Health inspection·March 29, 2023

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Record review of the MDS dated [DATE] indicated Resident #159 was understood and understood others. The MDS indicated a BIMS score of 15 which indicated Resident #159 was cognitively intact. Resident #159 required supervision to extensive assistance from staff for all ADLs. 3. Record review of a Resident #21's face sheet, dated 03/29/2023, indicated a [AGE] year-old male who was admitted to the facility on [DATE] with diagnoses which included congestive heart failure (a long-term condition that happens when your heart can't pump blood well enough to give your body a normal supply), hypertension (elevated blood pressure), and UTI (common infections that happen when bacteria, often from the skin or rectum, enter the urethra, and infect the urinary tract). Record review of Resident #21's quarterly MDS, dated [DATE], indicated Resident #21 was understood and understands. Resident #21 had a BIMS of 08, which indicated moderate memory impairment. Resident #21 required extensive to dependent assistance with ADLs. Record review on 03/29/2023 at 10:00 a.m., of the Maintenance Repair Log from 12/1/2022 to 3/29/2023 did not contain any entries concerning damaged furniture. During observations on 03/27/2023 at 6:40 a.m., the ceiling directly in front of the door frame of room [ROOM NUMBER] had a failing patch of a large hole. There was a hole where the ceiling texture was missing. The hole was covered with a white foam substance. A 6.5-inch gap was noted in the failed ceiling patch. During an observation on 03/27/2023 at 7:12 a.m., the ceiling sheetrock in the dining room was observed with a large crack down the seam. The sheetrock was not taped. Popcorn texture was missing from a bare area approximately 24 inches x 8 inches. There was a brown ring around the bare area. Other cracks were noted in the ceiling. During observation on 03/27/2023 at 8:10 a.m., it was noted there were seven double florescent light fixtures on hall 300 ceiling. Two of the double florescent light fixtures were missing protective coverings. Two of the double florescent light fixtures had jagged cracked coverings. During an observation on 03/27/2023 at 9:18 a.m. Resident #159's nightstand had an area of approximately 75% of the wooden laminate missing from the front of the top drawer. During an observation on 03/27/23 at 9:45 a.m., the chest-of-drawers in Resident #47's room had multiple places the laminate had peeled away on various places on the chest-of-drawers. The bottom drawer was broken and would not close appropriately. During an observation and interview on 03/27/2023 at 10:00 a.m., Resident #21 had a night stand next to his bed. The nightstand was missing 80% of wooden laminate from the front of it. Resident #21 said the facility gave second class citizens the junky furniture. Resident #21 said beggars cannot be choosers. During an interview on 03/27/2023 at 1:15 p.m., the DON said she believed the maintenance man patched the ceiling in the hall in front of room [ROOM NUMBER] with a foam sealant after new telephone lines were ran through the ceiling. The DON said she was unaware of the broken and missing light fixture covers. The DON said she was unaware of the furniture missing the wood laminate or that it affected Resident #21 in a negative manner. The DON stated she would make sure those items were put in the maintenance book and repaired. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676069 If continuation sheet Page 2 of 8 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 676069 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/29/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Texarkana 4925 Elizabeth St Texarkana, TX 75503 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 0584 Level of Harm - Minimal harm or potential for actual harm During an interview on 03/28/2023 at 10:00 a.m., CNA A said Resident #21 complained about the condition of his nightstand and she noticed it was missing the wood on the front of it. CNA A said the nightstand had been like that for months. CNA A said she also noticed the cracked and missing light covers and the hole in the ceiling. CNA A said everyone that walked down 300 Hall could see the things that need to be repaired and she did not put any of it in the maintenance log to be corrected. Residents Affected - Some During an interview on 03/29/2023 at 9:10 a.m., Resident #159 said the wooden laminate on his end table had been peeled off since he moved back into the facility on [DATE]. He said the only reason it does not bother him was because he was about to move to a new room, and he was hoping the new room would have better furniture. During an interview on 03/29/2023 at 9:51 a.m., the Maintenance Supervisor said he began working at the facility in December 2022. He said the damaged area in the dining room ceiling was there when he started. He said he was in the process of getting the tape necessary to repair the ceiling. He said he had not repaired the ceiling because he had so much going on. He said the spot on the ceiling in front of room [ROOM NUMBER] was caused by a roof leak after some phone lines were ran. He said this was approximately a week and half ago. He said he repaired the roof leak and sprayed sealant on the spot on the ceiling. He said he planned to repair that area when he repaired the ceiling in the dining room. He said he had not heard any complaints about veneer peeling off of furniture or broken furniture. He said the residents normally came to him with any complaints. He said staff should have entered any of the furniture issues in the Maintenance Repair Log that was kept at the nurse's station. He said if he had been aware he would have changed out the damaged furniture for different furniture. During an interview on 03/29/23 at 12:53 p.m., the Administrator said she did make environmental rounds. She said she had asked about several rooms and she had been told that was how the residents liked them. She said she had not specifically looked at the ceilings, but she had seen spots. She said she would expect the maintenance supervisor to make environmental rounds. She said she would expect any issues found during environmental rounds to be addressed within 72 hours. She said staff should be entering repair issues into the Maintenance Logbook and he should be reviewing the book daily, Monday - Friday. She said he had told her he was going around and making repairs as needed. She said any staff that saw anything that needed to be repaired should make the maintenance supervisor or herself aware. The issue should also be entered into the maintenance logbook. She said repairs not being made could make a resident feel like they are not in a good place. Review of a Quality of Life - Homelike Environment policy dated 6/2020 indicated, .Residents are provided with a safe, clean, comfortable, and homelike environment .the facility staff and management shall maximize, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting .cleanliness and order .personalized furniture . FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676069 If continuation sheet Page 3 of 8 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 676069 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/29/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Texarkana 4925 Elizabeth St Texarkana, TX 75503 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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that includes measurable objectives and timeframes to meet a resident's mental and psychosocial needs that are identified in the comprehensive assessment for 1 of 19 residents (Resident #9) reviewed for comprehensive person-centered care plans. The facility failed to care plan Resident #9 as PASRR positive for mental illness. These failures could place residents at risk of not having individual needs met and a decreased quality of life. Findings included: Record review of Resident #9's face sheet dated 3/29/23 revealed Resident #9 was a [AGE] year-old male. Resident #9 was admitted to the facility on [DATE] with diagnoses of spina bifida (a birth defect in which a developing baby's spinal cord fails to develop properly and may cause physical and intellectual disabilities), depression disorder (a mood disorder that causes a persistent feeling of sadness and loss of interest), weakness, muscle wasting and atrophy (thinning and wasting of muscle mass), and a stage four pressure ulcer to right buttock (wound caused from pressure that is deep, reaching the muscles, ligaments, or bones). Record review of Resident #9's annual MDS dated [DATE] indicated Resident #9 had a BIMS of 15, which indicated he had no cognitive impairment. The MDS indicated Resident #9 was PASRR positive, which indicated he had a serious mental illness, intellectual disability, or a related condition. Record review of Resident #9's undated care plan revealed there was not a problem area care planned to indicate Resident #9 was PASRR positive for mental illness, intellectual disability, or a related condition. Record review of Resident #9's PASRR evaluation dated 6/30/22 indicated he had a Developmental Disability diagnosed prior to age [AGE]. The local authority recommended services of habilitation coordination, independent living skills training, and specialized speech therapy. The PASRR evaluation revealed diagnoses of spina bifida, sepsis (serious condition resulting from the presence of harmful bacteria in the blood or other tissues and the body's response to their presence, potentially leading to the malfunctioning of various organs, shock, and/or death), muscle spasm, needs assistance with personal care, and chronic osteomyelitis (inflammation of bone caused by infection). During an observation and interview on 3/29/23 at 12:55 PM, the Director of Reimbursement revealed their MDS coordinator had become sick last month, and the MDS Coordinator would not be able to return to work. The Director of Reimbursement said herself and the Regional Reimbursement nurse would be completing the MDS assessments until the facility hired and trained a new MDS Coordinator. The Director of Reimbursement revealed if a resident was PASRR positive, the resident's care plan should include the resident was PASRR positive, what services the resident was receiving in the facility, what services the resident was receiving in the community, and diagnosis of why the resident was PASRR positive. The Director of Reimbursement reviewed Resident #9's chart and said Resident #9 was PASRR (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676069 If continuation sheet Page 4 of 8 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 676069 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/29/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Texarkana 4925 Elizabeth St Texarkana, TX 75503 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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few positive and his care plan should have reflected that. The Director of Reimbursement revealed the purpose of the care plan was so the facility would know how to take care of the resident, meet their needs, and improve the resident's quality of life. The Director of Reimbursement revealed if the care plan did not include the resident's PASRR status, the facility would not meet the needs and safety of the resident. She revealed PASRR positive residents could decline quickly. The Director of Reimbursement revealed the MDS Coordinator or whoever was covering for the facility would be responsible for creating the care plan. During an interview on 3/29/23 at 1:16 PM the DON revealed the care plan should indicate if the resident was PASRR positive, what services were provided, why the resident was PASRR positive, the resident's diagnoses related to PASRR positive, and if the resident received any outside services. The DON revealed the care plan was to let all the caregivers know what was going on with the resident and to paint a picture to all the caregivers of how to care for the resident. The DON revealed if the resident's PASRR positive status was not included on the care plan, it could disrupt the continuity of care, the caregivers would not know what intellectual needs the resident had, or if the resident required special approaches to promote quality of care. She said the MDS Coordinator or whoever was performing the MDS Coordinator duties (currently the Director of Reimbursement) was responsible for initiating the care plan, but herself, the Social Worker, or the nurses could add to the care plans. She said Resident #9 was receiving services at the facility and outside the facility related to his PASRR positive status and should have been included on his care plan. During an interview on 3/29/23 at 1:25 PM the Administrator revealed she would expect PASRR positive residents to have their PASRR positive status care planned with appropriate interventions to care for the resident. The Administrator revealed the purpose of the care plan was to review and document the needs of the resident, any special needs, services, and care needed. The Administrator revealed the resident's care could be affected if the care plan did not have the appropriate person-centered problem areas and interventions. Record review of the facility's care plan policy titled Care Plans, Comprehensive Person-Centered dated 04/19/21 revealed, .a comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs was developed and implemented for each resident . the comprehensive, person-centered care plan will: describe the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being, describe services that would otherwise be provided for the above, but are not provided due to the resident exercising his or her rights, including the right to refuse treatment, describe any specialized services to be provided as a result of PASRR recommendations, resident's stated goals upon admission and desired outcomes, residents stated preference and potential for future discharge, incorporate identified problem areas . aid in preventing or reducing decline in the resident's functional status and /or functional levels . identifying problem areas and their causes, and developing interventions that are targeted and meaningful to the resident, are the endpoint of an interdisciplinary process . comprehensive person-centered care plan is developed within seven days of the completion of the required comprehensive assessment . assessments of residents are ongoing and care plans are revised as information about the residents and the resident's conditions change . FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676069 If continuation sheet Page 5 of 8 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 676069 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/29/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Texarkana 4925 Elizabeth St Texarkana, TX 75503 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 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal hygiene were provided for 1 of 15 residents (Residents #309) reviewed for ADLs care. Residents Affected - Few The facility failed to ensure Resident #309 was provided with timely incontinent care throughout the day. This failure could place residents at risk of not receiving care/services, decreased quality of life and loss of dignity. Findings included: 1. Record review of a Resident #309's face sheet, dated 03/29/2023, indicated Resident 309 was a [AGE] year-old male who was admitted to the facility on [DATE] with diagnoses which included paraplegia (paralysis that affects all or part of the trunk, legs, and pelvic organs), multiple sclerosis ( a disorder in which the body's immune system attacks the protective covering of the nerve cells in the brain), and UTI (common infections that happen when bacteria, often from the skin or rectum, enter the urethra, and infect the urinary tract). Record review of Resident #309's quarterly MDS, dated [DATE], indicated Resident #309 was understood and understands others. Resident #309 had a BIMs of 15, which indicated no memory impairment. Resident #309 required dependent assistance with bed mobility and toileting. Resident #309 was incontinent of bowel and bladder. Record review of the comprehensive care plan, dated 03/07/2023, indicated Resident #309 required ADL assistance with turning and repositioning every two hours and incontinent care every two hours for Resident #309's skin integrity. Record review of the facility wound report dated 03/27/2023, indicated Resident #309 had a Stage IV pressure ulcer to the sacrum (a shield-shaped bony structure that is located at the base of the lumbar spine and is connected to the pelvis) and a Stage IV pressure ulcer to the left ischium (a bone of the pelvis that forms the lower and back part of the hip bone). During an observation and interview on 03/27/2023 at 6:30 a.m., Resident #309 was in bed lying on his right side. Resident #309 said he was waiting for someone to come clean him up before breakfast was served. Resident #309 said he was concerned that he would not be cleaned up before breakfast. Resident #309 said he had wounds and he felt like they would be healed if the facility kept him dry. Resident #309 stated he had not been changed since midnight. Resident #309 said he requested to be cleaned and dried around 4:00 a.m. when the nurse hooked up his IV . Resident #309 stated he had not seen any staff since then. During an observation and interview on 03/27/2023 at 8:30 a.m., Resident #309 was in bed lying on his back. Resident #309 said he ate breakfast at 7:30 a.m. and had not had incontinent care yet. Resident #309 said he normally was not changed until 9:30 a.m. to 10:00 a.m., when the CNA was done picking up breakfast trays and was ready to get him up. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676069 If continuation sheet Page 6 of 8 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 676069 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/29/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Texarkana 4925 Elizabeth St Texarkana, TX 75503 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 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few During an observation and interview on 03/27/2023 at 9:30 a.m., the treatment nurse preformed two dressing changes to Resident #309. Prior to the treatment being done, the treatment nurse provided incontinent care to the resident. The adult brief was saturated with dark amber urine. The dressing to the left ischium was not intact and was inside the brief, saturated with urine. The skin that surrounded the wound bed was macerated (the softening and breaking down of skin because of prolonged exposure to moisture). The dressing to the sacrum was not fully covering the wound. A strong smell of ammonia was noted while incontinent care was performed. The treatment nurse said the wounds were improving. The treatment nurse said there were three wounds when he admitted a few weeks prior. The treatment nurse said timely incontinent care was important to promote healing wounds. During an observation and interview on 03/28/2023 at 8:00 a.m., Resident #309 was lying in bed on his back. Resident #309 said he had not been changed since 4:00 a.m. Resident #309 said he asked CNA A to be cleaned up and she said she was one person and would get to him when she could. Resident #309 said he heard the same thing every day about being one person and it was always at least 5 hours from his night shift incontinent care until his first morning shift incontinent care. During an interview on 03/28/2023 at 9:15 a.m., CNA A said she was the only aide on the 300 hall. CNA A said she was responsible for 12 to 14 residents each day. CNA A said she tried to do at least 2 incontinent rounds per shift, but she had 2 meals to serve on each shift and most of her residents ate in their rooms. CNA A said she tried to get to Resident #309 as soon as she could, but he and his roommate were the last residents done on morning rounds because they wanted to be up the least amount of time possible. CNA A said she provided care to Resident #309 between 9:00 a.m. and 10:00 a.m., got him up in his wheelchair, and then after lunch put him back to bed between 1:00 p.m. to 2:00 p.m. CNA A said the facility wanted the residents to have incontinent care every 2 hours for skin integrity. CNA A said she did not ask anyone for help because everyone was busy. During an interview on 03/29/2023 at 1:15 p.m., the DON said she expected the CNAs to provide ADL care, including incontinent care, to all incontinent residents every 2 hours. The DON said frequent incontinent care was important for skin integrity, dignity, and resident comfort. The DON said it was the responsibility of the CNAs on the hall to communicate with other CNAs or nurses for assistance if needed. During an interview on 03/29/2023 at 1:30 p.m., the Administrator said it was the responsibility of the CNAs to ensure incontinent care was done every 2 hours. The Administrator said there was plenty of staff throughout the day that would assist with ADL care for the dependent residents. The Administrator said having ADL care was important for dependent residents for dignity, mental health, skin integrity, and overall health. An undated policy titled Incontinent Care, revealed . each resident who is incontinent of urine is identified, assessed and provided appropriate treatment and services to achieve or maintain as much normal urinary function as possible. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676069 If continuation sheet Page 7 of 8 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 676069 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/29/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Texarkana 4925 Elizabeth St Texarkana, TX 75503 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. Based on observation, interviews 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 kitchen reviewed for kitchen sanitation in that: 1. Chicken was thawed in a sink without being completely submerged under running water. 2. Food was not labeled or dated. These deficient practices could place residents who received meals from the main kitchen at risk for food borne illness. The findings were: During an observation on 03/27/23 at 6:05 a.m., it was observed that raw chicken was dethawing in a kitchen sink. The chicken was half submerged under water. No running water was observed. It was observed in the refrigerator that cheese sticks, sandwiches, and cubed ham were not labeled or dated. Sandwiches were in sandwich bags. Cheese sticks were in a one-gallon zip lock bag. Cubed ham was in its original bag opened, placed into a one-gallon zip lock bag that was also open. During an interview on 03/29/23 at 8:30 a.m., the Dietary Manager stated that it is not proper to thaw chicken by submerging it halfway and without running cool water. He stated that the chicken should have had cool running water and been fully submerged. He stated that food stored in the kitchen should be labeled and dated as well as bags fully closed. He stated that the residents could be placed at risk for foodborne illness, food poisoning, or hospitalization from improperly stored or thawed food. During an interview on 03/29/23 at 8:50 a.m., with [NAME] C She stated that when thawing meat in a sink the meat should be fully submerged with cool water and cool water flowing into the sink. She stated that all food needs to be labeled and dated that is stored in the kitchen. She stated that not properly thawing meat and not storing food properly could place the residents at risk of food poisoning. She stated that safe food handling practices should always be followed. During an interview on 03/29/23 at 4:01 p.m., the Administrator indicated that staff would handle food according to their policy and procedures. She said that thawing chicken in a sink half submerged was not proper thawing practices. She said that residents could be placed at risk of foodborne illness and sickness from improper food handling practices. Review of the facility document dated 6/1/2019, Food preparation and Handling provided by the Dietary Manager revealed: Foods may also be thawed using the following procedures: Completely submerged under running water at a temperature of 70° F or below with sufficient water velocity to agitate and float off loosened food particles into the overflow. Review of the facility document dated 6/1/2019, Food Storage provided by the Dietary Manager revealed: Date, label and tightly seal all refrigerated foods using clean, nonabsorbent, covered containers that are approved for food storage. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676069 If continuation sheet Page 8 of 8