The Palms At Florence

In the surveyor’s words

From the most serious findings on record at The Palms At Florence, in the surveyor’s own words.

• Actual harm, isolatedF684Jun 4, 2026

  Based on review of the facility policy, record review, and interview, the facility failed to ensure that 1 of 1 resident (Resident (R)164) reviewed for death, received continued monitoring after a change in condition and initiation of an intervention.Findings include: Review of the facility policy titled Documentation Policy dated 09/08/25, under the Policy section indicated, Each resident's medical record will contain an accurate representation of the resident status. The Procedure section of the policy indicated the following: 2. Routine Charting for all Residents lists Pertinent Nurse's Notes and Acute charting, Section 2a. lists the following: Nurse's notes may also include but not limited to the following: changes in condition; 2b. […]

• Actual harm, isolatedF686Oct 25, 2023

  Based on observation, interview, record review, and policy review, the facility failed to identify a wound and provide interventions for wound prevention for two of five sampled residents (Resident (R) 244 and R76) reviewed for pressure sores. This resulted in harm when R244 developed a necrotic wound on the heel. The failure led to a missed opportunity to prevent and treat a necrotic wound that developed after admission. Findings include: 1. Review of the facility's policy titled, Pressure Injury/Wound/Skin Management, dated 08/2016, provided by the facility revealed .each resident will be assessed upon admission for skin skin/breakdown and findings will be documented in the resident's record; the Braden Scale will be completed on admission, weekly x 4 week, quarterly and with significant… […]

• No harm, potential for more than minimal, widespreadF732Jun 4, 2026

  Based on review of facility policy, observation and interview, the facility failed to ensure the daily nurse staffing information was posted in a prominent place readily accessible to residents and visitors.Findings include:Review of the facility's policy titled, Nurse Staffing Posting Information (undated), revealed, It is the policy of this facility to make nurse staffing information available in a readable format to residents, staff, and visitors . (3) B. In a place readily accessible to residents, staff and visitors.During an observation on 06/02/26 at approximately 11:30 AM, the daily nurse staff posting was located behind the East Nurses' Station. […]

• No harm, potential for more than minimal, widespreadF814Jun 4, 2026

  Based on observation, interview, and review of facility policy, the facility failed to ensure the cleanliness and proper placement of the grease trap on a non-porous surface. This failure had the potential to attract insects and pests to the facility. Findings include:Review of the undated facility policy titled, Grease Trap Pumping and Maintenance Policy & Procedure, documented, It is the policy of HCSG to ensure that all grease traps are pumped, cleaned, and maintained on a quarterly basis by The Serviced Grease Trap Company contracted to comply with environmental regulations, prevent sewer blockages, eliminated odors, and maintain a safe and sanitary environment.Review of facility receipts revealed an account with, [NAME] Septic Systems that indicates the grease tank was cleaned on… […]

• No harm, potential for more than minimal, widespreadF761Feb 2, 2021

  Based on observations, interviews, and record review of the facility's medication storage policy, the facility failed to remove expired medication from other medications being stored for 4 out of 4 units, 6 out of 8 medication carts, 4 out of 5 medication storage rooms, and 3 out of 4 treatment carts. The findings include: A review of the medication storage room refrigerator on the West hall of the facility conducted on [DATE] at 4:00 PM revealed a vial of [MEDICATION NAME] Purified Protein ([MEDICATION NAME]) for house supply opened with an opened date of [DATE] written on the vial. In addition, further review revealed another vial of [MEDICATION NAME] Purified Protein ([MEDICATION NAME]) for house supply open with no opened dated noted on the vial. […]