Inspection·November 18, 2025

F0584 Safe/Clean/Comfortable/Homelike Environment SS = D CFR(s): 483.10(i)(1)-7) $483.10(i) Safe Environment. The resident has a right to a safe, clean, comfortable and homelike environment, including, but not limited to receiving treatment and supports for daily living safely. The facility must provide- $483.10(i)(1) A safe, clean, comfortable, and homelike environment, allowing the resident to use his or her personal belongings to the extent possible. (i) This includes ensuring that the resident can receive care and services safely and that the physical layout of the facility maximizes resident independence and does not pose a safety risk. (ii) The facility shall exercise reasonable care for the protection of the resident's property from loss or theft. $483.10(i)(2) Housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior; $483.10(i)(3) Bed and bath linens that are in good condition;

F0584 On water temperature on C wing and D wing to include C 40-48 and D 15-24. Ensuring a comfortable water temperature for bathing and showering 105-115 degrees. ADON/designee confirmed resident #1 and #2 and #3 and residents on C wing in -24 have no injury or concerns. Physician notified with no orders. 2. Full house audit conducted by maintenance director/designee to ensure water temperatures are within comfortable range for bathing and showering. Temperature maintained 105-115 degrees. No other rooms identified. 3. Nursing Home Administrator or designee educated the Maintenance director and maintenance assistants on maintaining water temperatures that are comfortable for showering and bathing and within range of 105-115 degrees, and components of F 0584. 4. The Nursing Home Administrator/Designee wil complete random audits to ensure comfortable and safe water temperatures is maintained within range between 105 and 115 degrees. This audit will occur weekly for four weeks, then monthly for 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. /2025 Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See reverse for further instructions). Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents were made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 ( ) Previous Versions Obsolete Event ID: 1DBB1-H1 Facility ID: 100605 If continuation sheet Page 1 of 4 DEPARTMENT OF HEALTH AND HUMAN SERVICES PRINTED: 01/08/2026 CENTERS FOR MEDICARE & MEDICAID SERVICES FORM APPROVED OMB NO. 0938-0391 STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105622 (X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE DEERFIELD BEACH HEALTH AND REHABILITATION CENTER 401 EAST SAMPLE ROAD, POMPANO BEACH, Florida, 33064 (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) ID PREFIX TAG PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) (X5) COMPLETION DATE

F0584 Continued from page 1 F0584 $483.10(i)(4) Private closet space in each resident room, as specified in §483.90 (e)(2) ( ); $483.10(i)(5) Adequate and comfortable lighting levels in all areas. $483.10(i)(6) Comfortable and safe temperature levels. Facilities initially certified after must maintain a temperature range of 71 to 81°F; and $483.10(i)(7) For the maintenance of comfortable sound levels. This REQUIREMENT IS NOT MET as evidenced by: Based on observations and interviews, the facility failed to provide comfortable water temperatures for bathing and showering, for the total of 88 residents, residing on the C and D Wing of the facility. The findings included: On at 9:00 AM a tour of the facility was conducted, accompanied by the Maintenance Assistant. The water temperature was taken with the facility’s thermometer that was calibrated by the Maintenance Assistant, as follows: C Wing- from 73 degrees Fahrenheit to 76.4 degrees Fahrenheit. D Wing- from 75 degrees Fahrenheit to 78 degrees Fahrenheit. The water temperatures were obtained after running for approximately 5 to 7 minutes in the residents’ sinks. The recorded temperatures indicated that Wings C and D were not a comfortable temperature for bathing. 1) Record review revealed that Resident #1, who resides on the C wing, was admitted to the facility on with diagnoses of and Type 2 assessment dated The Quarterly Minimum Data Set (MDS) revealed that the residents Brief Interview of Mental Status ( ) score was 15, which indicates no Further record review revealed Resident #1 is bedbound. In an interview conducted on at 12:10 PM, FORM CMS-2567 ( ) Previous Versions Obsolete Event ID: 1DBB1D-H1 Facility ID: 100605 If continuation sheet Page 2 of 4 DEPARTMENT OF HEALTH AND HUMAN SERVICES PRINTED: 01/08/2026 CENTERS FOR MEDICARE & MEDICAID SERVICES FORM APPROVED OMB NO. 0938-0391 STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105622 (X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OR SUPPLIER DEERFIELD BEACH HEALTH AND REHABILITATION CENTER STREET ADDRESS, CITY, STATE, ZIP CODE 401 EAST SAMPLE ROAD, POMPANO BEACH, Florida, 33064 (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) ID PREFIX TAG PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) (X5) COMPLETION DATE

F0584 SS = D Continued from page 2 Resident #1 stated that she is overwhelmed and believes that it's unacceptable that they must bathe her with water. She further explained that she no longer complains about the hot water because the answer is always that they are working on fixing it. When asked how long it has been without hot water, Resident #1 answered that it's been over a month now. 2) Record review revealed that Resident #3, who resides on the C wing, was admitted to the facility on and with diagnoses of . . . . The Quarterly Minimum Data Set (MDS) assessment dated . . . . The Annual Minimum Data Set (MDS) revealed that the resident's Brief Interview of Mental Status ( ) score is 15, which indicates no . In an interview conducted on . . . at 12:30 PM, Resident #3 stated that he has been a resident in this facility for 3 years. Resident #3 further explained that they haven't had hot water for a couple of weeks now. And he is very uncomfortable because taking showers in water is very uncomfortable and unpleasant. The resident further explained that he continues showering in his bathroom with the water, because he doesn't want to walk all the way to the other wings that have hot water (Wing A and B). 3) Record review revealed that Resident #4, who resides on the D wing, was admitted to the facility on and with diagnoses of Type 2 . . . . The Annual Minimum Data Set (MDS) assessment dated . . . . The Annual Minimum Data Set (MDS) revealed that the resident's Brief Interview of Mental Status ( ) score is 15, which indicates no . In an interview conducted on . . . at 3:25 PM, Resident #4 stated that she is tired of not getting warm water for over a month now. And, that it's very difficult for her to shower when the water is . An interview conducted on . . . at 12:25 PM with Staff A, Certified Nurse Assistant (CNA), who stated that she has been working at the facility for 7 years and she is the one caring for Resident #1. She further explained that the wing D stopped having hot water since the last Friday of . . . . Staff A mentioned that last week ( ). They had hot water on the Wing C and D for 4 to 5 days only. An interview conducted on . . . at 1:00 PM with the Administrator who stated that the issues with the hot water started the first week of . . . on the A wing and was repaired on . . . and 11th. A few days later, the water heater from the D Wing FORM CMS-2567 ( ) Previous Versions Obsolete Event ID: 1DBB1D-H1 Facility ID: 100605 If continuation sheet Page 3 of 4 DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES PRINTED: 01/08/2026 FORM APPROVED OMB NO. 0938-0391 STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 105622 (X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING (X3) DATE SURVEY COMPLETED NAME OF PROVIDER OR SUPPLIER DEERFIELD BEACH HEALTH AND REHABILITATION CENTER STREET ADDRESS, CITY, STATE, ZIP CODE 401 EAST SAMPLE ROAD, POMPANO BEACH, Florida, 33064 (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) ID PREFIX TAG PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) (X5) COMPLETION DATE

F0584 SS = D Continued from page 3 stopped functioning and the parts were ordered but have not yet arrived. The Administrator further explained that the residents from the D wing were told that they could use the shower on the other wings where the water heater is properly functioning. As for the bed bound residents residing on the C and D wing, they use water to bathe them. In an interview conducted on at 3:30 PM, the Maintenance Assistant stated that during the first week of , the water heater from the C Wing stopped functioning and was fixed a few days later. A couple days after this incident, the water heater from the D Wing stopped functioning and ever since they have been waiting for the ordered parts to arrive in the meantime it was told that residents from the C and D Wing had the option to use the showers from A and B Wings. After touring the facility with the Maintenance Assistant, the Administrator and the Maintenance Assistant acknowledged that the water heaters of Wing C and D were not functioning.

F0584 FORM CMS-2567 ( ) Previous Versions Obsolete Event ID: 1DBB1D-H1 Facility ID: 100605 If continuation sheet Page 4 of 4 Florida Department of Health PRINTED: 01/08/2026 FORM APPROVED STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 10960962 (X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING (X3) DATE SURVEY COMPLETED 11/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE DEERFIELD BEACH HEALTH AND REHABILITATION CENTER 401 EAST SAMPLE ROAD, POMPANO BEACH, Florida, 33064 (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) ID PREFIX TAG PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) (X5) COMPLETION DATE

N0000 INITIAL COMMENTS N0000 | /2025 An unannounced complaint investigation for complaint number 2025017104 and complaint number 2025016481, was conducted on Rehabilitation Center. An allegation for complaint number 2025016481 was substantiated and cited at N110.

N0110 Physical Environment - Safe, Clean, Homelike CFR(s): 400.141(1)(h) FS; 59A-4.122(1) FAC 400.141(1)(1) FS Maintain the facility premises and equipment and conduct its operations in a safe and sanitary manner. 59A-4.122(1) FAC The licensee must provide a safe, clean, comfortable, and homelike environment, which allows the resident to use his or her personal belongings to the extent possible This LICENSURE REQUIREMENT is NOT MET as evidenced by: Based on observations and interviews, the facility failed to provide comfortable water temperatures for bathing and showering, for the total of 88 residents, residing on the C and D Wing of the facility. The findings included: On at 9:00 AM a tour of the facility was conducted, accompanied by the Maintenance Assistant. The water temperature was taken with the facility's thermometer that was calibrated by the Maintenance Assistant, as follows: C Wing- from 73 degrees Fahrenheit to 76.4 degrees Fahrenheit. N0110 On water temperature on C wing and D wing to include C 40-48 and D 15-24. Ensuring a comfortable water temperature for bathing and showering #105-115 degrees. ADON/designee confirmed resident #1 and #2 and #3 and residents on C wing in -24 have no injury or concerns. Physician notified with no orders. 2. Full house audit conducted by maintenance director/designee to ensure water temperatures are within comfortable range for bathing and showering. Temperature maintained 105-115 degrees. No other rooms identified. 3. Nursing Home Administrator or designee educated the Maintenance director and maintenance assistants on maintaining water temperatures that are comfortable for showering and bathing and within range of 105-115 degrees, and components of F 0584. 4. The Nursing Home Administrator/Designee will complete random audits to ensure comfortable and safe water temperatures are maintained within range between 105 and 115 degrees. This audit will occur weekly for four weeks, then monthly for 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. /2025 Office of Primary Care and Health Systems Management LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE STATE FORM Event ID: 1DBB1D-H1 Facility ID: 100605 If continuation sheet Page 1 of 3 Florida Department of Health PRINTED: 01/08/2026 FORM APPROVED STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 10960962 (X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING (X3) DATE SURVEY COMPLETED 11/18/2025 NAME OF PROVIDER OR SUPPLIER DEERFIELD BEACH HEALTH AND REHABILITATION CENTER STREET ADDRESS, CITY, STATE, ZIP CODE 401 EAST SAMPLE ROAD, POMPANO BEACH, Florida, 33064 (X4) ID (X5) PREFIX SUMMARY STATEMENT OF DEFICIENCIES TAG (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) ID PREFIX TAG PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) COMPLETION DATE

N0110 Continued from page 1 D Wing- # -#24. The average water temperature was from 75 degrees Fahrenheit to 78 degrees Fahrenheit. The water temperatures were obtained after running for approximately 5 to 7 minutes in the residents' sinks. The recorded temperatures indicated that Wings C and D were not a comfortable temperature for bathing. 1) Record review revealed that Resident #1, who resides on the C wing, was admitted to the facility on with diagnoses of and Type 2 assessment dated The Quarterly Minimum Data Set (MDS) revealed that the resident's Brief Interview of Mental Status ( ) score was 15, which indicates no Further record review revealed Resident #1 is bedbound. In an interview conducted on at 12:10 PM, Resident #1 stated that she is overwhelmed and believes that it's unacceptable that they must bathe her with water. She further explained that she no longer complains about the hot water because the answer is always that they are working on fixing it. When asked how long it has been without hot water, Resident #1 answered that it's been over a month now. 2) Record review revealed that Resident #3, who resides on the C wing, was admitted to the facility on with diagnoses of and assessment dated The Quarterly Minimum Data Set (MDS) revealed that the resident's Brief Interview of Mental Status ( ) score is 15, which indicates no In an interview conducted on at 12:30 PM, Resident #3 stated that he has been a resident in this facility for 3 years. Resident #3 further explained that they haven't had hot water for a couple of weeks now. And he is very aggravated because taking showers in water is very uncomfortable and unpleasant. The resident further explained that he continues showering in his bathroom with the water, because he doesn't want to walk all the way to the other wings that have hot water (Wing A and B). 3) Record review revealed that Resident #4, who resides on the D wing, was admitted to the facility on with diagnoses of Type 2 and assessment dated The Annual Minimum Data Set (MDS) revealed that the resident's Brief Interview of Mental Status ( ) score is 15, which indicates no In an interview conducted on at 3:25 PM, STATE FORM Event ID: 1DBB1D-H1 Facility ID: 100605 If continuation sheet Page 2 of 3 Florida Department of Health PRINTED: 01/08/2026 FORM APPROVED (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 10960962 (X2) MULTIPLE CONSTRUCTION A. BUILDING B. WING (X3) DATE SURVEY COMPLETED 11/18/2025 STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS NAME OF PROVIDER OR SUPPLIER DEERFIELD BEACH HEALTH AND REHABILITATION CENTER STREET ADDRESS, CITY, STATE, ZIP CODE 401 EAST SAMPLE ROAD, POMPANO BEACH, Florida, 33064 (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) ID PREFIX TAG PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) (X5) COMPLETION DATE

N0110 Continued from page 2 Resident #4 stated that she is tired of not getting warm water for over a month now. And, that it's very difficult for her to shower when the water is . An interview conducted on at 12:25 PM with Staff A, Certified Nurse Assistant (CNA), who stated that she has been working at the facility for 7 years and she is the one caring for Resident #1. She further explained that the wing D stopped having hot water since the last Friday of . Staff A mentioned that last week ( ), they had hot water on the Wing C and D for 4 to 5 days only. An interview conducted on at 1:00 PM with the Administrator who stated that the issues with the hot water heater started the first week of on the A wing and was repaired on and 11th. A few days later, the water heater from the D Wing stopped functioning and the parts were ordered but have not yet arrived. The Administrator further explained that the residents from the D wing were told that they could use the shower on the other wings where the water heater is properly functioning. As for the bed bound residents residing on the C and D wing, they use water to bathe them. In an interview conducted on at 3:30 PM, the Maintenance Assistant stated that during the first week of , the water heater from the C Wing stopped functioning and was fixed a few days later. A couple days after this incident, the water heater from the D Wing stopped functioning and ever since they have been waiting for the ordered parts to arrive. And in the meantime, he was told that residents from the C and D Wing had the option to use the showers from A and B Wings. After touring the facility with the Maintenance Assistant, the Administrator and the Maintenance Assistant acknowledged that the water heaters of Wing C and D were not functioning. Class III

N0110 STATE FORM Event ID: 1DBB1D-H1 Facility ID: 100605 If continuation sheet Page 3 of 3