Nspire Healthcare Tamarac

In the surveyor’s words

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

• Actual harm, isolatedF656Apr 1, 2021

  Based on interview and record review, the facility failed to develop a care plan for a resident at risk for skin impairment for 1 of 3 sampled residents reviewed for pressure ulcers (Resident #1). The findings included: Resident #1 was admitted to the facility on [DATE], with a readmission on 12/05/20. The resident's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the comprehensive assessment, dated 03/04/21, documented the resident had severe cognitive impairment, required total one-person assist with activities of daily living, had a stage 4 pressure ulcer, two unstageable pressure ulcers, and one deep tissue injury present on admission/readmission. […]

• Actual harm, isolatedF686Apr 1, 2021

  Based on interview and record review, the facility failed to prevent the development of a pressure ulcer for 1 of 3 sampled residents reviewed for pressure ulcers (Resident #1). The findings included: Resident #1 was admitted to the facility on [DATE], with a readmission on 12/05/20. Resident diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of Resident #1's Braden Scale For Predicting Pressure Sore Risk, dated 12/05/20, documented a score of 13, indicating moderate risk of developing a pressure sore. A review of Resident #1's Admit/Readmit Screener documentation, dated 12/05/21, documented the resident had redness to the sacrum and groin. A review of Resident #1's orders revealed a physician order, dated 12/05/20, for weekly skin observation tool. […]

• No harm, potential for more than minimal, patternF584Jun 12, 2024

  Based on observation and interview, the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interiors for residential rooms, community shower rooms, activity rooms, and common areas) located on First Floor West, Second Floor East, and Second Floor West. The findings included: During the resident screenings conducted by the surveyors on 06/09-10/24 and environment observation tour conducted on 06/11/24 at 9:00 AM, and on 06/12/24, accompanied with the Corporate Nurse Consultant and Corporate Director of Maintenance, the following were noted: 1. First Floor [NAME] Unit: a. […]

• No harm, potential for more than minimal, patternF761Jun 12, 2024

  Based on observations, interviews, and record review, the facility failed to properly remove and dispose of controlled medications for 2 of 3 discharged residents reviewed during medication storage observation, affecting Residents #497 and #496; failed to secure and properly lock 3 of 3 emergency crash carts observed during the initial tour; failed to safely secure prescription and over-the-counter (OTC) medications; failed to properly date stamp an opened insulin bottle observed during medication storage opportunities in the 1-East unit; and failed to discard expired topical medication stored in the wound treatment cart observed during medication storage tour. […]

• No harm, potential for more than minimal, patternF800Jun 12, 2024

  Based on observation, interview, and record review, the facility failed to provide residents with a nourishing, palatable, well-balanced diet and to meet the preferences of potentially 117 facility residents. The findings included: During routine interview conducted with the Administrator and Certified Dietary Manager (CDM) on 06/10/24 and 06/11/24, it was noted the facility's Walk-in Refrigerator had stopped working on 05/31/24 and Reach-in Refrigerator had stopped working on 06/04/24. They stated a refrigeration contractor evaluated the issues and parts were ordered to repair the units. They further stated the contractor was contacted for days when the repairs were to be completed but the facility was informed the shipped parts have not been received to complete the repairs. […]