Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Broward Nursing & Rehabilitation Center during CMS and state inspections, most recent first.
Failure to maintain privacy and dignity during bathing care: a resident with severe cognitive impairment and multiple neurologic and functional diagnoses was observed receiving a full body bath and skin care with no towel or blanket covering body parts and the privacy curtain not fully drawn. The roommate had a full view of the resident's nakedness and stated staff do not close the privacy curtains most of the time; the CNA said the door was closed and the curtain was drawn on the right side but did not explain why it was not drawn all the way around the bed.
PASARR screening was not completed or updated for two residents with later mental health diagnoses. One resident had Bipolar Disorder, Adjustment Disorder, Dysthymic Disorder, and Depression, but the PASARR in the record omitted some diagnoses. Another resident had a PASARR completed before admission with no MI checked, then later developed GAD and major depressive disorder with psychotic features, but no new PASARR Level 1 was completed.
Failure to follow fall interventions and develop PTSD care plans: Two residents had documented fall-related interventions, including low bed positioning, that were not followed as observed, and four residents with PTSD had no care plans addressing their diagnosis or triggers. Records, observations, and staff interviews showed that one resident with PTSD symptoms and trauma history, one resident with severe cognitive impairment and PTSD, and two other residents with PTSD diagnoses were not care planned for that condition, while two residents with fall risk had beds observed in positions inconsistent with ordered or planned interventions.
Two residents experienced significant weight loss due to the facility's failure to provide timely nutritional interventions. One resident lost 15.1% of body weight over several months, with inconsistent intake and delayed supplement administration. Another resident, with multiple pressure ulcers and medical conditions, experienced weight loss from 170 to 158.2 pounds, with delayed documentation and intervention. Staff interviews revealed inconsistencies in monitoring and addressing weight loss, contributing to the deficiencies.
A resident with multiple health conditions, including end-stage Parkinson's disease, did not receive oxygen therapy as per the physician's order. The resident was supposed to receive oxygen at 2 liters per minute, but observations showed the concentrator set at 4.5 liters. Staff interviews revealed a lack of awareness of the correct oxygen flow rate, and a hospice nurse was called after the resident's oxygen levels dropped.
The facility failed to ensure timely RD oversight of assessments and recommendations made by a DTR for two residents. The DTR inaccurately listed her title as a Dietitian, allowing her access to additional resident information and leading to delayed RD review of her work. This resulted in significant delays in RD oversight and documentation review, contributing to the deficiency identified by surveyors.
Failure to Maintain Privacy and Dignity During Bathing Care
Penalty
Summary
The facility failed to ensure privacy and dignity were maintained during provision of care for one resident. The resident had diagnoses including unspecified dementia, cerebrovascular disease, hemiplegia and hemiparesis affecting the left non-dominant side, major depressive disorder, and aftercare following surgery of the digestive system. A quarterly MDS assessment showed severely impaired cognition, and the care plan identified self-care performance deficits related to weakness, poor endurance, prior CVA, intracranial hemorrhage with left flaccid hemiparesis or weakness, left ankle flexion contracture, and impaired balance, with an intervention to provide a sponge bath when a full bath or shower could not be tolerated. During an observation, a CNA was providing a full body bath and skin care while the resident was turned on his side with no towel or blanket covering body parts, and the privacy curtain was not drawn all the way. This allowed anyone entering the room, including the roommate and staff, to have a full view of the resident's nakedness. The roommate stated he had seen the resident naked all the time and said staff do not close the privacy curtains 90% of the time. The CNA stated she ensured the door was closed and the privacy curtain was drawn on the right side of the bed, but did not respond when asked why the curtain was not drawn all the way around the bed. Interviews with another CNA, an LPN, the resident's daughter, and the DON confirmed the facility's expectations for privacy and dignity during care and that the resident did not respond or talk.
PASARR Screening Not Updated for Two Residents
Penalty
Summary
PASARR screening for mental disorders or intellectual disabilities was not completed or updated for 2 residents reviewed. One resident was admitted and later readmitted with diagnoses including Bipolar Disorder, Adjustment Disorder, Dysthymic Disorder, and Depression. The quarterly MDS showed a BIMS score of 15, indicating no cognitive impairment. The only PASARR found in the record was dated 04/16/25, and the Section I PASARR decision-making section did not include Adjustment Disorder or Dysthymic Disorder. During interview, the Social Service Assistant stated that when a resident comes from the hospital with an incorrectly filled PASARR, the facility must update it, and she acknowledged the missing diagnoses on the resident's PASARR. A second resident was admitted with diagnoses including Hypertension and Diabetes Mellitus, and the quarterly MDS showed a BIMS score of 14, indicating the resident was cognitively intact. A PASARR completed at the hospital before admission did not check any diagnoses under Mental Illness or Suspected Mental Illness. While in the facility, the resident was later diagnosed with Generalized Anxiety Disorder and then Major Depressive Disorder, Single Episode, Severe with Psychotic Features. During interview, the Social Service Assistant and MDS Coordinator agreed that because these diagnoses were not on the original PASARR and were added later, a new PASARR Level 1 should have been completed. Record review showed no additional PASARRs were done.
Failure to Follow Fall Interventions and Develop PTSD Care Plans
Penalty
Summary
The facility failed to follow care plan interventions related to falls for two residents and failed to initiate care plans for PTSD for four residents. The report describes observations, interviews, and record review showing that the identified residents had documented diagnoses and care needs, but the corresponding care plan interventions were not in place or were not followed as documented. Resident #18 was admitted with diagnoses including depression, PTSD, and anemia. The admission MDS coded the resident for PTSD, and a psychiatry evaluation noted a history of significant trauma with nightmares, flashbacks, hypervigilance, distress, and functional impairment. During interview, the resident reported a history of Vietnam War service, the death of his wife, and PTSD triggers including agitation, nightmares, and depression. The care plan dated 05/26/26 did not show that a PTSD care plan had been started or initiated. Staff stated that the resident only had a medical history of PTSD and that this was why no PTSD care plan was initiated. Resident #104 had diagnoses including cognitive communication deficit and major depressive disorder, and the physician ordered the bed to be in the low position while the resident was in bed. Observations on multiple occasions showed the bed was not in the lowest position and was at the height of the bedside table. The care plan identified the resident as at risk for falls related to dementia and cognitive communication deficit and stated that fall risk would be minimized by keeping the bed in a low position and anticipating and meeting needs. A progress note also documented that the resident had previously been found on the floor at the bedside. Staff stated the resident was not at risk for falls and described keeping the bed low only at night. Resident #109 had diagnoses including generalized anxiety disorder, unsteadiness on feet, and abnormal gait and mobility, with a BIMS score indicating mild cognitive impairment. The orders included keeping the bed in low position while in bed, and the care plan stated the resident had a post-fall plan with interventions including keeping the bed in the lowest position and using a scoop mattress. However, repeated observations showed the resident lying on a scoop mattress with the bed in a high position and a fall mat in place. Staff described that the bed is usually kept low for residents at fall risk, but also stated that the bed is raised for care and then should be returned to low position. Resident #19 was admitted and readmitted with diagnoses of PTSD and bipolar disorder, with a BIMS score indicating no cognitive impairment, but the care plan review showed no PTSD care plan was developed. Resident #12 had diagnoses including major depressive disorder, bipolar disorder, cerebral infarction, PTSD, and aphasia, with severe cognitive impairment on MDS. The resident’s daughter identified PTSD triggers including loud noises and people approaching without eye contact or advance notice, and staff acknowledged knowing the resident had PTSD but stated they did not know the triggers or that no PTSD care plan was needed because PTSD was considered only medical history. Resident #98 was admitted with PTSD, was cognitively intact, and required partial/moderate assistance with ADLs, but the care plan review showed no PTSD care plan identifying triggers. The MDS Coordinator acknowledged the findings.
Failure to Address Significant Weight Loss in Residents
Penalty
Summary
The facility failed to identify significant weight loss and provide timely nutritional interventions for two residents. Resident #12 experienced severe weight loss over a period of months, with a 15.1% loss from November to January. Despite being cognitively intact and expressing dissatisfaction with some meals, the resident's nutritional needs were not adequately addressed. The resident's intake was inconsistent, and although supplements were recommended, they were not consistently administered. The facility's policy required prompt intervention for significant weight loss, but delays in implementing nutritional support were evident. Resident #13 also experienced weight loss, with a decrease from 170 pounds in October to 158.2 pounds in February. The resident had multiple stage 3 and 4 pressure ulcers and other medical conditions that increased susceptibility to weight loss. Although dietary supplements were ordered, there was a delay in their documentation and administration. The Registered Dietary Technician acknowledged the lack of documentation and monitoring, and the Director of Nursing confirmed the resident's susceptibility to weight loss due to underlying conditions. Interviews with staff revealed inconsistencies in monitoring and addressing weight loss. Staff A, responsible for tracking weights, was unsure of Resident #12's eating habits and delayed interventions. Similarly, for Resident #13, there was a lack of timely documentation and intervention despite known weight loss and medical conditions. The facility's failure to adhere to its policy on weight assessment and intervention contributed to the deficiencies observed in the care of these residents.
Oxygen Therapy Not Administered as Ordered
Penalty
Summary
The facility failed to ensure that a resident received oxygen therapy as per the physician's order. The resident, who had a history of essential hypertension, type 2 diabetes mellitus with diabetic neuropathy, anemia, and end-stage Parkinson's disease, was dependent on staff for all activities of daily living and was using oxygen. The physician's order specified that the resident should receive oxygen via nasal cannula at 2 liters per minute continuously for shortness of breath and wheezing. However, observations on two consecutive days revealed that the resident's oxygen concentrator was set at 4.5 liters per minute, contrary to the physician's order. Staff interviews indicated a lack of awareness and adherence to the prescribed oxygen flow rate. A registered nurse admitted to not checking the oxygen machine flow rate, and the unit manager confirmed that the oxygen rate was set incorrectly. The Director of Nursing later provided documentation of a previous order allowing a range of 2-4 liters, which had been discontinued. The hospice nurse was called after the resident was reported to be desaturating, and a new physician order was obtained for 4 liters of oxygen as needed, highlighting the discrepancy in the administration of oxygen therapy.
Lack of Timely RD Oversight for DTR Assessments
Penalty
Summary
The facility failed to ensure that a Registered Dietitian (RD) provided and documented oversight of assessments and recommendations performed by a Dietetic Technician, Registered (DTR) for two residents. The DTR inaccurately listed her title as a Dietitian in the facility's electronic system, which allowed her access to additional resident information. This misrepresentation led to the DTR performing assessments and making recommendations without timely review or approval by an RD. For one resident, the DTR documented a Nutrition/Dietary Note indicating significant weight loss and made recommendations for nutritional interventions. However, the RD did not review or collaborate on this note until over a month later. Similarly, for another resident, the DTR authored an Enteral Nutrition Evaluation Note, but it was not reviewed by an RD until six weeks after the evaluation was written. These delays in RD oversight and documentation review were acknowledged by the facility's Director of Clinical Services and the DTR herself. Interviews with facility staff revealed that the DTR was entered into the electronic system as a Dietitian to access resident information, despite being a DTR. The facility's Director of Clinical Services and the contracted company's Owner/RD confirmed that the DTR's work should be reviewed by an RD within a specific timeframe, which was not adhered to in these cases. The lack of timely RD review and oversight of the DTR's assessments and recommendations contributed to the deficiency identified by the surveyors.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Fort Lauderdale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aviata At The Sea - Harbor Beach | 0.6 mi | ★★★★★ | 0 | 0 |
| Wilton Manors Healthcare & Rehabilitation Center | 3.8 mi | ★★★★★ | 0 | 0 |
| Pearl At Fort Lauderdale Rehabilitation And Nursin | 3.9 mi | ★★★★★ | 0 | 0 |
| Plantation Nursing & Rehabilitation Center | 4.2 mi | ★★★★★ | 0 | 0 |
| Westlake Nursing And Rehab Center | 4.3 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.