Health inspection·August 26, 2025

F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some facility's accounts receivable report. On 05/28/25 an audit of the facility's RFMS was initiated by the regional and corporate personnel, and it was discovered that the former BOM #10 created an excessive amount of checks made out to Petty Cash. RBOM #905 stated as an example, on 04/23/25, Resident #55 provided former BOM #10 with a check for $7,000.00 to open a RFMS account to be used for facility room and board (Medicaid spend-down) and for personal items. On 04/23/25, former BOM #10 then generated a check from RFMS written out to Petty Cash for $7,000.00, cashed the check, and kept the cash. Former BOM #10 then manually manipulated Resident #55's Resident Statement to show the check for $7,000.00 never existed. When the funds were to be transferred to pay for the resident's room and board, former BOM #10 would manually manipulate RFMS documents to have it appear that the money was transferred and paid to the facility. RBOM #905 stated Former BOM #10 was also manipulating the names of legitimate resident vendors (such as paying the resident's phone bill, online orders, funeral homes, etc.) on the checks to Petty Cash. However, in the RFMS system, the original vendor's name stayed the same in the system. RBOM #905 stated originally, former BOM #10 started all of this by misappropriating smaller amounts of money and the last amount misappropriated totaled $12,000.00. The audit determined the misappropriation started in October/November 2021 and total amount of money misappropriated totaled $219,721.21, which consisted of $93,639.21 being owed to the facility for resident care and services, and $126,082.00 was owed to the residents. RBOM #905 stated when the misappropriation was discovered on 05/28/25, the facility created an SRI, and a comprehensive investigation was initiated which included notification to the local police department. RBOM #905 stated the facility substantiated the SRI for misappropriation, and the local police department's investigation was ongoing. RBOM #905 stated the company also audited all their other facilities and found no similar concerns. RBOM #905 stated an audit of all resident accounts dating back to October/November 2021 was initiated and the residents affected by the actions of former BOM #10 were refunded the amount misappropriated. RBOM #905 stated on 08/06/25, the facility met with local police department detective assigned to the case to demonstrate how former BOM #10 manipulated the RFMS account to misappropriate the money. RBOM #905 stated once this manipulation was identified, the company worked with the creator of the RFMS software to disable capabilities for the BOMs to change names on checks, void checks, and change vendors. RBOM #905 stated those functions can now only be completed by a RBOM or corporate personnel. RBOM #905 verified there were no residents denied Medicaid services, and the audit results revealed no documented evidence that residents who requested monies were ever denied. Review of the facility's deposit record on 08/19/25 at 1:12 P.M. with RBOM #905, revealed on 06/17/25, a total of $219,272.71 was deposited into the RFMS accounts of 50 residents identified by the facility audit as having funds misappropriated by the former BOM #10. This was paid to the facility in form of check from the parent organization payable to the facility. Review of RFMS accounts for Residents #55, #65 and #67 on 08/19/25 at 1:20 P.M. with RBOM #905, revealed Resident #55's RFMS account had $7,000.00 returned on 06/27/25; Resident #65's RFMS account had $6,667 returned on 06/17/25; and Resident #67's RFMS account had $2,090.00 returned on 06/17/25. These dollar amounts correlated directly to the Deposit Record dated 06/17/25. RBOM #905 stated the three accounts were directly related to the misappropriation by former BOM #10. Interview on 08/19/25 at 1:42 P.M. with the Administrator, revealed notification was made to all residents and/or the representatives affected by the misappropriation. The Administrator revealed 50 residents were affected by this incident and verified that all 50 residents' RFMS accounts had been reimbursed for the monies identified as being misappropriated. Interviews on 08/19/25 between 3:40 P.M. and 4:00 P.M. with Residents #55, #65 and #67, revealed no knowledge of any misappropriation. Interview via phone on 08/20/25 at 4:10 P.M. with Detective #900, (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 366348 If continuation sheet Page 2 of 4 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 366348 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Venetian Gardens 1650 State Route 28 Loveland, OH 45140 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 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some revealed the investigation into the misappropriation had been completed and the results were sent to the Prosecutor's office for review and that subpoena's will be issued. The Detective stated the facility provided good information in his investigation and a good explanation of how the RFMS system functioned. Review of the policy titled, Abuse, Neglect, Exploitation and Misappropriation of Resident Property revealed it is the facility's policy to investigate all alleged violations involving Abuse, Neglect, Exploitation, Mistreatment of a resident, or Misappropriation of Resident Property, including Injuries of Unknown Source. Additionally, the facility should immediately report all such allegations to the Administrator and to the Ohio Department of Health. In cases where a crime is suspected, staff should also report the same to local law enforcement. Misappropriation of Resident Property is defined as the deliberate misplacement, exploitation, or wrongful temporary or permanent use of a resident's belongings or money without the resident's consent. The deficient practice was corrected on 06/17/25, when the facility implemented the following corrective actions: On 05/01/25, former BOM #10 was terminated related to a progressive discipline pattern secondary to attendance issues. On 05/28/25, a temporary BOM identified accounting irregularities with numerous residents' RFMS accounts dating back to October/November 2021. An SRI was created, and a comprehensive investigation was initiated which included notification to the local police department. The facility substantiated the SRI on 06/04/25 for misappropriation, and the local police department investigation is ongoing. On 05/28/25, an audit of all resident accounts was initiated by the regional and corporate personnel and found that former BOM #10 created an excessive amount of checks made out to petty cash. The audit determined the misappropriation of 50 resident's RFMS accounts started in October/November 2021 and total amount of money misappropriated totaled $219,721.21, which consisted of $93,639.21 being owed to the facility for resident care and services, and $126,082.00 owed to the residents. The former BOM #10 manipulated the accounting software applications, made checks out to Petty Cash, signed the Administrator's name and cashed the checks. The audit revealed no residents were denied Medicaid services, and no evidence that residents who requested monies were ever denied. On 05/28/25, the company initiated additional audits for all other facility's RFMS accounts and found no similar concerns. On 05/28/25, the DON and designees initiated an audit of all residents' quality of care, personal funds accounts, medications, care plans, billing, and found no documented harm or unmet needs. On 05/28/25, all staff and residents were interviewed and no concerns regarding misappropriation were identified. On 06/04/25, An ad hoc Quality Assurance and Performance Improvement (QAPI) meeting was held, to include the Medical Director, to review applicable policies, the investigation results and to create an internal comprehensive QAPI plan. On 06/04/25, The Corporate Human Resources staff provided education to the Administration on the Personal Needs Accounting Policy followed by all staff being educated on the Abuse, Neglect and Misappropriation policy and procedure. On 06/04/25, the affected residents and families were notified and noted they would be reimbursed once the final amount owed was determined. On 06/04/25, the corporate office worked with the creator of the RMFS software to disable the capabilities for the BOMs to change names on checks, void checks and change vendors. These functions now can only be completed by the RBOM or corporate personnel. On 06/04/25, the corporate audit process was changed so that every vendor transaction was audited, compared to the old process where there was a random sample of certain transactions audited. On 06/04/25, in addition to corporate audits, the facility conducted an audit of Personal Needs Accounts for four weeks and as directed by the QAPI committee. No further issues were discovered. On 06/17/25, all misappropriated money was returned to the residents' accounts. On 08/06/25, the facility met with local police department detective assigned to the case to demonstrate how former BOM #10 manipulated the RFMS to (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 366348 If continuation sheet Page 3 of 4 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 366348 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Venetian Gardens 1650 State Route 28 Loveland, OH 45140 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 0602 misappropriate the monies.This deficiency represents non-compliance investigated under Complaint Number OH00166340 (1364331). Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 366348 If continuation sheet Page 4 of 4