Prevention Code and all NFPA referenced standards and requirements adopted per NFPA 101, Chapter 2. The following is a description of the deficiencies found at the time of the visit.

K0521 SS = F Bldg. 05 HVAC

K0521 CFR(s): NFPA 101 The statement made on this plan of Correction are not and do not constitute agreement with the alleged deficiencies herein. To remain in compliance with all Federal and State regulations the center has taken or will take the actions set forth in the following plan of correction. HVAC Heating, , and Air Conditioning Heating, , and air-conditioning shall comply with the provisions of Section 9.2 and shall be installed in accordance with the manufacturer's specifications, unless otherwise modified by 19.5.2.2, 18.5.2.1, 19.5.2.1, 9.2 This LICENSURE REQUIREMENT IS NOT MET as evidenced by: How the corrective action will be accomplished for those residents found to have been affected by the deficient practice: Based on observation and staff interview the facility failed to comply with NFPA 101 2021. Heating, and air conditioning shall comply with 9.2. This deficient practice could affect all occupants in the facility in case of a fire or other emergency. Corrective Action for Affected Areas; The findings included: The exhaust fan located in the janitorial closet in the lobby was inspected by the Environmental Services Director and maintenance team immediately following identification of the deficient practice, A work order was generated for repair/replacement, and the fan was repaired/replaced and tested for proper operation. During staff interview and observation on at 2:30 PM with the Environmental Services Director the exhaust fan in the janitorial closet in the lobby was not functioning. The exhaust fans in resident through 2066 were inspected by the Environmental Services Director and maintenance team immediately following identification. Work orders were generated for repair/replacement, and HVAC company was The Environmental Services Director acknowledged Office of Primary Care and Health Systems Management 03/30/2026 Nursing Center at La Posada, The 3600 MASTERPIECE WAY, PALM BEACH GARDENS, Florida, 33410

K0521 Continued from page 1 K0521 Continued from page 1 SS = F that the exhaust fan in the Janitorial closet in the Bldg. 05 lobby was not functioning. Continued from page 1 During staff interview and observation on at 3:00 PM with the Environmental Services Director the exhaust fans in functioning. -2066 were not functioning. The Environmental Services Director acknowledged that the exhaust fans in -2066 were not functioning. NFPA 101 2021 19.5.2.1, 9.2 Class III Identification of Other Areas/Potentially Affected Areas: An audit of all exhaust fans and systems throughout the facility, including resident rooms, janitorial closets, bathrooms, and common areas, was conducted to identify any additional non-functioning units. Any additional deficient findings identified during the audit were immediately addressed through repair and work orders as well as notifying our HVAC repair company Systemic Changes/Measures Put in Place: The facility has implemented a preventative maintenance program for all HVAC and exhaust systems to ensure ongoing compliance with NFPA 101 requirements. A monthly environmental/safety inspection tool has been updated to include verification of proper operation of exhaust fans and systems in resident rooms and common/service areas. The Environmental Services Director and maintenance staff were re-educated on the importance of promptly identifying and deficiencies and maintaining documentation of repairs. Monitoring: The Environmental Services Director or designee will conduct monthly audits of exhaust fans and systems for three (3) months to ensure continued compliance. Audit findings will be reported to the Quality Assurance and Performance Improvement (QAPI) Committee monthly for three (3) months. Nursing Center at La Posada, The 3600 MASTERPIECE WAY, PALM BEACH GARDENS, Florida, 33410

K0521 SS = F Bldg. 05

K0521 Continued from page 2 Based on audit outcomes, the QAPI Committee will determine if further action or continued monitoring is necessary.

K0741 SS = F Bldg. 05 Smoking Regulations

K0741 The statement made on this plan of Correction are not and do not constitute agreement with the alleged deficiencies herein. To remain in compliance with all Federal and State regulations the center has taken or will take the actions set forth in the following plan of correction. CFR(s): NFPA 101 Corrective Action for the Identified Deficient Practice: Smoking Regulations Smoking regulations shall be adopted and shall include not less than the following provisions: (1) Smoking shall be prohibited in any room, ward, or compartment where flammable liquids, combustible gases, or _____ is used or stored and in any other hazardous location, and such area shall be posted with signs that read NO SMOKING or shall be posted with the international symbol for no smoking. (2) In health care occupancies where smoking is prohibited and signs are prominently placed at all major entrances, secondary signs with language that prohibits smoking shall not be required. (3) Smoking by patients classified as not responsible shall be prohibited. (4) The requirement of 18/19.7.4(3) shall not apply where the patient is under direct supervision. (5) Ashtrays of noncombustible material and safe design shall be provided in all areas where smoking is permitted. (6) Metal containers with self-closing cover devices into which ashtrays can be emptied shall be readily available to all areas where smoking is permitted. 18.7.4, 19.7.4 (Note smoking tower disposal receptacles are not ashtrays) This LICENSURE REQUIREMENT is NOT MET as evidenced by: Based on observation and staff interview the facility failed to comply with NFPA 101 2021. Smoking shall be in designated areas equipped instituted with the proper requirements. This deficient practice could affect all occupants in the facility in case of a fire or other emergency. The findings included: On _____, the two employees observed smoking in the non-designated hazardous area behind the generator containing diesel fuel were immediately instructed to extinguish smoking materials and relocate to the designated smoking area. The flowerpot containing cigarette butts was removed from the hazardous area immediately. The area behind the generator was inspected to ensure no smoking materials or fire hazards remained. Identification of Other Potentially Affected Areas: The Environmental Services Director and Administrator conducted a facility-wide inspection to identify any other unauthorized smoking areas or evidence of improper smoking practices. Any evidence of unauthorized smoking areas, including ashtrays, cigarette receptacles, or cigarette debris, was removed immediately. Systemic Changes / Measures Put in Place: The facility's smoking policy was reviewed and reinforced with all staff to ensure smoking occurs only in designated, approved smoking areas. All staff were re-educated on fire safety procedures, the hazards of smoking near combustible and 3600 MASTERPIECE WAY, PALM BEACH GARDENS, Florida, 33410 APPROPRIATE DEFICIENCY)

K0741 Continued from page 3 K0741 Continued from page 3 [blank] SS = F During staff interview and observation on hazardous materials, and the location of approved Bldg. 05 at 4:00 PM with the Environmental Services Director smoking areas. it was observed that two employees were smoking behind the generator containing diesel fuel. There was a flowerpot filled to the top with cigarette butts revealing this area was being constantly used to smoke. The Environmental Services Director acknowledged and observed the employees smoking in a non-designated hazardous area with a flowerpot filled with cigarette butts. NFPA 101 2021 19.7.4 Class III Additional signage was installed and/or reinforced indicating "No Smoking" in hazardous and non-designated areas. Supervisors and department managers were instructed to monitor compliance during routine rounds. Monitoring: The Environmental Services Director or designee will conduct random daily rounds for two (2) weeks and weekly audits thereafter for three (3) months to ensure staff are using only designated smoking areas. Findings from these audits will be reported monthly to the Quality Assurance and Performance Improvement (QAPI) Committee for review and further recommendations as needed.