This statement is from Mark Morley, vice president of operations, Continuing Healthcare Solutions.

We have worked tirelessly to improve conditions at Continuing Healthcare of Toledo since acquiring the
facility in September of 2018 – and we are proud of the many improvements we have put in place.

Here are the facts about just some of those dramatic changes:

• We transferred into Continuing Healthcare of Toledo one of the strongest administrators in our
organization.
• We have completed more than $1 million in physical improvements, renovations and upgrades.
• We put in place an infection preventionist, who works full-time on site.
• We also put in place a full-time Quality Assurance representative.

The improvements we have made are reflected in our inspection and survey results from the Ohio
Department of Health (ODH). In September of 2018, the same month we acquired Continuing
Healthcare of Toledo, ODH conducted its annual survey and a citation was issued for Environment –
maintaining floors, repair of doorways and other fixtures. We addressed that shortcoming and made the
necessary improvements.

We have not received another citation for environment or maintaining physical plant since that survey,
which speaks to the increased attention to housekeeping policies and procedures as well as the overall
upgrades and physical plant improvements that we have done.

Since September of 2018 we received one minor citation for infection control – an isolated incident with
one resident – which did not involve a systemic breakdown or a lack of infection control procedures. We
follow all guidelines for infection control tracking and identification.

This spring, as at senior care communities across the nation, we were faced with the coronavirus
pandemic – the greatest challenge our industry has encountered.

We immediately adopted safeguards and standards at Continuing Healthcare of Toledo for the safety of
all our residents and staff members that met or exceeded all guidelines from the Centers for Disease
Control and Prevention (CDC). The safeguards we adopted, which continue today, include strict
restrictions on visitors, use of Personal Protective Equipment (PPE) by staff, health screenings and
enhanced cleaning and disinfecting protocols.
We also chose to go beyond requirements by having all residents tested for COVID-19 along with any
staff members who exhibited symptoms. The tests resulted in 28 positive cases among residents and
seven among staff members. Any resident with a positive test result has been placed in isolation.
Staffers testing positive receive appropriate medical care and do not return to the facility until they have
completed the CDC-recommended isolation period, been confirmed as being COVID-negative and been
cleared by the health department to return to work.
We did this extensive testing, knowing that multiple positive cases could result, because we also know
that identifying people who are COVID-19 positive will lead to critical treatment for them as well as
better protection for other residents through self-quarantining and other measures.

It’s important to understand what these numbers don’t mean. As Dr. Amy Acton, Ohio’s state health
director, noted, facilities with positive tests haven’t necessarily let down any guards against coronavirus.
“It’s not the fault of a nursing home,” Dr. Acton has said. “Most nursing homes are doing an outstanding
job, but it is the fact that this disease is so contagious…This isn’t a blame game. We’ve really got to get
away from that. This is a ‘how do we help’ game.”

We knew going into this pandemic that we serve a very vulnerable population and we took extensive
steps to try to guard against coronavirus. We continue that fight every day and will do so until there is a
clinically proven treatment and vaccine.