Evervella Of White Hall

(R6, and R9) reviewed for hydration in the sample of 9.

Findings include:1 On 2/23/2026 at 8:03AM R6

to drink.R6's Minimum Data Set (MDS) dated [DATE] documents R6 is cognitively intact.2 On 2/24/2026 at10:10 am R9 stated water is not passed on the night shift.R9's MDS dated [DATE] documents R9 is cognitively intact.

The facility resident council minutes dated 2/2026 documents water not being passed on the night shift. On 2/25/2026 at 9:15AM, V1, Director of Nursing (DON) stated she would expect staff to be passing water/fluids on the night shift.

The facility policy hydration, dated 2023 documents the facility offers each resident sufficient fluid, including water and other liquids, consistent with resident needs and preferences to maintain proper hydration and health.

The policy documents interventions will be individualized to address specific needs of the resident, but not limited to offer the resident a variety of fluids during and between meals.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE