Nspire Healthcare Kendall

In the surveyor’s words

From the most serious findings on record at Nspire Healthcare Kendall, in the surveyor’s own words.

• Actual harm, isolatedF689May 1, 2023

  Based on interview and record review, 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 number 1, Resident number 2) out of three residents reviewed for falls. Resident number 1 sustained a left hip hemiarthroplasty posterior approach, secondary to left femoral neck fracture and Resident number 2 sustained a displaced nasal bone fracture. This practice has the potential to affect all 107 residents present in the facility at the time of the survey. […]

• No harm, potential for more than minimal, patternF761Jun 4, 2026

  Based on observation, record review and interviews the facility failed to properly store medications in two out of two medication rooms as evidenced by an expired emergency kit in the North medication room and a thermometer reading of 52 degrees Fahrenheit in the South medication room. The findings include:Observation on 06/02/2026 at 9:41 AM in the North Medication Room revealed an expired emergency drug kit with an expiration date of 12/25. Photo evidence.Interview on 06/02/2026 at 9:45 AM Staff A, Unit Manager stated: The unit managers are in charge of checking for any expired medications and supplies in the medication room.Observation on 06/02/2026 at 9:51 AM in the South Medication Room, revealed the refrigerator temperature log last signed on 06/02/2026 documented a temperature of 38… […]

• No harm, potential for more than minimal, patternF812Jul 28, 2022

  Based on observation, interview and record review, the facility failed to ensure food was stored and prepared under sanitary conditions, and dishes were cleaned and stored under sanitary conditions as evidenced by failure to ensure air conditioner (AC) vents directly above food preparation and storage areas and the dish room were clean and free of condensation and walls and ceiling in the dry storage room and the dish room were intact and free of loose peeling paint. This has the potential to contaminate the food and clean dishes. The has the potential to affect 94 residents who eat orally out of 99 residents residing in the facility at the time of the survey. […]

• No harm, potential for more than minimal, patternF880Jul 28, 2022

  Based on observation, interview and record review, the facility failed to maintain an infection prevention and control program to provide a safe and sanitary environment to help prevent the transmission of communicable diseases such as Coronavirus Disease 2019 (COVID-19). There were 99 residents residing in the facility at the time of the survey. The findings included: Upon entrance into the facility on Sunday, 7/24/2022 at 8:30 AM, the facility's Receptionist told the survey team that everyone did not need to go through the facility's full screening process and only one person needed to go through the full screening at the kiosk. […]

• No harm, potential for more than minimal, isolatedF812Jun 4, 2026

  Based on observations, interviews, and record review, it was determined that the facility did not consistently store, prepare, distribute, and serve food in a sanitary manner within the kitchen and nourishment rooms. This was evidenced by the presence of undated, unlabeled, and expired food items and dietary staff not wearing required hair restraints, including beard guards, during food preparation. There were 117 residents residing in the facility at the time of the survey The findings included: During a tour on 06/01/2026 at 9:53 AM, with the Corporate Kitchen Manager and the facility's Kitchen Manager an opened container of apple juice was noted in a reach-in refrigerator with an open date of 04/10/2026; there was also a clear plastic type pitcher with contents identified as coffee… […]