Miami Jewish Health Systems, Inc

In the surveyor’s words

From the most serious findings on record at Miami Jewish Health Systems, Inc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF695May 28, 2021

  Based on record reviews, observations and interviews, the facility failed to ensure emergency equipment specifically portable suctioning machines and the wall suctioning system were adequately maintained and functioning in an event of an emergency to maintain a patent airway during Cardio Pulmonary Resuscitation (CPR) for one out of 2 (Resident # 492) sampled whose diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . It was determined that this deficient practice posed immediate Jeopardy (IJ) which is a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident. […]

• Immediate jeopardy, isolatedF908May 28, 2021

  Based on record reviews, observations and interviews, the facility failed to ensure emergency equipment specifically portable suctioning machines and the wall suctioning system were adequately maintained and functioning in the event of an emergency. As evidenced by during an emergency the portable suction machine and the wall suction system was not functioning during Cardio Pulmonary Resuscitation (CPR) to help maintain a patent airway for Resident # 492 who had a copious amount of brown emesis in the mouth. The resident's diagnosis included difficulty swallowing which placed him at a high risk for aspiration and the resident subsequently expired. […]

• Actual harm, isolatedF689Mar 18, 2026

  Based on observations, records reviewed and interviews, the facility's staff failed to adequately supervise one (Resident #1) of two vulnerable residents sampled had falls resulting in injuries. On 02/25/2026 vulnerable Resident #1 was left unattended in an unlocked wheelchair by Certified Nursing Assistant Staff A; the wheelchair rolled away and Resident #1 fell from the wheelchair, hit his head on the pavement and sustained major head injuries. There were 235 residents residing in the facility at the time of survey. The findings included: Observation on 3/18/26 at 11:42 AM of the facility's video footage dated 2/25/2026 timestamped 2:30 PM showed Staff A, Certified Nursing Assistant (CNA) escorting Resident #1who was seated in a wheelchair to the door of the auditorium. […]

• Actual harm, isolatedF656Apr 12, 2023

  Based on observation, record review and interview, the facility failed to develop and implement care plan interventions for two residents (Resident number 1, Resident number 2) out of three residents identified at risk for falls. Resident number 1 and Resident number 2 had falls that resulted in major injuries. The findings included: 1) Record review of the facility's MDS (Minimum Data Set) Comprehensive Assessment and Care Plan Policy and Procedure (effective 3/31/2022) documented the following: Policy-It is the policy to adhere to the following procedures related to the proper documentation and utilization of a resident's Minimum Data Set (MDS) to ensure a comprehensive and accurate assessment of all residents will be completed in the format and in accordance with time frames;… […]

• Actual harm, isolatedF689Apr 12, 2023

  Based on observation, record review and interview, the facility failed to provide adequate supervision to ensure the safety of vulnerable residents and to prevent falls that resulted in major injuries for two (Resident #1, Resident #2) out of three residents reviewed for falls. Resident #1 sustained a cervical spine fracture at C4 and C6 (cervical) and Resident number 2 sustained a hematoma to the head and a fracture to the sacrum. This practice has the potential to affect all 274 residents present in the facility at the time of the survey. […]