Solaris Healthcare Merritt Island

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 17, 2021

  Based on observation, interview and record review, the facility failed to provide adequate supervision to ensure vulnerable residents did not exit the facility unnoticed, and failed to secure and monitor exit doors to maintain a safe and secure environment, for 1 of 17 residents on the secure Memory Care unit, (#1). These failures contributed to the elopement of resident #1 and placed him at risk for serious injury/impairment/death. While resident #1 was out of the facility unsupervised, there was a likelihood he could have fallen, gotten lost or been hit by a car had he reached the parking lot or street. On 2/18/21 at approximately 8:00 PM, the facility failed to prevent a physically and cognitively impaired resident from exiting the facility unsupervised. […]

• No harm, potential for more than minimal, patternF584Jun 25, 2026

  Based on observation, interview, and record review, the facility failed to provide a homelike environment, by serving residents' meals on serving trays in an institutional manner, for all residents who ate meals in the dining area on the secured unit for three different meals observed.Findings: On 6/22/26 at 11:29 AM, during meal observation in the dining area on the secured unit, 8 residents were observed seated at the tables in the dining area. Each resident was noted to have a serving tray on the table in front of them which contained the lunch meal. The plates, cups, bowls and eating ware remained on the tray and were not removed from the trays at the table. On 6/23/26 at 11:05 AM, during meal observation, 9 residents were observed seated in the dining area. […]

• No harm, potential for more than minimal, patternF761Aug 22, 2024

  Based on observation, interview, and record review, the facility failed to secure one (1) treatment cart to prevent unauthorized access and promote resident safety, (Riverside), and failed to properly store medications and bottles of liquids in four (4) medication carts and one (1) treatment cart, (Bayside, Oceanside, and Riverside), for 6 of 8 carts inspected during the Medication Storage task, of a total of 14 medication/treatment carts. Findings: 1. On 8/19/24 at 10:15 AM, the 300 hallway treatment cart was observed between rooms [ROOM NUMBERS], on the Riverside Unit. The drawers faced the hallway and the lock protruded from the cart to indicate it was unlocked. […]

• No harm, potential for more than minimal, patternF812Aug 22, 2024

  Based on observation and interview, the facility failed to ensure food items were stored in a manner to prevent contamination by keeping them sealed, dated and discarded before their expiration date. This failure had the potential to negatively effect 158 of 158 residents who consumed food items by mouth. Findings: 1. On 8/19/24 at 10:20 AM, during the initial kitchen inspection with the Certified Dietary Manager (CDM), the walk-in freezer was observed to contain multiple cardboard shipping boxes in which the interior bag holding food items was unsealed, leaving the food items open to the air. These unsealed and undated items were beef patties, Rib type-meat, Plant-Based Chick-N-Strips, eggs, and pancakes. […]

• No harm, potential for more than minimal, patternF865Aug 22, 2024

  Based on observation, interview, and record review, the facility failed to ensure the Quality Assurance and Performance Improvement (QAPI) committee developed and implemented timely and appropriate plans of action to prevent repeat deficient practices related to Activities of Daily Living (ADLs) for Dependent Residents and Activities to Meet Resident Interest or Needs. Findings: Review of the facility's survey history revealed repeat deficiency concerns for ADL care and activities during the past 5 years, and again during current survey. The concerns for ADL care specifically nail care and activities to meet the residents' interests and needs to attain their highest practicable well-being would reflect the third time in five years deficiencies were cited for these areas of concern. […]