Below 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 Yamato Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to maintain a sanitary and comfortable environment across four residential areas, with issues such as soiled windows, broken fixtures, and overflowing laundry in the Williamsburg Unit, and similar problems in the [NAME] and Cambridge Units. The pantry in the [NAME] Unit had soiled refrigerator gaskets and unlabeled frozen foods. A second tour revealed worn handrails, peeling paint, and damaged doors in the Cambridge Unit, along with soiled vents and discolored ceiling tiles. The [NAME] Unit had similar issues with worn handrails and a damaged pantry door.
The facility failed to maintain food safety and hygiene standards, affecting potentially 153 residents. Observations revealed issues such as a torn refrigerator gasket, peeling paint, exposed foods, an unclean ice cream freezer, and a meal slicer with dried food and grease. Additional problems included improper storage of jackets in the chemical room, soiled employee lockers, and a dish machine with inadequate wash water temperature.
The facility failed to maintain sanitary laundry services and did not adhere to PPE protocols for residents on Enhanced Barrier Precautions. Observations revealed cross-contamination risks in the laundry room and improper PPE use during care for two residents. Staff acknowledged these infection control issues.
The facility failed to respect the dignity and preferences of two residents. One resident, who is visually impaired and dependent on staff for feeding, was served a mixed pureed meal against her usual preference, as confirmed by a regular CNA. Another resident, who expressed a desire to eat in her room, was taken to the dining room by a floating CNA unaware of her preferences. A BIMS assessment indicated cognitive impairment, highlighting a lack of communication and understanding among staff regarding resident needs.
A facility failed to inform a resident's legal guardian about medical care and treatment options, affecting the guardian's ability to make informed decisions. The resident, with mild cognitive impairment, was uncertain about his medical care, including hip surgery and a Foley catheter. Despite staff awareness, there was no documentation that the guardian was informed about the resident's refusal of a urology consult or its postponement until after surgery. The guardian later expressed a desire for a urology consult before surgery, highlighting a communication gap.
Two residents with significant medical conditions were not provided appropriate assistance during meals, leading to inadequate food intake. One resident was left to eat while lying in bed, resulting in spills and no significant intake, while another struggled to eat independently due to the meal tray being out of reach. Both residents' care plans required assistance with eating, which was not provided.
The facility failed to provide adequate wound care and dressing management for three residents, leading to deficiencies in care. A resident with multiple skin conditions did not receive prescribed topical medications, while another with severe cognitive impairment had an undressed skin tear and a strong urine odor in the room. A third resident had undated dressings without a written order, and staff were unaware of the reason for the dressings, indicating a lack of adherence to the facility's protocol for skin tear care.
A resident with a Stage IV pressure ulcer did not receive appropriate care during a dressing change. The WCN failed to place a clean barrier between the resident's skin and contaminated sheets, despite the presence of a bowel movement near the wound. The wound worsened over a week, and the issue was only addressed after surveyor intervention. The WCN and DON acknowledged the oversight.
The facility failed to manage and store medications properly, leading to expired medications and unlabeled opened medications in storage areas. Additionally, pre-poured medications for two residents were improperly stored after being refused, and not discarded as required. Staff acknowledged responsibility for checking expiration dates and labeling opened medications, but these practices were not followed.
The facility's QAPI failed to effectively address repeated deficiencies in maintaining a safe, clean, comfortable environment (F584) and proper food procurement, storage, preparation, and service (F812). These issues have been cited multiple times in past surveys, potentially affecting all 159 residents. The Administrator acknowledged the ongoing deficiencies during the current survey.
Facility Fails to Maintain Sanitary and Comfortable Environment
Penalty
Summary
The facility failed to maintain a sanitary, orderly, and comfortable environment across four residential areas, including the Williamsburg Unit, [NAME] Unit, Cambridge Unit, and [NAME] Unit. During an initial environment tour, several deficiencies were observed. In the Williamsburg Unit, the specimen refrigerator in the soiled utility room had a large build-up of ice, which was not being defrosted regularly, potentially affecting lab analysis accuracy. Multiple rooms had visibly soiled windows, and one room had a torn window screen. A hallway light fixture was broken and falling off the wall, and the community shower had a heavily soiled floor and a broken electrical cover. The laundry chute room was overflowing with non-bagged soiled linens, with many on the floor, and the ceiling vent was dust-laden. In the [NAME] Unit, the pantry refrigerator gaskets were heavily soiled with dead insects, and large containers of frozen foods were unlabeled. A second tour revealed further issues in the Cambridge Unit, where hallway handrails and chair rails were heavily worn with peeling paint. The community shower lacked a privacy curtain, had a broken ceiling light cover, and the entry/exit door was worn. The trash/laundry chute room had a soiled ceiling vent and discolored ceiling tiles indicating a roof leak. Several room entry doors were damaged, and windows were heavily soiled. In the [NAME] Unit, hallway handrails and chair rails were similarly worn, and the pantry had a dirt-laden ceiling vent and a damaged door. The lounge/dining room had large holes in window screens and soiled window surfaces.
Food Safety and Hygiene Deficiencies in Facility
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, affecting potentially 153 of its 159 residents. During an observation tour, several deficiencies were noted. The walk-in refrigerator had a torn door gasket and peeling paint, with exposed cooked foods, risking contamination. The ice cream freezer had a heavy ice build-up, a soiled door gasket, and lacked a thermometer. The dry goods storage room was unclean, with an employee's soiled jacket on a food cart, an unsecured container of lemonade powder, and peeling paint on the walls. The commercial meal slicer was not properly cleaned, with dried food and grease present. Additional issues included jackets stored in the chemical storage room, risking chemical residue transfer to food. The mop/broom storage room had a dust-laden vent, and employee lockers in the bathroom vestibule were heavily soiled, containing soiled clothing and unidentifiable foods. The high-temperature dish machine's wash water was below the required temperature, compromising sanitation. These observations indicate a significant lapse in maintaining food safety and hygiene standards within the facility.
Infection Control and PPE Deficiencies
Penalty
Summary
The facility failed to maintain safe and sanitary laundry services and did not adhere to proper use of Personal Protective Equipment (PPE) for residents on Enhanced Barrier Precautions. During a tour of the laundry room, it was observed that laundry bags were on the floor due to an overfilled bin, creating a risk of cross-contamination. Additionally, a large bin of dirty laundry was found with its lid askew, and clean laundry bins contained dirt and debris, which could lead to contamination of clean laundry. The Regional Maintenance Director and Administrator acknowledged these issues as infection control problems. The facility also failed to properly implement Enhanced Barrier Precautions for two residents. For one resident, a nurse administered medication via a PEG tube without wearing a gown, despite the presence of a sign indicating Enhanced Barrier Precautions. The nurse admitted to not following the protocol. Similarly, a CNA performed Foley catheter care for another resident without wearing a gown, contrary to the facility's policy. The CNA acknowledged the oversight and the importance of wearing a gown during such procedures.
Failure to Respect Resident Preferences and Dignity
Penalty
Summary
The facility failed to treat residents with respect and dignity, as evidenced by two separate incidents involving Resident #33 and Resident #82. In the first incident, Resident #33, who is visually impaired and dependent on staff for feeding, was served a pureed meal by a CNA (Staff H) who mixed all the pureed foods together, claiming it was the resident's preference. However, another CNA (Staff I) who regularly feeds Resident #33 stated that the resident never requested such a mixture, indicating a lack of consistency and respect for the resident's preferences. The resident's medical history includes ESRD, pneumonia due to inhalation of solids and liquids, dysphagia, and diabetes, with a current diet order for a carbohydrate-controlled, high-protein renal pureed diet. Despite the surveyor's request for a new tray, the mixed meal was fed to the resident, highlighting a disregard for the resident's dignity and dietary needs. In the second incident, Resident #82, who is dependent on assistance for feeding, expressed a preference to eat in her room rather than the dining room. However, a floating CNA (Staff B) took the resident to the dining room, citing a lack of knowledge about the resident's usual dining preferences and deferring to the nurse for clarification. The Unit Manager (Staff C) confirmed that Resident #82 typically eats lunch in the dining room unless she refuses or is unable to go, but noted that the resident is not cognitively able to express her preferences consistently. A BIMS assessment conducted by the social worker (Staff A) resulted in a score of 6, indicating cognitive impairment. These incidents demonstrate a failure to honor the residents' rights to self-determination and personal preferences, as well as a lack of communication and understanding among staff regarding individual resident needs.
Failure to Inform Guardian of Medical Decisions
Penalty
Summary
The facility failed to inform a resident's legal guardian about proposed medical care and treatment options, affecting the guardian's ability to make informed decisions. The resident, who had mild cognitive impairment, expressed uncertainty about his medical care, specifically regarding hip surgery and the presence of a Foley catheter. The resident was admitted with a Foley catheter due to an ESBL infection and had been on intravenous antibiotics. Despite the resident's cognitive impairment, there was no documentation that the guardian was informed about the resident's refusal of a urology consult or the postponement of the consult until after hip surgery. Interviews with facility staff revealed that the acting Director of Nurses (DON) and the resident's physician were aware of the resident's medical status and decisions. However, the guardian was not informed about the postponement of the urology consult or the resident's refusal of the consult. The guardian later expressed a desire for the resident to see a urologist before the hip surgery, indicating a lack of communication from the facility regarding the resident's care plan.
Failure to Assist Residents with Eating
Penalty
Summary
The facility failed to provide appropriate treatment and services to maintain or improve the ability of two residents to eat independently. During a breakfast meal observation, Resident #19 was served a meal tray while lying in bed asleep. The Certified Nursing Assistant (CNA) left the tray on the overbed table without attempting to awaken the resident or assist with eating. The resident, who has diagnoses including COPD, Parkinson's Disease, and Dementia, was observed to be very hungry and attempted to eat a frozen supplement and drink juice while lying flat, resulting in spills and no significant intake. The resident's clinical record indicated a significant weight loss over four months and a care plan that required assistance with eating. Another observation involved Resident #28 during a lunch meal, where the CNA placed the meal tray on the overbed table out of the resident's reach and left without providing supervision or assistance. The resident, who has diagnoses including ASHD, Parkinson's Disease, and Dementia, struggled to eat independently, resulting in food spillage and less than 25% meal intake. A subsequent breakfast observation showed similar issues, with the resident unable to reach utensils and spilling food while attempting to eat with hands. The resident's care plan required assistance with eating and positioning upright, which was not provided. Both residents were observed by the facility's Registered Dietitian, who confirmed the surveyor's findings and deemed the issues unacceptable. The lack of assistance and supervision during meals led to inadequate food intake for both residents, despite their care plans indicating the need for assistance with eating.
Inadequate Wound Care and Dressing Management
Penalty
Summary
The facility failed to provide appropriate wound care and dressing changes for three residents, leading to deficiencies in care. Resident #12, who had multiple skin conditions, did not receive the prescribed topical skin medications as per physician orders. Observations revealed undated dressings on the resident's chest and scalp, with the resident expressing that the ointments were not applied as instructed by the dermatologist. The clinical record review showed multiple skin treatments were ordered, but not all were available or applied, as confirmed by the staff. Resident #20, who had severe cognitive impairment, was observed with an uncovered skin tear on the right forearm. The dressing was undated and loose, with serous sanguinolent secretions noted. Despite a physician order for dressing changes, the resident was found with an undressed skin tear, bleeding, and a strong urine odor in the room. Staff interviews revealed a lack of awareness and adherence to the dressing change schedule, contributing to the resident's compromised skin condition. Resident #47, also with severe cognitive impairment, had undated dressings on the right lower leg and elbow. The clinical record lacked a written order for skin dressings, and staff were unaware of the reason for the dressings. Observations and interviews indicated that the facility's protocol for skin tear care was not followed, and the wound care nurse was not informed of the resident's condition. The lack of documentation and communication among staff led to inadequate wound care for the resident.
Deficiency in Pressure Ulcer Care
Penalty
Summary
The facility failed to provide appropriate pressure ulcer care for a resident with a sacral wound, leading to a deficiency. The resident, who was admitted with a Stage IV pressure ulcer and had a severely impaired cognitive status, was observed during a dressing change. The Wound Care Nurse (WCN) did not place a clean barrier between the resident's skin and the contaminated brief and bed sheets, despite the presence of a bowel movement near the wound area. The WCN proceeded with the wound care without cleaning the bowel movement, risking cross-contamination. The resident's sacral wound had worsened over a week, with measurements increasing from 2.2 x 0.6 x 0.1 cm to 2.5 x 1.5 x 0.2 cm. The WCN and the Director of Nursing (DON) acknowledged that a clean barrier should have been used and the resident should have been cleaned before starting the wound care. The bowel movement was only cleaned after surveyor intervention, highlighting the facility's failure to adhere to proper wound care procedures.
Medication Management and Storage Deficiencies
Penalty
Summary
The facility failed to properly manage and store medications and biologicals, leading to several deficiencies. During a medication storage review, expired medications and tube feeding formulas were found in two of the four medication storage areas. Specifically, expired Aspirin, Bisacodyl, and Osmolite tube feeding formula were discovered in the Cambridge unit, while expired Glucerna tube feeding formula was found in another unit. Additionally, an opened and unlabeled bottle of Milk of Magnesium was noted. Staff members acknowledged that they were responsible for checking expiration dates but failed to do so. Further deficiencies were observed in the handling of opened and unlabeled medications. In the Cambridge treatment cart, an opened, unlabeled, and expired bottle of Hibiclens skin care solution, as well as undated tubes of Hydrocortisone cream and Therahoney gel, were found. Staff admitted that opened bottles and tubes should be dated with an opening date, but this was not done. The Director of Nursing (DON) was informed of these issues, acknowledging the oversight in labeling and dating opened medications. The facility also failed to properly secure medications for two residents. During a medication storage observation, pre-poured and unpackaged medications were found stored in a medication cart for two residents who had refused their morning medications. The medications were not discarded as required, and the DON recognized that the medications should not have been pre-poured and should have been discarded when refused. This oversight in medication management and storage practices highlights significant deficiencies in the facility's adherence to medication safety protocols.
Repeated Deficiencies in Environmental and Food Safety Standards
Penalty
Summary
The facility's Quality Assurance and Performance Improvement Activities (QAPI) failed to effectively implement plans of action to correct identified quality deficiencies. This is evidenced by repeated deficient practices related to F584, which pertains to maintaining a safe, clean, comfortable, and homelike environment, and F812, which involves food procurement, storage, preparation, and service. These deficiencies have been cited multiple times during Recertification and Relicensure surveys, specifically on exit dates in April 2019, January 2021, January 2022, and April 2023 for F584, and in January 2021, January 2022, and April 2023 for F812. The repeated nature of these deficiencies indicates a failure in the facility's QAPI to address and rectify the issues effectively, potentially affecting all 159 residents residing in the facility at the time of the survey. During an interview, the facility's Administrator was informed that these deficiencies would be cited again in the current survey, acknowledging the ongoing issues.
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What surveyors actually found near you
We read the 257 citations issued within 25 miles in the last 12 months — including the 6 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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 Boca Raton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avante At Boca Raton, Inc. | 2.5 mi | ★★★★★ | 16 | 0 |
| Boca Raton Rehabilitation Center | 2.6 mi | ★★★★★ | 4 | 0 |
| Abbey Delray South | 3.2 mi | ★★★★★ | 0 | 0 |
| Harbours Edge | 3.3 mi | ★★★★★ | 0 | 0 |
| Cascades Health And Rehabilitation Center | 3.4 mi | ★★★★★ | 6 | 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.