Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Edward J Healey Rehabilitation And Nursing Center during CMS and state inspections, most recent first.
Failure to provide ordered pressure ulcer prevention care occurred when a resident with Parkinson's disease, muscle weakness, a stage 4 sacral ulcer, and moderate cognitive impairment was ordered to wear soft boots in bed, but was repeatedly observed without them. Staff confirmed the resident had refused the boots, yet the refusal was not documented in the care plan or progress notes, and the order was not linked to the task list for staff documentation.
A resident with hemiplegia and muscle weakness did not consistently receive ordered adaptive feeding equipment, and staff did not document an alleged refusal of the left wrist splint used for self-feeding. Another resident with spinal cord injury and paraplegia had an active order for bilateral ankle boots for contracture management, but staff records did not show the boots were provided, and observations found the boots stored away while the resident sat in a wheelchair wearing regular shoes.
Incomplete Quarterly Assessments for Bed Rails/Assist Bars: The facility failed to complete quarterly bed rail/assist bar assessments for 3 residents who had upper transfer assist bars in place and physician orders for the devices. The residents had significant medical and cognitive impairments, including CVA-related hemiplegia, vascular dementia, CKD, dysphagia, and severe cognitive impairment. Occupational therapy assessments repeatedly marked bed rails as N/A or noted no assessment completed, while staff gave conflicting statements about whether assist bars were considered bed rails and who completed the assessments.
A RN failed to maintain sterile technique during trach care for a resident with a trach, respiratory failure, and severe cognitive impairment by touching sterile drapes and supplies with bare and clean gloves, placing suction tubing on the bed, and continuing care without changing gloves after contact with environmental surfaces. The same RN also failed to change gloves during wound care for a resident with paraplegia and a coccyx pressure injury, continuing the dressing change with gloves that had already handled the old dressing.
A resident with a history of anoxic brain damage and dysphagia was not consistently provided with a prescribed nosey cup for consuming liquids, as observed during a survey. Despite the care plan and physician's orders specifying the use of a nosey cup to prevent aspiration, the resident was found with a Styrofoam cup instead. Staff interviews revealed inconsistencies in the implementation of the adaptive equipment policy, contributing to the deficiency.
Failure to Document Refusal of Ordered Soft Boots
Penalty
Summary
Provide appropriate pressure ulcer care and prevent new ulcers from developing was deficient for one resident with Parkinson's disease, muscle weakness, and a stage 4 sacral ulcer who was also on hospice and had moderate cognitive impairment. The resident's physician ordered soft boots to be worn every shift while in bed, and the care plan identified the resident as at risk for new skin breakdown due to impaired mobility and a history of deep tissue injury to both heels, with soft boots listed as an intervention to be always worn in bed. Facility staff observed the resident in bed without the soft boots on during multiple observations. The care plan did not document that the resident refused the boots, and progress notes from the reviewed period also lacked documentation of refusal. During interview and record review, an RN confirmed the boots were ordered to be worn always when in bed and verified there was no documentation of refusal during the reviewed period, stating she found no refusal documentation since 02/09/26. The unit manager stated the order should have been linked to the task list so staff could document the intervention, but it was not linked, and she confirmed refusal should have been documented elsewhere.
Failure to Provide Ordered Assistive Devices and Contracture Management
Penalty
Summary
The facility failed to provide care and services to maintain range of motion and mobility for two sampled residents. One resident with hemiplegia, hemiparesis affecting the right dominant side, and muscle weakness had physician-ordered adaptive equipment for self-feeding, including bent utensils with a left wrist splint with utensil holder at all meals. The resident was transferred to restorative nursing for maintenance of ADL function and was also placed in a restorative dining program. During interviews and observations, the resident was seen being fed by staff with a curved spoon and was not wearing the ordered left wrist splint. Staff stated the resident had refused the splint, but the refusal was not documented in the restorative nursing progress notes, and the occupational therapist was not aware of the refusal. When the splint was later brought to the dining room, the resident agreed to use it, and with the occupational therapist’s assistance was able to self-feed with hand-over-hand support and the bent spoon. A second resident with spinal cord injury and paraplegia had an active physician order to wear bilateral ankle boots for contracture management. The resident’s quarterly MDS documented severe cognitive impairment, bilateral lower extremity impairment, and dependence on staff for lower body dressing. The care plan included the bilateral ankle boots for contracture management, but the documentation by CNAs did not show that the boots were provided, and progress notes from the reviewed period did not mention them. During observations, the resident was seated in a wheelchair with feet resting in a blue foot wedge and wearing regular shoes, while the ordered ankle boots were later found stored in the bottom of the closet under clothing and other items. Interviews with nursing, therapy, and unit management staff showed inconsistent awareness of the orders and inconsistent documentation of the devices’ use. The RN stated the CNAs were responsible for applying the bilateral boots and documenting refusals, while the PT confirmed the boots were still active and intended for contracture management. The unit manager/ADON confirmed the CNAs had never been able to document provision of the ankle boots and stated the order had been entered incorrectly in the computer in 2022 and had not been corrected.
Incomplete Quarterly Assessments for Bed Rails/Assist Bars
Penalty
Summary
The facility failed to properly complete quarterly assessments for bed rails/assist bars for 3 of 4 sampled residents reviewed for accidents. The State Operations Manual definition of bed rails included side rails, bed side rails, safety rails, grab bars, and assist bars, and the facility policy required a nurse assigned to the resident to complete reassessments at least quarterly and after a significant change or change in bed, mattress, or rail type. The facility’s own policy also stated that ongoing assessments were to be monitored and supervised to ensure the bed rail was used to meet the resident’s needs. Resident #20 was observed with an assist handle on the upper left side of the bed. The resident had diagnoses including cerebral infarction, right-sided hemiplegia, aphasia, dysphagia, hypertension, muscle spasm, peripheral vascular disease, obstructive and reflux uropathy, neuromuscular bladder dysfunction, and muscle weakness. The resident’s quarterly MDS showed no BIMS score because the resident refused the questions. A physician’s order documented a left upper transfer assist bar, the care plan identified the device for mobility, and the quarterly occupational assessments dated 01/21/26 and 04/20/26 documented N/A under bed rails with no assessment completed. Resident #57 was observed with an assist handle on the right side of the bed and had diagnoses including hemiplegia and hemiparesis following cerebral infarction, hypertension, spinal stenosis, vascular leukoencephalopathy, muscle weakness, chronic kidney disease, anxiety disorder, unspecified psychosis, severe vascular dementia with behavioral disturbances, peripheral vascular disease, BPH, acute kidney failure, cognitive communication deficit, hallucinations, auditory hallucinations, and depression. The quarterly MDS documented a BIMS score of 4. A physician’s order documented a right-side upper transfer assist bar, the care plan identified the device for mobility, and the occupational assessments dated 01/22/26 and 04/20/26 showed N/A next to bed rails with no assessment completed. Resident #81 was also observed with an assist handle on the upper right side of the bed and had diagnoses including heart failure, vascular dementia with mood disturbances, dysphagia, depression, left hemiplegia, hypertension, chronic kidney disease, muscle weakness, and reduced mobility. The quarterly MDS documented a BIMS score of 6, a physician’s order documented a right-side upper transfer assist bar, the care plan identified the device for mobility, and the occupational assessments documented N/A next to bed rails with statements that the resident had a right upper transfer assist bar. During interviews, staff stated PT completed the assessments quarterly, but the Rehab Director and Administrator stated the devices were not considered bed rails until the SOM definition was reviewed, and the Maintenance Director stated weekly checks of bed rails were done by unit.
Improper sterile technique during trach care and wound care
Penalty
Summary
Staff failed to maintain sterile technique during tracheostomy care and suctioning for a resident with anoxic brain damage, quadriplegia, and respiratory failure who had a tracheostomy, oxygen therapy, and suctioning ordered. During observation, a registered nurse handled sterile drapes with bare hands, touched supplies with clean gloves before placing them on the sterile field, placed suction tubing on the resident’s bed, and continued the procedure after touching environmental surfaces and equipment without changing gloves. The nurse also placed trach care supplies onto the sterile drapes after touching them with clean gloves, and then suctioned the tracheostomy after attaching sterile tubing to tubing that had been placed on the bed. The resident’s record showed orders for suctioning three times daily, daily trach collar changes, and a cuffless Shiley trach. The facility policy required sterile technique throughout tracheostomy care and suctioning. During the observation, the nurse removed and replaced gloves multiple times, but did not consistently protect the sterile field or avoid contamination of supplies and equipment during the procedure. Staff also failed to change gloves appropriately during wound care for a resident with paraplegia and a new coccyx pressure injury. The wound care nurse removed the old dressing with sterile gloves and then continued the wound care using the same gloves after the dressing had been handled and discarded. The resident was cognitively intact, and the ordered wound treatment was cleansing with normal saline, application of a dampened Hydrofera Blue dressing, and coverage with gauze and a border dressing.
Failure to Provide Adaptive Equipment for Resident
Penalty
Summary
The facility failed to provide adaptive equipment for a resident, specifically a nosey cup, when consuming liquids. This deficiency was identified for a resident with a history of anoxic brain damage, dysphagia, and other speech disturbances, who was at risk for aspiration and required a mechanically altered diet. The resident's care plan included the use of a nosey cup to enhance feeding, as ordered by the physician. However, during observations, the resident was found with a Styrofoam cup instead of the prescribed nosey cup, both at the bedside and during meals. Interviews with staff revealed a lack of consistent implementation of the adaptive equipment policy. A Certified Nursing Assistant acknowledged the resident's need for a nosey cup for all liquids, yet the equipment was not consistently provided. A Registered Nurse indicated that adaptive equipment was only provided with meals from the kitchen, suggesting a gap in the availability of necessary equipment for liquids at the bedside. This inconsistency in providing the prescribed adaptive equipment led to the deficiency noted 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 Riviera Beach
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Rehabilitation Center Of The Palm Beaches, The | 2 mi | ★★★★★ | 0 | 0 |
| North Lake Care Center And Rehab | 2.5 mi | ★★★★★ | 0 | 0 |
| Chatsworth At Pga National | 2.6 mi | ★★★★★ | 0 | 0 |
| Joseph L Morse Health Center Inc The | 2.7 mi | ★★★★★ | 1 | 0 |
| Westgate Health And Rehabilitation Center | 3.7 mi | ★★★★★ | 1 | 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 August 2026) and official state health department websites.