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 Medicana Nursing And Rehab Center during CMS and state inspections, most recent first.
Surveyors observed numerous live roaches in multiple kitchen areas, including under equipment and near food storage, despite ongoing monthly pest control treatments. The pest control technician and Dietary Manager confirmed persistent pest activity and cited structural and sanitation issues as contributing factors.
A resident with severe cognitive impairment did not receive privacy during a medication pass, as an LPN failed to close the door or draw the privacy curtain. The facility's policy requires maintaining privacy during personal care, but the LPN admitted to forgetting this practice. The Charge Nurse confirmed that the standard procedure is to ensure privacy by closing doors and using curtains.
The facility failed to develop comprehensive care plans for two residents with PTSD, despite policy requirements. One resident had a documented trigger, and the other expressed having triggers related to past war experiences. Staff interviews revealed a lack of awareness and understanding of PTSD and its management, indicating communication and training gaps.
A resident with moderate cognitive impairment did not receive antibiotics as ordered. The resident received an incorrect number of doses for Ertapenem, Ceftriaxone, and Zyvox, with no documentation of physician notification regarding these discrepancies.
The facility failed to complete required smoking evaluations for two residents identified as smokers. One resident, with diagnoses including COPD and diabetes, missed a smoking evaluation in July, while another resident with a tobacco use diagnosis missed evaluations in February and December. Staff interviews revealed inconsistencies in tracking and completing these evaluations, leading to the deficiency.
A resident was not seen by the primary physician within the required time frame, as visits were not alternated between the physician and APRN as mandated. The resident, with multiple health conditions, had not seen the physician since early in the year, and interviews revealed inconsistencies in documentation and visit frequencies.
A facility failed to coordinate care with hospice services for a resident with mild cognitive impairment who was dependent on activities of daily living. The resident's hospice records were missing essential documentation, such as assessments and visitation notes. The Nurse Manager acknowledged the absence of documentation, and the DON contacted hospice to obtain the necessary records.
The facility's QAPI/QAA failed to implement effective corrective actions for a previously identified deficiency related to F656, Comprehensive Resident Centered Care Plan. This deficiency was initially cited during a prior survey and was noted again during the current survey, indicating a repeated deficient practice. The lack of an effective corrective action plan was confirmed during a review with the Administrator, who acknowledged the deficiency. This repeated deficiency had the potential to affect all 85 residents in the facility.
The facility failed to follow up on a VRE infection and implement necessary precautions for a resident on antibiotic therapy. Additionally, a staff member did not adhere to Enhanced Barrier Precautions while providing care to another resident with a chronic wound, despite being aware of the procedures.
The facility's antibiotic stewardship program was ineffective, as antibiotics were prescribed without meeting McGreer criteria, and attending physicians were not informed of treatments. A resident received antibiotics for ESBL and VRE without the attending physician's knowledge, and another resident received a one-time antibiotic dose for elevated WBC without meeting criteria. The nurse practitioner did not use McGreer criteria or communicate with facility staff.
A resident was discharged from an LTC facility without receiving necessary medications, including Rosuvastatin and Carvedilol, due to a failure in the discharge process. The resident's family had to intervene with the insurance company to obtain the medications, which were only provided after a delay. This incident highlights a significant lapse in ensuring continuity of care during the discharge process.
Failure to Maintain Effective Pest Control Program in Kitchen
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by multiple live roaches observed in various areas of the kitchen during a tour with the Dietary Manager. Specific findings included live mature and juvenile roaches on the door frame at the janitorial closet entrance, inside a container storing a bag of sauce, under the steamer around a floor drain with accumulated debris and residue, and on the floor under and around the hand washing sink and beverage station. The Dietary Manager confirmed that the pest control company had serviced the kitchen the previous week and that monthly treatments were standard practice. A review of recent pest control invoices revealed that cockroach activity had been documented in the kitchen during services in the two months prior to the observation. During an interview, the pest control technician acknowledged ongoing treatments and noted that structural issues and occasional sanitation problems, particularly around the dish pit, contributed to the pest presence. The technician also indicated that the building and equipment were aged, which may exacerbate the problem, and that night crews were more likely to identify sanitation issues after kitchen hours.
Failure to Ensure Resident Privacy During Medication Pass
Penalty
Summary
The facility failed to ensure personal privacy during a medication pass for one of the sampled residents, affecting a resident with severe cognitive impairment. The resident, who was admitted with diagnoses including pancytopenia, cirrhosis of the liver, type 2 diabetes mellitus, and unspecified dementia, did not receive privacy during a medication administration. The facility's policy on resident dignity and property privacy mandates that care should be provided in a manner that respects each resident's dignity and right to personal privacy, including using a closed door or drawn curtain during personal care and treatment procedures. During an observation, a Licensed Practical Nurse (LPN) did not close the door or pull the privacy curtain while administering medication to the resident. When interviewed, the LPN, who had been working at the facility for about a month, admitted to forgetting to provide privacy. Another LPN, the Charge Nurse, confirmed that the standard practice is to always close the door and pull the privacy curtain during such procedures.
Failure to Develop PTSD Care Plans for Residents
Penalty
Summary
The facility failed to develop comprehensive care plans for two residents diagnosed with Post-Traumatic Stress Disorder (PTSD). The facility's policy requires that a comprehensive person-centered care plan be developed for each resident, including measurable objectives and timetables to meet their medical, nursing, mental, and psychosocial needs. However, upon review, it was found that no care plans addressing PTSD, including any identified triggers, were established for the two residents in question. Resident #1 was admitted with multiple diagnoses, including PTSD, and had a documented trigger of being approached too quickly. Despite this, no care plan was established to address the PTSD or the identified trigger. Similarly, Resident #86, who also had a PTSD diagnosis, did not have a care plan addressing PTSD, even though the resident expressed having triggers related to their past experiences in the war. Interviews with facility staff revealed a lack of awareness and understanding regarding the residents' PTSD diagnoses and triggers. The Social Service Manager indicated that the system should automatically create a care plan for PTSD if triggers are identified, but this did not occur for the residents in question. Additionally, other staff members, including nurses and nursing assistants, demonstrated a lack of knowledge about PTSD and where to find information about residents' triggers, indicating a gap in communication and training within the facility.
Failure to Administer Antibiotics as Ordered
Penalty
Summary
The facility failed to administer antibiotics as ordered for a resident with moderate cognitive impairment who was dependent on activities of daily living. The resident had an order for Ertapenem to be administered intravenously every 24 hours for 7 days, but received 8 doses in 7 days, including two doses on one day. Another order for Ceftriaxone was to be administered every 24 hours for 5 days, but the resident only received one dose. Additionally, an order for Zyvox was to be administered twice daily for 7 days, but the resident received only 10 out of 14 doses. There was no documentation indicating that the physician was notified of these discrepancies in antibiotic administration.
Failure to Complete Smoking Evaluations for Residents
Penalty
Summary
The facility failed to ensure that smoking evaluations were completed for two residents identified as smokers. Resident #75, who is cognitively intact with a BIMS score of 15, was admitted with diagnoses including Chronic Obstructive Pulmonary Disease, Myalgia, and Type 2 Diabetes Mellitus. Although she had smoking evaluations on 04/26/24 and 10/31/24, there was no evaluation conducted in July 2024. During an interview, Resident #75 confirmed that the facility keeps her cigarettes and lighter in a locked cart and that she is supervised when smoking. The Director of Nurses and other staff members acknowledged the responsibility for conducting smoking evaluations but failed to ensure they were completed as required. Resident #66, also cognitively intact with a BIMS score of 15, was admitted with a diagnosis of Tobacco Use. The resident had smoking evaluations on 11/01/23, 05/13/24, 09/14/24, and 09/27/24, but missed evaluations in February 2024 and December 2024. The facility's policy requires smoking evaluations on admission, quarterly, annually, and upon significant changes, but these were not adhered to for Resident #66. Interviews with staff revealed a lack of consistent tracking and completion of smoking evaluations, contributing to the deficiency.
Failure to Conduct Required Physician Visits
Penalty
Summary
The facility failed to ensure that physician visits were conducted within the required time frame for one resident. The resident, who was admitted with multiple diagnoses including Bullous Pemphigoid, Venous Insufficiency, and Morbid Obesity, had not been seen by the primary physician since January 22, 2024. The facility's policy requires that residents be seen by a physician every 30 days for the first 90 days after admission and every 60 days thereafter, with visits alternating between the primary physician and an APRN. However, the records showed that the resident was only seen by an APRN, and the required alternation of visits was not maintained. Interviews with the facility's administrator, the primary physician, and the APRN revealed inconsistencies in the documentation and understanding of visit frequencies. The primary physician stated that he rounds with the APRN and that she documents on his behalf, but he could not explain discrepancies in the progress notes. The resident did not recognize the names or photographs of the primary physician or the APRN, indicating a lack of direct interaction. This suggests that the required face-to-face visits with the physician were not occurring as mandated, leading to the deficiency noted in the report.
Failure to Coordinate Hospice Care
Penalty
Summary
The facility failed to coordinate care with hospice services for a resident who was receiving hospice care. The resident, who had mild cognitive impairment and was dependent on activities of daily living, was admitted to hospice services. The care plan included working cooperatively with the hospice team to meet the resident's various needs. However, a review of the hospice records at the facility revealed missing documentation, including assessments, visitation notes, and services provided. The Nurse Manager acknowledged the absence of documentation and indicated that hospice personnel usually leave documentation in the binder, but it was not present. The Director of Nursing contacted hospice to obtain copies of the resident's records and visits.
Repeated Deficiency in Comprehensive Resident Centered Care Plan
Penalty
Summary
The facility's Quality Assurance and Performance Improvement Activities (QAPI/QAA) failed to implement effective corrective actions to address a previously identified deficiency related to F656, Comprehensive Resident Centered Care Plan. This deficiency was initially cited during the Recertification and Relicensure survey with an exit date of September 14, 2023. The deficiency was noted again during the current survey, indicating a repeated deficient practice. The lack of an effective corrective action plan was confirmed during a review of the QAPI program with the Administrator, who acknowledged the deficiency during an interview on January 16, 2025. This repeated deficiency had the potential to affect all 85 residents residing in the facility at the time of the survey.
Infection Control and Precaution Failures
Penalty
Summary
The facility failed to appropriately follow up on a Vancomycin Resistant Enterococcus (VRE) infection and implement necessary precautions for a resident undergoing antibiotic therapy. The resident, who had moderate cognitive impairment and was dependent on assistance for daily activities, was admitted with a history of multi-drug resistant organism in the urine. Despite a positive culture for VRE, there was no evidence of the resident being placed on any precautions or follow-up after the administration of the prescribed antibiotic, Zyvox. Additionally, the facility did not adhere to its own infection prevention and control policy regarding Enhanced Barrier Precautions (EBP) for another resident with a chronic wound. A staff member, aware of the EBP procedures, failed to wear a gown while providing direct care to the resident, who was receiving wound therapy. This breach of protocol was observed by a surveyor and later acknowledged by the staff member during an interview.
Deficient Antibiotic Stewardship Program
Penalty
Summary
The facility failed to maintain an effective antibiotic stewardship program for two residents receiving antibiotic therapy. The facility's policy required a multidisciplinary approach to antibiotic use, involving the medical director, director of nursing, and consultant pharmacist. However, the medical director did not set standards for antibiotic prescribing, and the director of nursing did not establish standards for assessment and communication regarding infections. The consultant pharmacist was expected to review antibiotic orders, but there was no evidence of appropriate oversight or communication with attending physicians. For one resident, antibiotics were prescribed without meeting the McGreer criteria, and the attending physician was unaware of the treatments for ESBL and VRE. The nurse practitioner responsible for ordering antibiotics did not use the McGreer criteria and did not communicate with the facility's staff or attend meetings. Another resident received a one-time dose of antibiotics for an elevated white blood cell count without meeting the McGreer criteria, and the attending physician was not informed. These deficiencies highlight a lack of communication and oversight in the facility's antibiotic stewardship program.
Failure to Provide Medications at Discharge
Penalty
Summary
The facility failed to ensure a safe discharge for a resident, as evidenced by not providing necessary medications and not reconciling all pre-discharge medications with the resident's post-discharge medications. The facility's policy on transfer and discharge, dated August 2023, outlines the need for a safe and orderly discharge process, including medication reconciliation and communication with the resident and their representative. However, this process was not followed for the resident in question. The resident, who was cognitively intact and had diagnoses including hypertension, end-stage renal disease, and diabetes, was discharged without receiving all necessary medications. The clinical record showed that the resident was scheduled to receive several medications, including Rosuvastatin and Carvedilol, but these were not provided upon discharge. The facility's nursing progress notes indicated that the resident's family had to contact the insurance company to address the issue, and it was only after this intervention that the facility provided the medications on January 3rd. Interviews with the Director of Nursing and the resident's family member revealed that the facility did not provide the medications at the time of discharge, and the family had to return to the facility to collect them. The family member confirmed that the resident did not receive any medications from December 31st until January 3rd, highlighting a significant lapse in the discharge process and continuity of care.
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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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Nursing homes near Lake Worth
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Terraces Of Lake Worth Care Center And Rehab | 0.6 mi | ★★★★★ | 0 | 0 |
| Lake Worth Rehabilitation Center | 1.1 mi | ★★★★★ | 1 | 0 |
| Avante At Lake Worth, Inc. | 1.5 mi | ★★★★★ | 6 | 1 |
| Finnish-american Village | 1.8 mi | ★★★★★ | 0 | 0 |
| Vi At Lakeside Village | 2.5 mi | ★★★★★ | 5 | 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.