Palms at Sebring Nursing and Rehabilitation the

In the surveyor’s words

From the most serious findings on record at Palms at Sebring Nursing and Rehabilitation the, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF585Oct 20, 2025

  Based on interviews and record review, the facility did not ensure grievances were documented and/or resolved for the Resident Council for five months in 2025 (June, July, August, September and October 2025) out of five months reviewed.Findings included: A review of resident council minutes revealed there were multiple discussions related to residents wanting more ice water and snacks to be offered from June 2025-October 2025. An interview was conducted on 10/13/25 at 4:25 p.m. with Resident #2. The resident said she goes to the resident council meeting, and they had discussed needing water refills and wanting snacks several times, but nothing changed. Resident #2 said she occasionally had heard staff refilling water in the hall, but they didn't come to her side of the hall. […]

• No harm, potential for more than minimal, patternF582Feb 25, 2025

  Based on observation, record review, and interviews, the facility failed to ensure three residents (#41, #167, and #168) out of three residents reviewed for beneficiary notifications were provided with the correct notification prior to changes of skilled services and related changes. Findings included: Review of the Beneficiary Notice-Residents discharged within the Last Six Months form, completed by the facility, revealed 20 residents. Three randomly selected residents were chosen for review. Resident #41 was selected and identified as remained in facility, Resident #167 was selected and identified as remained in facility, and Resident #168 was selected and identified as discharged Home. […]

• No harm, potential for more than minimal, patternF641Feb 25, 2025

  Based on record review and interview, the facility failed to ensure the comprehensive Minimum Data Set (MDS) assessments were accurately coded for four residents (#80, #91, #56, and #39) out of 22 sampled residents. Findings included: 1. Review of the Admission Record showed Resident #80 was admitted to the facility on [DATE] with diagnoses that included but not limited to epilepsy unspecified, unspecified dementia without behavioral disturbance, anxiety disorder unspecified, major depression recurrent, moderate, and seizures. Review of a physician order for Resident #80 dated 11/21/24 showed Memantine HCI [hydrochloride] Oral Tablet 10 [milligrams] MG. Give one tablet by mouth two times a day for Alzheimer/Dementia. […]

• No harm, potential for more than minimal, patternF645Feb 25, 2025

  Based on record review and interview, the facility failed to ensure the Level I Preadmission Screening and Resident Review (PASRR) were accurately completed for nine residents (#44, #55, #91, #94, #33, #39, #56, #6, and #5) out of 22 sampled residents. Findings included: 1. Review of the Admission Record showed Resident #44 was admitted to the facility on [DATE] with diagnoses that included but not limited to major depressive disorder, recurrent, moderate and muscular dystrophy. Review of a psych note dated 2/6/25 showed Resident #44 presented with major depressive disorder, recurrent, moderate, other specified anxiety disorders, primary insomnia, and muscular dystrophy. Review of the Level I PASRR, dated 1/9/25, showed in Section I, Part A. […]

• No harm, potential for more than minimal, patternF656Feb 25, 2025

  Based on observations, interviews, and record review, the facility did not ensure the development and implementation of the comprehensive care plan for five residents (#104, #4, #56, #39, and #6) out of twenty-two residents sampled. Findings included: 1. A review of Resident #104's Admission Record showed an admitted [DATE] with a diagnosis of tobacco use. A review of Resident #104's care plans did not show a care plan for tobacco use. 46234 2. Review of Admission Records showed Resident #4 was admitted on [DATE] with diagnoses including morbid obesity, idiopathic gout, and age-related osteoporosis. […]