Solaris Healthcare Coconut Creek

In the surveyor’s words

From the most serious findings on record at Solaris Healthcare Coconut Creek, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF558Jan 14, 2026

  Based on observations, interviews, and record reviews, the facility failed to ensure call lights were within reach for 5 of 25 sampled residents, Residents #28, #138, #72, #13 and #45; and failed to honor shower preferences for 2 of 3 sampled residents, Residents #93 and #124, reviewed for accommodation of needs. The findings included: Review of the facility's policy, titled, Answering the Call Light, dated 12/10/24, included the following: The purpose of this procedure is to respond to the resident's requests and needs.General Guidelines: 5. When the resident is in bed or confined to a chair be sure the call light is within easy reach of the resident. 1. […]

• No harm, potential for more than minimal, isolatedF689Jan 14, 2026

  Based on observations, interviews, and record reviews, the facility failed to ensure floor mats were properly placed as part of the Fall intervention protocol for 3 of 20 sampled residents reviewed for floor mats, Residents #99, #38, and #13. The findings included: Review of the facility's policy titled, Falls- Clinical Protocol, dated 12/10/24, included the following: Treatment/Management1. Based on the preceding assessment, the staff and physician will identify pertinent interventions to try to prevent subsequent falls and to address risks of serious consequences of falling. 2. […]

• No harm, potential for more than minimal, isolatedF692Jan 14, 2026

  Based on observation, interviews and record review, the facility failed to address a significant weight loss for 1 of 2 sampled residents reviewed for nutrition, Resident #41.The findings included:Review of the facility's policy titled, Weights, dated 12/09/25 revealed the following: Any resident identified at risk for weight loss will be reviewed with appropriate interventions and plan of care by the Interdisciplinary Team. Any residents identified with significant weight loss of 5% in 30 days, 7.5% in 90 days and 10% in 180 days. Record review showed Resident #41 was admitted to the facility on [DATE] with diagnoses to include Muscle Weakness, Dementia and Unspecified protein-calorie malnutrition. […]

• No harm, potential for more than minimal, isolatedF919Jan 14, 2026

  Based on observations and interviews, the facility failed to ensure it was adequately equipped with functioning emergency call devices in 2 of 11 rooms on the First Floor, 3 Unit. The findings included: Review of the facility's policy titled, Answering the Call Light, dated 12/10/24, included the following: The purpose of this procedure is to respond to the resident's requests and needs.General Guidelines: 7. Report all defective call lights to the nurse supervisor promptly. During the initial tour of the facility conducted on 01/11/26 at 10:27 AM, observation of room [ROOM NUMBER]'s bathroom revealed the emergency call light device was missing the pulling cord by the toilet. […]

• No harm, potential for more than minimal, isolatedF684Jul 25, 2024

  Based on observation, interview and record review, the facility failed to meet professional standards of quality practice during administration of an insulin pen for 1 of 1 sampled resident observed for insulin administration (Resident #60). The findings included: Review of the Quick Reference Guide for Lantus SoloStar, copyright 2008, provided by the facility, documented the following: 1. Attach a new needle. 2. Perform a safety test, this removes air bubbles and ensures that the pen and needle are working properly. Take off the needle cap. Hold the pen with the needle pointing upward and press the injection button all the way in. Check if insulin comes out of the needle. If insulin does not come out, you must repeat the test until it does. […]