Inspection·January 14, 2026

F0000 | INITIAL COMMENTS | F0000 | | /2026 | An unannounced complaint survey for complaint numbers 2025018611, 2025019199 and 2025019446 was conducted on - Rehabilitation Center. The facility was not in compliance with CFR 42 Part 483, Requirements for Long Term Care Facilities. | | |

F0585 | SS=D | Grievances | F0585 | Preparation, submission and or execution of this Plan of Correction does not constitute admission or agreement by the provider of the truth of the items alleged or conclusion set forth in the statement of deficiencies. The plan of correction is prepared and executed as required by State and Federal law. | /2026 | CFR(s): 483.10(j)(1)-(4) | $483.10(j) Grievances. | $483.10(j)(1) The resident has the right to voice grievances to the facility or other agency or entity that hears grievances without discrimination or reprisal and without fear of discrimination or reprisal. Such fears include those with respect to care and treatment which has been furnished as well as that which has not been furnished, the behavior of staff and of other residents, and other concerns regarding their LTC facility stay. | $483.10(j)(2) The resident has the right to and the facility must make prompt efforts by the facility to resolve grievances the resident may have, in accordance with this paragraph. | $483.10(j)(3) The facility must make information on how to file a grievance or complaint available to the resident. | $483.10(j)(4) The facility must establish a grievance policy to ensure the prompt resolution of all grievances regarding the residents' rights contained in this paragraph. Upon request, the provider must give a copy of the grievance policy to the resident. The grievance policy must include: | (i) Notifying resident individually or through postings in prominent locations throughout the facility of the right to file grievances orally (meaning spoken) or in | What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice? | The Administrator/designee met with the Resident #1's representative to review the grievances related to transportation and billing, provided an itemized bill, a refund for the transportation cost, and the grievance was resolved to the satisfaction of the complainant. | How will you identify other residents having potential to be affected by the same deficient practice and what corrective action will be taken? | Nursing Home Administrator /Designee conducted an audit of grievances filed in the past 30 days to ensure resolution with resident satisfaction. No areas of concern were identified. | What measures will be put into place or what systematic changes you will make to ensure that the deficient practice does not recur: | Nursing Home Administrator/Designee educated the Social Services Director and the Business Office Manager on ensuring grievances are logged upon receipt, how to properly review and resolve to the resident/resident representative's satisfaction, and the components of

F0585 SS = D Continued from page 1 writing; the right to file grievances anonymously; the contact information of the grievance official with whom a grievance can be filed, that, his or her name, business address (mailing and email) and business phone number; a reasonable expected time frame for completing the review of the grievance; the right to obtain a written decision regarding his or her grievance; and the contact information of independent entities with whom grievances may be filed, that is, the pertinent State agency, Quality Improvement Organization, State Survey Agency and State Long-Term Care Ombudsman program or protection and advocacy system; (ii) Identifying a Grievance Official who is responsible for overseeing the grievance process, receiving and leading grievances through to their conclusions; tracking any necessary investigations by the facility; maintaining the confidentiality of all information associated with grievances, for example, the identity of the resident for those grievances submitted anonymously, issuing written grievance decisions to the resident; and coordinating with state and federal agencies as necessary in light of specific allegations; (iii) As necessary, taking immediate action to prevent further potential violations of any resident right while the alleged violation is being investigated; ( ) Consistent with §483.12(c)(1), immediately reporting all alleged violations involving neglect, including injuries of unknown source, and/or misappropriation of resident property, by anyone furnishing services on behalf of the provider; to the administrator of the provider; and as required by State law; (v) Ensuring that all written grievance decisions include the date the grievance was received, a summary statement of the resident's grievance, the steps taken to investigate the grievance, a summary of the pertinent findings or conclusions regarding the resident's concern(s), a statement as to whether the grievance was confirmed or not confirmed, any corrective action taken or to be taken by the facility as a result of the grievance, and the date the written decision was issued; (vi) Taking appropriate corrective action in accordance with State law if the alleged violation of the residents' rights is confirmed by the facility or if an outside entity having jurisdiction, such as the State Survey Agency, Quality Improvement Organization, or local law enforcement agency confirms a violation for F0585 Continued from page 1

F585. How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put in place: The Nursing Home Administrator is to conduct random audits of the logged grievances to ensure resident concerns have been addressed and properly resolved to the resident/resident representative's satisfaction. This audit will be conducted weekly times four weeks, then monthly times three months. The Nursing Home Administrator (Designee) to report findings through the monthly Quality Assessment and Assurance Compliance Committee meeting for four months for comments and recommendations. POMPANO HEALTH AND REHABILITATION CENTER 51 W SAMPLE ROAD, POMPANO BEACH, Florida, 33064 PREFIX TAG ID PREFIX TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) COMPLETION DATE

F0585 SS = D Continued from page 2 any of these residents' rights within its area of responsibility; and (vii) Maintaining evidence demonstrating the result of all grievances for a period of no less than 3 years from the issuance of the grievance decision. This REQUIREMENT is NOT MET as evidenced by: Based on record review and interview, the facility failed to address and resolve a resident representative's grievances related to transportation and billing for 1 of 3 sampled residents (Resident #1). The findings included: Resident #1 was admitted to the facility on comprehensive assessment dated . A documented the resident had moderate . and required substantial/ living. A telephone interview was conducted with Resident #1's Power of Attorney (POA) on . at 12:00 PM. The POA stated she had expressed concerns to the facility related to Resident #1's transportation from the hospital and billing. The POA stated Resident #1 had a on . which the resident was sent out to the hospital via 911 for evaluation. Resident #1's POA was contacted by the hospital concerning the return of the resident . to the facility. The POA stated she contacted the facility and was told by the Unit Manager (UM) not to worry, they would handle it and call the POA . Resident #1's POA ultimately paid 150.00 for the POA . the return of the resident to the facility. The POA further stated she received a bill for Resident #1 in . of 2025 that included charges from . and . The POA stated she still had not received a response to the inquiry of the bill. A review of the facility's grievances revealed a grievance for Resident #1 dated . A review of the grievance revealed a concern with Resident #1's POA related to not receiving a call . from the facility in reference to transportation of Resident #1 from the hospital . to the facility. In response, education was provided to staff in regards of communication concerns. On . education on customer service concerns, specific to setting expectations; When communicating with residents or families, if you say you are going to follow up with a call or service, follow through. 105572 PREFIX PREFIX CROSS-REFERENCED TO THE COMPLETION DATE

F0585 SS = D Continued from page 3 An interview was conducted with the UM on at 2:00 PM. The UM stated she had been working at the facility for 2 months. She had worked at other nursing facilities as well as hospitals and never had a nurse call for transportation arrangements. The UM stated usually the hospital gets residents to the facility. The UM stated she was told by the hospital that Resident #1's insurance would not cover transportation to the facility. An interview was conducted with the Director of Nursing (DON) on at 3:00 PM. The DON stated it was a resident's responsibility to arrange for the return of a resident from the hospital. The DON further stated Admissions was available 24/7. An interview was conducted with the Admissions Coordinator on at 12:30 PM. The Admissions Coordinator stated when a resident goes out to the hospital, the hospital will contact admissions or the facility to inform the resident was coming to the facility. For Resident #1, on , the hospital should have gotten in touch with admissions for the resident's return. The Admissions Coordinator did not know why the hospital told the resident's family to pay. Resident #1 was long term care, and facility should have paid. Insurance does not matter. A review of a grievance dated revealed a concern with billing process for Resident #1. The resident's POA requested a complete itemized billing statement from the start of the resident's stay, including a clear explanation of services rendered and included. An email was sent to the Business Office Manager (BOM) itemizing costs related to stay at the facility. (Review of the attached billing email dated . Further review of the attached billing statement revealed it was not itemized. An interview was conducted with the Business Office Manager (BOM) on at 12:00 PM. The BOM stated she spoke with Resident #1's POA via phone. The BOM sent copy of the bill via e-mail. The BOM provided a copy of the email, dated , sent to the POA. The BOM stated she was not aware that Resident #1's POA requested an itemized bill and confirmed she had not had any other contact with the POA since the email. Florida Department of Health PRINTED: 02/19/2026 51 W SAMPLE ROAD, POMPANO BEACH, Florida, 33064

N0000 INITIAL COMMENTS N0000 /2026

N0042 SS = D Resident Grievances and Complaints N0042 Preparation, submission and or execution of this Plan of Correction does not constitute admission or agreement by the provider of the truth of the items alleged or conclusion set forth in the statement of deficiencies. The plan of correction is prepared and executed as required by State and Federal law. /2026 CFR(s): 400.1183 FS (1) Every nursing home must have a grievance procedure available to its residents and their families. The grievance procedure must include: (a) An explanation of how to pursue redress of a grievance. (b) The names, job titles, and telephone numbers of the employees responsible for implementing the facility's grievance procedure. The list will include the address and the toll-free telephone numbers of the ombudsman and the agency. (c) A simple description of the process through which a resident may, at any time, contact the toll-free telephone hotline of the ombudsman or the agency to report the unresolved grievance. (d) A procedure for providing assistance to residents who cannot prepare a written grievance without help. (2) Each nursing home facility shall maintain records of all grievances and a report, subject to agency inspection, of the total number of grievances handled, a categorization of the cases underlying the grievances, and the final disposition of the grievances. (3) Each facility must respond to the grievance within a reasonable time after its submission. (4) The agency may investigate any grievance at any time. What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice: The Administrator/designee met with the Resident #1 representative to review the grievances related to transportation and billing, provided an itemized bill, a refund for the transportation cost, and the grievance was resolved with satisfaction. How you will identify other residents having potential to be affected by the same deficient practice and what corrective action will be taken: Nursing Home Administrator /Designee conducted an audit of grievances filed in the past 30 days to ensure resolution with resident satisfaction. No areas of concern were identified. What measures will be put into place or what systematic changes you will make to ensure that the deficient practice does not recur: Nursing Home Administrator/Designee is educating the Social Services Director and Business office manager on ensuring grievances are logged upon receipt, how to properly review and resolve to the resident/resident. Office of Primary Care and Health Systems Management Florida Department of Health PRINTED: 02/19/2026

N0042 Continued from page 1 N0042 Continued from page 1 SS = D This LICENSURE REQUIREMENT is NOT met as evidenced by: How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put in place: Based on record review and interview, the facility failed to address and resolve a resident representative's grievances related to transportation and billing for 1 of 3 sampled residents (Resident #1). The Nursing Home Administrator is to conduct random audits of the logged grievances to ensure resident concerns have been addressed and properly resolved to this audit/resident representatives satisfaction. This audit will be conducted weekly times four weeks, then monthly times three months. The Nursing Home Administrator/Designee to report findings through the monthly Quality Assessment and Assurance Compliance Committee meeting for four months for comments and recommendations. The findings included: Resident #1 was admitted to the facility on a comprehensive assessment dated __________, A documented the resident had moderate __________, and required substantial __________ with activities of daily living. A telephone interview was conducted with Resident #1's Power of Attorney (POA) on __________ at 12:00 PM. The POA stated she had expressed concerns to the facility related to Resident #1's transportation from the hospital and billing. The POA stated Resident #1 had a __________ on __________, which the resident was sent out to the hospital via 911 for evaluation. Resident #1's POA was contacted by the hospital concerning the return of the resident __________ to the facility. The POA stated she contacted the facility and was told by the Unit Manager (UM) not to worry, they would handle it and call the POA __________. Resident #1's POA ultimately paid 150.00 for the return of the resident __________ to the facility. The POA further stated she received a bill for Resident #1 in __________ of 2025 that included charges from __________ and __________. The POA stated she still had not received a response to the inquiry of the bill. A review of the facility's grievances revealed a grievance for Resident #1 dated __________. A review of the grievance revealed a concern with Resident #1's POA related to not receiving a call __________ from the facility in reference to transportation of Resident #1 from the hospital to the facility. In response, satisfaction was provided to staff in regards to education of communication concerns. On __________ education of customer service specific to setting expectations; When communicating with residents or families, if you say you are going to follow up with a call or service, follow through. An interview was conducted with the UM on __________ at 2:00 PM. The UM stated she had been working at the facility for 2 months. She had worked at other nursing facilities as well as hospitals and never had a nurse call for transportation arrangements. The UM stated Florida Department of Health POMPANO HEALTH AND REHABILITATION CENTER 51 W SAMPLE ROAD, POMPANO BEACH, Florida, 33064

N0042 SS = D Continued from page 2 usually the hospital gets residents to the facility. The UM stated she was told by the hospital that Resident #1's insurance would not cover transportation to the facility. An interview was conducted with the Director of Nursing (DON) on at 3:00 PM. The DON stated it was Admission's responsibility to arrange for the return of a resident from the hospital to the facility. The DON further stated Admissions was available 24/7. An interview was conducted with the Admissions Coordinator on at 12:30 PM. The Admissions Coordinator stated when a resident goes out to the hospital will contact admissions or the facility to inform them the resident was coming to the facility. For Resident #1, on , the hospital had not gotten in touch with admissions for the resident's return. The Admissions Coordinator did not know why the hospital told the resident's family to pay. Resident #1 was long term care, and facility should have paid. Insurance does not matter. A review of a grievance dated revealed a concern with billing process for Resident #1. The resident's POA requested a complete itemized billing statement from the start of the resident's stay, including a clear explanation of services rendered and included. An email was sent from the Business Office Manager (BOM) itemizing costs related to stay at the facility. A review of the attached billing email dated ..Further review of the attached billing statement revealed it was not itemized. An interview was conducted with the Business Office Manager (BOM) on at 12:00 PM. The BOM stated she spoke with Resident #1's POA via phone. The BOM sent copy of the bill via e-mail, sent to the POA. The BOM stated she was not aware that Resident #1's POA requested an itemized bill and confirmed she had not had any other contact with the POA since the email. N0042 3 of 3