Deficiency Index

Royal Palm Beach Health and Rehabilitation Center

Royal Palm Beach, Florida · CCN 105494

14 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
81
Surveys
14
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file11/14

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
For profit - Limited Liability company
Chain
SIMCHA HYMAN & NAFTALI ZANZIPER
County
Palm Beach
Medicare-certified since
1985

CMS ratings

Overall
3
Health inspection
3
Staffing
4
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 293 for-profit facilities of 100–127 beds in Florida.

Last survey on record

May 22, 2025

536 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.383.57
Registered-nurse hours per resident day0.72—
Annual nurse turnover35.1%44.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$4,156 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2485.7%E310.7%F—
No harm, potential for minimalA—B—C13.6%
CMS’s current file: 28 of the 81 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6442×

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  • F6572×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6902×

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • F7002×

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

In the surveyor’s words

From the most serious findings on record at Royal Palm Beach Health and Rehabilitation Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jul 29, 2021

    Base on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety that potentially could affect 97 of the facility residents, as evidenced by: failure to hold hot and cold foods at regulatory temperatures, failure to maintain an effective pest control program, failure to maintain food storage rooms, failure to sanitize dining room tables and chairs after each meal, ensure foods from outside sources are not stored in resident refrigerators in the main kitchen, obtain and utilize chemical testing strips, and ensure thawing of foods by regulatory requirement. The findings included: 1. […]

  • No harm, potential for more than minimal, patternF880May 22, 2025

    Based on observations, interviews, and record reviews, the facility failed to don personal protective equipment (PPE) (gown) for 2 of 2 sampled residents as evidenced during a catheter care for Resident #1, and during perineal care for Resident #53; failed to provide appropriate means to dispose of used PPE for Resident #97, for 1 of 45 sampled residents on Enhanced Barrier Precautions (EBP); and failed to disinfect a glucometer according to facility's policy during a blood sugar check for Resident # 94. […]

  • No harm, potential for more than minimal, patternF804Feb 8, 2024

    Based on observation and interview, the facility failed to provide palatable, attractive, and appetizing meals to ensure residents' satisfaction, as evidenced by sampling of a test tray and 9 of 30 sampled residents voiced concerns regarding the quality of the food, Residents #4, #5, #37, #78, #74, #57, #9, #45, and #65. The findings included: 1. During an observation of the lunch meal on 02/05/24 at 12:30 PM in the main dining room, Residents #4, #5, and #37, each stated they sometimes just request a sandwich or cold cereal for their meal because they did not enjoy the meals. 2. A test tray was ordered from the kitchen for the lunch meal service on 02/08/24 at 11:35 AM. The menu for this meal included shrimp fried rice, mixed vegetables, and a bread stick. […]

  • No harm, potential for more than minimal, patternF584Sep 23, 2022

    Based on observation, record review and interview, the facility failed to provide a safe, clean comfortable homelike environment for 3 of 3 units observed. The findings included: Review of a policy for admission / discharge cleaning documents the rooms should be turned over either one hour after discharge or the following day, if discharged happened after hours. 1. All personal items should be removed by nursing prior to cleaning. 2. Biomedical items should be properly discarded .7. Any linens left in the room whether used or unused are to be considered contaminated and placed in the soiled utility rooms. […]

  • No harm, potential for more than minimal, patternF761Mar 24, 2022

    Based on observation, interview, and procedure review, the facility failed to ensure expired insulin was properly disposed of when expired for 3 of 4 sampled residents, whose insulin was maintained on the North Front medication cart, (Resident #13 and #7), and for 1 of 3 sampled residents, whose insulin was maintained on the South Front medication cart (Resident #16); and failed to ensure proper open and expiration dates for insulin, as per their own process, on 4 of 4 medication carts (North Front, North Back, South Front, and South Back), affecting Residents #14, #15, #16, #17, and #18. […]

Read 20 findings in full →The most serious and the most recent: 20 of 81 on record.

Every survey on record

FindingsAt actual harm or above

  • May 22, 2025Standard9 findings
  • Feb 8, 2024Standard7 findings
  • Sep 23, 2022Standard12 findings
  • Mar 24, 2022Complaint5 findings
  • Jul 29, 2021Standard5 findings
  • Sep 15, 2020Complaint1 finding
  • Nov 7, 2019Standard3 findings
  • Sep 7, 2018Standard5 findings
Show the 6 earlier surveys
  • Jul 27, 2017Standard2 findings
  • May 26, 2016Standard18 findings
  • Mar 12, 2015Standard4 findings
  • Jan 24, 2014—2 findings
  • Sep 29, 2011Standard7 findings
  • Jan 10, 2011—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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