Miami Shores Nursing and Rehab Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880Jun 24, 2025

  Based on observation record review and interviews, the facility failed to meet infection control standards of practice for Resident #5 during hygiene care. This is evidenced by Staff A not performing hand hygiene, changing gloves or changing washcloths during hygiene care for Resident #5. There were 91 residents residing at the facility at the time of the survey. The findings included: On 06/24/25 at 01:13 PM, Staff A was observed not performing hand hygiene prior to the procedure. Upon the surveyor's entry into the room, the Certified Nursing Assistant (CNA) was already wearing a gown, mask, and gloves. The resident is on enhanced barrier precautions and has a Percutaneous Endoscopic Gastrostomy (PEG) tube; the PEG tube machine was noted to be turned off. […]

• No harm, potential for more than minimal, patternF880Mar 26, 2025

  Based on observation, record review and interviews, the facility failed to follow their infection control protocol in the East side soiled utility room and with Resident's #2 and #57. This is evidenced by trash and food observations on the floor inside the resident's pantry room on the East side nursing station, Resident #2 indwelling catheter tube touching floor, staff not wearing proper personal protective equipment (PPE) when entering droplet precaution rooms during meal tray distribution and Improper hand hygiene during wound care. There were 96 residents residing at the facility at the time of the survey. The findings included: 1) On 03/23/25 at 07:51 AM, Staff were observed not wearing PPE while entering a contact/droplet resident room while distributing breakfast trays. […]

• No harm, potential for more than minimal, isolatedF761Jun 24, 2025

  Based on observations, interviews, and record reviews, the facility failed to properly store controlled substances on three out of four sampled medication carts as evidenced by unreconciled medication monitoring/control record sheets. The facility had four medication carts. The findings included: On 6/24/2025 at 1:32 PM a medication administration observation was completed with Staff A, Registered Nurse (RN) on the west wing medication cart #1; Staff A, RN verified the physician's order, removed the controlled substance from a bingo card placed it in a medication cup; after administering the controlled substance, Staff A, RN returned to the medication cart and signed in the medication monitoring/ control record sheet to indicate the controlled substance was given. […]

• No harm, potential for more than minimal, isolatedF867Jun 24, 2025

  Based on observations, record review and interviews the facility's Quality Assessment and Assurance (QAA)/QAPI) committee failed at demonstrating an effective plan of action to correct identified quality deficiency in problem areas as evidence by repeated deficient practice for F 880-Infection Prevention and Control and F 761- Label/Store Drugs and Biologicals. There were 91 residents residing in the facility at the time of the survey. The findings included: Record review of the facility's survey history revealed, during a recertification conducted on March 23, 2025 through March 26, 2025, F880- Infection Prevention & Control was cited due to the facility's failure to implement infection control procedures related to trash and food observations on the floor inside The Resident's pantry… […]

• No harm, potential for more than minimal, isolatedF583Mar 26, 2025

  Based on observations, interviews and record reviews, the facility failed to provide privacy for residents' information on two out of four computer screens on the East side nursing station as evidenced by an observation of an unlocked, unattended computer screen with resident information easily accessible/visible on the east side medication cart #1 and at the East side nursing station. There were 96 residents residing in the facility at the time of the survey. The findings included: 1.On 03/23/25 at 7:39 AM, an observation was made of an unlocked, unattended computer screen on the East side medication cart #1 (photo obtained ). […]