Savoy at Fort Lauderdale Rehabilitation and Nursin

In the surveyor’s words

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

• Actual harm, isolatedF600Jun 20, 2024

  Based on observations, interviews, and record review, the facility failed to protect the residents' right to be free from mental and physical abuse by staff for 3 of 3 cognitively impaired residents, Resident #1, #2, and #3. The residents who remained at the facility, Resident #2 and Resident#3, were unable to provide information regarding the events due to their cognition levels. Resident #1 has since passed away due to unrelated causes, per family interview. Based upon the video surveillance of the incident, a reasonable person would conclude the residents suffered physical and/or mental harm. The findings included: The facility's policy, titled, Identifying Types of Abuse (revised September 2020) had a section with the heading Policy Interpretation and Implementation. […]

• No harm, potential for more than minimal, patternF812Mar 19, 2026

  Based 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. This was observed during 1 of 2 visits conducted in the Main Kitchen. The findings included:A tour of the main kitchen was conducted on 03/16/26 at 9:00 AM with the following issues noted: a. A personal 16-ounce Styrofoam cup was noted near the breakfast tray line. b. Two boxes of disinfecting towelettes were noted in the food production area. c. A Hydrion meter was used to check the sanitation solution in the one red bucket. Further observation showed a measurement of 500 parts per million, indicating that too much sanitization solution was in the red bucket. d. […]

• No harm, potential for more than minimal, patternF917Oct 3, 2024

  Based on observations, interviews, and record review, the facility failed to ensure the closet space in residents' rooms had doors or coverings to maintain the residents' clothing clean, protected, and to provide privacy for 30 of 60 total residents' rooms, located on the 3rd floor, that were reviewed for a home-like environment. The findings included: During the initial tour of the facility conducted on 09/30/24 at 9:37 AM, it was observed that all the residents' rooms on the third floor were missing closet doors revealing residents' personal clothing and items. […]

• No harm, potential for more than minimal, isolatedF558Mar 19, 2026

  Based on observation, interview, and record review, the facility failed to provide an alternative means to notify staff for assistance to visually impaired residents for 1 of 22 sampled residents, Resident #66, regarding accommodation of needs. The findings included: Review of the record for Resident #66 revealed the resident was admitted to the facility on [DATE], with diagnoses that included Cerebral Infarction (stroke caused by a blockage), Cataracts, and Generalized Muscle Weakness. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE], documented Resident #66 with a Brief Interview for Mental Status (BIMS) score of 14 on a scale of 0 to 15, which indicated the resident was cognitively intact. […]

• No harm, potential for more than minimal, isolatedF677Mar 19, 2026

  Based on observations, interviews, and record review, the facility failed to assist 2 of 10 sampled residents reviewed for nutrition, Resident #70 and Resident #44, with Activities of Daily Living (ADLs) regarding assistance during dining. The findings included;1. Record review for Resident #70 revealed the resident was admitted to the facility on [DATE] with diagnoses that included Altered Mental Status, Dementia, Dysphagia following other Cerebrovascular Disease; and Other Speech and Language Deficits following other Cerebrovascular Disease. The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #70 had a Brief Interview for Mental Status (BIMS) of 04, indicating he was severely cognitively impaired. […]