Davie Nursing and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Nov 14, 2025

  Based on observations the facility failed to discard expired beverages, label and date open food items, remove food items with signs of spoilage, and maintain a clean and sanitary floor in 1 of 1 walk-in cooler; label and date food items in 1 of 1 walk-in freezer; maintain a clean and sanitary ice machine for 1 of 3 ice machines (kitchen ice machine); failed to implement their infection control policies when Dietary Aide #1 failed to perform hand hygiene after handling dirty dishes and before touching clean items in the kitchen; label and date opened food items in 1 of 3 reach-in coolers; and discard expired beverages in 1 of 1 dry storage room. These failures had the potential to affect food served to residents. Findings included:1. […]

• No harm, potential for more than minimal, patternF695Nov 14, 2025

  Based on observations, record reviews, and resident and staff interviews, the facility failed to post cautionary and safety signs that indicated the use of oxygen (Resident #3, #7, and #13) and failed to maintain a clean oxygen concentrator (Resident #55) for 4 of 4 residents reviewed for respiratory care (Resident #3, Resident #7, Resident #13, and Resident #55).The findings included: 1. Resident #3 was admitted to the facility on [DATE] with diagnoses that included chronic obstructive pulmonary disease and heart failure. Review of Resident #3's physician orders dated 12/26/24 revealed oxygen at 2 liters per minute via oxygen tank or 3 liters per minute via oxygen concentrator continuously via a nasal cannula. […]

• No harm, potential for more than minimal, patternF761Nov 14, 2025

  Based on observation and staff interviews, the facility failed to discard 7 doses of expired COVID-19 vaccines and one bottle of expired eye drops in accordance with manufacturer's expiration date and storage guidelines for 2 of 2 medication storage rooms (South Wing and North Wing).A review of manufacturer's package insert indicated that after thawing Spikevax (Moderna COVID-19 vaccine 2024-2025 formula), it should be refrigerated with temperature between 2 to 8 Celsius (C) (36 F to 46 Fahrenheit (F)) for up to 60 days, or until the expiration date printed on the carton, whichever comes first. A review of manufacturer's package insert revealed an unopened bottle of Latanoprost eye drop should be stored under refrigeration at 2 to 8 C or (36 to 46 F). […]

• No harm, potential for more than minimal, patternF686Jan 27, 2022

  Based on observations, record review, staff and physician interviews, the facility failed to 1. Assess and initiate a treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . The findings included: 1. A review of Resident #294 ' s hospital discharge summary dated 10/22/2021 revealed a stage 3 pressure ulcer to the sacrum that was present on admission and excoriation to the buttocks. Instructions for wound care were to off-load, apply a foam absorbent dressing and barrier cream. The facility admitted Resident #294 to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The baseline care plan dated 10/22/2021 did not include a focus area of pressure ulcer presence. A nurse ' s note dated 10/22/2021 at 7:30 PM by Nurse #3 revealed Resident #294 arrived at his room. […]

• No harm, potential for more than minimal, isolatedF880Aug 9, 2024

  Based on observations and staff interviews, the facility failed to ensure 1 of 1 Nurse Aides (NA #1) followed the Special Droplet Contact Precautions signage posted on the door of a resident's room (Resident # 47) by not donning and doffing Personal Protective Equipment (PPE) while entering 1 of 1 resident rooms on transmission-based precautions (TBP). The findings included: The Special Droplet Contact Precautions (SDCP) signage, with a revised date of 02/09/22, noted staff should follow the instructions listed on the signage before entering the resident's room which included: all healthcare personnel must: 1) clean hands before entering and when leaving the room, 2) wear a gown when entering room and remove before leaving, 3) wear N95 or higher level respirator before entering the room… […]