Port St Lucie Rehabilitation and Healthcare

In the surveyor’s words

From the most serious findings on record at Port St Lucie Rehabilitation and Healthcare, in the surveyor’s own words.

• Actual harm, isolatedF600Jan 13, 2021

  Based on record review and interview, it was determined the facility failed to prevent resident to resident abuse. This failure affected 1 of sampled 3 reviewed residents (Resident #1). The facility failed to ensure the perpetrator (Resident #2) had an adequate level of supervision and failed to implement safety approaches to minimize the resident to resident altercation. The findings included: Review of the facility logs, for November 2020, December 2020 and January 2021, conducted on 01/11/21 revealed an entry related to Resident #1, alleging an assault by Resident #2. The facility provided evidence of an immediate investigation. This investigation entailed an interview with the victim (Resident #1). […]

• No harm, potential for more than minimal, widespreadF812Mar 16, 2022

  Based on observation, interview and record review, the facility failed to prepare, store and serve food in accordance with professional standards and in a manner to prevent the possible growth of pathogens that cause foodborne illness. The findings included: 1. During the initial kitchen tour, on 03/13/22 at 9:21 AM, accompanied by the Kitchen Manager / Certified Dietary Manager (CDM), the following were noted: a. A portion of the wall to the left of the coffee station and underneath water filters for the ice machine was noted to be damaged and missing tiles. b. A staff member's purse was kept on a shelf with food (bread) and single use and disposable napkins. c. Cutting boards were scored and stained and appeared to be uncleanable. d. […]

• No harm, potential for more than minimal, patternF812Mar 5, 2026

  Based on observations and interviews, the facility failed to provide proper sanitation of dishes and sanitizing towels, maintain access to hot water in the kitchen sinks, maintain sanitary conditions of the ice machine in the kitchen, and maintain sanitary conditions of 1 cooler in a unit pantry. This has the potential to affect 146 of 151 residents who consume food, according to the facility's census. The findings included:During a tour of the main kitchen on 03/02/26 at 8:55AM with the Certified Dietary Manager (CDM) who has worked at the facility for one month, the following issues were noted:1) The Chemical Sanitizing (Low Temp) dish washing machine water temperature was 70 degrees and did not reach the 120 degrees necessary for sanitizing as per manufacturers recommendations, and the… […]

• No harm, potential for more than minimal, patternF812Sep 19, 2024

  Based on observations, interviews and record reviews, the facility failed to provide foods prepared, served, and stored under sanitary conditions and in accordance with professional standards for food safety. The findings included: 1. During the initial kitchen tour, on 09/16/24 at 9:08 AM, accompanied by the Registered Dietitian (RD) and the Certified Dietary Manager (CDM), the following was noted: a. The concentration of chlorine used for sanitizing wares in the mechanical ware washing machine was less than 50 parts per million. b. The temperature of the wash, rinse and sanitizing cycles did not reach 120 degrees Fahrenheit (F). c. There was an accumulation of mold in the basin of the ice machine. d. The wall behind the coffee stations was damage. e. […]

• No harm, potential for more than minimal, patternF584Mar 16, 2022

  Based on observation, interview and record review, the facility failed to provide housekeeping and maintenance services necessary to ensure a comfortable and home-like environment. The census at the time of the survey was 132 residents. The findings included: 1. At the nurses' stations for the 100 and 200 unit, the covering on the front edges of the counter were noted to be damaged in a manner that residents that use the counter as a means to propel themselves could be subject to splinters and skin tears. 2. Throughout the corridor of the 100 unit, there were stained ceiling tiles at the fire sprinklers and the air conditioning vents. 3. […]