John Knox Village of Pompano Beach

In the surveyor’s words

From the most serious findings on record at John Knox Village of Pompano Beach, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF803Jul 31, 2025

  Based on observations, interviews and record review, the facility failed to follow the approved menu for substitutions for residents with orders for mechanically altered diets for 3 of 27 sampled residents with orders for mechanical soft diets (Resident #18, #178 and #182). The findings included:Record review revealed the approved menu for the lunch meal on 07/28/25 documented that residents with orders for Mechanical Soft textures were to be served three-bean salad in place of coleslaw. The approved menu for the breakfast meal on 07/29/25 documented that residents with orders for Mechanical Soft textures were to be served bite sized sausage patties in place of bacon strips 1. Resident #178 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF805Jul 31, 2025

  Based on observations, interviews and record reviews, the facility failed to provide the correct diet consistency for the Mechanical Soft diet for 3 of 3 sampled residents reviewed for Nutrition (Resident #32, Resident #177 and Resident #162).The findings included:1. Record review revealed Resident #32 was admitted to the facility on [DATE] with diagnoses of Parkinsons Disease without Dyskinesia and Chronic Obstructive Pulmonary Disease. The admission Medicare - 5 Day Minimum Data Set (MDS) assessment dated [DATE] revealed that the resident's Brief Interview of Mental Status (BIMS) score was 13, which indicates intact cognition.A review of physician orders dated 07/14/25 revealed the following: Regular diet, Mechanical Soft Ground/Moist texture and thin consistency.In an observation… […]

• No harm, potential for more than minimal, patternF584Apr 4, 2024

  Based on observation and interview, the facility failed to provide housekeeping and mainteance services necessary to maintain a sanitary, orderly, and comfortable interior for the following: [NAME] House (8 of 12 resident rooms), [NAME] House (8 of 12 resident rooms), Poinciana House (8 of 12 resident rooms), Egret House (7 of 12 resident rooms), Pine House (3 of 12 resident rooms), and Magnolia House (2 of 12 resident rooms). The findings included: 1) During the resident screenings conducted on 04/01/24 at 9 AM, and the Environment Tour conducted of the Seventh Floor ([NAME] House and Poinciana House) on 04/01/24 at 11:30 AM with the facility's Assistant Director of Maintenance and Registered Nurse Training Educator, the following were noted: [NAME] Unit (Rooms #7101-7112): room [ROOM… […]

• No harm, potential for more than minimal, patternF812Apr 4, 2024

  Based on observation and interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for potentially 47 residents residing within the [NAME] House (11 Residents), Dolphin House (13 Residents), Egret House (12 Residents, and Oak House (11 Residents). The findings included: 1) During the kitchen sanitation tour of the [NAME] House conducted on 04/01/24 at 9 :30 AM and accompanied with the facility's Registered Nurse Educator, the following were noted: (a) The interior of the kitchen ovens (2) were noted to be heavily worn, soiled, and covered with carbon build-up. (b) The exteriors of the kitchen cabinets were noted to be heavily worn, had areas of peeling paint, and numerous areas of dried food matter. […]

• No harm, potential for more than minimal, patternF880Apr 4, 2024

  Based on observations, interviews, and record review, the facility failed to implement measures for infection control practices during laundry services for the Woodland Houses and Seaside Cove. In addition, the facility failed to maintain a sanitary laundry area for their central laundry. The findings included: Review of the facility's policy titled, Laundry Services- Handling of Soiled and Contaminated Laundry, undated, included the following: To implement practices on proper handling of laundry/personal clothing that prevent gross microbial contamination of the air and persons handling the linen. Guiding Principles: Sorting of each resident's linen/laundry and identification during laundry process will be done to prevent cross contamination and inaccurate distribution. […]