Rehabilitation Center Of The Palm Beaches, The
Inspection history, citations, penalties and survey trends for this long-term care facility in West Palm Beach, Florida.
- Location
- 301 Northpointe Parkway, West Palm Beach, Florida 33407
- CMS Provider Number
- 105039
- Inspections on file
- 22
- Latest survey
- March 31, 2025
- Citations (last 12 mo.)
- 0
Citation history
Health deficiencies cited at Rehabilitation Center Of The Palm Beaches, The during CMS and state inspections, most recent first.
Surveyors found multiple unsealed conduit penetrations and improper fire stopping materials in the fire and smoke barriers of an electrical room. The facility could not provide documentation that the materials used were approved for fire stopping, and several areas had visible breaches in the rated walls, indicating noncompliance with NFPA 101 standards.
Surveyors found that after the removal of a drop ceiling in an electrical room, two sprinkler heads were left too far below the new ceiling, resulting in inadequate sprinkler coverage and noncompliance with NFPA 101 and NFPA 13 requirements. The Maintenance Director confirmed the findings during the facility tour.
A facility failed to honor a resident's shower schedule, as requested by the resident's representative. The resident, with severe cognitive impairment and dependent on care, was scheduled for showers twice a week. However, records showed the resident received bed and tub baths instead. A note from the resident's sister requested adherence to the shower schedule, but staff interviews confirmed the lack of showers and absence of a tub in the facility.
A facility failed to accurately document the discharge status of a resident who was discharged home, as the MDS assessment incorrectly recorded the discharge as to a 'Short-Term General Hospital'. The resident, with multiple diagnoses, was discharged with all necessary instructions and medications, but the error was confirmed by the MDS Coordinator, who planned to update the assessment.
The facility failed to follow physician orders for several residents, including not applying prescribed antifungal cream, not administering blood pressure medication as needed, and not arranging a urology consultation. These deficiencies were due to lapses in medication management, inconsistent monitoring, and lack of follow-up care.
A resident with severe cognitive impairment was not provided adequate hydration due to staff mishandling her fluid restriction orders. Despite being on a 1200 ml/day fluid restriction, her juices were frequently discarded by aides, leaving her with dry lips and feeling depressed. The resident's complaints were confirmed during an observation where she discussed the issue with the MDS coordinator, who promised to inform the aides not to remove her juice.
A facility failed to ensure timely physician visits for a resident with a catheter. The resident, who had mild cognitive impairment and was dependent on staff for ADLs, experienced a significant gap in physician evaluations, with no visits recorded between late August and early November. This deficiency was acknowledged by the DON during an interview.
A resident with mild cognitive impairment and dependence on staff for ADLs did not receive timely physician visits following readmission from the hospital, as required by regulation. Review of records showed a gap in physician evaluations, which was acknowledged by the DON.
The facility did not meet the required daily average of 2.0 CNA hours per resident on multiple days during the first quarter of FY 2025, with daily averages falling below the standard. The DON acknowledged these findings during the survey. This constitutes a Class III deficiency.
The facility did not properly post daily nursing staff information, as required, by listing only names without titles or unit assignments. This made it unclear which nurses or CNAs were responsible for specific residents, and both surveyors and residents could not determine staff assignments from the posted information. The ADON acknowledged these deficiencies.
A resident who was fully dependent for care did not receive scheduled showers as requested by her representative, despite a posted note and care plan specifying shower days. Instead, the resident received bed baths and tub baths, with staff and DON confirming the lack of shower documentation and the absence of a tub in the facility.
Surveyors found that the facility failed to ensure a resident on fluid restriction received her allowed fluids, did not provide a prescribed skin cream to another resident due to lack of supply, and did not consistently monitor or document blood pressure for a resident with hypertension as ordered. Additionally, a required follow-up consultation for another resident was not completed or documented.
A resident with multiple diagnoses was discharged home as documented in care plans, progress notes, and social services records. However, the MDS discharge assessment incorrectly recorded the discharge status as 'Short-Term General Hospital' instead of home. The MDS Coordinator confirmed the error and indicated the assessment would be updated.
Failure to Maintain Fire/Smoke Barrier Integrity in Electrical Room
Penalty
Summary
During an unannounced Fire & Life Safety revisit survey, surveyors observed that the facility failed to maintain proper fire and smoke barrier construction in accordance with NFPA 101 standards. Specifically, in Electrical Room #6, there were five open conduit penetrations through the south side 1-hour fire rated wall and three penetrations through the north side smoke wall. Additionally, thirteen areas on the east and south side 1-hour fire rated walls were found with red fire stopping mixed with a white putty, as well as areas with only white putty surrounding the penetrating conduit. The facility was unable to provide documentation confirming that the white putty used was approved for fire stopping purposes. These deficiencies were identified during a fire safety tour conducted with the Administrator and the Maintenance Director, who acknowledged the findings at the time of observation. The surveyors noted that these examples may not represent all unprotected penetrations in the facility's fire and smoke barriers, emphasizing the need for a thorough inspection of each barrier along its full length and height to ensure all penetrations are properly sealed. The report further states that every breach or penetration of a fire barrier must be appropriately repaired to restore the wall, ceiling, or floor to its original fire or smoke rated integrity. The penetrations in fire rated barriers are required to be sealed with a UL (Underwriters Laboratories) listed approved system. Photographic evidence was obtained to document the observed deficiencies.
Plan Of Correction
6/6/25 Preparation and/or execution of this plan of correction does not constitute admission or agreement of the provider of the truth of the alleged or conclusion set forth in the CMS measured star ratings. The plan of correction is prepared and executed solely because it is required by Federal and State Laws. What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice: 1. No residents were affected by this alleged deficient practice. How you will identify other residents having potential to be affected by the same deficient practice and what corrective action will be taken: 2. The facility will maintain the fire/smoke barrier construction in Electrical room #5. Penetration holes five (5) through the South side; three through the North side smoke wall; thirteen (13) areas on the East and South side 1-hour fire rated walls were resealed by a 3M trained professional in accordance with NFPA 101. A thorough inspection of each fire/smoke barrier will be conducted to ensure that all penetrations are found and properly sealed in accordance with NFPA 101. What measures will be put into place or what systematic changes you will make to ensure that the deficient practice does not recur: 3. Maintenance staff re-educated on ensuring fire/smoke barrier penetrations are inspected along its full length, height and properly sealed with a UL (Underwriters Laboratories) listed approved system. How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put in place: 4. Maintenance Director or Designee will report the findings of fire/smoke barrier penetrations audits to the QAA&C monthly times three months or until substantial compliance is met. Preparation and/or execution of this plan of correction does not constitute admission or agreement of the provider of the truth of the alleged or conclusion set forth in the CMS measured star ratings. The plan of correction is prepared and executed solely because it is required by Federal and State Laws. What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice: 1. No residents were affected by this alleged deficient practice. How you will identify other residents having potential to be affected by the same deficient practice and what corrective action will be taken: 2. The facility will maintain the fire/smoke barrier construction in Electrical room #5. Penetration holes five (5) through the South side; three through the North side smoke wall; thirteen (13) areas on the East and South side 1-hour fire rated walls were resealed by a 3M trained professional in accordance with NFPA 101. A thorough inspection of each fire/smoke barrier will be conducted to ensure that all penetrations are found and properly sealed in accordance with NFPA 101. What measures will be put into place or what systematic changes you will make to ensure that the deficient practice does not recur: 3. Maintenance staff re-educated on ensuring fire/smoke barrier penetrations are inspected along its full length, height and properly sealed with a UL (Underwriters Laboratories) listed approved system. How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put in place: 4. Maintenance Director or Designee will report the findings of fire/smoke barrier penetrations audits to the QAA&C monthly times three months or until substantial compliance is met.
Sprinkler System Installation Noncompliance Due to Ceiling Modification
Penalty
Summary
During an unannounced Fire & Life Safety recertification survey, it was observed that the facility failed to maintain their sprinkler system installation in accordance with NFPA 101 and NFPA 13 standards. Specifically, in Electrical Room #5, the drop ceiling had been removed, resulting in two sprinkler heads being positioned too far below the new ceiling level. This alteration led to inadequate coverage by the sprinkler system in that room, as the sprinkler heads were no longer properly aligned with the ceiling as required by code. The deficiency was identified during a facility tour conducted with the Maintenance Director, who confirmed the findings during an interview. The issue was reviewed with both the Administrator and the Maintenance Director at the exit conference, and photographic evidence was obtained to document the noncompliance. No information regarding residents or their medical conditions was included in the report, and the deficiency was limited to the physical plant and fire safety systems.
Plan Of Correction
Preparation and/or execution of this plan of correction does not constitute admission or agreement of the provider of the truth of the alleged or conclusion set forth in the CMS measured star ratings. The plan of correction is prepared and executed solely because it is required by Federal and State Laws. K351 What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice: 1. No residents were affected by this alleged deficient practice. How you will identify other residents having potential to be affected by the same deficient practice and what corrective action will be taken: 2. The facility will maintain the supervised automatic fire sprinkler system in accordance with NFPA 101. Electrical Room #5 is scheduled to be corrected on 4/15/25 to ensure adequate coverage of the automatic fire sprinkler system protection in accordance with NFPA 101. What measures will be put into place or what systematic changes you will make to ensure that the deficient practice does not recur: 3. Maintenance staff re-educated on ensuring inspection of every compartment for sprinkler system. How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put in place: 4. Maintenance Director or Designee will report the findings of the automatic fire sprinkler audits to the QAA&C monthly times three months or until substantial compliance is met.
Failure to Provide Scheduled Showers for Resident
Penalty
Summary
The facility failed to honor the resident representative's request to ensure that a resident received a shower on the scheduled shower days. The resident, who was admitted to the facility with severe cognitive impairment and was dependent on all care needs, had a shower schedule set for every Monday and Thursday during the 3 PM - 11 PM shift. However, documentation from the CNA task list showed that the resident received only four bed baths and three tub baths on the scheduled shower days between February 27 and March 24. An observation in the resident's room revealed a note written by the resident's sister, requesting that the resident receive a shower on her shower days. Interviews with staff confirmed the lack of shower documentation and revealed that the facility did not have a tub, which contributed to the deficiency.
Plan Of Correction
Preparation and/or execution of this plan of correction does not constitute an admission or agreement of the provider of the truth of the alleged or conclusion set forth in the CMS measured star ratings. The plan of correction is prepared and executed solely because it is required by Federal and State Laws. F561 What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice: Resident #71 was provided with a shower as scheduled. Staff C was re-educated to provide and document showers provided on residents' shower days and any additional days that the residents receive a shower. How you will identify other residents having potential to be affected by the same deficient practice and what corrective action will be taken: Facility audit conducted to ensure residents' showers are completed on scheduled shower days and documented appropriately. Other residents found to be affected were corrected. What measures will be put into place or what systematic changes you will make to ensure that the deficient practice does not recur: Certified Nursing Assistants (C.N.As) have been re-educated regarding Resident Rights/Right of Choices as related to receiving shower on the scheduled shower days. How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put in place: Random observation will be conducted three times per week / three months to ensure compliance. Director of Nursing/Designee will conduct weekly shower audits times four weeks and will report the findings of the audits to the QAA&C monthly times three months or until substantial compliance is met.
Inaccurate Discharge Documentation for a Resident
Penalty
Summary
The facility failed to accurately document the discharge status of a resident, identified as Resident #100, who was reviewed as part of closed records. Resident #100 was admitted with multiple diagnoses including anemia, hypertension, hip fracture, and chronic pain syndrome. The care plan for discharge indicated the resident's or responsible party's wish to return home, with a goal to safely discharge to a lower level of care once rehabilitation goals were met. On the day of discharge, progress notes documented that the resident was discharged home via private car, accompanied by two persons, with all necessary instructions and medications provided. However, the Minimum Data Set (MDS) assessment inaccurately recorded the resident's discharge status as 'Short-Term General Hospital' instead of home. This discrepancy was confirmed during an interview with the MDS Coordinator, who acknowledged the error and stated that the assessment would be updated and resubmitted. The failure to accurately document the discharge status represents a deficiency in ensuring each resident receives an accurate assessment.
Plan Of Correction
What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice: Resident #100 assessment was corrected by the Clinical Reimbursement Director and resubmitted. No other residents were affected by the deficient practice. How you will identify other residents having potential to be affected by the same deficient practice and what corrective action will be taken: The Clinical Reimbursement Director/designee reviewed discharged residents for the last 30 days to ensure accurate documentation for discharge. What measures will be put into place or what systematic changes you will make to ensure that the deficient practice does not recur: The Clinical Reimbursement Director/designee will educate the Clinical Reimbursement staff on proper documentation and capturing discharge information accurately, including assessment of discharge destination. How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put in place: The Clinical Reimbursement Director/designee will audit discharge care plans and assessments for appropriate discharge status. Audits will be conducted weekly for four weeks, with findings reported monthly for three months at QAA&C or until substantial compliance is met.
Failure to Follow Physician Orders and Medication Management
Penalty
Summary
The facility failed to adhere to physician orders for multiple residents, leading to deficiencies in care. For one resident with severe cognitive impairment, the facility did not apply the prescribed antifungal cream as ordered. Observations revealed the resident was experiencing significant discomfort due to a rash, and interviews with staff indicated that the antifungal cream was not available due to a failure to reorder it after the stock expired. Despite the treatment administration record indicating that the cream had been administered, it was confirmed that the medication was not available, highlighting a lapse in medication management and communication among staff. Another resident, who was cognitively intact and diagnosed with hypertension, did not receive the necessary blood pressure monitoring and medication as needed. The resident's care plan required the administration of Catapres for high systolic blood pressure, but the facility did not document blood pressure readings consistently, nor did they administer the medication when required. Interviews with nursing staff revealed inconsistencies in the process of monitoring and documenting blood pressure, which contributed to the oversight in providing the necessary medication. Additionally, the facility failed to follow through with a physician's order for a urology consultation for a resident with an indwelling catheter and a diagnosis of hemorrhagic cystitis. The resident's records showed no documentation of a follow-up with urology, nor any indication that the resident refused the consultation. The Director of Nursing acknowledged the oversight, indicating a failure in ensuring that critical follow-up care was arranged and documented for the resident.
Plan Of Correction
What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice: 1. The was obtained from the vendor and provided the unit on in the afternoon. Resident #5 was provided with the cream as ordered. The Physician for Resident #5 was notified and will continue with treatment plan. Resident #5 had physician and family notified of medication omissions and new orders received for medication administration with no negative outcomes to the patient. Nurse D, Staff F, and Unit Manager were re-educated on the process of following physician orders and timely ordering of supplies. Central Supply Clerk re-educated on timely ordering of supplies. 2. Resident #58 medication was given as ordered. Medication review completed by physician and the continued to be as needed Q 8 hours. Order provided to monitor 3 times/day and as needed. Licensed nurses re-educated on documenting the for Resident #58 every eight hours as ordered and PRN. 3. Resident #63's consultation was rescheduled from to per family request. The physician was notified of the change of the consultation date. How you will identify other residents having potential to be affected by the same deficient practice and what corrective action will be taken: A facility-wide audit was completed for current residents to identify any other residents affected by the deficient practice. No other residents were affected by the deficient practice. Current residents' Treatment Administration Records have been audited by the Director of Nursing/designee to ensure compliance with following physicians' orders. What measures will be put into place or what systematic changes you will make to ensure that the deficient practice does not recur: Licensed nurses will be re-educated on the importance of following physician orders related to Quality of Care including customer service, monitoring, and follow-up care for those residents with rashes, medication monitoring, ensuring consultations are scheduled timely. Compliance will be monitored through audits three times a week, four weeks, and weekly thereafter to ensure the practice does not recur. How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put in place: The Director of Nursing/designee will conduct treatment observations and consultation audits weekly for four weeks and then monthly for two months to ensure continued compliance. The Director of Nursing/Designee will report the findings of the audits to the QAA&C monthly times three months or until substantial compliance is met.
Inadequate Hydration Due to Mishandling of Fluid Restriction
Penalty
Summary
The facility failed to provide adequate hydration for a resident with severe cognitive impairment, as evidenced by the mishandling of her fluid restriction orders. The resident was on a 1200 milliliters per day fluid restriction, with 900 milliliters to be provided by dietary and 300 milliliters by nursing. Despite these orders, the resident reported that her fluids were frequently taken away by aides, leaving her with dry lips and a feeling of depression. During an interview, the resident expressed that her juices, which she liked to sip on throughout the day, were often discarded by staff, despite requests for them not to do so. An observation confirmed the resident's complaint, as she was seen discussing the issue with the MDS coordinator, who promised to inform the aides not to remove her juice.
Plan Of Correction
F 692 What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice: Resident #16 was provided with additional fluid; no other residents were affected by the deficient practice. Resident's BIM score was redone and now 11. Psych services provided for emotional support and Licensed nurses and Certified Nursing Assistants were educated on sufficient fluid intake to maintain proper hydration and health. Additionally, not removing the fluids allowed to the residents. Care plan updated to reflect resident's preference to sip on her drink throughout the day. How you will identify other residents having potential to be affected by the same deficient practice and what corrective action will be taken: Facility audit completed for residents on fluid restrictions to ensure they are receiving adequate hydration as ordered. Director of Nursing/Designee to audit/monitor documentation weekly times four weeks. What measures will be put into place or what systematic changes you will make to ensure that the deficient practice does not recur: Assistant Director of Nursing/designee will re-educate nursing staff on the following: Ensure residents with fluid restrictions have adequate time for consumption. How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put in place: Will conduct audits weekly times four weeks. Director of Nursing /designee will report findings at monthly QAA&C monthly times three months or until substantial compliance is achieved.
Failure to Ensure Timely Physician Visits for Resident with Catheter
Penalty
Summary
The facility failed to ensure timely physician visits for a resident with a catheter. The resident, who had mild cognitive impairment and was dependent on staff for activities of daily living, was admitted to the facility and later hospitalized before being readmitted. A review of the resident's physician progress notes revealed a significant gap in physician evaluations, with no evidence of a physician visit between late August and early November. This deficiency was acknowledged by the Director of Nursing during an interview.
Plan Of Correction
F712/N55 - Physician Visits - Ensure Physicians visits in a timely manner What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice: 1. Resident #63 was seen on. The Physician assigned was re-educated on timely documentation and submission to the facility as required. How you will identify other residents having potential to be affected by the same deficient practice and what corrective action will be taken: 2. Current residents' charts have been audited over the past 30 days and timely Physician visits are in place. What measures will be put into place or what systematic changes you will make to ensure that the deficient practice does not recur: 3. Medical Records have been in-serviced on monitoring timely Physician visits. How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put in place: 4. Medical Records/designee will audit Physician's progress notes biweekly for timely visits times four weeks and report findings to QAA&C committee for three months or until substantial compliance is met.
Failure to Ensure Timely Physician Visits
Penalty
Summary
The facility failed to ensure that a resident received timely physician visits as required by 59A-4.107(6), FAC. Specifically, after being readmitted to the facility following a hospitalization, the resident's records showed a lack of physician progress notes for a period extending from the date of readmission through a subsequent period, with only one progress note documented. This gap in physician evaluation was confirmed during an interview with the DON, who acknowledged the absence of timely physician visits for the resident. The resident in question had mild cognitive impairment and was dependent on staff for activities of daily living (ADLs).
Plan Of Correction
What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice: 1. Resident #63 was seen on. The Physician assigned was re-educated on timely documentation and submission to the facility as required. How you will identify other residents having potential to be affected by the same deficient practice and what corrective action will be taken: 2. Current residents' charts have been audited over the past 30 days, and timely Physician visits are in place. What measures will be put into place or what systematic changes you will make to ensure that the deficient practice does not recur: 3. Medical Records have been in-serviced on monitoring timely Physician visits. How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put in place: 4. Medical Records/designee will audit Physician's progress notes biweekly for timely visits times four weeks and report findings to QAA&C committee for three months or until substantial compliance is met.
Failure to Meet Minimum CNA Staffing Requirements
Penalty
Summary
The facility failed to meet the daily average minimum staffing requirement for Certified Nurse Assistants (CNAs) during the first quarter of Fiscal Year 2025. A review of the State Minimum Nursing Staff for Long Term Care Facilities showed that on several days, the facility's daily average CNA hours fell below the required 2.0 hours per resident per day. Specifically, the daily average CNA hours recorded were 1.9411, 1.9316, 1.9837, and 1.8799 on different days within the quarter. This deficiency was confirmed during an interview with the Director of Nursing (DON), who acknowledged the findings. The report does not mention any specific residents affected or provide details about their medical history or condition at the time of the deficiency. The deficiency is classified as a Class III violation.
Plan Of Correction
Preparation and/or execution of this plan of correction does not constitute admission or agreement of the provider of the truth of the alleged or conclusion set forth in the CMS measured star ratings. The plan of correction is prepared and executed solely because it is required by Federal and State Laws. N63- What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice: The staffing coordinator and Nurse Managers have been re-educated on ensuring that Certified Nursing Assistant minimum daily hour of direct care is at least 2.0 per resident per day. No residents were affected by the deficient practice. How you will identify other residents having potential to be affected by the same deficient practice and what corrective action will be taken: Audit completed for the past 30 days, and no deficient practice identified. What measures will be put into place or what systematic changes you will make to ensure that the deficient practice does not recur: Nursing Home Administrator educated the Director of Nursing and those responsible for staffing on the requirements of meeting the daily per patient day direct care hours.
Failure to Properly Post Nursing Staff Information
Penalty
Summary
The facility failed to comply with statutory requirements for daily posting of nursing staff information. During observations, the posted staff list across from the nursing station included only names, without specifying titles such as licensed nurses or certified nursing assistants (CNAs). Additionally, the posting did not indicate room assignments for the four units, making it unclear which staff members were responsible for specific residents. Surveyors had to ask staff to determine which personnel were assigned to particular residents, and random residents questioned were unable to identify their assigned nurse by looking at the posted information. The Assistant Director of Nursing confirmed these findings during an interview.
Plan Of Correction
The Nursing Home Administrator, Director of Nursing, and Staffing Coordinator during staffing meetings will continue to ensure compliance with the requirement. On weekends, the Director of Nursing will verify with the Supervisor and monitor callouts for replacements. How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put in place: Director of Nursing/Designee will review findings weekly times four weeks and report compliance during the monthly QA&A Committee monthly times three months or until substantial compliance is met. What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice: The missing staffing information such as titles and room assignments for the Certified Nursing Assistants and Licensed Nurses identified were corrected. No residents were affected by the deficient practice. How you will identify other residents having potential to be affected by the same deficient practice and what corrective action will be taken: Meeting scheduled with the resident council on to review the posted assignments to ensure understanding. Random residents will be questioned on who their assigned nurses and the Certified Nursing Assistants are to ensure understanding. What measures will be put into place or what systematic changes you will make to ensure that the deficient practice does not recur: Nurse Managers and Licensed Nurses have been re-educated regarding posting nurse staffing information to include titles and room assignments. Weekly audits will be completed to ensure compliance times four weeks. How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put in place: Director of Nursing/Designee will review findings weekly times four weeks and report compliance during the monthly QA&A Committee monthly times three months or until substantial compliance is met.
Failure to Provide Scheduled Showers per Resident Representative's Request
Penalty
Summary
The facility failed to honor a resident representative's request to ensure that a resident received showers on their scheduled shower days. The resident, who was dependent for all care needs as indicated by a Minimum Data Set (MDS) assessment score of 3, had a posted note from her sister on the bulletin board requesting that she receive showers on her scheduled days. The resident's care plan included showers every Monday and Thursday during the 3 PM-11 PM shift. Record review showed that, instead of showers, the resident received four bed baths and three tub baths on the scheduled shower days. Staff interviews confirmed that a bed bath was provided instead of a shower, and the Director of Nursing verified the lack of shower documentation on the CNA task list. It was also confirmed that the facility does not have a tub, further indicating that the resident did not receive showers as scheduled.
Plan Of Correction
N 181 What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice: Resident #71 was provided with a shower as scheduled. Staff C was re-educated to provide and document showers provided on residents' shower days and any additional days that the residents receive a shower. How you will identify other residents having potential to be affected by the same deficient practice and what corrective action will be taken: Facility audit conducted to ensure residents' showers are completed on scheduled shower days and documented appropriately. Other residents found to be affected were corrected. What measures will be put into place or what systematic changes you will make to ensure that the deficient practice does not recur: Certified Nursing Assistants (C.N.As) have been re-educated regarding Resident Rights/Right of Choices as related to receiving shower on the scheduled shower days. How the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put in place: Random observation will be conducted three times per week/three months to ensure compliance. Director of Nursing/Designee will conduct weekly shower audits times four weeks and will report the findings of the audits to the QAA&C monthly times three months or until substantial compliance is met.
Failure to Provide Adequate Hydration, Medication Administration, and Physician-Ordered Consultations
Penalty
Summary
The facility failed to provide adequate and appropriate health care to several residents as evidenced by multiple deficiencies. One resident on a 1200 mL per day fluid restriction, with specific allocations for dietary and nursing staff, was not able to access the fluids she was allowed. The resident reported that staff repeatedly removed her juice before she could finish it, despite her requests to leave it for her to sip throughout the day. Observations confirmed the resident's complaints, and staff acknowledged the issue but only offered to replace the juice after it was taken away. Another resident with a severe cognitive impairment had a physician's order for a specific cream to be applied to affected skin areas during the day and evening shifts. Despite this order, the cream was not available for use, as the supply had run out and expired stock had been discarded without timely reordering. Staff interviews revealed that the cream had been unavailable for several days, and the Treatment Administration Record showed that nurses had signed off on the administration of the cream even though it was not actually provided. The resident was observed scratching her arms and had visible skin issues, indicating the treatment was not being administered as ordered. A third resident with a history of hypertension had physician orders for routine and as-needed antihypertensive medications, with instructions to administer the as-needed medication for blood pressure readings above a certain threshold. However, staff were not consistently monitoring or documenting the resident's blood pressure every eight hours as required, resulting in missed opportunities to administer the as-needed medication when indicated. Interviews with nursing staff revealed inconsistent practices in monitoring and documentation, and review of records confirmed that blood pressure readings were not taken or recorded as frequently as ordered. Additionally, another resident did not receive a required follow-up consultation as ordered by the physician, with no documentation of refusal or completion.
Plan Of Correction
1. Resident #16 was provided with additional fluid; no other residents were affected by the deficient practice. Resident's BIM score was redone and now 11. Psych services provided for emotional support and Licensed nurses and Certified Nursing Assistants were educated on sufficient fluid intake to maintain proper hydration and health. Additionally, not removing the fluids allowed to the residents. Care plan updated to reflect resident's preference to sip on her drink throughout the day. Facility audit completed for residents on fluid restrictions to ensure they are receiving adequate hydration as ordered. Director of Nursing/Designee to audit/monitor documentation weekly times four weeks. Assistant Director of Nursing/designee will re-educate nursing staff on the following: Ensure residents with fluid restrictions have adequate time for consumption. Will conduct audits weekly times four weeks. Director of Nursing/designee will report findings at monthly QAA&C meetings monthly times three months or until substantial compliance is achieved. 2. The was obtained from the vendor and provided the unit on in the afternoon. Resident #5 was provided with the cream as ordered. The Physician for Resident #5 was notified and will continue with treatment plan. Resident #5 had physician and family notified of medication omissions and new orders received for medication administration with no negative outcomes to the patient. Nurse D, Staff F, and Unit Manager were re-educated on the process of following physician orders and timely ordering of supplies. Central Supply Clerk re-educated on timely ordering of supplies. 3. Resident #58 medication was given as ordered. Medication review completed by physician and the continued to be as needed Q 8 hours. Order provided to monitor three times/day and as needed. Licensed nurses were re-educated on documenting the for Resident #58 every eight hours as ordered and PRN. 4. Resident #63's consultation was rescheduled from to per family request. The physician was notified of the change of the consultation date. A facility-wide audit was completed for current residents to identify any other residents affected by the deficient practice. No other residents were affected by the deficient practice. Current residents' Treatment Administration Records have been audited by the Director of Nursing/designee to ensure compliance with following physicians' orders. Licensed nurses will be re-educated on the importance of following physician orders related to Quality of Care including customer service, monitoring, and follow-up care for those residents with rashes, medication monitoring, and ensuring consultations are scheduled timely. Compliance will be monitored through audits three times a week, four weeks, and weekly thereafter to ensure the practice does not recur. The Director of Nursing/designee will conduct treatment observations and consultation audits weekly for four weeks and then monthly for two months to ensure continued compliance. The Director of Nursing/Designee will report the findings of the audits to the QAA&C monthly times three months or until substantial compliance is met.
Inaccurate Documentation of Resident Discharge Status
Penalty
Summary
The facility failed to accurately document the discharge status of a resident, as required by 59A-4.109(1), FAC, which mandates a comprehensive and accurate assessment of each resident's functional capacity and discharge status. The resident in question was admitted with diagnoses including wasting and atrophy, abnormalities of gait and mobility, and was documented in the care plan as wishing to return home. The care plan goal was to safely discharge the resident to a lower level of care, such as home, when rehabilitation goals were met. Progress notes and social services documentation confirmed that the resident was discharged home, with details indicating the resident left the facility via private car, accompanied by two persons, and received food and medication as ordered prior to departure. The resident was alert, oriented, and independent in decision-making, and had requested to be discharged home to coincide with the discharge of a spouse from the hospital. Durable medical equipment was ordered for the resident prior to discharge. Despite this, the Minimum Data Set (MDS) discharge assessment inaccurately recorded the resident's discharge status as 'Short-Term General Hospital' instead of home. During an interview, the MDS Coordinator confirmed the resident was discharged home and acknowledged the error in the MDS assessment, stating that it would be updated and resubmitted.
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Surveyors found that the facility’s only commercial cooking hood was not maintained in accordance with NFPA 101 and NFPA 96 requirements. During a kitchen tour with the Maintenance Director, the hood was observed to be not grease tight due to missing fire-resistant caulk, and the Maintenance Director acknowledged this condition at the time of the survey.
Surveyors found that the facility failed to comply with NFPA 99, NFPA 70, and NFPA 1 requirements for electrical equipment when, during a tour with the Maintenance Director, a power strip in the electrical room was observed being used as a permanent power source instead of a dedicated receptacle. The report states that this improper use of a relocatable power tap could lead to electrical hazards for residents and staff, and notes that extension cords and power strips are not to be used as substitutes for fixed wiring under the cited codes.
Surveyors found that the facility did not have documentation showing completion of the required annual 90‑minute test of emergency lighting. During record review and interview, the Director of Facilities confirmed that records of this annual test, required under NFPA 101 sections 19.2.9.1 and 7.9, were not available. This deficiency was cited as affecting all occupants in the event of a fire or other emergency.
Surveyors found that the facility failed to perform and/or document the required annual Duct Detector Differential testing for the fire alarm system in accordance with NFPA 101, NFPA 70, and NFPA 72. During record review and interviews with the Director of Facilities, no documentation could be produced to show that this annual testing had been completed, and the Director acknowledged the lack of records. This deficiency was cited as potentially affecting all occupants in the event of a fire or other emergency.
Surveyors found that the facility failed to perform and/or document required annual testing and exercising of main and feeder circuit breakers in accordance with NFPA 99 and manufacturer recommendations. During record review, no documentation could be produced to show that the annual breaker exercises had been completed, and the Director of Facilities acknowledged this lack of records. This deficiency relates to the essential electrical system that supports life safety and critical branches during emergencies.
Surveyors observed that an adapter was used to power a refrigerator in the kitchen and a refrigerator in the dining room manager's office was plugged into a power strip. The Director of Facilities confirmed both uses, which did not comply with NFPA 99 and NFPA 70 requirements prohibiting adapters and power strips from being used as substitutes for permanent wiring.
Surveyors found that food service operations failed to meet professional food safety standards in both the main and satellite kitchens. In the main kitchen, a cook’s facial hair was not fully covered, the handwashing sink did not initially provide warm water, wet-nested pans and dirty plate domes were stored for use, ice buckets were stained with mold-like discoloration, and the high-temp dishwasher failed to reach the required sanitizing temperature. In the satellite pantry, the dishwasher did not reach required wash temperatures, vents and cabinets above serving dishes had mold-like buildup and residue, floors were damaged and soiled, the dishwasher chemical cabinet was rusted, the AC filter was heavily soiled, the juice dispenser had debris near clean cups, and tray carts contained dirty sheet trays. During tray line observation, salad items were held above 41°F, and a pureed vegetable listed on the menu extension was not available on the line.
Two residents on physician-ordered modified diets (pureed and mechanical soft with nectar-thick liquids) were given Regular Menus listing items such as fresh fruit, salad greens, and grilled cheese that were not compatible with their diet orders. Both residents selected items from these Regular Menus, but the facility either could not provide the chosen foods due to diet restrictions or substituted different items (e.g., canned peach halves instead of fresh fruit), despite the residents’ expressed preferences. The RD and dietetic technician confirmed that Regular Menus were routinely provided to all residents, including those on mechanically altered diets, leading to menu choices that did not align with ordered diet consistencies.
Surveyors found that the facility did not follow physician-ordered therapeutic diets or provide prescribed Magic Cup nutritional supplements for several cognitively impaired residents. A resident on a pureed diet with honey-thick liquids was served a lunch without the ordered pureed vegetable, and tray line review on another day showed no pureed vegetables available despite the menu specifying them. Multiple residents with orders for Magic Cup supplements had these listed on their meal tickets but were instead served other desserts or received no supplement at all, while documentation on the MAR indicated full consumption. Dietary staff acknowledged responsibility for providing Magic Cups but could not explain why residents in the dining room did not receive them.
A resident with intact cognition and multiple cardiac and pulmonary diagnoses had clearly documented DNR orders, including signed advance directive forms and care plan entries confirming her wish to avoid resuscitation. During a cardiac emergency, a CNA found the resident unresponsive and notified an RN, who initiated a code blue response. Several RNs and LPNs transferred the resident to bed and began CPR without first verifying code status, despite one LPN asking and then leaving the room to check the record. Staff interviews and video review showed that chest compressions and use of a bag-valve mask continued for about 12 minutes until EMS arrived, even after staff learned the resident was DNR, and the physician confirmed the resident was already listed as DNR in the system, leading to an Immediate Jeopardy finding for failure to honor advance directives.
Commercial Cooking Hood Not Maintained Grease Tight per NFPA Standards
Penalty
Summary
Surveyors identified a deficiency involving the facility’s commercial cooking facilities. During a tour of the kitchen between 1:00 p.m. and 3:00 p.m. with the Maintenance Director, surveyors observed that the one commercial cooking hood in use was not grease tight. Specifically, the hood was missing required fire-resistant caulk, which is necessary for maintaining a grease-tight seal in accordance with NFPA 96 and NFPA 101 standards. The Maintenance Director acknowledged these findings at the time of observation. The deficiency was cited under NFPA 101 and NFPA 96 requirements for commercial cooking operations, which mandate that cooking equipment and associated hoods be protected and maintained in compliance with these fire and life safety codes.
Plan Of Correction
Preparation and/or execution of this plan does not constitute admission or agreement by the provider of the truth of the facts alleged or conclusions set forth on the statement of deficiencies. This plan of correction is prepared and/or executed solely because required. What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice? No residents were affected by this deficient practice. How you will identify other residents having potential to be affected by the same practice and what corrective actions will be taken; Commercial cooking hood system inspected; no additional deficient areas were identified. What measures will be put into place or what systematic changes will you make to ensure that the practice does not recur:Maintenance staff and Dietary staff education on proper use and reporting of issues related to cooking hood system.Verification of scheduled inspections and cleaning of cooking hood system by licensed vendor.How the corrective action(s) will be monitored to ensure the practice will not recur, i.e., what quality assurance program will be put in place:The maintenance director/designee will complete weekly audits of cooking hood system for 4 weeks, then monthly for 2 months to ensure compliance. The findings will be reported to the Quality Assurance Performance Improvement Committee for ongoing compliance. Preparation and/or execution of this plan does not constitute admission or agreement by the provider of the truth of the facts alleged or conclusions set forth on the statement of deficiencies. This plan of correction is prepared and/or executed solely because required. What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice? No residents were affected by this deficient practice. How you will identify other residents having potential to be affected by the same practice and what corrective actions will be taken; Commercial cooking hood system inspected; no additional deficient areas were identified. What measures will be put into place or what systematic changes will you make to ensure that the practice does not recur; Maintenance staff and Dietary staff education on proper use and reporting of issues related to cooking hood system. Verification of scheduled inspections and cleaning of cooking hood system by licensed vendor. How the corrective action(s) will be monitored to ensure the practice will not recur, i.e., what quality assurance program will be put in place; The maintenance director/designee will complete weekly audits of cooking hood system for 4 weeks, then monthly for 2 months to ensure compliance. The findings will be reported to the Quality Assurance Performance Improvement Committee for ongoing compliance.
Improper Use of Power Strip as Permanent Power Source in Electrical Room
Penalty
Summary
Surveyors identified a deficiency related to improper use of relocatable power taps (RPTs) and power strips in violation of NFPA 99, NFPA 70, and NFPA 1 requirements. During a facility tour conducted between 10:00 a.m. and 12:00 p.m. with the Maintenance Director, surveyors observed one power strip in the electrical room being used as a source of permanent power instead of being connected to a dedicated receptacle. The report notes that this use did not comply with standards that require extension cords and power strips not be used as a substitute for fixed wiring and that they be used only under specified conditions. The deficiency specifically concerns the facility’s failure to ensure that RPTs are maintained and used in accordance with NFPA 99 (2012 Edition) sections 10.2.3.6 and 10.2.4, and NFPA 70 (2011 and 2020 Editions) provisions governing flexible cords and temporary wiring, as well as NFPA 1 (2021 Edition) sections 11.1.2.2, 11.1.4.1, and 1.4.1. The report states that this condition could lead to electric hazards for residents and staff. No individual resident cases, medical histories, or specific clinical conditions are described in connection with this deficiency.
Plan Of Correction
What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice? No residents were affected by this deficient practice. How you will identify other residents having potential to be affected by the same practice and what corrective actions will be taken; Facility wide audit of electrical rooms was conducted to identify improper use of power strips. No additional concerns were identified. What measures will be put into place or what systematic changes you will make to ensure that the practice does not recur; The facility completed education reinforcing compliance with electrical safety requirements in accordance with National Fire Protection Association. How the corrective action(s) will be monitored to ensure the practice will not recur, i.e., what quality assurance program will be put in place: The maintenance director/designee will complete random electrical safety audits 2 times per week for 4 weeks, then monthly to ensure compliance with electrical safety standards. The findings will be reported to the Quality Assurance Performance Improvement Committee for ongoing compliance. What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice? No residents were affected by this deficient practice. How you will identify other residents having potential to be affected by the same practice and what corrective actions will be taken; Facility wide audit of electrical rooms was conducted to identify improper use of power strips. No additional concerns were identified. What measures will be put into place or what systematic changes you will make to ensure that the practice does not recur; The facility completed education reinforcing compliance with electrical safety requirements in accordance with National Fire Protection Association. How the corrective action(s) will be monitored to ensure the practice will not recur, i.e., what quality assurance program will be put in place; The maintenance director/designee will complete random electrical safety audits 2 times per week for 4 weeks, then monthly to ensure compliance with electrical safety standards. The findings will be reported to the Quality Assurance Performance Improvement Committee for ongoing compliance.
Failure to Document Required Annual 90‑Minute Emergency Lighting Test
Penalty
Summary
Surveyors identified a deficiency related to emergency lighting when, during record review and staff interview between 11:30 AM and 3:00 PM with the Director of Facilities, the facility was unable to provide documentation that the required annual 90‑minute testing of emergency lighting had been performed. The Director of Facilities acknowledged that there was no documentation available to show completion of this annual 90‑minute emergency lighting test, as required by NFPA 101 (2012 and 2021 editions), sections 19.2.9.1 and 7.9. This failure to document the annual emergency lighting test was cited as a noncompliance that could affect all occupants of the facility in the event of a fire or other emergency. No specific residents, medical histories, or clinical conditions were mentioned in the report; the deficiency pertains to facility-wide life safety systems and their required testing and documentation.
Plan Of Correction
Emergency Lighting CFR(s): NFPA 101 Preparation and/or execution of this plan does not constitute admission or agreement by the provider that a deficiency exists. This response is also not to be construed as an admission of fault by the facility, its employees, agents or other individuals who draft or may be discussed in this response and plan of correction. This plan of correction is submitted as the facility's credible allegation of compliance and Soley because it is required Emergency Lighting K0291 The facility immediately conducted a comprehensive inspection of all emergency lighting systems. On The Director of Facilities performed the required 90-minute annual testing of all emergency lighting units. Documentation of testing has been completed and is maintained on-site. 2. All areas of the facility were considered at risk due to lack of documented annual testing. A full facility-wide audit of all emergency lighting units was completed on by the Director of Facilities to ensure compliance. 3. The facility implemented a preventative maintenance schedule to ensure annual 90-minute emergency lighting testing is completed in accordance with NFPA 101 (2012), Section 7.9. A log tracking system has been developed to document all required testing. The Director of Facilities/designee will receive re-education on Life Safety Code requirements and documentation standards. 4. The Director of Facilities will review fire alarm testing records quarterly for 12 months, will present the findings for 12 months at Quality Assurance Performance Improvement (QAPI) meetings to confirm inspections have taken place. During and at the conclusion of the twelve months, the QAPI committee will re-evaluate and initiate necessary action or extend the review period. The Administrator is responsible for confirming implementation and ongoing compliance with the components of the Plan of Correction, and resolving variances that may occur. The Administrator is responsible for confirming the status of this Plan of Correction is reviewed and discussed at QAPI meetings and action initiated if required. Emergency Lighting CFR(s): NFPA 101 Preparation and/or execution of this plan does not constitute admission or agreement by the provider that a deficiency exists. This response is also not to be construed as an admission of fault by the facility, its employees, agents or other individuals who draft or may be discussed in this response and plan of correction. This plan of correction is submitted as the facility's credible allegation of compliance and Soley because it is required Emergency Lighting K0291 The facility immediately conducted a comprehensive inspection of all emergency lighting systems. On The Director of Facilities performed the required 90-minute annual testing of all emergency lighting units. Documentation of testing has been completed and is maintained on-site. 2. All areas of the facility were considered at risk due to lack of documented annual testing. A full facility-wide audit of all emergency lighting units was completed on by the Director of Facilities to ensure compliance. 3. The facility implemented a preventative maintenance schedule to ensure annual 90-minute emergency lighting testing is completed in accordance with NFPA 101 (2012), Section 7.9. A log tracking system has been developed to document all required testing. The Director of Facilities/designee will receive re-education on Life Safety Code requirements and documentation standards. 4. The Director of Facilities will review fire alarm testing records quarterly for 12 months, will present the findings for 12 months at Quality Assurance Performance Improvement (QAPI) meetings to confirm inspections have taken place. During and at the conclusion of the twelve months, the QAPI committee will re-evaluate and initiate necessary action or extend the review period. The Administrator is responsible for confirming implementation and ongoing compliance with the components of the Plan of Correction, and resolving variances that may occur. The Administrator is responsible for confirming the status of this Plan of Correction is reviewed and discussed at QAPI meetings and action initiated if required.
Failure to Perform and Document Annual Duct Detector Differential Testing
Penalty
Summary
Surveyors identified a deficiency related to the facility’s fire alarm system testing and maintenance, specifically the required annual Duct Detector Differential testing. During record review conducted between 11:30 AM and 3:00 PM, surveyors requested documentation demonstrating that this annual testing had been completed in accordance with NFPA 101 (2012 and 2021 editions), NFPA 70, and NFPA 72. The facility was unable to produce records showing that the Duct Detector Differential testing had been performed as required. In an interview conducted during the same time frame, the Director of Facilities acknowledged that the facility failed to provide documentation of the annual Duct Detector Differential testing. The deficiency was cited under NFPA 101 2012 (19.2.9.1, 7.9) and NFPA 101 2021 (19.2.9.1, 7.9), indicating noncompliance with the standards that require fire alarm detection systems, including duct detectors, to be tested and maintained annually. The report notes that this deficiency could affect all occupants of the facility in the event of a fire or other emergency.
Plan Of Correction
Fire Alarm System - Testing and Maintenance CFR(s): NFPA 101 Preparation and/or execution of this plan does not constitute admission or agreement by the provider that a deficiency exists. This response is also not to be construed as an admission of fault by the facility, its employees, agents or other individuals who draft or may be discussed in this response and plan of correction. This plan of correction is submitted as the facility's credible allegation of compliance and Soley because it is required Fire Alarm System - Testing and Maintenance K0345 1. On The facility a certified fire alarm vendor to perform annual duct detector differential testing. All required testing has now been completed and documented. 2. All residents and staff were considered at risk due to lack of documented testing. A facility-wide review of all fire alarm components was conducted on 3. The facility established a service agreement to ensure all fire alarm testing (including duct detectors) is completed annually per NFPA 72 and NFPA 101 requirements. A compliance calendar has been implemented with alerts for required inspections and testing. The Director of Facilities/designee has been re-educated on required testing intervals and documentation. 4. The Director of Facilities or designee will audit for 3 months all documentation for the annual testing and inspection of the duct detector pressure differential test. The Director of Facilities will present the findings of site inspections for 3 months at Quality Assurance Performance Improvement (QAPI) meetings to confirm inspections have taken place. During and at the conclusion of the three months, the QAPI committee will re-evaluate and initiate necessary action or extend the review period. The Administrator is responsible for confirming implementation and ongoing compliance with the components of the Plan of Correction, and resolving variances that may occur. The Administrator is responsible for confirming the status of this Plan of Correction is reviewed and discussed at QAPI meetings and action initiated if required Fire Alarm System - Testing and Maintenance CFR(s): NFPA 101 Preparation and/or execution of this plan does not constitute admission or agreement by the provider that a deficiency exists. This response is also not to be construed as an admission of fault by the facility, its employees, agents or other individuals who draft or may be discussed in this response and plan of correction. This plan of correction is submitted as the facility's credible allegation of compliance and Soley because it is required Fire Alarm System - Testing and Maintenance K0345 1. On The facility a certified fire alarm vendor to perform annual duct detector differential testing. All required testing has now been completed and documented. 2. All residents and staff were considered at risk due to lack of documented testing. A facility-wide review of all fire alarm components was conducted on. 3. The facility established a service agreement to ensure all fire alarm testing (including duct detectors) is completed annually per NFPA 72 and NFPA 101 requirements. A compliance calendar has been implemented with alerts for required inspections and testing. The Director of Facilities/designee has been re-educated on required testing intervals and documentation. 4. The Director of Facilities or designee will audit for 3 months all documentation for the annual testing and inspection of the duct detector pressure differential test. The Director of Facilities will present the findings of site inspections for 3 months at Quality Assurance Performance Improvement (QAPI) meetings to confirm inspections have taken place. During and at the conclusion of the three months, the QAPI committee will re-evaluate and initiate necessary action or extend the review period. The Administrator is responsible for confirming implementation and ongoing compliance with the components of the Plan of Correction. The Administrator is responsible for confirming the status of this Plan of Correction is reviewed and discussed at QAPI meetings and action initiated if required
Failure to Perform and Document Annual Main and Feeder Breaker Testing
Penalty
Summary
The deficiency involves the facility’s failure to perform and document required annual maintenance and testing of the main and feeder circuit breakers in accordance with NFPA 99 and manufacturer recommendations. During a record review conducted between 11:30 AM and 3:00 PM, surveyors requested documentation of the annual main and feeder breaker exercise. The facility was unable to provide records demonstrating that this testing and exercising had been completed as required. In interviews conducted during the same time frame, the Director of Facilities acknowledged that the facility did not have documentation showing that the annual main and feeder breaker exercise was performed according to manufacturer recommendations. The report notes that this failure to comply with NFPA 99 (2012 and 2021 editions, Sections 6.4.4 and 6.5.4) could affect all occupants of the facility in the event of a fire or other emergency, and that written records of maintenance and testing are required to be maintained and readily available.
Plan Of Correction
Electrical Systems - Essential Electric System CFR(s): NFPA 101 Preparation and/or execution of this plan does not constitute admission or agreement by the provider that a deficiency exists. This response is also not to be construed as an admission of fault by the facility, its employees, agents or other individuals who draft or may be discussed in this response and plan of correction. This plan of correction is submitted as the facility's credible allegation of compliance and Soley because it is required Electrical Systems - Essential Electric System Maintenance and Testing K0918 1. On A licensed electrical contractor performed the annual main and feeder breaker testing/exercising in accordance with manufacturer recommendations. Documentation has been completed and is maintained on-site. 2. All residents were considered at risk due to lack of documented testing. A full review of the essential electrical system was conducted on 3. A preventative maintenance program has been implemented to ensure that annual breaker testing is completed per NFPA 99 (2012). The facility has incorporated electrical system testing into its environmental compliance tracking system. The Director of Facilities/designee received re-education on NFPA requirements. 4. The Director of Facilities will audit electrical system maintenance logs quarterly for 12 months. Inspections have taken place. During and at the conclusion of the three months, the QAPI committee will re-evaluate and initiate necessary action or extend the review period. The Administrator is responsible for confirming implementation and ongoing compliance with the components of the Plan of Correction, and resolving variances that may occur. The Administrator is responsible for confirming the status of this Plan of Correction is reviewed and discussed at QAPI meetings and action initiated if required. Electrical Systems - Essential Electric System CFR(s): NFPA 101 Preparation and/or execution of this plan does not constitute admission or agreement by the provider that a deficiency exists. This response is also not to be construed as an admission of fault by the facility, its employees, agents or other individuals who draft or may be discussed in this response and plan of correction. This plan of correction is submitted as the facility's credible allegation of compliance and Soley because it is required Electrical Systems - Essential Electric System Maintenance and Testing K0918 1. On A licensed electrical contractor performed the annual main and feeder breaker testing/exercising in accordance with manufacturer recommendations. Documentation has been completed and is maintained on-site. 2. All residents were considered at risk due to lack of documented testing. A full review of the essential electrical system was conducted on . 3. A preventative maintenance program has been implemented to ensure that annual breaker testing is completed per NFPA 99 (2012). The facility has incorporated electrical system testing into its environmental compliance tracking system. The Director of Facilities/designee received re-education on NFPA requirements. 4. The Director of Facilities will audit electrical system maintenance logs quarterly for 12 months. Inspections have taken place. During and at the conclusion of the three months, the QAPI committee will re-evaluate and initiate necessary action or extend the review period. The Administrator is responsible for confirming implementation and ongoing compliance with the components of the Plan of Correction, , and resolving variances that may occur. The Administrator is responsible for confirming the status of this Plan of Correction is reviewed and discussed at QAPI meetings and action initiated if required.
Improper Use of Adapters and Power Strips for Refrigerators
Penalty
Summary
The deficiency involves improper use of electrical adapters and power strips as substitutes for permanent wiring, in violation of NFPA 99 and NFPA 70 requirements. During an observation with the Director of Facilities, surveyors found that an adapter was being used to power a refrigerator in the kitchen. The Director of Facilities acknowledged that an adapter was in use for this refrigerator, contrary to the standards that prohibit adapters from being used in place of fixed wiring. In a separate observation with the Director of Facilities, surveyors identified that a refrigerator in the dining room manager's office was plugged into a power strip. The Director of Facilities acknowledged that a power strip was being used for this refrigerator. These findings showed that the facility was not complying with NFPA 99 provisions that require power strips and adapters not be used as substitutes for permanent wiring for such equipment.
Plan Of Correction
Formatted text (without <text> tags or quotes): Electrical Equipment - Power and Extension Preparation and/or execution of this plan does not constitute admission or agreement by the provider that a deficiency exists. This response is also not to be construed as an admission of fault by the facility, its employees, agents or other individuals who draft or may be discussed in this response and plan of correction. This plan of correction is submitted as the facility's credible allegation of compliance and Soley because it is required Electrical Equipment - Power and Extension K0920 1. On The adapter in the kitchen refrigerator and the power strip in the dining room manager's office were immediately removed. All equipment was plugged directly into approved wall outlets. 2. On A facility-wide inspection was conducted by The Director of Facilities to identify improper use of power strips and adapters. Any non-compliant items were removed immediately. 3. On Staff were educated on proper electrical safety practices, including prohibited use of extension and adapters. Routine environmental rounds now include electrical safety checks. 4. The Director of Facilities/designee will conduct monthly environmental rounds for 3 months, then quarterly thereafter. Quality Assurance Performance Improvement (QAPI) meetings to confirm inspections have taken place. During and at the conclusion of the three months, the QAPI committee will re-evaluate and initiate necessary action or extend the review period. The Administrator is responsible for confirming implementation and ongoing compliance with the components of the Plan of Correction, and resolving variances that Continued from page occur. The Administrator is responsible for confirming the status of this Plan of Correction is reviewed and discussed at QAPI meetings and action initiated if required. Electrical Equipment - Power and Extension CFR(s): NFPA 101 Preparation and/or execution of this plan does not constitute admission or agreement by the provider that a deficiency exists. This response is also not to be construed as an admission of fault by the facility, its employees, agents or other individuals who draft or may be discussed in this response and plan of correction. This plan of correction is submitted as the facility's credible allegation of compliance and Soley because it is required Electrical Equipment - Power and Extension K0920 1. On The adapter in the kitchen refrigerator and the power strip in the dining room manager's office were immediately removed. All equipment was plugged directly into approved wall outlets. 2. On A facility-wide inspection was conducted by The Director of Facilities to identify improper use of power strips and adapters. Any non-compliant items were removed immediately. 3. On Staff were educated on proper electrical safety practices, including prohibited use of extension and adapters. Routine environmental rounds now include electrical safety checks. 4. The Director of Facilities/designee will conduct monthly environmental rounds for 3 months, then quarterly thereafter. Quality Assurance Performance Improvement (QAPI) meetings to confirm inspections have taken place. During and at the conclusion of the three months, the QAPI committee will re-evaluate and initiate necessary action or extend the review period. The Administrator is responsible for confirming implementation and ongoing compliance with the components of the Plan of Correction, and resolving variances that may occur. The Administrator is responsible for confirming the status of this Plan of Correction is reviewed and discussed at QAPI meetings and action initiated if required.
Food Safety and Sanitation Deficiencies in Main and Satellite Kitchens
Penalty
Summary
Surveyors identified multiple failures to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in both the main kitchen and a satellite pantry kitchen. In the main kitchen, a cook’s beard cover did not fully cover all facial hair, and the handwashing sink initially did not provide warm water until the Executive Director manually adjusted a valve under the sink. In the pot washing area, full-sized steam table pans were stacked while still wet, and more than five plate domes with stuck-on food particles were found piled in the tray line area ready for use, indicating they had not been properly washed. Two large ice buckets were stained with black and grey mold-like discoloration and white wear marks. The high-temperature dishwashing machine in the main kitchen was run three times but failed to reach the required 180°F rinse temperature, only reaching 172°F, meaning dishes were not properly sanitized. In the second-floor satellite pantry kitchen, the high-temperature dishwashing machine was also run three times and failed to meet required wash temperatures, reaching only 139°F instead of the required 150–165°F, so dishes were not properly cleaned and sanitized. Additional sanitation and maintenance issues were observed, including a vent above serving dishes with a mold-like accumulation, broken and soiled cabinets above serving dishes with residue on the handles, and pantry floors with cracked, broken, and missing tiles with debris or residue buildup. The dishwasher chemical cabinet lock was rust-laden, the AC filter was covered with dark grey soot and dust, the juice dispenser with clean cups nearby had debris on top, and tray delivery carts contained large sheet trays with residue and stuck-on food debris. During a tray line observation, chopped tomatoes and sliced avocados on the salad line were held at 44°F and 45°F respectively, above the required 41°F or less, and the menu extension listed pureed peas for a pureed diet, but no pureed vegetable was present on the line.
Plan Of Correction
Food Procurement, Store/Prepare/Serve-Sanitary CFR(s): 483.60(i)(1)(2) §483.60(i) Food safety requirements. Preparation and/or execution of this plan does not constitute admission or agreement by the provider that a deficiency exists. This response is also not to be construed as an admission of fault by the facility, its employees, agents or other individuals who draft or may be discussed in this response and plan of correction. This plan of correction is submitted as the facility's credible allegation of compliance and Soley because it is required F0812 1. All identified sanitation issues were corrected on Hot water valve was fixed immediately by maintenance team Steam table pan wet nesting was corrected The 5 plate domes that were dirty were taken to the dishwasher to be washed Stained ice buckets were replaced with new ones Dishwashing machine not reaching temperature for rinse cycle was fixed by Eco lab the same day Team member was provided education and in-service on proper use of beard guard. Corrected on [R] 2.Identified issues from satellite Kitchen were corrected on [R] Dishwashing machine not reaching temperature for rinse cycle was fixed by Eco lab the same day The vent located above the serving dishes was cleaned by maintenance team The cabinets were cleaned immediately The floors of the pantry area were observed with broken, cracked, missing tiles, with buildup residue and debris. Maintenance director made aware in the process of getting replaced. The locking mechanism of the dishwasher chemical cabinet is rust laden. Laden removed and in the process of being replaced. The AC filter was cleaned by maintenance team Th juice dispenser was cleaned by dietary aide The large delivery trays with residue and food debris were discarded 3. Issues identified during Tray line observation were corrected: The chopped tomatoes and sliced avocados were discarded Pureed vegetable was added to the line. Inservice on serving all food groups, starches, protein and vegetables to residents on texture modified diet order. Inservice provided to all dietary aides Inservice on maintaining and holding temperatures for ready to eat foods. Inservice provided to all cooks and dietary aides Daily sanitation rounds will be conducted by the Certified Dietary manager /designee for one week. Weekly for 2 months. 4. The Certified Dietary Manager/Executive Chef/designee will report the findings of the above observations and audits to the monthly QAPI Committee. The Administrator is responsible for confirming implementation and compliance of this POC and and resolving any variances that may occur.
Failure to Honor Diet-Appropriate Menu Choices for Residents on Modified Diets
Penalty
Summary
The facility failed to provide residents with menu choices that matched their physician-ordered diet textures and liquid consistencies. One resident with severe cognitive impairment had a physician order for a controlled diet with pureed texture and honey-thick liquids. During a noon meal observation, this resident’s meal ticket was stapled to a Regular Menu listing items such as lettuce and tomato salad, stir-fried vegetables, and a grilled cheese sandwich, none of which were appropriate for the resident’s ordered diet. The Registered Dietitian and the Dietetic Technician confirmed that Daily Menu printouts with Regular Menu options were provided to all residents, including those on mechanically altered diets, resulting in residents being offered choices that could not be honored due to diet restrictions. Another resident with moderate cognitive impairment had a physician order for a mechanical soft diet with nectar-thick liquids. This resident’s lunch tray ticket was also stapled to a Regular Menu that included salad greens, which are not allowed on a mechanical soft diet. On a separate breakfast observation, the same resident’s Regular Menu included fresh fruit as a choice, which the resident circled, but the tray contained canned peach halves instead. The resident stated she wanted her chosen fresh fruit rather than the peaches and reiterated her food preferences during the interview. Photographic evidence was obtained to document these discrepancies between ordered diets, menu offerings, and the food actually provided.
Plan Of Correction
Preparation and/or execution of this plan does not constitute admission or agreement by the provider that a deficiency exists. This response is also not to be construed as an admission of fault by the facility, its employees, agents or other individuals who draft or may be discussed in this response and plan of correction. This plan of correction is submitted as the facility's credible allegation of compliance and Soley because it is requiredF05501. Resident #54 and Resident #56 were immediately assessed by the Registered Dietitian (RD) & CDM (Certified Dietary Manager) for food preferences on Residents #54 and #56 were offered meal choices consistent with the prescribed diet. No adverse outcomes were identified. 2. 100% audit of all residents with therapeutic diets was completed on [R] by CDM to ensure menus and meal selections consistent with physician-ordered diets.On [R] , CDM provided in-service provided to dietary aides, certified nursing assistants, nurses, managers on new selective menu processes. 3. The facility implemented a diet-specific menu system and pre-meal diet verification process by reviewing the diet in tray ticket program IMPAC and PCC. Copies of the menus to be provided as part of the audits.Diet Menu was revised to include a mechanically altered diet to be consistent with physician orders. Therapeutic diets menus are available and offered to each resident according to physician orders. The Dietary Manager or designee will conduct weekly audits of 4 residents on therapeutic diets x 4 weeks then monthly x 2months, to verify the correct menu is offered and served. 4. The Dietary Manager or designee will report findings at the monthly QAPI meeting. The Administrator is responsible for confirming implementation and compliance with this POC and [R] , and resolving any variances that occur.
Failure to Follow Therapeutic Diet Orders and Provide Prescribed Nutritional Supplements
Penalty
Summary
The deficiency involves the facility’s failure to follow physician-ordered therapeutic diets and prescribed nutritional supplements for multiple residents. One resident with severe cognitive impairment and a physician’s order for a controlled diet with pureed texture and honey-thick liquids was observed at lunch without the ordered pureed vegetable; her plate contained only pureed chicken, a pureed starch, and possibly a pureed bread, all covered in gravy. The pureed menu for that meal listed broccoli as the vegetable, and a subsequent tray line observation on another day showed no pureed vegetables available, despite the pureed menu specifying pureed peas. The dietary manager and registered dietitian were informed of the missing pureed vegetables, and photographic evidence was obtained. The facility also failed to provide ordered Magic Cup nutritional supplements as prescribed. One resident with severe cognitive impairment and a care plan addressing risk for compromised nutritional status had a physician’s order for a 4 oz Magic Cup on day and evening shifts with lunch and dinner; during a breakfast observation, the meal ticket listed Magic Cup, but none was provided. Another resident with moderate cognitive impairment had a physician’s order for a 4 oz Magic Cup with lunch; during lunch observation, the meal ticket indicated Magic Cup, but the resident was served chocolate ice cream and ate coconut cream pie for dessert instead. The MAR documented 100% consumption of a Magic Cup on two consecutive days, despite the observed failure to provide it. During interviews, the RD and dietary manager explained that Magic Cups were to be provided by dietary staff either on trays or via the dessert/ice cream cart, but they could not explain why residents in the dining room did not receive the ordered supplements. Photographic evidence was obtained of these occurrences.
Plan Of Correction
Preparation and/or execution of this plan does not constitute admission or agreement by the provider that a deficiency exists. This response is also not to be construed as an admission of fault by the facility, its employees, agents or other individuals who draft or may be discussed in this response and plan of correction. This plan of correction is submitted as the facility's credible allegation of compliance and Soley because it is required F0803 1. Upon identification, resident #54 was given pureed vegetables. Residents #23, #39, and #54 were given Magic Cup supplements as ordered. On [R] CDM re-educated team members on supplement delivery including proper documentation and confirming that pureed diet being served matches what is listed on spread sheet. Dietary aides' morning and evening shifts are accountable for serving all food groups including vegetables when serving puree meals to residents. 2. A 100% audit of all residents with therapeutic diets and/or supplements was completed on [R] by Certified Dietary Manager. 3. A tray line checklist and diet/supplement reconciliation process between dietary and nursing were implemented by [R]. RD oversight of menu compliance was initiated. The Certified Dietary Manager or designee will audit food tray weekly x 4 weeks then weekly x 2 months. 4. The Certified Dietary Manager/Designee will report on the findings at the monthly QAPI meeting. The Administrator is responsible for confirming implementation and compliance with this POC and [R], and resolving any variances that may occur.
Failure to Verify and Honor DNR Order Before Initiating CPR
Penalty
Summary
The deficiency involves the facility’s failure to honor a resident’s clearly established Do Not Resuscitate (DNR) status during a cardiac emergency. The resident had multiple medical diagnoses, including cerebral infarction, COPD, cardiomyopathy, atherosclerotic heart disease, a nonrheumatic mitral valve disorder, cognitive communication deficit, and immunodeficiency. The medical record contained DNR orders created on two separate dates with no end dates, a DNR document signed by the resident and a nurse practitioner, and a 3008 form listing the resident’s advance directive as DNR. The resident’s MDS showed a Brief Interview for Mental Status score of 15, indicating intact cognition, and progress notes documented that the difference between DNR/no CPR and full code had been explained over 30 minutes, after which the resident chose DNR and reiterated to social services that she did not want to be resuscitated or undergo chest compressions. On the day of the incident, a CNA assigned to the resident checked on her and found her sitting in a wheelchair and unresponsive despite multiple verbal attempts to rouse her. The CNA notified the RN, who obtained a blood pressure machine, entered the room, then ran out to the nurses’ station, after which a code blue was paged over the intercom. The RN returned with a crash cart, and additional nursing staff, including RNs and LPNs, entered the room. Staff described transferring the unresponsive resident from the wheelchair to the bed and beginning chest compressions. Multiple staff members reported that when one LPN asked about the resident’s code status, no one in the room knew it at that time, and that this LPN left the room to verify the code status while CPR was already in progress. Interviews and video review confirmed that CPR was initiated and continued for approximately 12 minutes before EMS arrived, despite the resident’s existing DNR orders. Several nurses, including those who arrived after CPR had started, acknowledged that they did not check the resident’s code status before assisting with chest compressions or using a bag-valve mask. Staff later reported that the LPN who checked the record returned and announced that the resident was a DNR, yet compressions continued until EMS arrived. The physician stated that the resident was already in the system as a DNR and that staff were expected to check code status before performing CPR. The DON and regional nurse consultant confirmed, based on interviews and camera review, that staff failed to confirm the resident’s code status prior to initiating CPR and that CPR was performed against the resident’s wishes, leading surveyors to determine that this failure resulted in Immediate Jeopardy.
Removal Plan
- Implemented a revised admission/readmission process requiring an Advance Directive discussion form to be completed by the licensed nurse upon admission or with change in advance directives, with follow-up by Social Services.
- Reviewed Advance Directive discussion forms in the daily clinical meeting with the Interdisciplinary Team.
- Conducted a huddle on units after the clinical meeting to discuss any changes in advance directives/code status.
- Placed signage on each crash cart stating: "Stop check physician order prior to starting Cardiopulmonary Resuscitation."
- Implemented the "It Takes Two" process requiring two licensed nurses to verify code status/advance directives prior to initiation of CPR.
- Initiated an internal investigation including resident record review, staff interviews, and notification to the physician and resident representative.
- Suspended and terminated the assigned nurse and reported the nurse’s license to the licensing board.
- Suspended and terminated an additional nurse who responded and participated in initiation of CPR and reported the nurse’s license to the licensing board.
- Suspended two additional nurses pending investigation and returned them to work with disciplinary action, education on ANE/honoring advance directives, and participation in a code blue drill.
- Conducted a 100% audit of all current residents’ code status and care plans.
- Conducted a 100% audit of crash carts to ensure all required items were present.
- Reviewed CPR cards for identified nurses to confirm validity and inclusion of in-person skills competencies.
- Held an ad hoc QAPI meeting with Administrator, DON, Medical Director, and department heads.
- Completed an audit of residents discharged, transferred to the hospital, or expired to verify advance directives were honored.
- Provided staff education for licensed/certified staff on medical emergency response and communication of advance directives and code status, following physician orders related to advance directives, the "It Takes Two" verification process, and CNA roles during code blue.
- Provided all-staff education on Abuse, Neglect and Exploitation/Resident Rights with focus on honoring advance directives.
- Completed honoring advance directives attestation with licensed nursing staff.
- Completed physician orders education for licensed nursing staff.
- Completed medical emergency response and communication of code status education for licensed nursing staff.
- Completed ANE/Resident Rights education for all staff.
- Completed advance directives posttest for licensed staff.
- Completed ANE/Resident Rights posttest for all staff.
- Completed code blue process/"It Takes Two" education for licensed nursing staff.
- Began code blue drills every shift and required licensed nurses to attend a mock code blue quality assurance drill prior to working.
- Completed CNA roles-in-code-blue training.
- Completed quality reviews validating staff competencies for completed education.
- Completed quality reviews of newly admitted residents to verify completion of the advance directive discussion form.
- Implemented Director of Clinical Services chart review of residents who expire at the facility or are transferred to the hospital after a cardiac event to verify advance directives were followed.
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