Rehabilitation Center of The Palm Beaches, The

In the surveyor’s words

From the most serious findings on record at Rehabilitation Center of The Palm Beaches, The, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 1, 2021

  Based on observation and interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety that could potentially affect 96 of the facility's 106 residents. The findings included: During the initial kitchen / food service observation tour conducted in the on 06/28/21 at approximately 8:30 AM, accompanied with the Food Service Director (CDM), the following were noted: 1. Observation of the ceiling vent located directly above the food preparation area noted to have a heavy build-up of condensation which was also noted to be dripping. It was discussed with the CDM that the condensation could drip directly into foods, onto staff, and onto food preparation surface resulting in food contamination. […]

• No harm, potential for more than minimal, isolatedF561Mar 27, 2025

  Based on observation, record review and interviews, the facility failed to honor the resident representative's request to ensure, 1 of 3 sampled residents reviewed for Choices, Resident #71, received a shower on the scheduled shower days. The findings included: Record review documented Resident #71 was admitted to the facility on [DATE]. Review of the quarterly Minimum Data Set (MDS) assessment done on 12/27/24 documented Resident #71 had a Brief Interview for Mental Status (BIMS) score of 3 indicating severe cognitive impairment and the resident is dependent for all care needs. […]

• No harm, potential for more than minimal, isolatedF641Mar 27, 2025

  Based on interview and record review, the facility failed to accurately document the discharge status of 1 of 3 sampled residents reviewed as closed records, Resident #100. The findings included: Record review documented Resident #100 was admitted to the facility on [DATE] and discharged home on 01/24/25. Resident #100's diagnoses upon admission included: Anemia, Hypertension, Hip fracture, Spondylopathy in lumbar region, Muscle wasting and atrophy, Abnormalities of gait and mobility, Obesity, and Chronic pain syndrome. Review of Resident #100's care plan for discharge, dated 01/14/25, documented, The resident wishes / or Responsible Party wishes to: return home. […]

• No harm, potential for more than minimal, isolatedF684Mar 27, 2025

  Based on observation, record review, and interview, the facility failed to follow physician orders for 2 of 6 sampled residents, as evidenced by the topical cream for Resident #5 was not applied as ordered, and the blood pressure medication was not given as needed for Resident #58; and failed to follow physician orders to obtain a urology consultation as ordered for 1 of 2 sampled residents reviewed for catheters, Resident #63. The findings included: 1. Record review revealed Resident #5 was readmitted to the facility on [DATE]. Review of the current Minimum Data Sheet (MDS) assessment dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 05, on a 0 to 15 scale, indicating severe cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF692Mar 27, 2025

  Based on observation, record review and interviews, the facility failed to provide adequate hydration for 1 of 1 sampled resident, as evidenced by not ensuring that Resident #16 was able to have the fluids she was allowed. The findings included: Record review revealed Resident #16 was admitted to the facility on [DATE]. Review of current Minimum Data Sheet (MDS) assessment dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 05, on a 0 to 15 scale, indicating severe cognitive impairment. Review of the physician order dated 02/27/25 instructed the staff that Resident #16 was on a 1200 milliliters per day fluid restriction with 900 milliliters to be given by dietary daily and 300 milliliters to be given by nursing daily. […]