Luxe at Jupiter Rehabilitation Center (The)

In the surveyor’s words

From the most serious findings on record at Luxe at Jupiter Rehabilitation Center (The), in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Nov 22, 2024

  Based on interview, observation, and record review, the facility failed to provide appropriate supervision to prevent an elopement, which resulted in two vulnerable residents who were able to leave the facility and travel along a busy roadway with a likelihood of being hurt, killed or lost, for 2 of 3 sampled residents reviewed for an elopement risk (Resident #1 and Resident #2). Due to the likelihood that serious injury, harm and death could've occurred with Resident #1 and #2, a finding of Immediate Jeopardy was identified. The Immediate Jeopardy noncompliance started on 11/07/24 and is determined to be ongoing. The facility's Administrator was notified of Immediate Jeopardy and given the Immediate Jeopardy Template on 11/21/24 at 11:20 AM. […]

• Actual harm, isolatedF686Jan 23, 2025

  Based on observation, record review and interview, the facility staff failed to provide necessary treatment and services to promote healing and prevent infection of existing pressure wounds. The failure affected 2 of 6 sampled residents, Resident #2, who arrived at the hospital with maggots in the wound and Resident #6 who did not receive the prescribed treatment for tissue granulation and autolytic debridement. The findings included: 1) Clinical record review revealed Resident #2 was admitted to the facility on [DATE] with diagnoses of Dementia and Heart Failure. […]

• Actual harm, isolatedF684Oct 3, 2024

  Based on record review and interview the facility failed to ensure daily wound care for 1 of 4 sampled residents with surgical incisions (Resident #2). The lack of daily wound care for Resident #2 resulted in maceration of the surgical skin flap resulting in exposure to the bone with need for additional surgery; and the facility failed to ensure appropriate care and services for 1 of 2 sampled residents with an IV (intravenous) line (Resident #1). The lack of timely response to needed care for a Peripherally Inserted Central Catheter (PICC) line dislodgement for Resident #1 on 09/04/24 resulted in psychological harm as evidenced by staff and family report that the resident was irate and hysterical. The findings included: 1. […]

• Actual harm, isolatedF694Oct 3, 2024

  Based on record review and interview, the facility failed to ensure appropriate care and services for 1 of 2 sampled residents with an IV (intravenous) line (Resident #1). The lack of timely response to needed care for a Peripherally Inserted Central Catheter (PICC) line dislodgement for Resident #1 on 09/04/24 resulted in psychological harm as evidenced by staff and family report that the resident was irate and hysterical. The findings included: Review of the record revealed Resident #1 was admitted to the facility on [DATE] and transferred out the the hospital on 09/04/24, after dislodgement of the resident's Peripherally Inserted Central Catheter (PICC/intravenous access through a vein in the arm and threaded into a large vein near the heart). […]

• No harm, potential for more than minimal, patternF550Apr 4, 2025

  Based on interview and record review, the facility failed to ensure residents were treated with dignity during activities of daily living (ADLs) care and failed to provide care upon request for 7 of 33 residents reviewed for dignity (Residents #254, 251, 256, 55, 83, 250, and # 23). The findings included: 1) The clinical record indicated that Resident #254 was admitted to the facility on [DATE] with a diagnosis that included depression. The admission assessment, dated 03/09/25, included a brief interview with a mental status score of 14, which indicated that Resident #254 was cognitively intact. […]