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 Nspire Healthcare Lauderhill during CMS and state inspections, most recent first.
A resident with complex medical needs received IV antibiotics and IV line flushing from an LPN who did not have the required IV therapy certification or training. Staff interviews confirmed that LPNs were performing IV-related tasks without proper certification, and the facility was unable to provide documentation verifying the LPN's qualifications, despite facility policy and professional standards requiring such certification.
The facility failed to treat residents with dignity during dining, leaving several waiting for meals while others ate. Additionally, a resident with severe cognitive impairment did not receive necessary assistance with eating, despite requiring substantial maximum assistance. Observations showed untouched meal trays, indicating a lack of staff support.
The facility failed to ensure that bathroom emergency call lights were accessible for residents and staff in a secure unit. Observations over three days revealed that emergency cords were tied, wrapped, or missing in the bathrooms of several residents with various medical conditions, including dementia and cognitive impairments. Despite staff acknowledgment of the issue, some bathrooms remained non-compliant until surveyor intervention.
A resident with PTSD and on anticoagulant medication did not have appropriate care plans in place. The resident, with moderate cognitive impairment, was admitted with multiple diagnoses including PTSD and was prescribed Eliquis for A-fib. Despite physician's orders to monitor for bleeding, the facility lacked care plans for both PTSD and anticoagulant use, as confirmed by the MDS Coordinator.
A resident with severe cognitive impairment did not receive necessary vision services due to the facility's failure to arrange an eye doctor appointment, despite a family member's request. The Social Service Director initially believed the appointment had been made but later confirmed it had not, resulting in the resident not receiving the needed care.
Two residents with severe cognitive impairment experienced significant weight loss due to the facility's failure to provide timely nutritional interventions. Despite low meal intake and fluctuating appetites, the Clinical Dietitian and Registered Dietician delayed addressing the weight loss. Observations revealed inadequate assistance during meals, contributing to ongoing nutritional deficiencies.
A resident with a history of Hemiplegia and Chronic Kidney Disease experienced significant weight loss due to the facility's failure to follow physician's orders for tube feeding. Observations showed discrepancies in the administered formula amount, and staff reported a malfunctioning pump. The resident's behavior of pulling out the feeding tube was mentioned but not documented.
A facility failed to assess and provide psychosocial services for a resident with PTSD. The resident, a veteran, was not screened for PTSD upon admission, and staff were unaware of his triggers. The MDS Coordinator did not create a care plan, and the resident was not seen by a psychiatrist until a month later. The facility's PTSD policy was not followed, leading to a delay in addressing the resident's needs.
A facility failed to provide necessary psychosocial services for a resident with PTSD. The resident, a veteran, was admitted with PTSD but was not screened or provided with an individualized care plan as required by the facility's policy. The Social Service Director was unaware of her responsibilities regarding PTSD care, and the facility lacked a PTSD screening tool, leading to inadequate care for the resident's condition.
The facility failed to maintain accurate records for controlled medications for two residents. One resident's Tramadol administration was not documented in the MAR despite being given, and another resident's Oxycodone was signed out without date or time documentation. Staff acknowledged the oversight, citing distractions as a reason for incomplete records.
The facility failed to provide the correct diet consistency for two residents on a mechanical soft diet. Observations revealed that residents were served cooked red cabbage in pieces too large and tough for the diet's requirements, leading to one resident coughing. The Speech Language Pathologist confirmed the inconsistency and discussed it with the dietary team.
The facility failed to maintain food safety and hygiene standards in the Main Kitchen. Issues included flying insects near an open dumpster, disconnected drainage treatment, and improper temperature control in refrigeration units. Additionally, food storage practices were inadequate, with unlabeled and opened packages found. An Activity Coordinator was observed not washing hands after touching personal items before feeding a resident.
The facility failed to accurately document high-risk medication use in MDS assessments for two residents. One resident was incorrectly noted as taking an anticoagulant instead of an antiplatelet, while another was mistakenly documented as receiving an anticoagulant due to confusion with Procrit injections. The MDS Coordinator acknowledged the errors, attributing them to being overwhelmed and confused about medication classifications.
LPNs Administered IV Antibiotics Without Required Certification
Penalty
Summary
Licensed Practical Nurses (LPNs) at the facility were found to lack the required competencies and certifications to administer intravenous (IV) antibiotics, as evidenced by record reviews and staff interviews. Specifically, one LPN administered IV antibiotics and performed IV line flushing for a resident without having completed the mandated IV therapy certification and post-graduation training, which includes 30 hours of IV hydration training and 4 hours dedicated to central line care. The facility's professional standards require these certifications for LPNs performing such tasks, but documentation of the required certification for the LPN in question was not provided to the surveyor, despite requests. The resident involved had complex medical needs, including a recent admission with diagnoses such as sepsis following a hospital procedure, acute respiratory failure, alkalosis, and osteomyelitis. The resident was receiving multiple medications, including IV antibiotics, anticoagulants, and opioids. Interviews with staff revealed that LPNs were administering IV medications without the necessary certification, and there was a lack of awareness among some staff and consultants regarding the certification requirements. The Director of Nursing stated that LPNs providing IV care had the required certifications but was unable to produce documentation to verify this for the LPN who administered care to the resident.
Failure to Ensure Dignified Dining and ADL Assistance
Penalty
Summary
The facility failed to ensure that residents were treated in a dignified manner during dining, affecting eight of the sampled residents. Observations revealed that several residents were left waiting for their meals while others at the same table were already eating. For instance, Resident #19 and Resident #90 were observed waiting for their lunch meals while their tablemates were already eating. Similarly, Resident #73 was observed waiting for her lunch meal while her tablemate was eating. Additionally, Resident #83 did not receive her lunch tray until 35 minutes after her roommate had started eating. Interviews with staff indicated that they were educated on serving meals with dignity, yet the practice of serving one table at a time was not consistently followed. The facility also failed to provide necessary assistance with Activities of Daily Living (ADLs) for Resident #73, who has severe cognitive impairment and requires substantial maximum assistance for eating. Observations showed that Resident #73's breakfast and lunch trays were left untouched, indicating a lack of assistance from staff. Despite the care plan highlighting Resident #73's need for significant help during meals, staff interviews revealed inconsistent assistance, with some days Resident #73 eating only 40% of her meals. The MDS Coordinator confirmed that residents coded for substantial maximum assistance require staff to be present to assist them throughout mealtimes.
Inaccessible Emergency Call Lights in Resident Bathrooms
Penalty
Summary
The facility failed to ensure that the bathroom emergency call light system was accessible and within easy reach for residents and staff members in a secure, locked unit. This deficiency was observed in the bathrooms of seven residents, where the emergency call cords were either tied around bathroom bars, wrapped around handrails, or missing entirely. These observations were made over a three-day period, and photographic evidence was obtained to document the inaccessibility of the emergency call systems. The residents affected by this deficiency had various medical conditions, including dementia, diabetes, hypertension, schizophrenia, and other cognitive impairments. Their Brief Interview Mental Status (BIMS) scores ranged from severe cognitive impairment to being cognitively intact. Despite their varying levels of cognitive function, all residents were observed to self-propel in their wheelchairs in and out of their bathrooms throughout the day, highlighting the importance of having accessible emergency call systems. Interviews with facility staff, including the Maintenance Director, Housekeeping Director, Director of Nursing, Regional Nurse, Regional Maintenance Director, and the Administrator, confirmed that the emergency call lights should be readily accessible. However, three of the four resident bathrooms remained non-compliant until surveyor intervention. Even after multiple observations, one bathroom's emergency call light remained inaccessible, indicating a persistent failure to address the deficiency.
Failure to Implement Care Plans for PTSD and Anticoagulant Use
Penalty
Summary
The facility failed to implement a care plan for a resident diagnosed with Post Traumatic Stress Disorder (PTSD) and on anticoagulant medication. The resident, who was admitted post-hospitalization with diagnoses including Unspecified Cirrhosis of Liver, Coronary Artery Disease, Non-Alzheimer's Dementia, and PTSD, had a Brief Interview for Mental Status (BIMS) score indicating moderate cognitive impairment. Despite these conditions, the facility did not have a care plan addressing the resident's PTSD, as confirmed by the MDS Coordinator during an interview. Additionally, the resident was prescribed Eliquis (Apixaban) for Atrial Fibrillation, with physician's orders to monitor for signs of bleeding due to the anticoagulant. However, the facility did not have a care plan in place to address the anticoagulant use or the associated risk of bleeding. The MDS Coordinator acknowledged the necessity of such a care plan during an interview, highlighting the oversight in care planning for this resident.
Failure to Assist Resident with Vision Services
Penalty
Summary
The facility failed to assist a resident, identified as Resident #89, in obtaining necessary vision services. Resident #89, who was admitted with diagnoses including unspecified dementia with severe cognitive impairment, was noted to require corrective lenses. Despite a family member's request for an eye doctor appointment approximately two months prior, the facility did not arrange for the resident to be seen by an eye doctor. The family member had temporarily provided over-the-counter reading glasses for the resident. Interviews revealed that the Social Service Director (SSD) initially believed the resident had been seen by an eye doctor, but later confirmed that no appointment had been made. The SSD acknowledged the oversight and admitted to not following up with the family member after speaking with the resident, who had severe cognitive impairment. This lack of action resulted in the resident not receiving the necessary vision care as requested by the family member.
Failure to Address Nutritional Needs and Weight Loss
Penalty
Summary
The facility failed to identify and address significant weight loss and provide timely nutritional intervention for two residents, leading to a deficiency in maintaining their nutritional health. Resident #32, who had severe cognitive impairment and multiple diagnoses including muscle wasting and anemia, experienced a weight loss of 8.9% over three months. Despite the resident's low meal intake, averaging 46% from 08/13/24 to 08/30/24, the Clinical Dietitian did not address the weight loss until 24 days after it was identified, delaying necessary nutritional interventions. Resident #7, also with severe cognitive impairment and multiple health conditions, showed a weight loss of 6.55% over six months. The resident's meal consumption varied significantly, with some meals entirely untouched. Despite the resident's fluctuating appetite and low protein levels, the Registered Dietician did not consider the weight loss significant enough to trigger immediate action. The resident's nutritional supplement was only increased after a continued trend of weight loss was observed. Both residents were observed to have inadequate assistance and encouragement during meals, with staff failing to offer alternative food options or ensure the consumption of prescribed nutritional supplements. These inactions contributed to the residents' ongoing nutritional deficiencies, highlighting a lack of timely and effective intervention by the facility's staff and dietitians.
Failure to Follow Tube Feeding Orders
Penalty
Summary
The facility failed to adhere to the physician's orders for tube feeding for a resident with a history of Hemiplegia, History of falling, Muscle Weakness, and Chronic Kidney Disease. The resident was readmitted to the facility with specific orders for enteral feeding using Jevity 1.5 at a rate of 75 ml per hour for 20 hours. However, observations on multiple occasions revealed discrepancies in the amount of formula administered compared to the expected amount based on the prescribed rate. For instance, on one occasion, the feeding bottle was observed to be at the 850 ml mark when it should have been at the 700 ml mark, indicating an over-administration of the formula. The resident experienced a significant weight loss of 9.8% over three months, which was noted by the Clinical Dietitian, who adjusted the feeding orders to continuous feedings due to the weight loss. Interviews with staff revealed that there was a malfunctioning of the tube feeding pump, and bolus feedings were administered to compensate for the feeding needs. The Director of Nursing mentioned that the resident had a behavior of pulling out the feeding tube, which might have contributed to the weight loss, but no documentation was provided to support this claim.
Failure to Assess and Provide Services for PTSD
Penalty
Summary
The facility failed to timely assess and provide appropriate psychosocial services to a resident diagnosed with Post Traumatic Stress Disorder (PTSD). Upon admission, the resident, a veteran with PTSD, was not screened using a standardized tool as per the facility's policy. The resident expressed that loud noises triggered flashbacks related to his wartime experiences. Despite this, the staff, including a Registered Nurse and the Social Service Director, were unaware of the resident's specific triggers and did not engage in discussions about his PTSD. The MDS Coordinator, responsible for care planning, had not initiated a care plan for PTSD, and the resident had not been seen by a psychiatrist until a month after admission. The facility's PTSD policy, which mandates screening and individualized care plans for residents with PTSD, was not followed. The Regional Nurse Consultant confirmed that the facility was not using the PTSD checklist tool, and no residents had been screened for PTSD. The Psychiatrist, who assessed the resident only after the surveyor's inquiry, noted the resident's hallucinations and initiated treatment with Seroquel. The lack of communication and adherence to the facility's policy resulted in a delay in addressing the resident's PTSD needs, highlighting a deficiency in the facility's care processes.
Failure to Provide PTSD Services
Penalty
Summary
The facility failed to provide necessary psychosocial services for a resident diagnosed with Post Traumatic Stress Disorder (PTSD). The facility's policy required that all residents be screened for PTSD upon admission using a standardized tool, and those identified with PTSD should receive individualized care plans. However, the facility did not have a PTSD screening tool in use, and the Social Service Director was unaware of her responsibilities regarding PTSD care planning. The resident, a veteran with PTSD, was admitted with a history of flashbacks triggered by loud noises, but his social services evaluation did not include his PTSD diagnosis, and a relevant question on the assessment was marked as not applicable. Interviews with the Social Service Director revealed a lack of understanding and action regarding the resident's PTSD needs. The Director stated she did not handle PTSD cases and incorrectly marked the assessment question about traumatic experiences as not applicable, rather than noting the resident's refusal to answer. The Regional Nurse Consultant confirmed that no PTSD screenings had been conducted due to the absence of a tool, indicating a failure to adhere to the facility's policy and provide appropriate care for the resident's PTSD diagnosis.
Failure to Maintain Accurate Controlled Medication Records
Penalty
Summary
The facility failed to maintain accurate drug records and ensure proper documentation for controlled medications for two residents. Resident #19, who was admitted with diagnoses including obesity and muscle weakness, had a physician's order for Tramadol HCL 50mg to be administered as needed for pain. However, the Medication Administration Record (MAR) for July and August 2024 did not document the administration of Tramadol on specific dates, despite the Medication Monitoring / Control Record indicating it was given. Interviews with staff revealed lapses in documenting the date and time on the Medication Monitoring / Control Record, with staff acknowledging the oversight. Similarly, for Resident #306, who was admitted with conditions such as hemiplegia and type 2 diabetes, there was an order for Oxycodone HCL 5mg to be given as needed. The Medication Monitoring / Control Record showed the medication was signed out without indicating the date or time, although the MAR documented its administration on a specific date in September 2024. Staff interviews confirmed the failure to complete the Medication Monitoring / Control Record accurately, citing distractions as a possible reason for the incomplete documentation.
Inappropriate Diet Consistency for Mechanical Soft Diet
Penalty
Summary
The facility failed to provide the appropriate diet consistency for residents on a mechanical soft diet, specifically affecting two residents during dining observations. The facility's 'National Dysphagia Diet Level 3 Advanced' guidelines require that food be served moist and in bite-size pieces less than 1 inch long, avoiding hard, sticky, or crunchy foods. However, during a dining observation, Resident #73, who had severe cognitive impairment, was served cooked red cabbage in strips of approximately 2-3 inches, which was difficult to cut and not suitable for the mechanical soft diet. This resulted in the resident coughing after consuming the cabbage. Similarly, Resident #41, who had moderate cognitive impairment, was observed eating a meal in his room without staff supervision, which included cooked red cabbage pieces of 2-3 inches long, inconsistent with the mechanical soft diet requirements. The Speech Language Pathologist confirmed that the red cabbage served was inappropriate for the diet consistency and discussed the issue with the Clinical Dietitian and Dietary Manager, noting that the cabbage was not cooked enough to meet the dietary guidelines.
Food Safety and Hygiene Deficiencies in Kitchen Operations
Penalty
Summary
The facility failed to adhere to professional standards for food service safety during a survey of the Main Kitchen. During the inspection, small flying insects were observed in the dishwashing area near an open garbage dumpster, and a drainage treatment system was found disconnected. The Kitchen Manager acknowledged the presence of insects and attempted to connect the treatment system. Additionally, the walk-in refrigerator was found to have an internal temperature of 55 degrees Fahrenheit, above the recommended 40 degrees Fahrenheit or below, with water condensation present and carton boxes feeling wet. The Kitchen Manager removed the internal thermometer, suspecting it was faulty. Similarly, a reach-in freezer in the Dry Storage Room showed a temperature of 38 degrees Fahrenheit instead of the recommended 0 degrees Fahrenheit or below, leading the Kitchen Manager to remove its thermometer as well. Further deficiencies were noted in food storage practices. An opened package of frozen tortillas in the walk-in freezer was not labeled or dated for expiration. In the Dry Storage Room, an opened package of cheesecake filling was found at the bottom of a box, which the Dietary Manager discarded and cleaned. Additionally, an incident involving Staff D, an Activity Coordinator, was observed where she failed to wash her hands after touching personal items before continuing to feed a resident, compromising food safety and hygiene standards.
Inaccurate MDS Assessments for High-Risk Medications
Penalty
Summary
The facility failed to ensure the accuracy of the Minimum Data Set (MDS) assessments for two residents regarding their use of high-risk medications. For one resident, the MDS assessment incorrectly documented the use of an anticoagulant, despite the resident only being prescribed aspirin 81 mg for coronary artery disease, which should have been classified as an antiplatelet. The MDS Coordinator acknowledged the error, stating that aspirin at this dosage was not considered an antiplatelet, which led to the incorrect classification. For the second resident, the MDS assessment inaccurately indicated the use of an anticoagulant, although the resident had no orders for anticoagulants or antiplatelets. The resident was receiving Procrit injections for anemia, which the MDS Coordinator mistakenly associated with anticoagulant use. The MDS Coordinator admitted to being overwhelmed and confused about the medication classifications, leading to the errors in the MDS documentation for both residents.
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Lauderhill
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center At Inverrary | 0.9 mi | ★★★★★ | 10 | 0 |
| Palms Care Center And Rehab | 0.9 mi | ★★★★★ | 1 | 0 |
| Nspire Healthcare Plantation | 1.4 mi | ★★★★★ | 0 | 0 |
| St Johns Nursing Center | 1.8 mi | ★★★★★ | 2 | 0 |
| Plantation Nursing & Rehabilitation Center | 2.5 mi | ★★★★★ | 0 | 0 |
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