South Dade Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at South Dade Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF600Mar 9, 2023

  Based on observation, record review, and interview, the facility failed to protect the residents' right to be free from neglect by arranging for seven residents to sleep restrained in recliners and for one resident in a wheelchair and failed to ensure incontinent care and or assistance was being provided to meet their needs. On 3/6/2023, seven residents were observed at 4:00 AM sleeping in recliners in the third floor dining room. The seven residents in recliners had the footrest of the recliners wedged with a chair underneath the footrests of the recliners so they could not lower the recliner and one resident was sitting up in a wheelchair in the dining room. […]

• Immediate jeopardy, patternF604Mar 9, 2023

  Based on observation, interview and record review, the facility failed to ensure residents are free from the use of physical restraints as evidenced by the facility's staff inhibit seven (7) residents the freedom of movement by placing one resident in a recliner wedged between a wall and a column and placing a chair at the foot of the recliner to restrict the lowering of the foot of the recliners for all seven residents observed in recliners asleep in the common 3rd floor dining room. […]

• Immediate jeopardy, patternF835Mar 9, 2023

  Based on observation, interview, the facility's administration failed to implement and provide services effectively and efficiently related to ensuring safety measures were in place to prevent negligence and ensure residents are free from restraints and receive the highest practicable quality of care. The facility ' s administration failed to ensure adequate interventions for supervision was assigned to ensure the safety of residents. The facility's administration failed to ensure incontinence care, positioning and implement appropriate and dignified levels care to meet residents identified needs. […]

• No harm, potential for more than minimal, patternF755Jul 26, 2024

  Based on observations, record review and interview the facility failed to ensure accuracy in providing medications to meet needs for three residents (Resident #121, Resident #95 and Resident #163) out of 17 sampled residents as evidenced by three medication omissions noted during medication administration observation. There were 179 residents residing in the facility at the time of survey. The findings Included: On 07/24/2024 at 08:31 AM a medication administration observation was made on the second floor, [NAME] medication cart with Staff H, Licensed Practical Nurse (LPN) for Resident #121. During medication administration Staff H, LPN dispensed one (1) Calcium 500 plus vitamin D chewable tablet into the medication cup. […]

• No harm, potential for more than minimal, patternF867Jul 26, 2024

  Based on observations, interview and record review, the facility's quality assurance and assessment committee failed to demonstrate effective plan of actions were implemented to correct identified quality deficiencies in the problem areas related to repeated deficient practice for F755 Pharmacy Services and Procedures and F867 QAPI-QAA Improvement Activities .These repeated deficient practices has the potential to affect any of the 179 residents residing in the facility at the time of the survey. The findings included: Review of the facility's survey history revealed, during a Recertification survey with exit dated 03/09/2023 the facility was cited F755 Pharmacy Services and Procedures and F867 QAPI-QAA Improvement Activities. […]