Boca Raton Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Boca Raton Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF940Dec 3, 2025

  Based on record reviews, and interviews, the facility failed to follow State Law and the professional standards of practice for Intravenous (IV) therapy, for 1 of 4 sampled residents (Resident #1). The findings included: In the State of Florida, for an LPN to administer IV Therapy, they must meet the requirements of the Florida Board of Nursing (FBON) and Rule 64B9-12 Florida Administration Code (Administration of Intravenous Therapy by Licensed Practical Nurses). The required course to become IV Certified is no less than 30-hours, and administered by a FBON approved provider. […]

• No harm, potential for more than minimal, patternF725Jun 5, 2025

  Based on interview and record review, the facility failed to meet 24 hour staffing requirements on weekends for the period of 10/1/24 to 12/31/24. The findings included: The CMS Payroll Based Journal (PBJ) report for the facility for the First Quarter of 2025 for the period from October 1, 2024 to December 31, 2024, indicated the facility had excessively low staffing on the weekends for the quarter. This report was run on 05/27/25. On 06/02/25 at 12:13 PM, an interview was conducted with Resident #63. Resident #63 had a Brief Interview for Mental Status (BIMS) score of 15, which indicates she was cognitively intact. Resident #63 had her most recent MDS assessment dated [DATE]. This was the resident's Annual Assessment. […]

• No harm, potential for more than minimal, patternF880Jun 5, 2025

  Based on review of policy and procedure, observation and interview, the facility failed to maintain infection control standards, as per protocol, in the Laundry Room and Soiled Utility areas. The findings included: Review of the facility policy titled Laundry Services provided by the Director of Nursing (DON) effective October 2021 documented in the Policy Statement: The facility will strive to protect residents and employees from facility-acquired infections and communicable diseases and to reduce the risk of cross-infection by utilizing hygienic practices for the handling and processing of soiled linens appropriate procedures will be followed to minimize potential healthcare associated and occupational risks associated with soiled linen handling .Standard Precautions will be followed… […]

• No harm, potential for more than minimal, patternF812Mar 7, 2024

  Based on observations, interviews and record review, the facility failed to provide foods in accordance with professional standards for food safety. The findings included: 1). During the initial kitchen tour, on 03/04/24 at 7:38 AM, accompanied by the Food Service Manager, the following was noted: a. There was an accumulation of ice on the cooling unit in the walk in freezer. b. The wall under and behind the steamer was damaged. c. There was an accumulation of dust and debris inside of the vents of the air conditioning unit. At the conclusion of the initial tour, the Food Service Manager acknowledged understanding of the concerns. 2). During the follow up tour, on 03/06/24 at 11:23 AM, the following was noted: a. Staff L, Cook dropped a ladle on the floor. […]

• No harm, potential for more than minimal, patternF584Sep 10, 2021

  Based on observation and interview, it was determined that the facility failed to provide residents residing on 2 of 2 residential wings (Wing 1 and Wing 2), and the laundry areas, with housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior. The findings included: 1) During the Environment Tour conducted on 09/08/21 at 2 PM, accompanied with the Director of Maintenance, Director of Housekeeping/Laundry, and Regional Director of Housekeeping, the following were noted: Wing 2 (200 Unit): Room #205- Over-bed table exterior (X 2) were heavily soiled and stained. Room #207 - The exterior of the nightstand (Bed A) was damaged and in disrepair, and large holes to room walls. […]