Inspection·February 9, 2023

F 0656 important for the care plan to be updated because it guided the care the resident needed. Level of Harm - Minimal harm or potential for actual harm In interview with ADON G on 02/09/2023 at 4:04 PM revealed she did put in the physician order for Resident #12. She stated she did not update the care plan, she stated the MDS Coordinator was responsible for updating it. If it was not updated, care interventions could get missed. Residents Affected - Few In interview with the MDS RN on 02/09/2023 at 4:14 PM revealed he just did the quarterly updates of the care plans. He stated he did not look at the physician orders as they were updated. He further stated he was not responsible for updating the care plan as the physician orders were put in the computer. He stated if the care plan was not updated, it could affect the resident care and the appropriate interventions may not be in plans. In interview with the Administrator on 02/09/2023 at 4:22 PM, he stated his expectations were for ADONs and MDS RN were responsible for updating the comprehensive care plan as the changes to care occur. He stated if the care plans did not get updated, the facility could miss an intervention for the resident. Record review of the facility policy Protocol for Oxygen Administration, rev. 03/2019 revealed Procedure . Oxygen concentrator filters will be assessed for cleanliness .Patients with oxygen therapy will have their Plan of Care updated to reflect their Oxygen use. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676369 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 676369 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/09/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hollymead 4101 Long Prairie Road Flower Mound, TX 75028 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 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record reviews the facility failed to ensure comprehensive care plans were reviewed and revised by the interdisciplinary team after each assessment, which included both the comprehensive and quarterly review assessments for 1 of 6 residents (Resident #49) reviewed for Care Plans. The facility failed to ensure Resident #49's Care Plan was reviewed quarterly. This failure could place residents at risk of their needs not being met. Findings include: Record review of Resident #49's face sheet, dated 02/09/2023, revealed a [AGE] year-old female who was admitted to the facility on [DATE]. Her diagnoses included Chronic Bladder Pain, Shortness of breath, Type 2 Diabetes, and Major Depressive Disorder. Record review of Resident #49's Minimum Data Set (MDS), dated [DATE], revealed she required a two -person physical assist for all Activities of daily Living Assistance (ADL), and the use of a wheelchair. Record review of Resident #49's Care Plan, dated 02/09/2023, revealed the resident's last Quarterly Assessment was completed on 03/16/2022. Interview with the MDS nurse on 02/09/2023 at 2:40 PM revealed he was responsible for updating resident care plans when residents had a change in condition and quarterly. He stated he did not know why the resident's Care plan was not assessed since 03/16/22 but will get it updated. The MDS nurse stated it was important for care plans to be completed quarterly to ensure the resident's care needs were being met and not having the care plan updated could impact the resident from receiving the necessary care. Interview with the Director of Nursing (DON) on 02/09/23 at 3:30 PM revealed Care Plans were to be updated quarterly and it was usually completed by the MDS Nurse. She stated she was not sure why Resident #49's quarterly review was not completed. The DON stated it was the MDS nurse's responsibility to conduct quarterly assessments with residents because their situations may have changed. She stated the risk to residents not having their care plan updated quarterly could result in the resident not receiving the proper care they should be receiving. Interview with the Administrator on 02/09/2023 at 3:40 PM revealed, the Administrator stated it was the MDS nurse's responsibility to ensure care plans were updated quarterly. He stated he was unsure why the resident's care plan was not assessed quarterly, but he would investigate it. The Administrator stated the risk to the resident not having her Care Plan assessed quarterly could prevent the resident from receiving individual care. Record review of the facility's policy on Patient Care Management Systems, dated November 2017, revealed Each care plan must be reviewed and updated by the interdisciplinary Care Plan team quarterly, upon each change in condition and upon re-admission. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676369 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 676369 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/09/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hollymead 4101 Long Prairie Road Flower Mound, TX 75028 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 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based observation, interview and record review the facility failed to ensure that a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for one of one residents (Residents #20) reviewed for urinary catheters. The facility failed to ensure Resident #20's urinary catheter bag was off the floor. These failures could place residents at risk of cross-contamination and infections. Finding include: Record review of Resident #20's face sheet, dated 2/9/2023, revealed an [AGE] year-old female who was initially admitted to the facility on [DATE]. Resident #20 had diagnoses which included Pressure ulcer of sacral region, stage 4, Long term current use of antibiotics, dehydration, Record review of Resident #20's quarterly MDS assessment revealed Section H was incomplete and did not address Resident #20's catheter. Record review of Resident #20's Nursing Admission/readmission Assessment, dated 06/24/22, revealed This Section Not Applicable Section for Physician orders documented N/A. Observation on 2/6/23 at 9:07 AM revealed Resident #20 was lying in bed at its lowest position. A urinary catheter drainage bag was on the floor partially under the bed. There was approximately 300 ml of yellow urine in the bag. The catheter bag and the tubing were touching the floor. Interview on 02/09/2023 at 9:20 AM with CNA B revealed Resident #20's catheter bag was in place when she conducted rounds this morning. CNA B stated she would go and check again. CNA B said the tubing and privacy bag should not be touching the floor because it increased the risk for infection and accidents. She said it was all nursing staff's responsibility to monitor the position of the drainage bag and the tubing. 02/09/2023 at 2:36 PM revealed LVN M went to assess Resident #20 s catheter. LVN M identified the resident recently returned from the hospital with a urinary catheter. LVN M said she corrected the position of the catheter and placed a privacy bag over the catheter bag. In an interview with the ADON on 2/9/2023 at 3:47 PM, revealed she was the nurse manager who supervised nurses on the 313 hall. The CNAs and nursing should be monitoring the position of the catheter bags of residents. The ADON said foley catheters should not be on the floor, as this could lead to a resident getting an infections. Record review of the facility policy Infection Control, rev. 11/2017, revealed 1. The facility must establish an infection prevention and control program . FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676369 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 676369 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/09/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hollymead 4101 Long Prairie Road Flower Mound, TX 75028 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 0695 Provide safe and appropriate respiratory care for a resident when needed. 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 that a resident who needed respiratory care was provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 4 of 4 residents (Resident #2, Resident #5, Resident #12, and Resident #31) reviewed for respiratory care. Residents Affected - Some The facility failed to ensure Resident #2, Resident #5, Resident #12, and Resident #31 had oxygen concentrator filters free of sediment and debris. This failure could place residents at risk of not receiving proper delivery of oxygen, cross contamination, respiratory compromise and/or infection and residents not having their respiratory needs met. Findings included: 1. Record review of Resident #2's face sheet, dated 02/08/23, revealed an [AGE] year-old female admitted to the facility on [DATE]. Resident #2 had diagnoses which included Lung Disease (disease of the lung which may lead to respiratory failure), Parkinson's Disease (brain disorder that causes unintended or uncontrollable movements), Dementia(loss of memory, language , or problem solving skills), Pain(distressing feeling caused by intense or damaging stimuli), and Bipolar Disorder(mental illness causing unusual shifts in mood energy, activity levels or concentration). Record review of Resident #2's Quarterly MDS, dated [DATE], stated she was severely cognitively impaired with a BIMS score of 03. She required extensive assistance of two staff with bed mobility, extensive assistance of one staff with toileting and personal hygiene. Record review of Resident #2's physician orders revealed: Oxygen (O2) at 2 L/min per nasal cannula continuous . continuous O2 at 2-4 Lpm to maintain SpO2 above 92% with a date to start 04/28/2021. Record review of Resident #2's Comprehensive Care Plan, dated 02/15/2022, revealed Resident #2 had a goal to maintain an oxygen saturation with interventions that included oxygen at 2LPM via nasal cannula continuously .change oxygen tubing every week on 10-6 shift . change tubing . check/record oxygen saturation every 8 hours and PRN when oxygen is in use. 2. Record review of Resident #5's face sheet, dated 02/08/23, revealed an [AGE] year-old female who was admitted to the facility on [DATE]. Resident #5 had diagnoses which included Lung Disease (disease of the lung which may lead to respiratory failure), Respiratory Failure (condition in which the respiratory system fails to maintain its function), and Urinary Tract Infection( Infection of the urinary system). Record review of Resident #5's Quarterly MDS, dated [DATE], stated she was moderately cognitively impaired with a BIMS score of 10. She required supervision of one staff for bed mobility and personal hygiene. Record review of Resident #5's physician orders revealed: Oxygen (O2) at 2 L/min per nasal cannula by shift dated to start 05/25/2022. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676369 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 676369 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/09/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hollymead 4101 Long Prairie Road Flower Mound, TX 75028 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 0695 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Record review of Resident #5's Comprehensive Care Plan, dated 03/02/2022, revealed Resident #5 had a goal to have a respiratory rate within normal limits and be free of signs or symptoms of respiratory distress with interventions that included administer . and oxygen as ordered and monitor status . apply oxygen for SOB . assess and monitor oxygen use/safety. In observation on 02/08/2023 at 9:32 AM revealed Resident #5 was resting in bed. The oxygen concentrator was on with nasal cannula tubing connected. The oxygen concentrator filter was observed to have significant brown, black, and grey debris sediment accumulation present. In observation on 02/08/2023 at 10:03 AM revealed Resident #2 was resting in bed. The oxygen concentrator was on with nasal cannula tubing connected. The oxygen concentrator filter was observed to have significant brown, black, and grey debris sediment accumulation present. 3. Record review of Resident #12's face sheet, dated 02/09/23, revealed an [AGE] year-old female admitted to the facility on [DATE]. Resident #12 had diagnoses which included Alzheimer's Disease (progressive disease that destroys memory and mental functions), Dementia (loss of memory, language , or problem solving skills) , Hypotension(low blood pressure), and Stroke(damage to the brain resulting from interruption of blood supply). Record review of Resident #12's Quarterly MDS, dated [DATE], stated she was moderately cognitively impaired with a BIMS score of 12. She required limited assistance of one staff with bed mobility, toileting, and limited assistance of one staff with personal hygiene. Record review of Resident #12's physician orders revealed: Oxygen (O2) at 2 L/min per nasal cannula PRN by Shift . [for] sat under 91% dated to start 02/07/2023. Record review of Resident #12's Comprehensive Care Plan, dated 03/09/2022, revealed no evidence that Resident #12 had respiratory care included. In observation on 02/07/2023 at 11:19 AM and 02/08/2023 at 10:02 AM revealed Resident #12 was resting in bed. The oxygen concentrator was on with nasal cannula tubing connected. The oxygen concentrator filter was observed to have significant brown, black, and grey debris sediment accumulation present. 4. Record review of Resident #31's face sheet, dated 02/09/23, revealed a [AGE] year-old female who was admitted to the facility on [DATE]. Resident #31 had diagnoses which included Lung Dysfunction (disease of the lung which may lead to respiratory failure), Kidney Failure (disease in which one or both kidneys are not functioning properly), and Anxiety (feelings of fear, dread, or uneasiness). Record review of Resident #31's Quarterly MDS, dated [DATE], stated she was cognitively intact with a BIMS score of 15. She required the supervision of one staff with bed mobility, toileting, and personal hygiene. Record review of Resident #31's physician orders revealed: Oxygen (O2) at 4 L/min per nasal cannula by shift dated to start 01/06/2021. Record review of Resident #31's Comprehensive Care Plan, dated 03/13/2022, revealed Resident #31's goal was to maintain oxygen saturation above 92% with interventions which included assess and monitor oxygen use/safety . apply oxygen for SOB . (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676369 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 676369 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/09/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hollymead 4101 Long Prairie Road Flower Mound, TX 75028 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 0695 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some In observation on 02/07/2023 at 11:36 AM and 02/08/2023 at 12:00 PM revealed Resident #31 was resting in bed. The oxygen concentrator was on with the nasal cannula tubing connected. The oxygen concentrator filter was observed to have significant brown, black, and grey debris sediment accumulation present. In interview and observation with ADON B on 02/08/2023 between 12:23 PM and 12:37 PM, she stated the concentrator filters were dirty for Resident #2, Resident #5, and Resident #12. She stated it was the nurses' responsibility to check the filters daily. She stated if the concentrator filter was dirty, it was not good for the residents and it was an infection control issue. In interview with the nurse assigned to Resident #2, Resident #5, and Resident #12, LVN C, on 02/08/2023 at 12:25 PM, she stated it was her first day on the unit as agency. She stated she had not inspected the oxygen concentrator filter and had not been instructed to do so. She stated if the concentrator filter was dirty, it could impede air flow for the resident. In interview and observation with the nurse assigned to Resident #31, RN A, on 02/08/2023 at 12:00 PM, she stated the concentrator filter was dirty. She stated it was the nurses' responsibility to clean the concentration filters. She stated if the concentrator filter was dirty, the concentrator might not work right and Resident #31 might not get the right amount of air she needed. In interview with RDCS E on 02/08/2023 at 12:35 PM revealed his expectations were for the oxygen concentrators to be cleaned by the nursing staff. He stated if the concentrator filters became dirty, it could lead to dust inhalation which could lead to respiratory compromise. In interview with DON D on 02/09/2023 at 10:46 AM revealed her expectations were for the oxygen concentrators to be cleaned by the nursing staff. She stated the concentrator could malfunction if the filter was not clean. She stated the concentrator malfunction could cause the insufficient amount of oxygen to be delivered to the resident, which could lead to hypoxia. She further stated the Staffing Coordinator, SC F, was responsible for performing audits of oxygen concentrators each Monday to ensure the concentrator filters were clean. She stated since the filters were not clean, apparently they [the staff] have not been doing it. In interview with SC F on 02/09/2023 at 11:31 AM revealed her responsibility was to perform audits for the oxygen concentrators on Mondays, but she had been out for a week and a half. She stated she delegated this task to ADOB B in her absence but did not explain specifics on how or what to inspect. She stated there was not a document outlining this task. She stated if the concentrator filter was dirty, dirt could get into the lungs and cause infection. In interview with ADON B on 02/08/2023 at 12:37 PM, she stated she did the last oxygen concentrator audit on Monday (02/06/2023) but did not inspect the filters for debris. She stated there was not an order or protocol for filter inspection. Record review of the facility policy Infection Control, rev. 11/2017, revealed 1. The facility must establish an infection prevention and control program . Record review of facility policy Protocol for Oxygen Administration, rev. 03/2019, revealed Procedure . Oxygen concentrator filters will be assessed for cleanliness . Patients with oxygen therapy will have their Plan of Care updated to reflect their Oxygen use. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676369 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 676369 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/09/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hollymead 4101 Long Prairie Road Flower Mound, TX 75028 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 - Some Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observation, interview and record review the facility failed to ensure food was stored, prepared, distributed and served in accordance with professional standards for food service safety for one of the facility's only kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure foods were dated and labeled in the refrigerator and dry storage rooms. 2. The facility failed to ensure expired foods were discarded. 3. The facility failed to ensure food in the food preparation area was covered. These failures could place residents at risk for cross contamination and other bacteria illnesses. Findings include: An Observation on 2/7/2023 at 10:25 AM of the facility cooler revealed the following: -1 large container of Italian Dressing, dated January 4th. The year was not listed. -1 Large opened container of Mayo, dated January 12, 2022. -1 bottle of half used Teriyaki Sauce, dated January 16. The year was not listed. -1 bottle of, undated, Soy Sauce. -1 Worchester expired November 8, 2021. -2 Gallons of prepared tea, dated expiration date 10/22. -1 cardboard box of tomatoes and 1 white onion were undated -7 loaves of bread on top shelf were undated. An Observation on 2/7/2023 at 10:30 AM of the facility dry storage revealed the following expired items: -Imitation Vanilla was not labeled and dated and missing an expiration date. -4 unopened packs of corn tortillas with an expiration date of 10/03/2022. -1 container of Ground Cloves with an expiration date of 08/06/2021 -1 container of Syrup was undated. Observation on 02/07/23 of the food preparation table revealed chicken thighs on a baking sheet were uncovered, and unattended for approximately 3 minutes lettuce was opened on a food cart uncovered (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676369 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 676369 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/09/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hollymead 4101 Long Prairie Road Flower Mound, TX 75028 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 - Some and unattended for approximately 3 minutes and plates were stored in the warmer were observed to not be covered on the line Interview with the Dietary Manager on 02/7/2023 at 10:40 AM, revealed he expected all food to be labeled and dated upon delivery to the facility kitchen. He stated he was responsible for ensuring the proper labeling and storage of food items received into the facility. The Dietary Manager stated the tea inside the cooler was from a staff event last year not for the residents. He stated that he forgot to discard the tea, however this was his intentions. He stated that The Dietary Manager stated the bread was used fast for resident meals, so he did not date it. He stated the condiments that were in containers were recently delivered and had not been dated prior to storing on the shelf. The Dietary Manager stated when the food was not kept according to their policy, it could lead to food contamination, possible illness, and lead to residents getting ill from exposure to food pathogens. In an interview with the contracted Dietician on 02/07/2023 at 9:39 AM, revealed staff were trained on kitchen sanitation, dating and labeling, food preparation guidelines, and causes of food born illness as well as cross contamination. An interview with the ADM on 02/09/2023 at 3:00 PM revealed it was his expectation for the Dietary Manager to supervise the dietary staff to ensure food was dated prior to storing on the shelves. He expected the policies and procedures for safe food handling and sanitation to be conducted and all expired food was discarded. A review of facility policy titled Food Storage dated March 2009; Revised 3/2019. Policy: Sufficient storage facilities are provided to keep foods safe, wholesome, and appetizing. Food is stored, prepared, and transported at an appropriate temperature and by methods designed to prevent contaminations. Procedures: #4 All food items should be dated with the received date, unless the labeled with readable label from the food vendor. #9 All stock must be rotated with each new order received. Rotating stock is essential to ensure the freshness and highest quality of all foods. #16. Frozen Foods, c. Foods should be covered, labeled, and dated. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 676369 If continuation sheet Page 9 of 9