Biscayne Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Biscayne Health and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jun 4, 2021

  Based on observation, record reviews and interviews, the facility failed to prevent the neglect of one (Resident #1) out of five residents sampled during the time of this survey. The facility's staff failed to supervise and implement adequate measures to prevent the delayed transfer of Resident #1 to the hospital for medical treatment. The resident's roommate Resident #5 was transferred instead of Resident #1. The error was not discovered until the next day. There were 87 residents residing in the facility at the time of the survey. On [DATE], it was determined that the findings of the survey posed immediate jeopardy to the health and safety of the residents admitted to the facility. The Immediate Jeopardy was determined to be Past Non-Compliance. […]

• No harm, potential for more than minimal, widespreadF812Jul 27, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to store, distribute, and serve food in accordance with professional standards for food service safety that include; ensure the department is free of pest, ensure that hot and cold foods are held at regulatory temperatures, ensure that equipment is cleaned and maintained on a regular basis, and ensure that dietary staff facial hair is properly covered as per regulation. The findings included: 1) During the initial kitchen/food service observation tour conducted on 07/24/23 at 9:00 AM and accompanied with the facility's Food Service (FSD), the following were noted: (a) Flying insects were noted to be observed in the food preparation/tray line serving area, the food storage room, and the main… […]

• No harm, potential for more than minimal, patternF755Oct 31, 2024

  Based on observations, interviews and record review the facility failed to provide pharmaceutical services to ensure the accurate administration and documenting of medications for 4 of 5 sampled residents reviewed for controlled medications (Resident #43, Resident # 51, Resident # 83 and Resident #35) and failed to ensure a discontinued controlled medication was removed from the med cart for 1 of 5 residents reviewed for controlled medications (Resident #51). The findings included: Review of the facility's policy titled, Administering Medications with a reviewed date of January 2024 included in part the following: 4. Medications are administered in accordance with prescriber orders, including any required time frame. 22. […]

• No harm, potential for more than minimal, patternF584Jul 27, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for the first and second floor resident rooms, dialysis treatment room, and nursing storage closets and affected one out of 28 sampled residents (Resident #141). The findings included: Review of the facility's policy's and procedures noted the following: Policy and Procedure on Environmental Services dated 09/01/2021 revealed: INTENT: It is the policy of the facility to provide Environmental Services accordance to State and Federal regulations. PROCEDURE: 1. The facility will maintain the facility premises and equipment and conduct its operations in a safe and sanitary manner. 2. […]

• No harm, potential for more than minimal, patternF804Jul 27, 2023

  Based on observation, interview, and record review, it was determined that foods were not prepared by methods that conserve nutritive value, flavor, and appearance for 4 (#53, #56, #64, and #391) out of 19 residents with physician ordered Pureed diets. The findings included: 1) During the initial kitchen/food service observational tour on 7/24/2023 at 9:00AM, a 1/3 pan of pureed vegetables dated 07/23/23 was located in the walk-in refrigerator. During the initial tour the breakfast/lunch cook, (Staff A) was interviewed and it was reported, the pan was pureed green beans that had been fully cooked and pureed on 07/23/23 and were intended to be served for the lunch meal of 07/24/23. Observation of the green beans revealed them to be thoroughly cooked, pureed and lacked a bright green color. […]