Terraces of Lake Worth Care Center and Rehab

In the surveyor’s words

From the most serious findings on record at Terraces of Lake Worth Care Center and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF657Aug 19, 2021

  Based on record review, interview, and policy review, the facility failed to ensure participation by all mandated members of the Interdisciplinary Team (IDT), specifically the direct care Registered Nurse and the direct care Certified Nursing Assistant (CNA), for 12 of 12 sampled residents. This failure has the potential to affect the care and services for the residents as these two members of the IDT normally have the most frequent direct interaction with the residents (Residents #1, #9, #48, #62, #5, #34, #35, #52, #29, #46, #26, and #42). The findings included: Review of the policy Care Planning - Interdisciplinary Team, revised September 2013, documented, 2. […]

• No harm, potential for more than minimal, isolatedF585Jun 6, 2025

  Based on policy review, observation, interview, and record review, the facility failed to initiate and act on grievances regarding dialysis chairs, affecting 2 of 2 sampled residents, Residents #31 and #344. The findings included: Review of the policy titled grievances/complaints, filling, dated April 2017, indicated the following: residents and their representatives have the right to file grievances, either orally or in writing, to the facility staff or to the agency designated to hear grievances (e.g., the state ombudsman). The administrator and staff will make prompt efforts to resolve grievances to the satisfaction of the residents and/or representatives. […]

• No harm, potential for more than minimal, isolatedF641Jun 6, 2025

  Based on observations, interviews and record reviews, the facility failed to accurately document the status of upper and lower extremity impairment for 1 of 19 sampled residents, Resident #52. The findings included: Record review revealed Resident # 52 was admitted on [DATE] with diagnoses that included Quadriplegia, Paraplegia, Neuromuscular Dysfunction of Bladder, Gastroesophageal Reflux Disease without Esophagitis, and Anemia. Review of the Minimum Data Set (MDS) assessment dated [DATE] under Section C of the Brief Interview for Mental Status (BIMS) revealed a score of 15 indicating Resident #52 had intact cognitive function. Section GG-A of the upper extremity including shoulder, elbow, wrist and hand revealed 0 or no impairment. […]

• No harm, potential for more than minimal, isolatedF684Jun 6, 2025

  Based on observations, interviews and record review, the facility failed to accurately administer medication for 2 of 6 observations of medication pass, Resident #43 and Resident #86; and failed to follow blood pressure parameters for 1 of 5 sampled resident reviewed for unnecessary medications, Resident #9. The findings included: Review of the facility's policy, titled, Administering Medications, with a revised date of April 2019, included in part the following: Medications are administered in accordance with prescriber orders, including any required time frame. Medications are administered within one (1) hour of their prescribed time, unless otherwise specified (for example, before and after meal orders). […]

• No harm, potential for more than minimal, isolatedF689Jun 6, 2025

  Based on observations, interviews, record reviews and facility policy review, the facility failed to ensure a safe smoking environment by not providing safety devices and supervision per the residents' care plans and assessments for 6 of 10 sampled residents that smoke, Residents #6, #30, #36, #77, #86 and #399. The facility failed to assess residents for safe smoking at least quarterly and as needed for 4 of 10 sampled residents, Residents #6, #36, #77, and #86. The findings included: Review of the facility's Smoking Policy, with a revision date of 04/26/25, documented: Procedures: Residents will be assessed upon admission, quarterly and on an as needed basis as to their need for required assistance or special safety devices. […]