Broward Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Broward Nursing & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 10, 2021

  Based on observations, interviews, and record review, the facility failed to maintain food safety requirements with storage, preparation, and distribution in accordance with professional standards for food service safety which included: failure to maintain sanitary conditions and failure to maintain equipment in safe working conditions. The findings included: During the initial tour of the kitchen conducted on 06/07/21 at 9:24 AM, accompanied by the Food Service Director (FSD) and the Corporate Certified Dietary Manager (CDM), the following were noted: 1. Staff O, from Ecolab, walked through the food preparation area without wearing a hairnet. The Corporate CDM stated, He should have had a hairnet on. 2. […]

• No harm, potential for more than minimal, isolatedF550Jun 11, 2026

  Based on observations, interviews, and record reviews, the facility failed to ensure privacy and dignity are maintained during provision of care for one resident (Resident #129). The findings include: A review of facility's policy titled, Promoting /Maintaining Resident Dignity, with an implementation date of 01/25, documented that all staff are involved in providing care to residents to promote and maintain resident dignity and respect resident rights. Resident #129 was admitted to the facility on [DATE] with diagnoses which included Unspecified Dementia, Cerebro Vascular Disease, Hemiplegia and Hemiparesis Affecting Left Non-Dominant Side, Major Depressive Disorder, and Encounter Aftercare following Surgery of the Digestive System. […]

• No harm, potential for more than minimal, isolatedF645Jun 11, 2026

  Based on interviews and record review, the facility failed to complete and or update the Preadmission Screening and Resident Review (PASARR) for 2 of 5 residents reviewed for PASARR (Residents #19 and Resident #13). The findings included: 1) A record review showed that Resident #19 was admitted on [DATE] and readmitted on [DATE] with diagnosis of Bipolar Disorder, Adjustment Disorder, Dysthymic Disorder and Depression. The Quarterly Minimum Data Set (MDS) dated [DATE] revealed that the Brief Interview of Mental Status (BIMS) score is 15, which indicates no cognitive impairment. A record review showed that Resident #19 was readmitted with diagnosis of Bipolar Disorder, Adjustment Disorder on 11/14/24 and Dysthymic Disorder on 11/07/24 and Depression on 04/16/23. […]

• No harm, potential for more than minimal, isolatedF656Jun 11, 2026

  Based on observations, interviews, and record review, the facility failed to follow care plan interventions related to falls for 2 of 2 sampled residents (Residents #104 and #109). The facility failed to initiate a care plan for residents with Post Traumatic Stress Disorder (PTSD) for 4 of 4 residents reviewed for PTSD (Resident #18, Resident #19, Resident #98, and Resident #12). The findings included: 1) Resident #18 was admitted to the facility on [DATE] with diagnoses of Depression, PTSD, and Anemia. The admission Minimum Data Set (MDS) dated [DATE] revealed Resident #18 had a Brief Interview of Mental Status (BIMS) score of 13, which indicated mild cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF692Feb 13, 2025

  Based on observations, interviews, and record review, the facility failed to identify significant weight loss and provide nutritional interventions in a timely manner for 2 of 6 residents reviewed for nutrition (Resident #12 and Resident #13). The findings included: A review of the facility's policy titled Weight Assessment/Evaluation and Intervention, revised on 11/2021, revealed that Weights will be recorded in the individual's medical record. Any weight change of 5% or more since the last available weight will be retaken for confirmation. […]