Isles of Boynton Nursing and Rehab Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Jan 8, 2025

  Based on interview, record review and observation, the facility failed to protect the residents' right to be free from neglect by failing to provide appropriate supervision to meet the needs 1 of 3 sampled residents (Resident #1), who displayed exit seeking behaviors. The deficient practice allowed Resident #1, on 12/25/24 between 7:15 AM and 7:20 AM, after he removed the right window panel from the window frame in his room, to fall from the window approximately 20 ft to the ground. Resident #1 was found on the ground, in an area approximately three feet wide, between the building and a mature palm tree. Resident #1 was transferred to the hospital by ambulance for evaluation and treatment after suffering from serious injuries. […]

• Immediate jeopardy, isolatedF689Jan 8, 2025

  Based on interview, record review and observation, the facility failed to provide appropriate supervision to prevent 1 of 1 sampled resident, Resident #1, from falling from a second-floor window. The deficient practice allowed Resident #1, on 12/25/24 at between 7:15 AM and 7:20 AM, after he removed the right window panel from the window frame in his room, to fall from the window approximately 20 ft to the ground. Resident #1 was found on the ground, in an area approximately three feet wide, between the building and a mature palm tree. Resident #1 was transferred to the hospital by ambulance for evaluation and treatment after suffering from serious injuries. […]

• No harm, potential for more than minimal, patternF584May 25, 2023

  Based on observation and interview, the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior located on the First and Second Floors. The findings included: During the initial resident screenings conducted by the survey team on 05/22/23 and the Environment Tour conducted on 05/23/23 at 12:25 PM and accompanied with the facility's Director of Maintenance and Director of Housekeeping, the following were noted: First Floor: room [ROOM NUMBER]: The room walls were covered with large areas of black scuff marks, in disrepair and in need of re-painting. Resident care signs were posted on the wall above the D-bed of the resident. room [ROOM NUMBER]: The exterior of the bathroom door was damaged and in disrepair. […]

• No harm, potential for more than minimal, patternF689May 25, 2023

  Based on observation, interview, and record review, the facility failed to ensure that the residents' environment remained free of accidents hazards due to excessive hot water temperatures on 1 (Wing C- 20 resident rooms) ) of 3 residential wings located on the first floor. The findings included: During the initial screening of residents on 05/22/23 at 10 :30 AM that located on the First Floor C Wing (Rooms #101 - #119), it was noted that the hot water temperature in the bathroom of room [ROOM NUMBER] was very hot to the touch. The surveyor asked the two residents (2) residing in the room if there were any issues with the hot water temperature and the response from both residents was no. At the request of the surveyor, a digital food thermometer from the dietary department was obtained. […]

• No harm, potential for more than minimal, patternF657Feb 10, 2022

  Based on record review and interview, the facility failed to ensure care staff participation in the development of care plans and participation in the care plan meetings for 6 of 27 sampled residents (Resident #67, 11, 18, 87, 12, and 42) reviewed for care plans; and the facility failed to conduct a care plan conference at least quarterly with resident and/or representative and IDT (Interdisciplinary Department Team) for 1 of 27 sampled residents (Resident #90) reviewed for care plans. The findings included: During an interview, on 02/10/22 at 12:09 PM, with Staff K, CNA (Certified Nursing Assistant), when asked about participation in care planning and care plan meetings, Staff K replied that she does not attend the care plan meetings. […]