East Lake Arbor

F-F657

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 18 of 20 115482 Department of Health & Human Services Printed: 09/11/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 115482 B. Wing 01/09/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Crossings at East Lake of Journey Llc, The 304 Fifth Avenue Decatur, GA 30030

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 0880 Provide and implement an infection prevention and control program.

Level of Harm - Minimal harm or **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 50524 potential for actual harm Based on observations, staff interviews, record review, and review of the facility's policy titled Hand Hygiene, Residents Affected - Few the facility failed to maintain infection control protocol by not practicing hand hygiene during wound care for one of three residents (R) Resident R64 receiving wound care. The deficient practice had the potential to increase the risk of infection due to cross-contamination and the potential to increase the risk of spread of infection to Resident R64 and other residents.

Findings include:

Review of the facility's policy titled Hand Hygiene dated 2/1/2024 revealed, Policy: All staff will perform hand hygiene procedures to prevent the spread of infection to other personnel, residents, and visitors . Policy Explanation and Compliance Guidance: 6. Additional considerations: a. The use of gloves does not replace hand hygiene. If your task requires gloves, perform hand hygiene prior to donning gloves, and immediately

after removing gloves.

Review of Resident R64's Annual Minimum Data Set (MDS) dated [DATE REDACTED] revealed, Section C (Cognitive Pattern), a Brief Interview of Mental Status (BIMS) of 15 which indicated Resident R64 had intact cognition and Section M (Skin conditions) revealed, Resident R64 had a stage 4 pressure ulcer.

Review of Resident R64's physician's orders dated 12/10/2024 revealed orders that included but not limited to, 1. Wound care: Cleanse area to sacrum with Dakin's. Apply Dakin's wet to moist dressing. Cover with protective dressing every day shift for skin integrity AND as needed for skin integrity; 2. Collagenase Ointment 250 UNIT/gram (GM), Apply to sacrum topically every day shift for wound healing; 3. Renew Wound Consult: Follow and treat until wound is healed.

Observation on 1/8/2025 at 11:27 am revealed, Wound Care Nurse (WCN) HH performing wound care on Resident R64's stage four sacral wound. During observation WCN HH removed her gloves and put on a clean pair of gloves without sanitizing her hands.

Interview on 1/8/2025 at11:40 am with WCN HH confirmed she did not sanitize her hands after she removed

the used gloves and before putting on a new pair of gloves. She stated she should have sanitized her hands

in between glove change to prevent the spread of germs to Resident R64. She stated the resident could get an infection if she did not sanitize her hands after removing her gloves and before putting on a new pair of gloves.

Interview on 1/8/2025 at 11:50 am with Unit Manager (UM) MM revealed, that staff should wash their hands or hand sanitize before going into the residents' rooms, rendering care to the residents, after removing gloves and before putting on a new pair of gloves. She stated if hand hygiene was not performed the outcome would be the residents could get infections.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 19 of 20 115482 Department of Health & Human Services Printed: 09/11/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 115482 B. Wing 01/09/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Crossings at East Lake of Journey Llc, The 304 Fifth Avenue Decatur, GA 30030

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 0880 Interview on 1/9/2025 at 2:16 pm with Director of Nursing (DON) revealed, his expectations were for hand hygiene to be performed during wound care. He stated the nurse should adhere to the standard precautions Level of Harm - Minimal harm or and precautions related to the wound. He stated it was a clean technique, and the nurse needs to adhere to potential for actual harm it. The DON further revealed that hand hygiene should be performed before donning gloves, after removing gloves and before putting on new gloves. He stated if hand hygiene was not performed the outcome could Residents Affected - Few cause delayed healing for the resident.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 20 of 20 115482

F-F842

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 8 of 20 115482 Department of Health & Human Services Printed: 09/11/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 115482 B. Wing 01/09/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Crossings at East Lake of Journey Llc, The 304 Fifth Avenue Decatur, GA 30030

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 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 49396 potential for actual harm Based on observations, resident and staff interviews, record review, and review of the facility's policy titled Residents Affected - Few Activities of Daily Living, the facility failed to provide activities of daily living (ADL) care for three of 45 sampled residents (R) (Resident R8, Resident R38, and Resident R16) according to the resident's care needs. Specifically, the facility failed to ensure Resident R8 and Resident R38 received nail care and failed to ensure Resident R16 received a bath or shower. This deficient practice had the potential to place Resident R8, Resident R38, and Resident R16 at risk for unmet needs and a diminished quality of life.

Findings Include:

A review of the facility's policy titled Activities of Daily Living, dated 2/1/2022, revealed the Policy section included . Care and services will be provided for the following activities of daily living: 1. Bathing, dressing, grooming, and oral care. The Policy Explanation and Compliance Guidelines section included . 3. A resident who is unable to carry out activities of daily living will receive the necessary services to maintain good nutrition, grooming, and personal and oral hygiene.

1. A review of Resident R8's Electronic Medical Record (EMR) revealed diagnoses included a cerebrovascular accident (CVA) with right-sided hemiparesis, type 2 diabetes mellitus with diabetic cataracts, legal blindness, and muscle weakness.

A review of Resident R8's Quarterly Minimum Data Set (MDS) assessment dated [DATE REDACTED] revealed Section C (Cognitive Patterns) documented a Brief Interview for Mental Status (BIMS) score of 14 (indicating little to no cognitive impairment). Section GG (Physical Abilities and Goals) documented upper and lower extremity impairment on one side and required substantial/maximal assistance for personal hygiene.

A review of the care plan revealed a Focus area initiated on 5/22/2019 and revised on 9/26/2023 of ADL function, indicating the resident was at risk for alteration in ADL care due to CVA and vision deficit. Interventions/Tasks included communication to all staff regarding resident special care needs and goals.

Observation on 1/6/2025 at 10:04 am revealed that Resident R8 was sitting in his chair with his right hand contracted and his fingernails dirty and long and digging into the skin.

Observation on 1/7/2025 at 4:11 pm revealed Resident R8 was in the dining room, and his fingernails remained long and dirty.

In an interview on 1/7/2025 at 4:17 pm, Certified Nursing Assistant (CNA) II confirmed Resident R8's fingernails were long and dirty. She stated she had not noticed his nails being long and dirty. She further stated since Resident R8 was diabetic, she would notify the nurse. Registered Nursing (RN) GG stated she could attempt to cut Resident R8 nails, but due to their thickness, she would need to consult the podiatrist. RN GG confirmed that it was not a good idea to leave Resident R8's nails so thick and long. RN GG asked Resident R8 if he would be okay with getting his nails clipped, and Resident R8 responded, Yes, it's hurting me really bad.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 9 of 20 115482 Department of Health & Human Services Printed: 09/11/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 115482 B. Wing 01/09/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Crossings at East Lake of Journey Llc, The 304 Fifth Avenue Decatur, GA 30030

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 In an interview on 1/8/2025 at 12:38 pm, the Director of Nursing (DON) revealed he expected resident shower days to include observations of nails to ensure residents were groomed appropriately. The DON Level of Harm - Minimal harm or stated if the shower was refused, observation of nails and hair should be documented on the shower sheet. potential for actual harm He further stated nails should not grow to the length that they curl unless the resident wants them to, and the outcome included overgrown nails, which can be unsightly, and a buildup of dirt, which could be a health risk. Residents Affected - Few 50170

2. A review of Resident R38's EMR revealed diagnoses included Parkinson's disease, osteoarthritis, diabetes mellitus, muscle weakness, and contracture of muscle right and left upper arm.

Review of Resident R38's Quarterly MDS assessment dated [DATE REDACTED] revealed Section C (Cognitive Patterns) documented a BIMS of 10 (indicating moderate cognitive impairment). Section GG (Functional Abilities) documented Resident R38 was dependent for ADL care, including personal hygiene.

Review of the care plan dated 12/9/2024 revealed a Focus area of the resident was dependent with ADLs and care. Interventions/Tasks included ensuring the resident is groomed daily.

Observation on 1/8/2025 at 1:33 pm revealed Resident R38's nails appeared long, unclipped, and with dirt and debris built up on the thumb, and his hand was contracted.

Observation on 1/8/2025 at 4:06 pm revealed Resident R38's nails appeared to have been cleaned but were still long and unclipped.

In an interview on 1/8/2025 at 1:43 pm, CNA DD confirmed they did need to do something about his nails.

In an interview on 1/8/2025 at 4:07 pm, the DON acknowledged the resident's nails needed care due to them being unkept.

In an interview on 1/9/2025 at 2:49 pm, CNA DD and Licensed Practical Nurse (LPN) NN revealed they provided nail care on Resident R38's shower days on Tuesdays, Thursdays, and Saturdays. They stated Resident R38 refuses to have his nails clipped. They further stated that hospice was responsible for bathing the resident and providing nail care, and it was also the facility's responsibility to provide nail care. LPN NN asked Resident R38 if he would like his nails clipped and if his nails bothered him, and Resident R38 replied, Yes. LPN NN declined to acknowledge the length of Resident R38's nails and stated that they monitor him to ensure his nails aren't digging into his skin.

In an interview on 1/9/2025 at 3:07 pm, the DON confirmed Resident R38's nails had dirt and debris on them and declined to confirm how long Resident R38's nails were.

38154

3. Review of Resident R16's EMR revealed diagnoses to include hemiplegia and hemiparesis following other cerebrovascular disease affecting right dominant side, dementia, hypertensive retinopathy, seborrheic dermatitis, and psoriasis vulgaris.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 10 of 20 115482 Department of Health & Human Services Printed: 09/11/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 115482 B. Wing 01/09/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Crossings at East Lake of Journey Llc, The 304 Fifth Avenue Decatur, GA 30030

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 Review of Resident R16's Quarterly MDS assessment dated [DATE REDACTED] revealed Section C (Cognitive Patterns) documented a BIMS score of 11 (indicating mild cognitive impairment). Section E (Behavior) documented no Level of Harm - Minimal harm or behaviors. Section GG (Functional Abilities and Goals) documented Resident R16 required partial to moderate potential for actual harm assistance for oral hygiene and substantial to maximal assistance for toileting hygiene, shower/bathe self, lower body dressing, footwear, personal hygiene, and shower/tub transfer. Residents Affected - Few

Review of the care plan revealed a Focus area revised on 9/2/2021 of the resident was at risk for alteration

in care related to impaired mobility and cognitive deficit. Staff will provide and adjust care as needed. The Goal was for Resident R16 to appear clean, well-groomed, and dressed as per preferences. Interventions/Tasks included communication to all staff regarding the resident's special care needs and goals, encouraging the resident to participate to the fullest extent possible with each interaction, and establishing customary routine for ADLs that is agreeable to the resident.

In an observation and interview with Resident R16 on 1/6/2025 at 12:06 pm in his room, he was alert, oriented, and pleasant. Observation revealed the skin on his right arm was dry and scaly, his face was ashen, and debris was noted on his pillow and bedsheets. When asked if he received regular showers, he stated he did not. He stated his shower schedule was Tuesday, Thursday, and Saturday and that he did not get his shower last Saturday (1/4/2025).

In an observation and interview with Resident R16 in his room on 1/7/2025 at 11:42 am, he was alert, oriented, and pleasant. Observation revealed his skin was dry and ashen. He stated he did not have a shower today, but

he could not recall if he had one yesterday.

Review of the CNA Bath and Skin Audit Tool dated October 2024 to date revealed Resident R16 received four showers in October 2024 (10/10, 10/14, 10/22, 10/24), one shower in November 2024 (11/7), seven showers

in December 2024 (12/2, 12/4, 12/13, 12/18, 12/20, 12/25, 12/31), and two showers in January 2025 (1/2 and 1/6).

In an interview with LPN LL on 1/7/2025 at 11:00 am, she stated the shower schedule was posted at each nurse's station and staff should report any missed or refused showers to the nurse. She stated the nurse would then visit with the resident to confirm the refusal, find out the reason, and try to determine a more suitable time for the resident to shower. She further stated the nurse should notify the charge nurse, the DON, and the Responsible Party (RP). She stated the shower should include shampoo, shave, and nail care. Finally, she stated the nurse had to sign off on all shower sheets.

In an interview with CNA FF on 1/07/2025 at 11:15 am, she stated resident showers were scheduled twice a week and always included shampoo, shave, and nail care. She stated she would report missed showers or refusals to the nurse.

In an interview with CNA II on 1/07/2025 at 11:30 am, she stated the CNAs offered showers twice weekly and as needed and included shampoo, shave, and nail care. She stated refusals or missed showers should be reported to the attending nurse.

In an interview with LPN HH on 1/9/2025 at 1:19 pm, she stated without shower sheets, there was no way to confirm if a resident received his/her shower. She stated the number of documented shower sheets for Resident R16 revealed he did not receive his showers as scheduled. She further stated that Resident R16 had a history of refusing care, which should be documented on the shower sheets.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 11 of 20 115482 Department of Health & Human Services Printed: 09/11/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 115482 B. Wing 01/09/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Crossings at East Lake of Journey Llc, The 304 Fifth Avenue Decatur, GA 30030

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 In an interview with RN GG on 1/9/2025 at 1:46 pm, she stated she expected the nursing staff to perform all scheduled showers and report refusals or missed showers to the attending nurse, who will sign off on all Level of Harm - Minimal harm or shower sheets, speak with the resident about the reason for the refusal, and notify the Unit Manager, potential for actual harm Physician, DON, and the RP.

Residents Affected - Few

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 12 of 20 115482 Department of Health & Human Services Printed: 09/11/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 115482 B. Wing 01/09/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Crossings at East Lake of Journey Llc, The 304 Fifth Avenue Decatur, GA 30030

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 0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 49396

Residents Affected - Few Based on observation, staff and resident interviews, record review and review of the facility's policy titled Restorative Nursing Programs, the facility failed to provide evidence that restorative services for splinting and range of motion (ROM) were consistently provided for one of four residents (R) (Resident R8) reviewed for rehab and restorative nursing services.

Findings include:

Review of the facility's policy titled Restorative Nursing Programs, dated 2/1/2024 revealed, 6. Residents, as identified during the comprehensive assessment process, will receive services from restorative aides when

they are assessed to have a need for restorative nursing services. These services may include passive or active range of motion, splint or brace assistance, bed mobility training and skill practice, and training and skill practice in transfers or walking.

Review of Resident R8's Quarterly Minimum Data Set (MDS) dated [DATE REDACTED] for Section C (Cognition) revealed, a Brief

Interview of Mental Status (BIMS) of 5, which indicated moderate cognitive impairment, Section GG (Functional Abilities) revealed, Resident R8 required substantial /maximum assistance for toileting hygiene, bath, upper body dressing, personal hygiene and dependent on staff for lower body dressing and transfers; and Section O (Special Treatments and Programs) revealed, no restorative services documented.

Review of Resident R8's physician orders dated 9/4/2019 revealed, orders for a right knee contracture splint to increase ROM and prevent/correct contractures and a contracture splint to increase ROM and prevent/correct contractures and deformities of the right wrist/hand.

Record review of Resident R8's Physical Therapy (PT) discharge summary revealed, that Resident R8 received PT from 1/10/2024 to 3/8/2024; Discharge Recommendations: Restorative Program Established/Trained= Restorative Splint and Brace Program. Passive Range of Motion (PROM) right hand wrist all joints 10x2 reps. Right-hand splint application for four to six hours daily and monitor for pressure areas.

Further review of Resident R8's medical records revealed, no documentation that Resident R8 received restorative services.

Observation on 1/6/2025 at 9:28 am revealed, Resident R8 was observed in his room in a wheelchair, sleeping and not wearing a splint.

Observation on 1/7/2025 at 4:17 pm revealed, Resident R8 was observed in the dining room not wearing a splint.

Observation on 1/8/2025 at 10:35 am, revealed, Resident R8 was observed in the dining room not wearing a splint.

Interview on 1/6/2025 at 10:40 am with Resident R8 stated he would feel more comfortable if they could put something

in his hands, and maybe it wouldn't hurt him so much.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 13 of 20 115482 Department of Health & Human Services Printed: 09/11/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 115482 B. Wing 01/09/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Crossings at East Lake of Journey Llc, The 304 Fifth Avenue Decatur, GA 30030

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 0688 Interview on 1/9/2025 at 3:08 pm with Resident R8 revealed, he doesn't recall ever wearing a splint, and he believe if

he did, it wouldn't be so bad now. He said he never refused to get any help for his hand, and if possible, he Level of Harm - Minimal harm or would love to get some help now. potential for actual harm

Interview on 1/9/2025 at 3:13 pm with Registered Nurse (RN) GG revealed, she had been at the facility since Residents Affected - Few March of last year, and she didn't ever recall Resident R8 having a splint. She was not sure about restorative care if

he refused or whether the care plan was being updated, but she would check the electronic medical records (EMR) in the Plan of Care (POC) section. She said that if any restoratives were needed, they would be in the EMR under POC. RN GG stated she was able to find a note that Resident R8 refused splints, saying the word splints with s meant for his lower leg and right hand. RN GG was asked to provide the date. She stated it was revised today, 1/9/2025.

Interview on 1/9/2025 at 3:15 pm with Restorative Aide (RA) FF revealed, when asked if she could locate the notes for restorative services for Resident R8, she stated if it's not in the POC, she didn't provide services, and he must have refused.

Interview on 1/8/2025 at 4:07 pm with the Director of Nursing (DON) revealed, that Resident R8 was supposed to receive restorative nursing services. He revealed that he was unable to provide any documentation of restorative nursing care, even for the past six months, due to the system acquisition issues.

A request was made upon the facility for additional documentation of the restorative nursing program for Resident R8 but was not provided prior to the survey exit.

Cross Reference