Life Care Center of Melbourne

In the surveyor’s words

From the most serious findings on record at Life Care Center of Melbourne, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 21, 2021

  Based on observation, interview and record review, the facility failed to maintain a secure environment by implementing front desk procedures to ensure vulnerable residents did not exit the facility without supervision, and failed to perform thorough elopement risk evaluations to establish appropriate and individualized safety interventions for 1 of 3 residents at risk for elopement, (#1). These failures contributed to the elopement of resident #1 and placed him at risk for serious injury/impairment/death. […]

• No harm, potential for more than minimal, patternF880May 9, 2024

  Based on observation, interview, and record review, the facility failed to ensure blood glucose monitors were cleaned and disinfected appropriately between resident use to prevent the potential for transmission of blood borne pathogens on 1 of 3 Units, (Unit 200), failed to ensure appropriate Personal Protective Equipment (PPE) was donned as required prior to room entry for 1 of 1 resident on Transmission Based Precautions (TBP), (#165), failed to ensure indwelling catheter drainage bag was kept off the floor to prevent the potential of infection for 1 of 1 resident reviewed for indwelling catheter, (#165), and failed to ensure proper handling of glassware by staff during dining, of a total sample of 41 residents. Findings: 1. […]

• No harm, potential for more than minimal, patternF812Apr 1, 2021

  Based on observation and interview, the facility failed to ensure steam table insert pans used to serve resident food was left in the sanitizing solution for sufficient time to allow for proper sanitation. Findings: On 3/29/21 at 10:10 AM, Cook D washed steam table inserts at the 3 compartment sink. She washed the pans in sink 1, rinsed the pans in sink 2 and dipped the pans in sink 3 that had quaternary ammonia sanitizer solution. She then set the inserts on clean side of the sink to air dry. She said the pans should stay in the sanitizing solution for 2 seconds. The manufacturer's directions were posted on the wall above the 3 compartment sink. The posters outlined the process to wash, rinse, and leave in sanitizer for a minimum of 10 seconds. […]

• No harm, potential for more than minimal, isolatedF554Sep 25, 2025

  Based on observation, interview, and record review, the facility failed to conduct medication self-administration assessment to ensure safety for 3 of 3 residents reviewed for self-administration of medications, of a total sample of 41 residents, (#8, #86 & #113).1.Resident #8 was initially admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included cerebral palsy, acute kidney failure, unspecified glaucoma, type 2 diabetes mellitus, blindness to the left eye and dysphagia. A review of the Minimum Data Set (MDS) admission Five-day assessment with assessment reference date (ARD) of 6/19/25 revealed resident # 8 had a Brief Interview for Mental Status (BIMS) Score of 14 out of 15 which indicated she was cognitively intact. […]

• No harm, potential for more than minimal, isolatedF867Sep 25, 2025

  Based on interview, and record review, the facility failed to ensure the Quality Assessment & Assurance (QAA) / Quality Assurance and Performance Improvement (QAPI) committee conducted performance improvement activities to ensure prior improvement measures were sustained. Findings: Review of the policy and procedure, Quality Assurance and Performance Improvement (QAPI) dated 12/20/19, revealed the purpose of the facilities QAPI program was to promote excellence in quality care, quality of life resident choice and person-centered care. […]