Palm City Nursing & Rehab Center

In the surveyor’s words

From the most serious findings on record at Palm City Nursing & Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF803Jan 13, 2022

  Based on observatioin , interview, and record review, it was determined that the facility failed to follow the approved menu for 88 of 88 facility residents that included: Regular Diet: Sampled Residents #1, #56, #36, #69, #53, #40, #27, #24, #9, ,#51, #19, #14, #71, #63, #52, , Puree Diet; Sampled Residents #22, #39, #48, Mechanical Soft Diet: Sampled Residents; #57, #66, #14, #26, #72, and #39. The findings included; 1) During the review of the approved menu for the lunch meal of 01/10/22 , the following were noted: *Regular Diet - Chicken Breast (3 ounce) with Spiced Peach Sauce, Rice Pilaf (#8 scoop), [NAME] Vegetables (#8 Scoop), Pound Cake with Creme (1 slice). […]

• No harm, potential for more than minimal, widespreadF812Jan 13, 2022

  Based on observation and interview, it was determined that the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food serve safety; including ensure fresh ice is not being contaminated, silverware is handled in a safe and sanitary manor, cooking equipment is free of carbon build-up, and food storage shelving are being cleaned properly. The findings included; 1) During the kitchen/food service sanitation tour conducted on 01/10/22 at 9 AM accompanied with the Dietary Manager (DM), the following were noted: (a) Observation of the interior of the commercial ice machine noted the sides and top had a large growth of black mold type matter. The top of the ice level was in contact with the black mold type matter. […]

• No harm, potential for more than minimal, patternF565Jan 15, 2026

  Based on observations, interviews and record reviews, the facility failed to respond to and resolve grievances voiced by residents and members of the Resident Council, including Residents #21, 2, 9, 26, 74, 89, 127. The findings included:During an interview, on 01/12/26 at 11:04 AM, with Resident #127, when asked about the food served in the facility, Resident #127, with a Brief Interview for Mental Status (BIMS) score of 15, indicating the resident was cognitively intact, sated that the food is served cold for all meals. During an interview, on 1/13/26 at 9:30 AM, with Resident #21, when asked about the food served in the facility, Resident #21, with a BIMS score of 15, stated, the food is cold like it just came out of the refrigerator when I get it. […]

• No harm, potential for more than minimal, patternF805Jan 15, 2026

  Based on observations, interviews and record reviews, the facility failed to prepare and serve foods in a form to meet the needs of the residents with orders for a pureed diet. The deficient practice had the potential to affect 11 residents with orders for puree diets. The findings included:1). During an observation of lunch served to the residents in their rooms and in the Dining Room on the 200 unit, on 01/12/26 at 12:12 PM, it was noted that the pureed vegetables appeared to be pooling on the plate and running into the other foods on the plate and had a liquid consistency.During an observation in the kitchen, on 01/12/2026 at 1:20 PM of the pureed vegetable, the Surveyor requested a serving of the pureed vegetable be placed on a plate. […]

• No harm, potential for more than minimal, patternF677Feb 10, 2022

  Based on clinical and administrative record review and staff interview, the facility failed to provide evidence they consistently provided the necessary care and services to residents who are dependent upon the staff for assistance to carry out their activities of daily living for 3 of 3 sampled residents ( Residents # 1, #2, and #3). The findings include: 1) Review of the clinical record for Resident # 1 revealed that the resident was admitted to the facility from the hospital on 11/21/2021 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The November 27, 2021 Minimum Data Set Assessment documented that the resident had short and long-term memory problems and moderately impaired cognitively for decision making. […]