Pearl at Fort Lauderdale Rehabilitation and Nursin

In the surveyor’s words

From the most serious findings on record at Pearl at Fort Lauderdale Rehabilitation and Nursin, in the surveyor’s own words.

• Actual harm, isolatedF684Aug 31, 2023

  Based on observation, interviews, record and policy review, the facility failed to identify and treat a wound in a timely manner for 1 of 1 sampled resident, reviewed for diabetic wounds, Resident #148. The findings included: Resident #148 was admitted to the facility on [DATE] and readmitted to the facility on [DATE] post hospitalization . The resident's diagnoses (dx) included End Stage Renal Disease, Type 2 Diabetes Mellitus and Acute Osteomyelitis of left ankle and foot. Review of the Quarterly Minimum Data Set (MDS), with an assessment reference date of 08/07/23, documented a Brief Interview for Mental Status (BIMS) score of 15, indicating the resident was cognitively intact. […]

• Actual harm, isolatedF693Aug 31, 2023

  Based on observations, interviews, and record review, the facility failed to prevent a significant weight loss of 8.33% and failed to provide nutritional intervention in a timely manner for 1 of 1 sampled resident reviewed for tube feeding, Resident #522. The findings included: Review of the facility policy, titled, Nutritional Assessment, dated 05/19/23, documented, in part, the following: As part of the comprehensive assessment, the nutritional assessment will be a systematic, multidisciplinary process that includes gathering and interpreting data and using that data to help define meaningful interventions for the resident at risk for or with impaired nutrition. […]

• Actual harm, isolatedF692Apr 28, 2022

  Based on observation, staff interview and record review, the facility failed to perform appropriate nutrition monitoring on a resident with oral intake; failed to re-assess by monitoring weights per facility policy; and failed to address or prevent the resident's avoidable significant severe, weight loss of 36 percent for 1 of 6 sampled residents reviewed for nutritional risk (Residents #78). The findings included: Review of the facility's policy titled Weights Record maintenance and Interventions Revised March 2021 showed the following: The nursing staff will measure residents' weight within 72 hours of admission and one week after the 1st weight. If no weight concerns are noted at this point, weight will be measured monthly thereafter. […]

• No harm, potential for more than minimal, widespreadF812Mar 11, 2021

  Based on observation and interview, the facility failed to maintain food safety requirements with storage, preparation, and distribution in accordance with professional standards for food service safety which included: failure to maintain sanitary conditions in the kitchen, failure to maintain adequate holding temperatures, and failure to maintain sanitary conditions during dining. The findings included: During the initial tour of the kitchen conducted on 03/08/21 at 9:00 AM, accompanied by the Food Service Manager (FSM) and the Corporate Registered Dietitian/Food Service Director (RD/FSD), the following was noted: 1. Approximately 2 pounds of frozen chicken forequarters were observed thawing in the two-compartment food preparation sink. […]

• No harm, potential for more than minimal, patternF812Dec 12, 2024

  Based on observations and interviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, sanitary conditions, and to ensure the prevention of foodborne illnesses for 187 of 196 residents. The findings included: 1. During tour of the Main Kitchen on 12/09/24 at 9:30 AM, and accompanied by the Dietary Manager (DM), the following was observed and noted: a. The handwashing station near the entry door had a dark substance on the grout just above the sink. DM made aware. b. There was thick, burnt-yellow colored residue approximately 8 inches long, with varying widths, on the exterior side walls of the two Vulcan ovens. c. […]