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 Deerfield Beach Health And Rehabilitation Center during CMS and state inspections, most recent first.
Inadequate Water Temperatures for Bathing and Showering: Surveyors found sink water on the C and D Wings running at 73°F to 78°F after several minutes, and the Administrator and Maintenance Assistant acknowledged the wing water heaters were not functioning. Residents on both wings reported bathing and showering with cold water for weeks to over a month, including a bedbound resident with osteomyelitis and DM2, a resident with cerebral infarction and dysphagia, and a resident with DM2 and bipolar disorder.
The facility failed to maintain a safe and clean environment, with deficiencies in resident rooms and the laundry room. Two residents experienced non-functioning call lights, delaying assistance. Observations revealed issues like black substances on vents, stained curtains, and broken equipment. Staff reported non-working air conditioning and dryers in the laundry room, with no evidence of timely repairs.
A resident's grievance regarding missing personal belongings was not addressed in a timely manner by the facility. Despite the resident's cognitive intactness and repeated requests for updates, the facility failed to investigate or resolve the issue for over two months. The grievance log showed no documented investigation, and staff interviews revealed inconsistencies in handling the resident's belongings, leading to a deficiency in grievance management.
The facility failed to provide adequate nutritional support and accurate assessment for two residents. One resident with severe visual impairment and cognitive decline experienced significant weight loss due to lack of meal assistance and unimplemented dietary recommendations. Another resident on tube feeding was inaccurately assessed, with the dietitian failing to document nutritional intake properly. These deficiencies highlight the facility's shortcomings in ensuring proper nutritional care.
The facility failed to provide proper tracheostomy care and documentation for a resident, leaving them to manage their care alone. Additionally, oxygen tubing was not dated correctly for another resident, and nebulizer equipment was improperly stored, indicating a lack of adherence to respiratory care protocols.
A facility failed to provide trauma-informed care for a resident with PTSD by not identifying or documenting the resident's specific triggers, despite the resident's known trigger of loud noises. Staff interviews revealed a lack of awareness and understanding of the resident's PTSD diagnosis and triggers, and the facility's electronic health records lacked documentation of these triggers. This oversight led to a failure in providing competent trauma-informed care as required by the facility's policy.
The facility failed to maintain sufficient nursing staff on weekends, as evidenced by staffing calculations showing less than 1.0 hour of licensed nursing staff per resident on two Sundays. A resident with paraplegia and anxiety disorder reported that the short staffing affected her care. Staff interviews confirmed that call-offs were not replaced, leading to inadequate staffing levels, which the DON and Administrator acknowledged.
The facility failed to secure medication carts and manage keys properly, with three carts left unlocked and unattended in the C-wing and B-wing areas. Staff acknowledged the carts should have been secured. Additionally, keys were left unsecured on a cart in the D-wing, leading to a delay in a resident receiving pain medication.
The facility failed to implement an effective QAPI plan to address repeated deficiencies in maintaining a safe environment, proper nutrition, and respiratory care. Issues included poor equipment maintenance, untimely nutritional interventions, and inadequate tracheostomy care. Despite monthly QAPI meetings and data collection, the facility lacked measurable goals to assess improvement.
The facility failed to maintain essential equipment safely, as evidenced by a leaking AC unit causing water pooling under two residents' beds. Despite maintenance records, the issue persisted, with residents and visitors reporting warm room temperatures and recurring water puddles. Additionally, the bathroom had a non-functional shower drain, causing flooding and emitting a musty odor. Further observations revealed similar sanitation issues in other areas of the facility.
Inadequate Water Temperatures for Bathing and Showering
Penalty
Summary
The facility failed to provide comfortable water temperatures for bathing and showering for 88 residents on the C and D Wings. During a tour with the Maintenance Assistant, surveyors measured sink water temperatures after running the water for approximately 5 to 7 minutes and found average temperatures of 73°F to 76.4°F in a C Wing room and 75°F to 78°F in a D Wing room. The Administrator and Maintenance Assistant acknowledged that the water heaters on the C and D Wings were not functioning. Resident interviews confirmed the impact of the deficient water temperatures. A resident on the C Wing who was bedbound and had diagnoses including osteomyelitis and type 2 diabetes mellitus stated that she had been bathed with cold water and had not complained because she was told staff were working on the hot water problem, which she said had been ongoing for over a month. Another C Wing resident with a BIMS score of 15 and diagnoses including cerebral infarction and dysphagia stated that showers had been cold for a couple of weeks and were very uncomfortable, though he continued showering in his bathroom rather than going to other wings. A D Wing resident with a BIMS score of 15 and diagnoses including type 2 diabetes mellitus and bipolar disorder stated that she had been without warm water for over a month and found it very difficult to shower when the water was cold.
Facility Maintenance and Call Light Deficiencies
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment for its residents, as evidenced by multiple deficiencies observed during a survey. In 11 out of 95 resident rooms, issues such as black substances on air conditioning vents, thick dust on filters, stained privacy curtains, broken drawers, dislodged flooring, and overwhelming urine odors were noted. Additionally, the facility's laundry room was found to have non-functional equipment, including an air conditioning unit, dryers, and washers, with visible dirt and lint accumulation, indicating a lack of proper maintenance and cleanliness. The report highlights specific incidents involving two residents who experienced issues with non-functioning call lights. One resident, admitted with Type 2 Diabetes and other conditions, was unable to summon assistance using the call light, resulting in a prolonged wait for help. Another resident, with a history of falls and muscle weakness, reported intermittent call light functionality, leading to delays in receiving care. These deficiencies in the call light system compromised the residents' ability to receive timely assistance, as confirmed by staff interviews and observations. The facility's failure to address maintenance issues in the laundry room further exacerbated the situation. Staff reported non-working air conditioning and dryers, with broken lint filters and rusted washers, contributing to an unsanitary environment. Despite staff awareness and communication of these issues to management, there was no evidence of timely repairs or maintenance, as no records were provided to demonstrate efforts to rectify the problems. This lack of action reflects a broader issue of inadequate facility management and maintenance, impacting both resident care and staff working conditions.
Failure to Resolve Resident's Grievance on Missing Personal Belongings
Penalty
Summary
The facility failed to address a grievance in a timely manner concerning the personal belongings of a resident who was cognitively intact and had been readmitted after a hospital stay. The resident, who had a history of Type 2 Diabetes Mellitus, Chronic Kidney Disease, and other health issues, reported that upon returning to the facility, his personal belongings, including an iPad, family pictures, and clothing, were missing. Despite raising the issue with the Unit Manager, Social Services, and the Administrator, the resident did not receive a resolution for over two months, leading to distress as he had to wear someone else's clothes to his dialysis treatment. The facility's grievance policy requires prompt efforts to resolve resident concerns, with the Social Services Director and the Administrator responsible for oversight. However, the grievance log showed that the resident's grievance was active since December, with no documented investigation or resolution. The Social Services Director acknowledged the lack of follow-up and investigation, despite having spoken with the resident and his brother about providing receipts for reimbursement. The storage room log did not record the resident's belongings, indicating a failure in the process of handling and documenting personal items during hospital discharges. Interviews with staff revealed inconsistencies in the handling of the resident's belongings. The Unit Manager and Maintenance Assistant confirmed that the resident's items were not found in the storage room, and the Discharged Resident Storage log did not list the resident's belongings as stored. The Administrator admitted that the grievance report was incomplete and acknowledged the absence of a proper investigation. This lack of documentation and follow-up contributed to the unresolved grievance, highlighting a deficiency in the facility's grievance management process.
Failure to Provide Nutritional Support and Accurate Assessment
Penalty
Summary
The facility failed to provide adequate assistance and nutritional supplements to a resident with severe visual impairment and cognitive decline. Resident #288, who was admitted with macular degeneration and muscle wasting, experienced significant weight loss over a short period. Observations revealed that the resident was often left without assistance during meals, resulting in minimal food intake. Despite a recommendation from the dietitian to add a nutritional supplement, Magic Cup, to the resident's meals, this was not implemented, contributing to further weight loss. Another deficiency was identified in the facility's assessment of a resident receiving tube feeding. Resident #158, who was moderately cognitively impaired and diagnosed with dementia and protein-calorie malnutrition, was observed eating meals independently. However, the facility continued to administer tube feeding as per the physician's orders. The dietitian's evaluation failed to accurately document the nutritional intake from the tube feeding, marking sections as not applicable, which led to an incomplete assessment of the resident's nutritional status. These deficiencies highlight the facility's failure to ensure proper nutritional support and accurate assessment of residents' dietary needs. The lack of staff assistance during meals and the oversight in implementing dietary recommendations contributed to the residents' compromised nutritional status.
Deficiencies in Respiratory Care and Documentation
Penalty
Summary
The facility failed to provide proper tracheostomy care and documentation for a resident with a tracheostomy. The resident, who was cognitively intact, had a history of intermittently removing the inner cannula and refusing tracheostomy care. Despite this, there was no documentation of the resident refusing care or performing self-care, nor was there an assessment to ensure the resident could safely perform tracheostomy care. Observations revealed that the resident was often left to manage his tracheostomy care alone, including changing the trach collar and using the suction machine, without adequate assistance from nursing staff. Additionally, the facility failed to properly date the oxygen tubing for another resident who was dependent on supplemental oxygen. The resident's medical records indicated that the oxygen tubing was not changed as per the physician's orders, and observations confirmed that the tubing was not dated correctly. This oversight in documentation and adherence to orders could potentially impact the resident's respiratory care. Furthermore, the facility did not properly store the nebulizer mask for a resident receiving respiratory therapy. The nebulizer tubing was observed not enclosed in a plastic bag as required, and there was a lack of documentation indicating regular changes of the nebulizer setup. Interviews with nursing staff revealed inconsistencies in the care and management of respiratory equipment, highlighting a failure to follow established protocols for respiratory therapy equipment maintenance.
Failure to Identify and Document PTSD Triggers
Penalty
Summary
The facility failed to provide trauma-informed care for a resident diagnosed with PTSD, as they did not identify or document the resident's specific PTSD triggers. The facility's policy on trauma-informed care requires the identification and mitigation of triggers to prevent re-traumatization. However, the care plans reviewed did not include any specific focus, goals, or interventions related to the resident's PTSD triggers, despite the resident having a known trigger of loud noises. Interviews with staff revealed a lack of awareness and understanding of the resident's PTSD triggers. The resident reported that no staff had asked about his triggers, and several staff members, including a Licensed Practical Nurse and a Certified Nursing Assistant, were unaware of the resident's PTSD diagnosis or specific triggers. The Social Worker acknowledged the need to document PTSD triggers but indicated that if no triggers were identified, there was nothing to report to the nursing staff. The deficiency was further highlighted by the lack of documentation in the facility's electronic health records regarding the resident's PTSD triggers. Despite in-service training on trauma-informed care, staff interviews indicated a gap in knowledge and communication about the resident's specific needs. This oversight in identifying and documenting the resident's PTSD triggers led to a failure in providing competent trauma-informed care, as required by the facility's policy.
Inadequate Weekend Staffing in LTC Facility
Penalty
Summary
The facility failed to maintain sufficient nursing staff on a 24-hour basis to meet the needs of its residents, as required by federal and state laws. The deficiency was identified through a review of the facility's staffing policy and procedure, which mandates that the Administrator and the Director of Nursing (DON) ensure adequate staffing levels. Despite this policy, the facility's staffing calculations for January, February, and March 2025 revealed that on two specific Sundays, the licensed nursing staff daily average hours were recorded as less than 1.0 hour per resident. This shortfall was attributed to call-offs that were not replaced, leading to inadequate staffing levels. Interviews with staff and residents further highlighted the impact of this deficiency. A resident with multiple diagnoses, including paraplegia and anxiety disorder, expressed concern about the facility being short-staffed on weekends, affecting her care. The Staffing Coordinator admitted to underreporting staffing levels during the specified period, and both a CNA and an RN confirmed that weekend staffing was often insufficient due to call-offs. The DON and the Administrator acknowledged the failure to maintain adequate staffing, recognizing the need for compliance with staffing regulations.
Medication Cart Security and Key Management Deficiencies
Penalty
Summary
The facility failed to secure medication carts and ensure that keys to these carts were secured at all times, as observed during a survey. Three medication carts in the C-wing and B-wing areas were found unlocked, unattended, and accessible to residents, employees, and visitors. Staff members, including registered nurses and licensed practical nurses, acknowledged that the carts should have been locked and secured. The Director of Nursing also recognized that the medication carts should have been locked at all times. The surveyor's intervention was required to secure the carts. Additionally, there was an issue with the handling of keys for the medication cart in the D-wing. A set of keys was left in the narcotic book on top of the medication cart, making it accessible. A resident reported a delay in receiving pain medication, which was attributed to the mishandling of the keys. Staff interviews revealed that the keys were left unsecured due to a nurse being busy, and the RN Supervisor acknowledged that this was not best practice.
Facility Lacks Effective QAPI Plan for Repeated Deficiencies
Penalty
Summary
The facility failed to ensure an effective Quality Assurance Performance Improvement (QAPI) plan to prevent repeated deficiencies in three areas: maintaining a safe, clean, and comfortable environment; ensuring proper nutrition and hydration status maintenance; and providing adequate respiratory/tracheostomy care and suctioning. Specifically, the facility was cited for not keeping all areas and equipment in good repair, with issues such as missing and crumbling plaster and vents with a black mold-like substance. Additionally, the facility did not provide timely nutritional interventions or assist residents during dining, and failed to maintain a sterile field during tracheostomy care. The facility's QAPI meetings, held monthly, included discussions on these ongoing issues, but lacked measurable goals to determine if improvements were being made. Despite collecting data, conducting audits, and providing education, the facility did not have a clear indication of whether the QAPI efforts were effective in addressing the cited deficiencies. The report highlights the need for a more structured approach to track and measure the effectiveness of the QAPI initiatives in these critical areas.
Facility Fails to Maintain Safe Environment Due to Leaking AC and Poor Sanitation
Penalty
Summary
The facility failed to maintain essential equipment in a safe operating condition, resulting in a leaking air conditioner in the room of two residents. The air conditioner was observed to be leaking water, which pooled under one resident's bed and spread towards the other resident's bed. Despite maintenance records indicating that preventive maintenance tasks were completed, the issue persisted, and staff interviews revealed that the problem was ongoing and had been reported to maintenance. The residents and their visitors reported the room being warm and the presence of water puddles, which were mopped but reappeared quickly. Additionally, the facility failed to provide a safe and sanitary environment in the residents' bathroom and shower areas. Water with an offensive odor was observed coming from the bathroom, and the shower drain was reported to be non-functional, causing water to flood into the room. The residents and their visitors expressed concerns about the potential for slipping and falling due to the water. The bathroom was also noted to have a musty, bad smell, and the residents reported difficulty in getting staff attention to address these issues. Further observations during a tour of the facility revealed additional concerns with the environment. In the A wing shower room, there was discoloration on the AC vent and a musty, ammonia smell. Another room was noted to have a musty, ammonia smell in the bathroom, which intensified when the water was turned on. The toilet base in this room had been re-caulked and resealed, but a strong disinfectant odor was present, indicating recent attempts to address the issue.
What surveyors are citing around you — mapped
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What surveyors actually found near you
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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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A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Pompano Beach
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pompano Health And Rehabilitation Center | 0.2 mi | ★★★★★ | 23 | 0 |
| Aviata At The Sea - Pompano Beach | 3.1 mi | ★★★★★ | 0 | 0 |
| Childrens Comprehensive Care Center Inc | 3.2 mi | ★★★★★ | 2 | 0 |
| John Knox Village Of Pompano Beach | 3.7 mi | ★★★★★ | 0 | 0 |
| Solaris Healthcare Coconut Creek | 3.9 mi | ★★★★★ | 6 | 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.