Palm Garden of Vero Beach

In the surveyor’s words

From the most serious findings on record at Palm Garden of Vero Beach, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 23, 2021

  Based on observation and interview, the facility failed to prepare and serve food in accordance with professional standards for food service safety. The findings included: 1. On 07/19/21 at 9:40 AM, an Initial brief tour of the main kitchen was conducted, accompanied by the director of culinary services. The following was observed: (a) the hood over the stove was dirty(grease) (b) the dish washing Temperature Log was missing entry on 07/11/21 (c) the dumpster area was dirty, with litter around dumpster, and puddles of dirty water. (d) the dish washer was not registering the proper temperature for the wash cycle and rinse cycle; the wash (E) cycle was registering 140 instead of 150-160 and rinse cycle register 150 instead of 180. […]

• No harm, potential for more than minimal, patternF565Jan 12, 2024

  Based on interviews and record review, the facility failed to act to ensure prompt and effective resolution of grievances voiced by the members of the Resident Council regarding food and staffing concerns during Resident Council Meetings. The findings included: The facility's Grievance Policy and Procedure ([DATE]) states, The center recognizes the resident/legal representative/family has the right to voice grievances and recommendations for changes through an orderly and timely process free from discrimination and/or reprisal. They have a right to expect the center will make prompt efforts to resolve grievances and, upon request, have the right to obtain written decision regarding the grievance. Procedure: 1. […]

• No harm, potential for more than minimal, patternF641Jan 12, 2024

  Based on observation, interview, and record review, the facility failed to ensure accurate Minimum Data Set (MDS) assessments for 6 of 49 sampled residents, related to dental status, falls with major injury, anticoagulant use, discharge, and range of motion (Resident #31, #137, #89, #3, #170, and #129). The findings included: 1) During an interview on 01/08/24 at 4:38 PM, Resident #31 voiced concerns about his lack of dentures that fit. The resident was not wearing his dentures at the time and further stated the set that was provided to him by the on-site dentist never fit, so he has never worn them. Review of the record revealed Resident #31 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF677Jan 12, 2024

  Based on observation, interview, and record review, the facility failed to ensure provision of Activities of Daily Living (ADL) care, to include nail care and incontinence care, for 7 of 9 sampled residents (Resident #89, #100, #111, #114, #24, #34, and #83). The findings included: 1) Review of the record revealed Resident #89 was admitted to the facility on [DATE]. Review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 99, indicating he failed to answer any question correctly and was severely cognitively impaired. […]

• No harm, potential for more than minimal, patternF684Jan 12, 2024

  Based on observation, interview, and record review, the facility failed to timely identify a change in condition and provide timely care and services for 2 of 4 sampled residents reviewed for respiratory care (Residents #5 and #44); failed to identify a change in skin condition and provide treatment for 1 of 2 sampled residents (Resident #34); and failed to properly monitor weights for 1 of 1 sampled resident reviewed with congestive heart failure (Resident #84). The findings included: 1) Residents #5 and #44 were a married couple residing in the same resident room. Resident #5 was independently ambulatory, and would assist his wife with her meals, or other small tasks. Review of the record revealed Resident #5 was admitted to the facility on [DATE]. […]