Health inspection·March 2, 2023

F 0645 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few In an interview on 03/02/2023 at 2:43 PM with the ADM, he stated PASARR screenings were usually done prior to a resident admitting to the facility. He stated the MDS Coordinator and Social Worker were responsible for completing PASARR screenings if the PASARR was not done prior to admission, and he believed they should had been formerly trained on PASARR completion. He stated the MDS Coordinator, and the Social Worker were responsible for ensuring the PASARR was completed accurately. He stated if a resident had a diagnosis of a psychological disorder, it should be noted on the PASARR. He stated the PASARR completed on 08/04/22 for Resident # 37 was completed inaccurately. He stated an inaccurate PASARR could result in a resident not receiving services they may need or improper placement of a resident. In an interview on 03/02/2023 at 2:48 PM with MDS coordinator, she stated residents usually come to the facility with a PASARR already complete. She stated if a resident comes from home she usually gets with the resident and family and completes the PASARR herself. She stated the only way a resident would not have had a psychological diagnosis notated on their PASARR would be if the resident had a main diagnosis of Dementia. She stated Resident # 37's PASARR was completed inaccurately, and she felt like the diagnosis of alcohol abuse with alcohol induced psychotic disorder hallucinations was put in Resident # 37's chart inaccurately. She stated if a PASARR was completed inaccurately it could cause a resident to go without desired services that could be offered, or they could not receive the care they needed. She stated she was not sure who entered Resident #37's Diagnoses into the electronic records. In an interview on 03/02/2023 at 2:56 PM with the DON, she stated PASARR screenings should be done prior to admission of a resident. She stated the Social Worker or MDS Coordinator were responsible for completing PASARR screenings if the resident admits without one. She stated she believed the MDS Coordinator was responsible for ensuring the accuracy of PASARR screenings. She stated she thought the diagnosis of alcohol abuse with alcohol induced psychotic disorder hallucinations should have been notated on Resident # 37's PASARR screening. She stated the PASARR screening for Resident # 37 was completed inaccurately. She stated when a PASARR screening was not completed accurately a resident may not receive services that could be offered to them. In an interview on 03/02/2023 at 3:16 PM with the ADON, she stated she does not know much about PASARR screening and how they were done or who does them. She stated she input residents diagnoses in the electronic records when a resident admitted , and she put the diagnosis for alcohol abuse with alcohol induced psychotic disorder hallucinations in Resident #37's electronic record when Resident #37 admitted . She stated she had gotten the diagnoses off of resident #37's admission paperwork the day of admission. She stated she does not know where the diagnosis of alcohol abuse with alcohol induced psychotic disorder hallucinations came from, but that it was possibly added by error. Record review of the policy entitled admission Criteria, dated March 2019 read in part, 9. All new admissions and readmissions are screened for mental disorders (MD), intellectual disabilities (ID) or related disorders (RD) per the Medicaid Pre-admission Screening and Resident Review (PASARR) process. a. The facility conducts a Level I PASARR screen for all potential admissions, regardless of payer source to determine if the individual meets the criteria for a MD, ID or RD. b. If the level I screen indicates that the individual may meet the criteria for a MD, ID, or RD, he or she is referred to the state PASARR representative for the Level II (evaluation and determination) screening process. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675141 If continuation sheet Page 2 of 9 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 675141 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/02/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Crestview Healthcare Residence 1400 Lake Shore Dr Waco, TX 76708 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 0645 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few (1) the admitting nurse notifies the social services department when a resident I identified as having a possible (or evident) MD, ID, o RD. (2) the social worker is responsible for making referrals to the appropriate state-designated authority.) c. Upon completion of the level II evaluation, the state PASARR representative determines if the individual has a physical or mental condition, what specialized or rehabilitative services he or she needs, and whether placement in the facility is appropriate. d. the state PASARR representative provides a copy of the report to the facility. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675141 If continuation sheet Page 3 of 9 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 675141 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/02/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Crestview Healthcare Residence 1400 Lake Shore Dr Waco, TX 76708 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 0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Level of Harm - Minimal harm or potential for actual harm FACILITY Residents Affected - Some Medication Storage and Labeling Based on observation, interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident. The facility failed to provide a system of medication records that enables periodic accurate reconciliation and accounting for all controlled medications for 2 of 2 medication carts that were reviewed for pharmacy services. This failure could place the residents at risk for not receiving the therapeutic effects from controlled narcotics due to from controlled narcotics did not reconcile every shift. The findings included: During an observation and record review on 3/1/23 at 12:00 p.m., an inspection of the medication cart #1 on Center Hall, revealed a form titled, Controlled Drugs-Count Record (Narcotic count sheet at each change of nursing shift), with missing signatures for the following dates: 2/1/23, 2/7/23 - 2/12/23, 2/16/23, 2/19/23-2/21/23, 2/25/23-2/26/23, and 2/29/23-2/28/23. During an observation and record review on 3/1/23 at 12:30 p.m., an inspection of the medication cart #2 on Center Hall, revealed a form titled, Controlled Drugs-Count Record (Narcotic count sheet at each change of nursing shift), with missing signatures for the following dates: 2/1/23, 2/2/23, 2/5/23, 2/7/23, 2/12/23, 2/18/23-2/20/23, and 2/24/23-2/26/23. During an interview on 3/1/23 at 12:30 p.m., MA A for cart #2 stated she has been aware of the missing signatures and stated that it can be a detriment to the residents by not having professional accountability for the narcotic count each shift. During an interview on 3/1/23 at 12:40 p.m., LVN A stated that it can be a detriment to the residents by not having professional accountability for the narcotic count each shift. During an interview on 3/1/23 12:35 p.m., the ADON stated she has acknowledged the noncompliance and stated that it is not in compliance can be a detriment to the residents. During an interview on 3/1/23 9:00 a.m., the Director of Nursing DON stated she has acknowledged the possible noncompliance and stated that if not in compliance that it can be a detriment to the residents. She has also stated, This is an issue and all the nurses have been consulted about signing the narcotic count sheet at the time of the count. Record review of the facility's policy titled, Controlled Substances, no date, revealed, .12. At the end of Each shift: a. Controlled medications are counted at the end of each shift. The nurse coming on duty and the nurse going off duty determine the count together. b. Any discrepancies in the controlled substance count are documented and reported to the director of nursing services immediately. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675141 If continuation sheet Page 4 of 9 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 675141 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/02/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Crestview Healthcare Residence 1400 Lake Shore Dr Waco, TX 76708 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 0803 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Based on interview, observation, and record review the facility failed to assure that menus were developed and prepared to meet resident choices including their nutritional, religious, cultural, and ethnic needs while using established national guidelines for 4 of 8 residents reviewed for specialty diets. - [NAME] A was not following menu and recipes for specialty diets. This failure could prevent 70 residents from receiving their recommended daily nutritional intake. Findings included: In observation on 2/28/23 at 9:50AM, CookA was pouring reduced fat milk from a gallon bottle with best by date of 2/25/23 into a puree cake recipe. In an observation on 2/28/23 from 12:07pm-12:43pm [NAME] A was seen serving puree submarinesandwich meat and cheese with a blue #12 serving spoon (2oz.) until Dietary Manager switched spoon with a white #10 serving spoon (3.2oz). In an interview on 2/28/23 at 12:06PM, the Dietary Manager said the serving spoons were color coded to ensure the residents were receiving the correct amount of food to meet their nutritional needs. In an interview on 3/2/23 at1:53PM, the Dietician said using a smaller serving spoon could cause weight loss and not using the whole milk could prevent weight gain. The Dietician said not following the menu by leaving something out could reduce caloric intake and lead to weight loss. In an interview on 3/2/23 at 1:34PM, the ADON said Dietary Manager was aware of changes such as whole milk being ordered as she was in these meetings and was responsible for updating her dietary system with these changes. Record review of Pureed Sandwich Submarine dated 4/13/22 revealed for Portion: a #10 scoop of puree sandwich filling and 2 #20 scoops of puree bread. Record review of Pureed Peanut butter crumble cake did not indicate which type of milk to use. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675141 If continuation sheet Page 5 of 9 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 675141 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/02/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Crestview Healthcare Residence 1400 Lake Shore Dr Waco, TX 76708 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 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchens in the facility in that: 1. Food and beverages present in refrigerator, walk in cooler, freezer, and dry storage were not properly labeled with open date, use by date, and product description. 2. Food and beverages present in refrigerator, walk in cooler, freezer, and dry storage were not properly sealed. Food and beverages present in refrigerator, walk in cooler, freezer, and dry storage were not properly labeled with open date, use by date, and product description. 3. Food and beverages present in refrigerator, walk in cooler, freezer, and dry storage were not discarded by use by/expiration date. 4. One 1-gallon bottle of Reduced Fat Milk past the Best By date was being used by [NAME] A 5. 3 boxes of food inside walk in cooler that were labeled by manufacturer to keep frozen. 6. Food inside of freezer had freezer burn present. 7. 1 tray of baked chicken with internal temp of 100 degrees Fahrenheit was cooled improperly, prepared for dinner meal, and placed inside of refrigerator. 8. 1 box of meat was defrosting over a bowl of cut potatoes. 9. Temperatures of cold lunch were held and served at a temperature above 41 degrees Fahrenheit. This failure could place residents becoming ill from food contamination or bacterial growth. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675141 If continuation sheet Page 6 of 9 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 675141 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/02/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Crestview Healthcare Residence 1400 Lake Shore Dr Waco, TX 76708 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 0812 Findings included: Level of Harm - Minimal harm or potential for actual harm In observation on 2/28/23 at 9:50AM, a gallon bag was in the refrigerator containing grated cheese with date 2/21 use by date 3/2, [NAME] with date 2/27/23, burritos dated 2/24, butter dated 2/24, without product description or use by date labeled. Residents Affected - Many In observation on 2/28/23 at 9:50AM, a gallon bag was in the refrigerator labeled sausage dated 2/28/23 and use by date 2/29 was not properly sealed. In observation on 2/28/23 at 9:50AM, located in the refrigerator was an open container of labeled Hormel Thick and Easy clear thickened orange juice 46fl oz dated 2/6, ready care thickened apple juice dated 2/4, and thick and easy clear dated 12/6. In observation on 2/28/23 at 9:50AM, there was 6 individual serving sized covered containers with unknown substance inside that was located in refrigerator without a date or product label. In observation on 2/28/23 at 9:50AM, a metal container with plastic wrap cover was in the refrigerator labeled cherry salad and dated 1/19/23. In observation on 2/28/23 at 9:50AM, a 5-gallon bucket was located under the prep area labeled sugar dated 1/6/23, chicken base dated 1/15/23, rice dated 4/23, beef base dated 1/15/23, and flour dated 1/15, with lid sitting loosely on top and was not secured. In observation on 2/28/23 at 9:50AM, [NAME] A was pouring reduced fat milk from a gallon bottle with best by date of 2/25/23 into a puree cake recipe. In observation on 2/28/23 at 9:50AM, a baking pan with cooked chicken was seen sitting on top of oven with a temperature of 100 degrees Fahrenheit. In an interview on 2/28/23 at 10:02 AM the Dietary manager stated chicken sitting out on top of oven with temperature of 100 degrees Fahrenheit was not ok and needed to be thrown out. In an observation on 2/28/23 at 10:05AM, a box of frozen deli meat was seen on the top shelf of a rolling cart above a bowl with cut potatoes on the bottom shelf. In observation on 2/28/23 at 10:10AM, there was a 5-gallon plastic container located in walk in cooler labeled iced tea and dated 2/23/05 In observation on 2/28/23 at 10:12AM, there was sour cream packets with use by date of 2/27/23 located in walk in cooler. In observation on 2/28/23 at 10:15AM, there was a 5-gallon plastic container located in walk in cooler labeled iced tea and dated 2/23/05 In an observation on 2/28/23 at 10:15AM, there was an open bag of corn tortillas inside walk in cooler that was not properly sealed. In an observation on 2/28/23 at 10:15AM, there was 2 boxes of garlic Texas toast and 1 box of hoagie wheat rolls inside walk in cooler that were labeled by manufacturer to keep frozen. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675141 If continuation sheet Page 7 of 9 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 675141 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/02/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Crestview Healthcare Residence 1400 Lake Shore Dr Waco, TX 76708 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 0812 Level of Harm - Minimal harm or potential for actual harm In an observation on 2/28/23 at 10:16AM, inside of the freezer, there was a box of popcorn shrimp filled with ice and inside the bag was shrimp covered with freezer burn. In an observation on 2/28/23 at 10:16AM, there was a box of deli sliced ham and turkey covered with freezer burn. Residents Affected - Many In an observation on 2/28/23 at 10:17AM, there was a box of corn dogs with freezer burn not sealed inside of freezer. In an observation on 2/28/23 at 10:17AM, there was 1 banana cream pie inside freezer not sealed with freezer burn and open date written 1/15/23. In an observation on 2/28/23 at 10:17AM, there was abag of unknown food that was not in manufacturer package unlabeled and covered with freezer burn. In an observation on 2/28/23 at 10:20AM, there was a box of cookie dough not sealed inside of freezer. In an observation on 2/28/23 at 10:25AM, there was 1 box of cocktail sauce package with manufacturer expiration date of 1/26/23. In an observation on 2/28/23 at 10:25AM, there was 1 box of steak sauce package with manufacturer expiration date of 2/22/23. In an observation on 2/28/23 at 10:27AM, there was 1 bag of an unknown food without food description label with date: 10/28 and use by: 3/28. In an observation on 2/28/23 at 10:27AM, there were 3 bags of dry cereal without food description label. In an observation on 2/28/23 at 10:46AM, the chicken that Dietary Manager said needed to be thrown out was seen in a bowl inside of the refrigerator. In an interview on 2/28/23 at 10:46AM, theDietary Manager said I know the chicken needed to be thrown out and it will be thrown out later. In an observation on 2/28/23 at 10:47AM, the ice machine located outside of dining room area had buildup inside of white, brown, pink, and black substance in area where ice trays were located and black substance present on water source that felt ice trays. In an interview on 2/28/23 at 10:48AM, the Dietary Manager said she was responsible for making sure the outside of the machine was clean, but the inside of the ice machine was cleaned yearly by maintenance. She said the white, brown, pink, and black substance could contaminate ice and potentially make residents sick. In an observation on 2/28/23 at 12:05PM, the chicken that was 100 degrees Fahrenheit from 9:50AM and Dietary Manager said would be discarded at 10:46AM was untouched in the refrigerator. In an observation on 2/28/23 at 12:06PM, the cold lunch temperatures were all greater than 40 (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675141 If continuation sheet Page 8 of 9 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 675141 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/02/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Crestview Healthcare Residence 1400 Lake Shore Dr Waco, TX 76708 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 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many degrees Fahrenheit. The temperatures were: mustard potato salad 89 degrees Fahrenheit, mechanical soft subway sandwich meat and cheese was 41 degrees Fahrenheit, puree subway sandwich meat and cheese was 55 degrees Fahrenheit and without smooth texture, puree mustard potato salad was 81 degrees Fahrenheit, and pea salad that was not on the menu was 41 degrees Fahrenheit. In an interview on 2/28/23 at 12:06PM, the Dietary Manager said the cold lunch being served should be held and served at less than 41 degrees Fahrenheit. She said she saw what the temperature was on each item when she took the temperatures, and she didn't need it pointed out that all of the cold food was too hot to be served for safety reasons to residents. She said it was her responsibility to oversee everything that went on in the kitchen. She said she had a checklist of tasks for her to complete but could not produce this or kitchen policies. In an observation on 2/28/23 at 12:06PM, the Dietary Manager pulled the puree meat and cheese to reconstitute with reduced fat milk to make a smooth texture. In an observation on 2/28/23 at 12:07PM-12:43PM [NAME] A was seen serving puree subway sandwich meat and cheese with a blue #12 serving spoon (2oz.) until Dietary Manager switched spoon with a white #10 serving spoon (3.2oz) after 3 of 4 puree plates had been served. All plates were served without cooling the food down to less than 41 degrees Fahrenheit. Puree meals consisted of puree meat and cheese, puree mustard potato salad, puree peanut butter crumble cake, and without puree bread or puree replacement for lettuce, tomato, and pickles. Mechanical soft meals consisted of mechanical soft meat and cheese, a whole hoagie roll, mustard potato salad, pea salad, and peanut butter crumble cake. The regular diet plates consisted of a whole hoagie roll, 4 pieces of deli sliced ham, 1 piece of sliced cheese, a scoop of potato salad, a small unmeasured amount of chopped lettuce, 1 thin slice of a small tomato, crumble cake, and no pickles. In an interview on 3/1/23 at 1:08PM with Dietician, she said any item that was labeled with best by date meant it was best to be consumed by the date listed for better quality. She said there was no time frame for when that item should be thrown away but could become problematic for consumer if it were a milk-based product used after best by date. She said juice should be discarded after being open for 3 days and all cooked food should be discarded after 72 hours. She said all items should be properly sealed to prevent contaminants and bacteria growth. She said chicken should be cooled in the refrigerator and not at room temperature. She said any food cooled at room temperature could reach the danger zone of 45-135 degrees Fahrenheit, which could lead to bacteria growth and could cause consumer to become ill. She said food that was meant to be served cool should be maintained below 41 degrees Fahrenheit to prevent bacteria growth that could cause consumer to become ill. She said she provided an in-service to kitchen staff in November 2022, December 2022, and February 2023 regarding following the provided recipes and using a dense liquid for puree food. She said puree food should be smooth and without lumps. She said if puree food was not the correct consistency it could cause the consumer to choke. She said meat should not be stored over potatoes because drippings could cause bacteria growth and contamination could cause consumer to become ill. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675141 If continuation sheet Page 9 of 9