FLORIDA WOUND CARE EXCELLENCEPROGRAMMay 1st, 2019 through April 30th, 20201. Summary:The Florida Wound Care Excellence Program provides 350 scholarships for nurses of skilled nursingfacilities over a 12-month period. The program launched on May 1, 2019 when Florida Post-Acute orida. Upon completion of the website, registration became availableand the clinical staff began accessing the clinical modules.The program closes out yielding a completion rate of 90%, with a total of 50 completions that took placeduring the last 2 months of the program. There were thirty-eight nurses who did not complete the coursetimely despite aggressive follow-up by our team. Overall, we believe the program was successful inrespect to our goal and are thankful to have partnered with the state to fulfill our mission of raising thelevel of wound care education and competence for nurses in Florida.Completions by month are depicted in the chart below:Completions by Month705860595042402830201002617151120201416

2. Demographic Data:The average age of an enrolled nurse was 42.6 years of which 92.7% are female and 7.3% are male.Further, 150 nurses or 47.5% have an Associate’s degree, and 67 or 21.2% of the registrations hold aBachelor’s Degree or higher. The remaining nurses hold a Vocational Qualification. The composition ofcompletions by education level and vocational degrees can be found in the charts below:Completed Courses by Education LevelDoctorate orhigher, 1, 0%48%31%Associate's degreeBachelor's degreeMaster's degreeVocational qualificationDoctorate or higher3%18%Completed Courses by Vocational Degree2001761801601391401201008060402001(ARNP) AdvancedRegistered NursePractitioner(LPN) Licensed PracticalNurse2(RN) Registered Nurse

3. Principal Nursing Employment:The 316 completed courses reached 134 nursing facilities for which the listing can be found in ExhibitA. Additionally, the program reached a broad cross section of the state by educating nurses located in41 counties of which 76 nurses or 24% reside in Duval, Orange, Volusia, and Broward Counties.Completed courses by county can be found in Exhibit B.4. Other: On average it took participants 2.5 attempts to complete the final exam. On average it took participants 29 days to complete the course after registering.5. Clinical Outcomes Reporting:In our proposal we indicated that this program had the potential to impact the quality of care forresidents in facilities when a nurse underwent training and wound care certification. Nurses withhigher levels of training have the potential to impact patient outcomes as measures by various clinicalwound outcome measure. To evaluate these potential impacts on clinical outcomes we trackedquality measures publicly reported to CMS in the period before and after a nurse was trained in thisprogram. The nurse and facility were tracked for the reported measures specific to a given facility.In the case in which we also had specific data on the pressure ulcer scale for healing (PUSH) for afacility we recorded these. At the conclusion of this program we have analyzed the data for thesequality indicators and compared facilities with and without a nurse who participated in this programFindings:Facilities that had a nurse completing the program we found on average had a higher percentage ofhigh risk long-stay residents with pressure ulcers before starting the program. In these facilities therate was12.2% versus the average of 10.1% in all facilities across Florida before the start of theprogram. After completion of the program the number of long stay residents with pressure ulcersdropped by 34% to a rate of 8% in these participating facilities (note: The most current CMS reporteddata available is for Q4 of 2019. If completion of the program occurred in 2020 the impact cannot yetbe reported. In the state of Texas where this program was also funded, and completion data is fullyavailable a similar impact was seen).Pressure Ulcer Scale for Healing (PUSH) scores for which data was available demonstrated adecrease in severity of wounds of 26% in facilities where a nurse participated in the program.3

6. Conclusion:A structured wound care education and certification for wound care nurses has a significant impacton both the number of residents with pressure ulcers (long stay MDS measure) and severity of thewounds themselves (PUSH scores).Overall, we are pleased with the outcome of our CMP project given that 316 nurses were successful inachieving their certification and 20 accredited continuing nursing education credits. Additionally, we areproud of the positive feedback we have received from nurses and their respective facilities. Many of ourparticipants expressed how they enjoyed the course and gained a valuable and deeper insight intowound care management. We fully anticipate paralleling these results in any future program with thestate.4

Exhibit ACERTIFICATES ISSUED BY SKILLED NURSING FACILITYSkilled Nursing FacilitySt James Health And Rehabilitation CenterBayside Health And Rehabilitation CenterWashington Rehabilitation And Nursing CenterPalm Garden Of Port Saint LucieGardens Health & Rehabilitation Center, TheFleet LandingCrystal Health And Rehab Center, LlcHamlin Place Of Boynton BeachWoodland Grove Health & Rehabilitation CenterSea Breeze Rehab And Nursing CenterBlountstown Health And Rehabilitation CenterGrove Health & Rehabilitation Center, TheGovernors Creek Health And RehabilitationPort St Lucie Rehabilitation And HealthcareTerra Vista Rehab And Health CenterPlantation Nursing & Rehabilitation CenterEdgewood Nursing CenterBaya Pointe Nursing And Rehabilitation CenterRiver Valley Rehabilitation CenterOaktree HealthcareAnchor Care And Rehabilitation CenterPark Summit At Coral SpringsAdventhealth Care Center Orlando NorthWestminster Point PleasantStratford Court Of Palm HarborManor Oaks Nursing & Rehabilitation CenterCross Care CenterBarrington Terrace Of Boynton BeachIsle Health & Rehabilitation CenterSolaris Healthcare ImperialStratford Court Of Boca RatonNorthbrook Health And Rehabilitation CenterAventura Rehab And Nursing CenterPalm Garden Of West Palm BeachCitrus Health And Rehabilitation CenterManorcare Health Services5# 14111

Osprey Point Nursing CenterAvalon Healthcare CenterThe Lodge Health And Rehabilitation CenterSarasota Point Rehabilitation CenterRiviera Palms Rehabilitation CenterClifford Chester Sims State Veterans NursingHomeOcala Oaks Rehabilitation CenterPinellas Point Nursing And Rehab CenterLanier Rehabilitation CenterMetro West Nursing And Rehab CenterBayshore Pointe Nursing And Rehab CenterJacksonville Nursing And Rehab CenterBoynton Beach Rehabilitation CenterSignature Healthcare Of Port CharlotteOak View Rehabilitation CenterAvante At Ocala, IncJacaranda ManorOak Hammock At The University Of Florida IncAtlantic Shores Nursing And Rehab CenterPalm Garden Of OcalaBroward Nursing & Rehabilitation CenterTiffany Hall Nursing And Rehab CenterHeritage Park Care And Rehabilitation CenterSignature Healthcare At The CourtyardSurrey Place Care CenterBrandywyne Health Care CenterSignature Healthcare Of Palm BeachEmerald Health Care CenterChautauqua Rehabilitation And Nursing CenterSolaris Healthcare WindermereAlexander "sandy" Nininger State VeteransNursingAvante At Boca Raton, Inc.Lake Park Of Madison Nursing AndRehabilitation CePinecrest Rehabilitation CenterLife Care Center Of SarasotaCrestview Rehabilitation Center, LlcFlagler Health And Rehabilitation CenterMedicana Nursing And Rehab CenterSuwannee Health And Rehabilitation CenterMoultrie Creek Nursing And Rehab Center61516313213432353214218836333411221111531

Port Orange Nursing And Rehab CenterParkview Rehabilitation Center At Winter ParkFort Walton Rehabilitation Center, LlcManor Pines Convalescent CenterWestminster Woods On Julington CreekGlades West Rehabilitation And Nursing CShore Acres Care CenterHealth Center At BrentwoodSignature Healthcare Of JacksonvilleRoyal Oaks Nursing And Rehab CenterOrange City Nursing And Rehab CenterIndigo ManorSignature Healthcare Of Orange ParkParkside Health And Rehabilitation CenterMadison Health And Rehabilitation CenterRiverchase Health And Rehabilitation CenterOakhurst CenterHarts Harbor Health Care CenterPalm Garden Of JacksonvilleSignature Healthcare Of GainesvilleWestminster SuncoastJackson Plaza Nursing And Rehabilitation CenterPonce Plaza Nursing & Rehabilitation CenterAdventhealth Care Center Orlando EastLady Lake Specialty Care CenterArch Plaza Nursing & Rehabilitation CenterPark Ridge Nursing CenterSalerno Bay Health And Rehabilitation CenterTitusville Rehabilitation & Nursing CenterAdventhealth Care Center Zephyrhills SouthCrossings, ThePalm Garden Of TampaNorth Campus Rehabilitation And NursingCenterNspire Healthcare TamaracCoastal Health And Rehabilitation CenterGood Samaritan Society-DaytonaDebary Health And Rehabilitation CenterCarlton Shores Health And Rehabilitation CenterPalm Garden Of GainesvilleOaks Of Kissimmee Health And RehabilitationCenterAvante At Leesburg, Inc725111118112311113124131111151111241321321

Arcadia Health & Rehabilitation CenterRosewood Healthcare And Rehabilitation CenterOlive Branch Health And Rehab CenterKr At Hillsborough LakesWilton Manors Health & Rehabilitation CenterClyde E Lassen State Veterans Nursing HomePark Meadows Health And Rehabilitation CenterUnity Health And Rehabilitation CenterTerrace Of St Cloud, TheHarmony Health CenterGulf Shore Care CenterGolden Glades Nursing And RehabilitationCenterGuardian Care Nursing & Rehabilitation CenterTrinity Regional Rehab CenterTerraces Of Lake Worth Care CenterScott Lake Health And Rehabilitation CenterPalm Garden Of LargoGrand Total811112121111111112316

Exhibit BCERTIFICATES ISSUED BY t. LucieVolusiaMonroePalm BeachIndian PolkWaltonMadisonOkaloosaFlaglerSt. Johns# of 1916313394432139

GadsdenLakeMartinPascoOsceolaGrand Total1452331610

The program closes out yielding a completion rate of 90%, with a total of 50 completions that took place . Metro West Nursing And Rehab Center 3 . Golden Glades Nursing And Rehabilitation Center 1 Guardian Care Nursing & Rehabilitation Center 1 Trinity Reg