Deerfield Beach Health and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF692Nov 9, 2023

  Based on observations, interviews, and record review, the facility failed to provide nutritional interventions in a timely manner, failed to assist during dining, failed to ensure the accuracy of the scales, and failed to identify a significant weight loss for 2 of 4 sampled residents reviewed for nutrition (Resident #111 and Resident #143). The findings included: A review of the facility's policy titled Weight Management, dated October 2021, showed the following: the nutrition reassessment and modification to the existing plan of care may be indicated. The dietitian will reassess the nutritional needs and intake of the Resident with weight change. Appropriate recommendations will be documented in the medical record and via the dietitian recommendation form. […]

• Actual harm, isolatedF693Nov 9, 2023

  Based on observations, interviews, and record review, the facility failed to monitor the nutritional status in a timely manner and failed to conduct weekly weights as per the facility's policy to identify a significant weight loss of 21% of body weight for 1 of 2 sampled residents reviewed for tube feeding (Resident #169). The findings included: A review of the facility's policy titled Weight Management, dated October 2021, showed the following: Weights are completed on admission and readmission, then weekly for four weeks, then monthly unless the physician orders is to reweigh more frequently. The Director of Nursing and Dietitian are to review the monthly and readmission weights and identify any resident requiring reweighing. […]

• Actual harm, isolatedF684Mar 25, 2021

  Based on record review and interview, the facility failed to timely address the presence of a foreign object in the mouth for 1 of 1 sampled residents (Resident #10) admitted with an unidentified oral device. After admission, the facility failed to obtain physician orders [REDACTED]. This resulted in the unidentified oral device remaining in place for an extended period of time without orders for care, causing irreversible damage to the tongue which grew around the device and protruded from the mouth, and for which surgery was required to remove a necrotic section (area of dead tissue) of the tongue after the device was removed. […]

• No harm, potential for more than minimal, patternF584Mar 6, 2025

  Based on observations, interviews and record review the facility failed to ensure all areas and equipment are clean and in good repair in 11 of 95 resident rooms and in 1 of 1 laundry rooms; and ensure functioning call lights for 2 of 188 resident occupied beds (Resident #290 and #287). The findings included: Review of the facility's policy titled, Physical Environment with an effective date of August 2024 included, in part, the following: A safe, clean, comfortable, and home-like environment is provided for each resident, allowing the use of personal belongings to the greatest extent possible. All essential mechanical, electrical, and resident care equipment is maintained in a safe operating condition through the facility's Preventive Maintenance Program. […]

• No harm, potential for more than minimal, patternF584Jul 21, 2022

  Based on observation and interview, it was determined that the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior on 4 (A-Wing, B-Wing, C-Wing, and D-Wing) of 4 residential wings. The findings included: During the initial observation tour of the facility, conducted by the survey team on 7/18/22 from 9 AM through 2 PM, and a subsequent environment tour conducted on 7/19/22 at 1 PM through 2:30 PM accompanied with the Administrator, Director of Maintenance, and Director of Housekeeping, the following were noted: Room #3: Electric bed control not working (A-bed) , large hole in wall around room sink light, wall corners in disrepair, and poor cable TV reception (2 - snowy reception). […]