Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Chatsworth At Pga National during CMS and state inspections, most recent first.
A resident experienced a significant weight loss of 10.30% without timely nutritional interventions. Despite a care plan requiring a pureed diet with double portions, the resident was initially served incorrect meal consistency. The dietitian failed to identify the weight loss as significant and did not order additional interventions. Communication gaps and procedural lapses were evident among staff, leading to inadequate response to the resident's nutritional needs.
A resident experienced a significant weight loss of 10.30% since admission, and the facility failed to provide timely nutritional interventions. The Clinical Dietitian, responsible for nutritional assessments, did not adequately address the weight loss, and the facility's procedures for managing significant changes in nutritional status were not followed. Despite food preferences being noted, the resident's weight loss continued.
The facility did not maintain their commercial cooking equipment as per NFPA 101 standards. During a record review, it was found that there was no documentation for the semi-annual inspection of the commercial cooking hood, with the last inspection recorded in December 2023. The Director of Continuum and Maintenance Supervisor acknowledged the findings during an interview.
The facility failed to maintain documentation for required fire alarm system inspections and tests, including semiannual fire alarm inspection, biennial smoke detector sensitivity, and annual duct detector pressure differential, as per NFPA 101 standards. This was confirmed during a record review and interview with the Director of Continuum and Maintenance Supervisor.
The facility did not maintain proper documentation for their fire sprinkler system inspections for several quarters in 2024, with the last inspection recorded in August 2024. Additionally, there was no documentation for the 5-year backflow preventer inspection, and no spare sprinkler list was posted in the riser room. These issues were acknowledged by the Director of Continuum and Maintenance Supervisor during a review.
The facility failed to maintain its HVAC system according to NFPA 101 standards, as evidenced by the lack of documentation for fire/smoke damper inspections and non-functional exhaust fans in soiled utility rooms in both the north and south wings. These issues were identified during a facility tour and acknowledged by the Director of Continuum and Maintenance Supervisor.
The facility did not maintain and test their fire doors as required by NFPA 101, with the last inspection recorded in December 2023. During a review, the Director of Continuum and Maintenance Supervisor acknowledged the absence of documentation for the annual inspection, indicating non-compliance with fire safety standards.
The facility failed to maintain and test their essential electrical system as required by NFPA standards. During a record review, it was found that there was no documentation for the main and feeder circuit breaker exercise or the generator's annual fuel quality test. The Director of Continuum and Maintenance Supervisor acknowledged these deficiencies.
Failure to Address Significant Weight Loss in Resident
Penalty
Summary
The facility failed to maintain acceptable parameters of nutritional status and provide timely nutritional interventions for a resident, identified as Resident #23. The resident was admitted with several diagnoses and was dependent on staff assistance for eating and all activities of daily living. Despite having a care plan that required a pureed diet with double portions, the resident was initially served an incorrect meal consistency. Observations showed that the resident had a good appetite and consumed 100% of meals when provided correctly. The resident experienced a significant weight loss of 10.30% from admission to a later date, which was not addressed in a timely manner. The facility's policy required weight monitoring and intervention for significant changes, but the dietitian failed to identify the weight loss as significant during assessments. The dietitian only reviewed recent weight changes and did not consider the complete history, missing the overall trend of weight loss. No additional nutritional interventions or supplements were ordered despite the resident's risk for further weight loss and overall decline. Interviews with staff revealed communication gaps and procedural lapses. The dietitian was not aware of the resident's double portion preference and did not attend high-risk rounds, relying on email updates. The Assistant Director of Nursing (ADON) identified the weight loss and notified the dietitian, but the dietitian did not provide recommendations to update the nutrition care plan. The interdisciplinary team acknowledged the findings, indicating a lack of coordinated response to the resident's nutritional needs.
Plan Of Correction
POC for Citation F692 This plan of correction is the facility's credible allegation of compliance. Preparation and/or execution of this plan does not constitute admission nor agreement by the provider of the truth and facts alleged nor conclusions set forth in the statement of deficiencies. The plan of correction is prepared and/or executed solely because it is required by provisions of federal and state law. Resident #23 had a loss which was reviewed by the Registered Dietician. Both resident's son and PCP were aware of his stated loss. Care plan was updated by Clinical Team to include the following new interventions: - Daily per Registered Dietician - Continue double portion meals - Ensure Shakes increased from daily to twice a day - Lab work (CMP, Pre-) Resident was daily until with fluctuations between 118- consistently, and consuming 100% of meals. Per dietician, despite consuming 100% of meals (double portions) and Ensure supplement, the resident continues to experience unintentional loss ( ). Order was received to discontinue daily and new order was given for weekly. During conversation with Resident #23's son on to give an additional follow-up regarding his current status, he requested a hospice consult and was signed onto hospice effective. The Registered Dietician, ADON, or designee will conduct an audit of current Skilled Nursing residents to identify loss, and ensure proper nutritional interventions are in place. Any discrepancies will be addressed promptly. The Staff Development Coordinator or designee will educate the Registered Dietician and Nursing staff on the facility policy for management. The ADON or designee will review the report and clinical notes during morning clinical meeting to identify a loss or change in condition to ensure proper nutritional interventions are in place promptly. The Registered Dietician will attend weekly high-risk rounds meeting to review any residents with loss and/or change in condition. The Registered Dietician or designee will conduct an audit of current residents on a weekly basis for one month, and then monthly for two months thereafter to identify loss and ensure proper nutritional interventions are in place. Discrepancies will be addressed promptly. Audit findings will be reported to the Quality Assurance Performance Improvement (QAPI) committee for monthly review. Additional audits and education may be determined based on audit findings.
Failure to Address Significant Weight Loss in Resident
Penalty
Summary
The facility failed to maintain acceptable parameters of nutritional status and provide timely nutritional interventions for a resident. The resident was admitted with several diagnoses, including major health conditions, and experienced a significant weight loss trend of 10.30 percent since admission. The facility's policy required that residents' nutritional status be monitored and significant changes be addressed by notifying the dietitian and revising the care plan. However, the dietitian did not review the complete history of the resident's weight loss, and the necessary interventions were not implemented in a timely manner. Interviews with facility staff revealed that the Clinical Dietitian, who worked part-time, was responsible for conducting nutritional assessments and was aware of the criteria for significant weight loss. Despite this, the dietitian did not adequately address the resident's weight loss, and the facility's procedures for managing significant changes in nutritional status were not followed. The General Manager for Dining noted that food preferences, such as double portions, were entered into the resident's chart, but this did not prevent the resident's continued weight loss.
Plan Of Correction
POC for Citation N201 This plan of correction is the facility's credible allegation of compliance. Preparation and/or execution of this plan does not constitute admission nor agreement by the provider of the truth and facts alleged nor conclusions set forth in the statement of deficiencies. The plan of correction is prepared and/or executed solely because it is required by provisions of federal and state law. Resident #23 had a loss which was reviewed by the Registered Dietician. Both resident's son and PCP were aware of his stated loss. Care plan was updated by Clinical Team to include the following new interventions: - Daily per Registered Dietician - Continue double portion meals and ensure shakes increased from daily to twice a day - Lab work (. CMP, Pre-Resident was daily until with fluctuations between 118- consistently, and consuming 100% of meals. Per dietician, despite consuming 100% of meals (double portions) and ensure supplement, the resident continues to experience unintentional loss. Order was received to discontinue daily and new order was given for weekly. During conversation with Resident #23's son on to give an additional follow-up regarding his current status, he requested a hospice consult and was signed onto hospice effective. The Registered Dietician, ADON, or designee will conduct an audit of current Skilled Nursing residents to identify loss and ensure proper nutritional interventions are in place. Any discrepancies will be addressed promptly. The Staff Development Coordinator or designee will educate the Registered Dietician and Nursing staff on the facility policy for management. The ADON or designee will review the report and clinical notes during morning clinical meeting to identify a loss or change in condition to ensure proper nutritional interventions are in place promptly. The Registered.
Failure to Maintain Commercial Cooking Equipment
Penalty
Summary
The facility failed to maintain their commercial cooking equipment in accordance with NFPA 101 standards. During a record review conducted on April 15, 2025, between 10:00 AM and 2:00 PM, it was found that there was no documentation available for the semi-annual inspection of the commercial cooking hood. The last recorded inspection took place on December 8, 2023, indicating that the required inspection had not been conducted within the stipulated timeframe. An interview with the Director of Continuum and the Maintenance Supervisor, conducted concurrently with the record review, confirmed the absence of the necessary documentation. Both individuals acknowledged the findings, which were subsequently reviewed with them at the exit meeting on the same day at 3:45 PM. The deficiency was noted under NFPA 101 (2021 Edition) and NFPA 96 (2021 Edition), highlighting the facility's non-compliance with the required standards for maintaining commercial cooking equipment.
Plan Of Correction
This plan of correction is the facility's credible allegation of compliance. Preparation and/or execution of this plan does not constitute admission nor agreement by the provider of the truth and facts alleged nor conclusions set forth in the statement of deficiencies. The plan of correction is prepared and/or executed solely because it is required by provisions of federal and state law. K324 The kitchen hood was serviced and cleaned on 1/23/25. Reports and proof service will be sent to Life Safety Inspector and available upon request. This plan of correction is the facility's credible allegation of compliance. Preparation and/or execution of this plan does not constitute admission nor agreement by the provider of the truth and facts alleged nor conclusions set forth in the statement of deficiencies. The plan of correction is prepared and/or executed solely because it is required by provisions of federal and state law. K324 The kitchen hood was serviced and cleaned on 1/23/25. Reports and proof service will be sent to Life Safety Inspector and available upon request.
Failure to Maintain Fire Alarm System Documentation
Penalty
Summary
The facility failed to maintain their fire alarm system in accordance with NFPA 101 standards. During a record review conducted on April 15, 2025, between 10:00 AM and 2:00 PM, it was discovered that the facility did not have documentation for several critical inspections and tests. Specifically, there was no documentation for the semiannual fire alarm inspection, the biennial smoke detector sensitivity test, and the annual duct detector pressure differential test. These findings were confirmed during an interview with the Director of Continuum and the Maintenance Supervisor, who acknowledged the lack of documentation. The absence of these records indicates that the facility did not adhere to the required testing and maintenance schedule for their fire alarm system as outlined by NFPA 101 and NFPA 72. The findings were reviewed with the Director of Continuum and Maintenance Supervisor at the exit meeting on the same day, highlighting the facility's failure to comply with the necessary fire safety standards. This deficiency was classified as a Class III violation, indicating a significant lapse in maintaining essential safety protocols.
Failure to Maintain Fire Sprinkler System Documentation
Penalty
Summary
The facility failed to maintain their automatic fire sprinkler system in accordance with NFPA 101 and NFPA 25 standards. During a review of records and a facility tour conducted on April 15, 2025, it was found that there was no documentation available for the automatic fire sprinkler inspections for the first, second, and fourth quarters of 2024. The last recorded inspection was dated August 30, 2024. Additionally, there was no documentation for the 5-year backflow preventer internal inspection, and no spare sprinkler list was posted near the spare sprinkler cabinet in the riser room. These deficiencies were identified during a record review and observation conducted with the Director of Continuum and the Maintenance Supervisor, who acknowledged the findings. The lack of documentation and maintenance records indicates a failure to adhere to the required inspection and testing schedule for the fire protection system, as outlined by NFPA 101 and NFPA 25 standards. The findings were reviewed with the facility's leadership at the conclusion of the inspection.
HVAC System Deficiency Due to Lack of Maintenance
Penalty
Summary
The facility failed to maintain its Heating, Ventilation, and Air Conditioning (HVAC) system in accordance with NFPA 101 standards. During a record review and facility tour conducted on April 15, 2025, by the Director of Continuum and the Maintenance Supervisor, it was found that there was no documentation available for the inspection of fire/smoke dampers. This lack of documentation indicates a failure to adhere to required safety protocols for HVAC systems. Additionally, the inspection revealed that exhaust fans in the soiled utility rooms located in both the north and south wings were not in working condition. These findings were acknowledged by the Director of Continuum and the Maintenance Supervisor during the review and were discussed with them at the exit meeting on the same day. The absence of operational exhaust fans in these areas suggests a lapse in maintaining proper ventilation, which is crucial for ensuring a safe and healthy environment within the facility.
Plan Of Correction
1. The fire/ Smoke damper inspections were conducted on 3/14/2024 and 4/21/2025. There are 8 fusible links and 2 mechanical dampers. 2. The exhaust fans for North and South soiled utility rooms were serviced on 4/16/25. Both function properly and will be maintained ongoing. Reports and proof service will be sent to Life Safety Inspector and available upon request. 1. The fire/ Smoke damper inspections were conducted on 3/14/2024 and 4/21/2025. There are 8 fusible links and 2 mechanical dampers. 2. The exhaust fans for North and South soiled utility rooms were serviced on 4/16/25. Both function properly and will be maintained ongoing. Reports and proof service will be sent to Life Safety Inspector and available upon request.
Failure to Maintain and Test Fire Doors Annually
Penalty
Summary
The facility failed to maintain and test their fire doors in accordance with NFPA 101, as evidenced by the lack of documentation for the annual inspection of fire door assemblies. During a record review conducted on April 15, 2025, with the Director of Continuum and the Maintenance Supervisor, it was found that the last recorded inspection was dated December 18, 2023. This indicates that the required annual inspection had not been performed within the stipulated timeframe. The Director of Continuum and the Maintenance Supervisor acknowledged the findings during an interview conducted concurrently with the record review. The absence of documentation for the fire door annual inspection was confirmed and discussed with them at the exit meeting on the same day. The report highlights the facility's non-compliance with the NFPA 101 and NFPA 80 standards, which require that fire door assemblies be inspected and tested annually to ensure they are in proper working condition.
Failure to Document Essential Electrical System Maintenance
Penalty
Summary
The facility failed to maintain and test their essential electrical system in accordance with NFPA standards. During a record review conducted on April 15, 2025, between 10:00 AM and 2:00 PM, it was discovered that there was no documentation available for the performance of the main and feeder circuit breaker exercise. Additionally, there was no documentation provided for the generator's annual fuel quality test. These deficiencies were identified during a review with the Director of Continuum and the Maintenance Supervisor. The Director of Continuum and the Maintenance Supervisor acknowledged the findings during an interview conducted concurrently with the record review. The lack of documentation for these critical maintenance activities indicates a failure to adhere to the required standards for maintaining the essential electrical system, which is crucial for ensuring the safety and reliability of power in the facility. The findings were reviewed with the Director of Continuum and the Maintenance Supervisor at the exit meeting on the same day.
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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 Palm Beach Gardens
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Edward J Healey Rehabilitation And Nursing Center | 2.6 mi | ★★★★★ | 0 | 0 |
| Gardens Court | 3.6 mi | ★★★★★ | 6 | 0 |
| Nursing Center At La Posada, The | 4.1 mi | ★★★★★ | 0 | 0 |
| North Lake Care Center And Rehab | 4.3 mi | ★★★★★ | 11 | 0 |
| Prosper Health And Rehabilitation Center | 4.4 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 July 2026) and official state health department websites.