North Dade Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at North Dade Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Sep 5, 2024

  Based on observations, interviews, record review, the facility failed to protect the resident's right to be free from neglect as evidence by; Resident #1 a vulnerable resident with exit seeking behaviors who voiced intent to leave the facility and refused to sign an Against Medical Advice (AMA) was not adequately supervised and monitored by the facility's staff who did not see the resident exit the facility. Resident #1 was found decomposed in a locked closet 12 days after the facility documented he left the facility AMA. […]

• Immediate jeopardy, isolatedF607Sep 5, 2024

  Based on record reviews and interviews, the facility failed to implement their abuse and neglect policy as evidenced by staff failure to provide care and services including adequate supervision for one (Resident number 1) out of three residents sampled during the time of this survey. This deficient practice has the potential to affect all residents residing in the facility. This enabled resident number 1 to go missing from the facility undetected on [DATE]. The resident was not located until 8:30 AM on [DATE] deceased in a locked closet and his body was decomposed. […]

• Immediate jeopardy, isolatedF689Sep 5, 2024

  Based on observations, interviews, record review, the facility failed to ensure the facility's environment was safe and residents were adequately supervised, as evidenced by one (Resident #1) out of three vulnerable resident sampled with exit seeking behaviors voice his intent to leave the facility refused to sign an Against Medical Advice (AMA). was not adequately supervised and monitored by the facility's staff who did not see the resident exit the facility The facility had an unsecured closet that was being used for storage that Resident #1 entered undetected. […]

• Immediate jeopardy, isolatedF835Sep 5, 2024

  Based on record reviews and interviews the facility's administrative staff failed to ensure staff implemented a safe AMA discharge process by failing to monitor/escort a resident leaving the facility; failed to communicate and ensure efficient preventative measures to prevent the neglect of one resident (Resident number 1) out of three sampled residents who displayed exit seeking behaviors. As evidenced by failure by staff to implement assigned level of supervision for resident number 1 who was at risk for elopement, had exit seeking behaviors, wandered the unit and near exit doors and voiced his intent to leave the facility. These deficient practices enabled Resident number 1 to go missing from the facility undetected on [DATE]. […]

• Immediate jeopardy, isolatedF880Mar 24, 2023

  Based on observation, record review and interview, the facility failed to follow Infection Prevention and Control Policies and Procedure. This affected 1) One (1) out of 41 residents receiving Accuchecks/blood glucose monitoring (Resident #136). The facility failed to appropriately clean and disinfect a blood glucose monitoring device that was being used for multiple residents. The likelihood existed for cross contamination, increased risk for exposure and being infected with a blood borne pathogen through the use of the contaminated blood glucose monitoring device. 2) Three (3) out of 7 residents on Isolation Precautions (Resident #119, Resident#195, Resident #265). Staff were observed entering resident rooms without putting on proper Personal Protective Equipment (PPE). […]