N0055

D

Failure to Ensure Timely Physician Visits

Rehabilitation Center Of The Palm Beaches, TheWest Palm Beach, Florida Survey Completed on 03-27-2025

Summary

The facility failed to ensure that a resident received timely physician visits as required by 59A-4.107(6), FAC. Specifically, after being readmitted to the facility following a hospitalization, the resident's records showed a lack of physician progress notes for a period extending from the date of readmission through a subsequent period, with only one progress note documented. This gap in physician evaluation was confirmed during an interview with the DON, who acknowledged the absence of timely physician visits for the resident. The resident in question had mild cognitive impairment and was dependent on staff for activities of daily living (ADLs).

Plan Of Correction

What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice:

1. Resident #63 was seen on. The Physician assigned was re-educated on timely documentation and submission to the facility as required.

How you will identify other residents having potential to be affected by the same deficient practice and what corrective action will be taken:

2. Current residents' charts have been audited over the past 30 days, and timely Physician visits are in place.

What measures will be put into place or what systematic changes you will make to ensure that the deficient practice does not recur:

3. Medical Records have been in-serviced on monitoring timely Physician visits.

How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put in place:

4. Medical Records/designee will audit Physician's progress notes biweekly for timely visits times four weeks and report findings to QAA&C committee for three months or until substantial compliance is met.

Penalty

No penalty information released