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 Palms Care Center And Rehab during CMS and state inspections, most recent first.
A resident with multiple neurological and psychiatric diagnoses, who was severely cognitively impaired, had her medical confidentiality breached when her family member was given an envelope for a physician visit that, while correctly labeled on the outside, contained another resident's medical records. The unit secretary, who prepared appointment envelopes in advance with clinical documents such as progress notes, face sheet, MD orders, MAR, and consult report, acknowledged that she provided the mislabeled packet to the family, resulting in disclosure of another resident's private medical information.
The facility failed to maintain a sanitary and comfortable environment across multiple areas, including residential units, the Skilled Therapy Department, and common areas. Observations revealed issues such as soiled windows, pervasive odors, damaged walls, and stained floors. In the 300 Resident Unit, a resident's refusal of routine cleaning contributed to offensive odors. The Main Dining Room had algae-covered windows and flying insects. These deficiencies were confirmed during tours with the Corporate Maintenance Director and the Administrator.
The facility's cycle menus failed to meet the nutritional requirement of 16 ounces of milk per day, affecting 105 residents. Observations revealed that only 8 ounces were served daily, and during breakfast, residents received just 4 ounces instead of the approved 8 ounces. The CDM admitted that an approved government tool was not used for menu development, and the MDS Coordinator confirmed the use of inadequate serving cups.
The facility failed to maintain food safety and sanitation standards, affecting 110 residents. Observations revealed expired food, inadequate sanitizing solutions, and unclean equipment in the kitchen. Additional issues included stained microwaves and damaged gaskets in nourishment rooms. The Dietary Director acknowledged these findings.
The facility failed to maintain an effective pest control program, leading to persistent issues with flies and roaches. Surveyors observed numerous sightings in the kitchen, dining room, and resident areas, confirmed by staff and residents as a daily occurrence. Pest sighting logs documented ongoing issues despite treatments, with problems such as standing water and door gaps contributing to the infestation. The pest control technician confirmed recurring monthly issues requiring frequent treatments.
The facility failed to provide adequate restorative dining services for two residents with cognitive impairments, resulting in insufficient supervision and assistance during meals. Additionally, a resident with a language barrier faced challenges in communication and participation in activities due to an outdated care plan and lack of Spanish-speaking staff. These deficiencies highlight the need for updated policies and effective communication support.
A resident with Paranoid Schizophrenia in an LTC facility refused medication and hygiene care, leading to a deficiency in maintaining their mental and psychosocial well-being. Despite being cognitively intact and independent in ADLs, the resident consistently refused Haldol Decanoate and showers. Staff interviews revealed a lack of coordinated effort to address these refusals, with locked shower facilities and no laundry services provided. The interdisciplinary team discussed the issues but found no solution, resulting in a failure to provide necessary care.
The facility failed to properly monitor behaviors for residents on psychotropic medications, as evidenced by incomplete documentation and lack of adherence to physician orders for behavior monitoring. A resident with schizophrenia had inconsistent behavior records, while another with depression had no documented behavior monitoring. Staff interviews revealed confusion about documentation procedures.
A facility failed to properly store medications, with an opened antacid bottle left on a resident's nightstand and opened medications improperly stored in the medication room. The resident used the antacid without a physician's order, and staff confirmed the improper storage practices.
The facility failed to provide properly pureed diets for two residents on physician-ordered pureed diets. Observations revealed that the pureed beef stroganoff and chicken served to the residents were lumpy and did not meet the facility's policy for pureed diets, which requires a smooth texture. The dietary manager confirmed these findings after tasting the food, and photographic evidence was obtained.
The facility failed to encourage and assist residents with hand hygiene before meals, as observed in six residents. Despite the facility's policy on hand hygiene, staff did not provide hand hygiene supplies or encourage residents to sanitize hands before meals. Observations and interviews confirmed the lack of adherence to hand hygiene protocols, affecting residents with various medical conditions who required assistance.
Failure to Protect Confidentiality of Resident Medical Records
Penalty
Summary
The facility failed to protect the privacy and confidentiality of a resident's medical records when incorrect medical information was provided to the resident's family member. The resident involved had diagnoses including metabolic encephalopathy, hemiplegia and hemiparesis following a cerebral infarction affecting the left dominant side, and schizoaffective disorder, bipolar type, and was documented as severely cognitively impaired on a recent MDS assessment. During a medical appointment, the resident's family member discovered that the envelope given to her by the facility, which was intended for the physician visit, contained another resident's medical information, even though the outside of the envelope had the correct resident's name and the physician's address. The family member reported receiving the wrong envelope to the facility and filed a grievance. Review of the grievance documented that the resident returned from the appointment and reported that the incorrect envelope had been given. The unit secretary, who had been working at the facility for four days, explained that envelopes for physician appointments were prepared one week in advance, with the resident's name and doctor's address taped to the outside and internal contents including progress notes, face sheet, physician orders, medication list, and a consult report. She stated that she gave the resident's daughter an envelope labeled with the correct resident's name, but the documents inside belonged to another resident whose appointment had been canceled. All residents or their representatives obtained these prepared envelopes from the unit secretary.
Facility Fails to Maintain Sanitary and Comfortable Environment
Penalty
Summary
The facility failed to maintain a sanitary, orderly, and comfortable environment across multiple areas, including three residential units, the Skilled Therapy Department, the Main Dining Room, the Activity Room, and the Main Lobby. Observations revealed numerous issues such as soiled windows, torn window screens, pervasive odors, damaged walls, and stained floors. In the 300 Resident Unit, a resident refused routine room cleaning, linen changes, and ADL hygiene, contributing to offensive odors. Additionally, old dialysis tubing was found running through several rooms, and various maintenance issues were noted, such as low water pressure and damaged furniture. In the 400 Resident Unit, air-conditioning filters were heavily soiled, and several rooms had damaged walls and floors. The Skilled Therapy Room had unstable parallel bars and heavily soiled training stairs. The Main Dining Room had windows covered in algae, numerous flying insects, and stained ceiling tiles. The Activity Room required repainting, and garbage containers needed lids. The Main Lobby had sitting chairs that were heavily worn and in disrepair. These deficiencies were confirmed during environment tours with the Corporate Maintenance Director and the Administrator. The report highlights the facility's failure to provide necessary housekeeping and maintenance services to ensure a safe, clean, and homelike environment for residents, as required by regulations.
Deficiency in Meeting Nutritional Milk Requirements
Penalty
Summary
The facility failed to ensure that its cycle menus met the nutritional requirements for daily milk servings, affecting potentially 105 of 113 residents. During a review of the current Cycle #3 menu, it was found that only 8 ounces of milk were being served daily, instead of the required 16 ounces. The Corporate Dietary Manager (CDM) could not provide documentation of using an approved government tool for menu development and admitted that the menus did not include the required milk servings. This issue was noted across all cycle menus (#1, #2, #3, and #4). Additionally, during an observation of the breakfast meal service, it was noted that residents were served only 4 ounces of milk instead of the 8 ounces specified in the approved menu. The Minimum Data Set (MDS) Coordinator confirmed that nursing staff were using 4-ounce cups, and the Food Service Manager acknowledged that larger cups should have been used to meet the menu requirements. This discrepancy in milk servings was observed in the main dining room, where 18 residents were present.
Deficiencies in Food Safety and Sanitation Practices
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, sanitary conditions, and the prevention of foodborne illnesses, affecting 110 of 113 residents. During an initial tour of the Main Kitchen, several deficiencies were observed. Expired food items were found in the walk-in refrigerator, and the dishwasher's sanitizing solution was inadequate, as indicated by failed chlorine sanitizer tests. Additionally, the concentration of chlorine in a sanitizing bucket was too strong. The kitchen's physical environment was also problematic, with stained floors, worn-out trays, soiled electrical outlets, and a can opener with metal shavings. The ovens were coated with thick black residue, and the walls had splattered residue. Equipment such as the robocoup and freezers had issues with cleanliness and maintenance, including detached gaskets with slimy substances. Further observations in the nourishment rooms revealed additional concerns. In the South wing nourishment room, a refrigerator contained a bag of food past its use-by date, and the microwave was stained with various food colors. The refrigerator gasket was ripped and detached. During a follow-up visit, food service employees were observed using plates and bowls with black markings, discoloration, and scratches. These items were removed by the Dietary Manager. The Dietary Director, CDM, acknowledged and agreed with the findings, which were supported by photographic evidence.
Persistent Pest Control Issues in Facility
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in a persistent presence of flies and roaches. Surveyors observed numerous sightings of flying insects during resident screenings and routine observations over several days. These sightings occurred in various areas, including the main kitchen, dining room, resident hallways, and common areas. Staff and residents confirmed that flies and roaches were a common daily occurrence. Photographic evidence was obtained to document these findings. The facility's pest sighting logs for August, September, and October 2024 revealed numerous documented sightings of pests in resident rooms, bathrooms, nourishment rooms, staff offices, and nurses' stations. Despite reporting these sightings to the pest control company and documenting treatments, the issues persisted. The facility's pest control documentation indicated ongoing problems with bottle/flesh fly activity, standing water, food accumulation, vegetation touching the building, and door gaps or damage. An interview with the pest control technician confirmed recurring monthly issues with flies and roaches, necessitating twice-monthly treatments and additional treatments as needed.
Deficiencies in Restorative Dining and Communication Support
Penalty
Summary
The facility failed to provide adequate care and services for two residents who were supposed to be part of the restorative dining program. Resident #23, who was readmitted with Alzheimer's Disease and Dementia, was on a mechanical soft diet and required supervision with meals due to cognitive impairment. Despite being enrolled in the restorative dining program, there was no documentation of specific interventions or assessments in the resident's medical record. Observations revealed that Resident #23 was not supervised or assisted during meals, resulting in minimal food intake. Similarly, Resident #97, with severe cognitive impairment and dysphagia, did not receive the necessary supervision and assistance during meals, leading to difficulties in self-feeding and food spillage. The facility also failed to maintain the ability of Resident #82 to communicate and participate in activities of daily living. Resident #82, who was admitted with multiple diagnoses including hemiplegia and muscle weakness, faced a language barrier as she primarily spoke Spanish. The care plan for Resident #82 was outdated and did not address her communication needs effectively. Interviews revealed that the resident struggled to communicate her needs to staff and was unable to participate in activities due to the language barrier. The communication board provided to her was out of reach, further hindering her ability to communicate. The facility's lack of up-to-date policies and procedures for the restorative dining program and inadequate communication support for non-English speaking residents contributed to these deficiencies. The MDS Coordinator admitted that there were no current policies for the restorative dining program, and the Activities Director acknowledged the absence of Spanish-speaking staff in the activity department. These oversights resulted in the residents not receiving the necessary care and support to maintain their abilities in activities of daily living and communication.
Failure to Address Hygiene and Medication Needs for Resident with Paranoid Schizophrenia
Penalty
Summary
The facility failed to provide appropriate services to promote and maintain the highest practicable mental and psychosocial well-being for a resident diagnosed with Paranoid Schizophrenia. The resident, who was cognitively intact and independent in activities of daily living, had a physician's order for Haldol Decanoate to be administered intramuscularly every 30 days. However, the resident consistently refused this medication, and no alternative administration routes or medications were attempted. The care plan included interventions such as administering psychotropic medications as ordered and observing for changes in mood or behavior, but these were not effectively implemented. The resident also exhibited a strong body odor, indicating a lack of personal hygiene care. Despite having a care plan that addressed potential self-care deficits and interventions to encourage participation in ADL tasks, the resident often refused assistance with personal care. Staff interviews revealed that the resident sometimes requested towels and washcloths but was never observed using the shower facilities, which were locked and required staff access. The facility did not provide laundry services for the resident, and staff were unsure who was responsible for the resident's laundry. Interviews with facility staff, including the Administrator, Director of Nursing, Psychiatry Nurse Practitioner, and Psychologist Therapist, highlighted a lack of coordinated effort to address the resident's hygiene and medication refusal. The staff acknowledged the resident's refusal of medications and showers but expressed concerns about not being able to force the resident to comply. The interdisciplinary team discussed the resident's hygiene practices but did not find a solution, and the Psychologist Therapist had never communicated with the resident. The facility's inaction resulted in a failure to provide necessary hygiene care and medication administration, impacting the resident's mental and psychosocial well-being.
Inadequate Monitoring of Psychotropic Medication Use
Penalty
Summary
The facility failed to adequately monitor behaviors for residents receiving psychotropic medications, as evidenced by the lack of proper documentation and monitoring for three residents. Resident #90, who was diagnosed with Paranoid Personality Disorder, Delusional Disorders, Anxiety Disorder, and Paranoid Schizophrenia, had a physician's order for behavior monitoring using a numerical scale. However, the Behavior Monitoring Record (BMR) showed only check marks instead of the required numbers, and there were days with no documentation at all. Additionally, there were no interventions documented in the nursing notes on days when behaviors were recorded. Resident #59, diagnosed with Major Depressive Disorder, was prescribed Duloxetine and Trazodone for depression. The Medication Administration Record (MAR) for this resident showed check marks for medication management but did not indicate whether any behaviors were observed. The nursing progress notes also lacked documentation of behavior monitoring, despite the care plan's focus on monitoring for adverse side effects and ensuring the lowest effective dose of psychotropic medication. Similarly, Resident #89, with diagnoses including Unspecified Psychosis, Major Depressive Disorder, and Generalized Anxiety Disorder, had orders for behavior monitoring with a numerical scale. However, the MAR only contained check marks without specifying observed behaviors. Interviews with staff revealed inconsistencies in understanding and documenting behavior monitoring, with some staff indicating that behaviors were documented on the MAR, but without the required specificity.
Improper Medication Storage in Facility
Penalty
Summary
The facility failed to ensure proper storage of medications, as evidenced by an opened over-the-counter antacid bottle being left on a resident's nightstand. The resident, who had been in the facility for a few years, stated she used the antacid for heartburn and had not informed the nurse, although one nurse was aware of its presence. Observations over several days confirmed the antacid remained on the nightstand, and a Licensed Practical Nurse (LPN) later confirmed the presence of the antacid, which did not have a physician's order and was expired. Additionally, a review of the facility's south wing medication room revealed an opened bottle of Mucus Relief and an opened box of acetaminophen suppositories without an opening date. Staff confirmed that opened medications should be dated and moved to the medication cart, not stored in the medication room. The facility's Regional Nurse acknowledged the improper storage of the opened medication bottle, and the Administrator was aware of the findings.
Failure to Provide Properly Pureed Diets
Penalty
Summary
The facility failed to prepare food in a pureed form as required for two residents who were on physician-ordered pureed diets. The deficiency was identified during a survey when the surveyor observed that the pureed beef stroganoff served to one resident had small lumps and strings, which did not meet the facility's Nutrition Service Policy and Procedure for pureed diets. This policy specified that pureed food should hold its shape on a spoon, have a smooth texture, and not contain separated liquid or be firm/sticky. The dietary manager confirmed the surveyor's findings after tasting the pureed beef stroganoff and instructed the cook to puree it further to achieve the correct texture. Additionally, another resident was served pureed chicken that appeared lumpy, which was also brought to the attention of the dietary manager. Upon tasting, both the surveyor and the dietary manager verified that the pureed chicken did not have a smooth texture as required. These observations were supported by photographic evidence obtained during the survey. The facility's failure to adhere to the prescribed pureed diet texture for these residents indicates a lapse in ensuring that food is prepared in a form designed to meet individual dietary needs.
Failure to Encourage and Assist with Hand Hygiene Before Meals
Penalty
Summary
The facility failed to encourage and assist residents with hand hygiene before meals, as observed in six sampled residents. The facility's policy on hand hygiene, which considers it the primary means to prevent the spread of healthcare-associated infections, was not adhered to. Observations revealed that staff did not provide hand hygiene supplies or encourage residents to perform hand hygiene before meals, despite the presence of Enhanced Barrier Precautions (EBP) signage and supply boxes. Resident #14, with intact mental cognition and requiring assistance with eating and hand hygiene, was not provided with hand hygiene supplies or encouraged to sanitize hands before meals. Similarly, Resident #64, who had one-sided functional impairment and required assistance, was observed manipulating a bed control and picking up a juice container without performing hand hygiene. Staff did not provide hand hygiene supplies or encourage the resident to sanitize hands before eating. Other residents, including Resident #30, Resident #74, Resident #95, and Resident #27, were also observed eating without being encouraged or assisted with hand hygiene. These residents had various medical conditions and required different levels of assistance, yet staff failed to provide necessary hand hygiene supplies or encourage hand hygiene practices. Interviews with staff and residents confirmed the lack of adherence to hand hygiene protocols, despite staff being educated on the importance of hand hygiene before meals.
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Illustrative
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Lauderdale Lakes
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 | 0.6 mi | ★★★★★ | 10 | 0 |
| Nspire Healthcare Lauderhill | 0.9 mi | ★★★★★ | 0 | 0 |
| St Johns Nursing Center | 1.1 mi | ★★★★★ | 2 | 0 |
| Nspire Healthcare Plantation | 2.3 mi | ★★★★★ | 0 | 0 |
| Plantation Nursing & Rehabilitation Center | 2.8 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.