Bonifay Nursing and Rehab Center

In the surveyor’s words

From the most serious findings on record at Bonifay Nursing and Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF656Feb 5, 2026

  Based on observation, interviews, medical record review, and facility policy review, the facility failed to develop a care plan with interventions for 1 of 1 resident sampled. (Resident #12)The findings include:On 2/03/2026 at 8:38 AM, an observation of Resident #12's room was made. Signage stated, Neutropenic precautions: clean hands before entering and when leaving room. Avoid raw or undercooked fruits or vegetables: raw or undercooked eggs or shellfish. No live flowers or plants. Do not enter if you feel unwell. A review of Resident #12's medical record was conducted. […]

• No harm, potential for more than minimal, isolatedF695Feb 5, 2026

  Based on observation, interview, and record review, the facility failed to provide needed tracheostomy supplies for 1 of 1 residents reviewed for tracheostomy care. (Resident #28)The findings include:An observation of Resident #28 was conducted on 02/03/2026 at 09:00 AM. The resident was in bed with tracheostomy in place (tracheostomy is a surgical procedure creating an opening (stoma) in the neck into the trachea to establish an airway, facilitate mechanical ventilation, or remove lung secretions). No extra tracheostomy inner cannula and obturator was observed at bedside (tracheostomy inner cannula and obturator are components of a tracheostomy tube system). Additional observations were made on 02/03/2026 at 12:45 PM, on 02/03/2026 at 02:35 PM, and on 02/04/2026 at 09:00 AM. […]

• No harm, potential for more than minimal, isolatedF880Feb 5, 2026

  Based on observations, interviews, medical record review and facility policy review, the facility failed to provide protective measures for 1 of 1 resident sampled for neutropenic precautions. (Resident #12)The findings include:On 2/03/2026 at 8:38 AM, Resident #12 was observed. Signage on the door stated, Neutropenic precautions: clean hands before entering and when leaving room. Avoid raw or undercooked fruits or vegetables: raw or undercooked eggs or shellfish. No live flowers or plants. Do not enter if you feel unwell. There was a second sign at door stating, Personal Protective Equipment: per standard precautions. Signage stated room cleaning: use facility policy for neutropenic precautions. […]

• No harm, potential for more than minimal, isolatedF645Mar 17, 2022

  Based on record review and staff interview the facility failed to refer a resident with intellectual disability or related condition to the appropriate state-designated authority for a level II PASARR (preadmission screening and resident review) evaluation and determination for 1 of 1 residents sampled for PASARR. (Resident number 45) The findings include: Review of Resident number 45's electronic medical record revealed the resident was admitted to the facility on [DATE] with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Section 2- page 3 of the PASARR level I revealed there was indication the resident has or may have had a disorder resulting in functional limitations in major life activities that would otherwise be appropriate for the resident's developmental age. […]

• No harm, potential for more than minimal, isolatedF810Feb 18, 2021

  Based on observations, record reviews and interview, the facility failed to ensure that residents with swallowing concerns followed recommendations from the Speech-Language Pathologist (SLP) related to consumption of thin liquids via rim of a cup for 1 of 4 residents sampled for nutrition (Resident #119). The findings include: On 2/15/2021 at 1:27 PM, Resident #119 was observed to have a drinking cup with a straw inserted inside. A meal ticket dated 2/15/2021 was on the table and read: No straws. (Photographic evidence obtained). On 2/16/2021 at 3:24 PM, Resident #119 was observed to have a straw inserted inside a drinking cup at the bedside. (Photographic evidence obtained). On 2/16/2021, record review of Resident #119's orders revealed an active diet order for no straws. […]