Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Springtree Rehabilitation & Health Care Center during CMS and state inspections, most recent first.
The facility failed to maintain a sanitary, orderly, and comfortable environment for residents in Units 1 and 2. Issues included short overbed light cords, stained privacy curtains, scuffed walls, continuously running toilets, dirty air conditioner vents, broken furniture, and damaged doors. Despite having a computerized TELS system for reporting issues, staff were not utilizing it effectively.
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food services safety. Observations included soiled rags on clean counters, missing floor tiles, soiled vents, contaminated disposable supplies, broken light covers, improperly stored cleaning equipment, soiled pots and pans, rust-laden refrigerator shelves, and unsanitary dish machine conditions. Additionally, pantry refrigerators had torn gaskets, and opened food items were improperly stored.
The facility failed to implement Enhanced Barrier Precautions (EBP) per CDC guidelines and facility policies for 10 residents. Observations revealed a lack of readily available PPE at or near the entrance to rooms of residents on EBP. Interviews with staff indicated inconsistent practices regarding the availability and location of gowns, with some staff stating that gowns were kept on linen carts or at the nurse's station. The Infection Preventionist acknowledged the issue, but tours showed many carts were void of gowns.
The facility failed to address a urine culture and sensitivity result in a timely manner for a resident, leading to hospitalization for a UTI. Additionally, the facility did not maintain secure catheter tubing for another resident, causing discomfort and potential health risks. Staff acknowledged the oversights, and necessary equipment was applied only after surveyor intervention.
A resident did not receive prescribed Oxycodone for pain management from 05/17/24 to 05/21/24, resulting in unmanaged pain. The LPN realized the shortage on 05/21/24 and obtained a prescription, but the medication had not yet been delivered.
The facility failed to secure and promptly discard expired medications for three residents. Unsecured and expired medications were found in residents' rooms, and staff acknowledged these should not have been there. The residents were not assessed to self-administer medications, and there were no orders for these medications in their records.
The facility failed to prepare pureed food to the required smooth consistency for residents with physician-ordered pureed diets. Observations revealed that both pureed spaghetti and oatmeal contained lumps, which was confirmed by the administrator after taste testing.
Deficiencies in Housekeeping and Maintenance Services
Penalty
Summary
The facility failed to provide necessary housekeeping and maintenance services to maintain a sanitary, orderly, and comfortable environment for residents in Unit 1 and Unit 2. During the environmental observation tour, several deficiencies were noted in resident rooms and common areas. In Unit 1, issues included overbed light cords and call bell cords being too short, stained privacy curtains, scuffed and disrepaired walls, continuously running toilets, dirty air conditioner vents, broken furniture, and damaged doors. The community shower area also had a short emergency call bell cord and a damaged entry door. In Unit 2, a resident's fall-floor mat was found to be in poor condition, and the room entry door had loose lower panels. The Administrator confirmed these findings and mentioned that the facility uses a computerized TELS system for staff to report maintenance and housekeeping issues. Despite continuous in-service training on the use of the TELS system, staff were not utilizing it effectively. This lack of utilization contributed to the observed deficiencies in maintaining a safe, clean, and comfortable environment for the residents.
Food Safety and Sanitation Deficiencies
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food services safety. During an initial observation tour of the Main Kitchen, several deficiencies were noted. A soiled rag was found on a clean food preparation counter, and the floor area had numerous missing tiles and holes. The ceiling vent outside the paper/disposable room was soiled and dust-laden, and freezer jackets were hanging on shelving, contaminating disposable supplies. Additionally, a ceiling-mounted light in the pantry room had a broken cover, and cleaning equipment was improperly stored near fresh foods. The pot and pan storage racks housed soiled skillets and pans, and the Artic Aire Reach-in Refrigerator had rust-laden shelves. The dish machine room had soiled water backing up into the clean dish area, and the stainless steel dish runs had black mold on the caulking. Clean dish racks were stored directly on the soiled floor, and the commercial meat slicer had dried food debris around the blade. The commercial ovens were covered with black carbon, and a kitchen utility cart had rust-laden metal shelving. During a subsequent observation tour of the facility's pantry kitchens, additional deficiencies were noted. The refrigerator in the 100 Unit pantry had torn gaskets on both the freezer and refrigerator doors. The refrigerator in the 200 Unit pantry had a large tear in the freezer door, and an opened carton of portion control milk and a partially empty bottle of soda were found inside. These observations indicate a failure to maintain proper food storage, preparation, and sanitation standards, posing potential risks to food safety and resident health.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions (EBP) per CDC guidelines and facility policies for 10 residents. During a unit-by-unit tour, it was observed that there was no personal protective equipment (PPE) at or near the entrance to the rooms of residents on EBP. Interviews with staff revealed inconsistent practices regarding the availability and location of gowns, with some staff indicating that gowns were kept on linen carts or at the nurse's station, rather than immediately outside the resident's room as required by the policy. Observations during the tour showed that several linen carts on different units contained no gowns or only a single gown, indicating a lack of readily available PPE. This was confirmed through multiple interviews with staff, including Licensed Practical Nurses (LPNs), Registered Nurses (RNs), and Certified Nursing Assistants (CNAs), who provided varying accounts of where gowns were stored. The inconsistency in the availability of gowns was evident across different units and halls within the facility. The Infection Preventionist (IP) acknowledged the issue, explaining that gowns were initially placed on large carts and then moved to smaller carts on each unit. However, housekeeping staff reported that there was not enough room on the large carts, leading to gowns being placed directly on the smaller carts. Despite these measures, the tours revealed that many carts were void of gowns, highlighting a failure to ensure that PPE was immediately accessible as required by the facility's policy and CDC guidelines.
Failure to Address UTI Results and Maintain Catheter Care
Penalty
Summary
The facility failed to address a urine culture and sensitivity result in a timely manner for Resident #103, who was admitted to the facility and required substantial assistance with activities of daily living. The resident exhibited symptoms of a urinary tract infection (UTI) on 04/03/24, and a urinalysis was ordered. The results, indicative of a UTI, were available on 04/04/24, but the culture and sensitivity results were not addressed until 04/08/24, two days after they were received. This delay led to the resident being transferred to the hospital on 04/09/24 for a UTI, weakness, and lower extremities edema. The Infection Control Preventionist acknowledged the delay in addressing the results due to the weekend timing. The facility also failed to maintain a secure catheter tubing for Resident #92, who had multiple diagnoses including obstructive and reflux uropathy and a history of urinary tract infections. During an observation on 05/22/24, it was noted that the resident's catheter leg strap and anchor were not in place as ordered, causing discomfort and redness in the peri-area. The resident reported that the leg bag often caused pain due to lack of support. Staff acknowledged the absence of the required catheter support and the Treatment Administration Record falsely indicated that the strap and anchor were in place. The care plan for Resident #92 did not include documentation regarding the Foley strap or anchor, and staff failed to ensure these were applied as per the physician's orders. The Assistant Director of Nursing and the Director of Nursing both acknowledged the oversight, and the necessary equipment was only applied after the surveyor's intervention. This failure to follow orders and ensure proper catheter care compromised the resident's comfort and potentially their health.
Failure to Administer Pain Medication as Ordered
Penalty
Summary
The facility failed to administer pain medication as ordered for Resident #85, who was admitted on [DATE] and was cognitively intact, requiring partial/moderate assistance with ADLs. The resident had a care plan for pain management, including an order for Oxycodone 5 mg every 4 hours as needed for acute pain and Extra Strength Tylenol 500 mg every 6 hours as needed for pain levels 3-10. However, the resident reported only receiving Tylenol, which was ineffective for his pain. The last administration of Oxycodone was on 05/17/24, and the resident ran out of the medication on that date. Despite this, the resident continued to receive Tylenol from 05/17/24 to 05/21/24, which did not adequately manage his pain. An interview with Staff Z, an LPN, on 05/22/24 revealed that she became aware of the shortage of Oxycodone on 05/21/24 and had obtained a prescription, but the medication had not yet been delivered from the pharmacy. Staff Z could not explain why the resident had been without the prescribed pain medication since 05/17/24. This lapse in medication administration resulted in the resident experiencing unmanaged pain for several days.
Failure to Secure and Dispose of Medications
Penalty
Summary
The facility failed to ensure the secure storage and prompt disposal of medications for three residents. Resident #79 had an expired bottle of prescription Otic drops on her bedside dresser, which was unsecured and accessible to others. The resident was not assessed to self-administer medications, and there was no order for this medication on her records. Staff acknowledged the medication should not have been there, and it remained in the room despite multiple observations over several days. Resident #63 had an expired bottle of OTC Tums in a drawer in her room, which was also unsecured and accessible. The resident stated she brought the Tums from home and used them daily. Similar to Resident #79, there was no self-administration assessment or order for this medication in her records. Staff confirmed the medication should not have been in the room, but it remained there over several days of observation. Resident #73 had an unsecured jar of OTC Zinc Oxide cream on his bedside dresser. The resident mentioned that his sister brought the cream from home and that nurses applied it as needed. There was no self-administration assessment or order for this medication in his records. Staff acknowledged the medication should not have been there, and it was only removed after surveyor intervention. The facility's ADON and DON recognized that the medications should have been secured and expired medications promptly discarded, which was not done in these cases.
Failure to Prepare Pureed Food to Required Consistency
Penalty
Summary
The facility failed to prepare food in a pureed form designed to meet the needs of residents with physician-ordered pureed diets. During the observation of the lunch meal, a resident was served pureed spaghetti that was not smooth in texture and contained visible lumps. A test tray confirmed that the pureed spaghetti was not prepared to the proper smooth consistency. Similarly, during the observation of the breakfast meal, another resident was served pureed oatmeal that was also not smooth in consistency and contained lumps. The administrator confirmed the issues with the texture of both meals after taste testing them. The facility's diet census indicated that there were seven residents with physician-ordered pureed diets, including the two residents observed. The facility's Level 4 Pureed Diet guidelines recommend that grains and pasta be pureed to a smooth consistency without lumps. However, the facility failed to adhere to these guidelines, resulting in the preparation of meals that did not meet the required texture for residents on pureed diets.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Sunrise
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Regents Park Of Sunrise | 1.2 mi | ★★★★★ | 4 | 1 |
| Sunrise Health & Rehabilitation Center | 1.3 mi | ★★★★★ | 0 | 0 |
| Nspire Healthcare Tamarac | 1.4 mi | ★★★★★ | 29 | 0 |
| Nspire Healthcare Plantation | 2.5 mi | ★★★★★ | 0 | 0 |
| Life Care Center At Inverrary | 2.7 mi | ★★★★★ | 10 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.