The Terrace of Delray Beach Nursing and Rehabilita

In the surveyor’s words

From the most serious findings on record at The Terrace of Delray Beach Nursing and Rehabilita, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 27, 2022

  Based on observation, interview, record review and review of policies and procedures, the facility failed to provide adequate supervision to 1 of 3 sampled residents, resulting in the elopement of Resident #1. Resident #1, who was reportedly last seen by staff on 03/27/22 at 7:15 PM, exited the facility behind a visitor, out of an emergency exit by the Physical Therapy Gym. The facility's system failure, and lack of adequate supervision, allowed the resident to elope undetected by staff. The facility contacted the police after conducting a facility wide search. Resident #1 was returned to the facility approximately 13 hours later after being found by a facility staff member. This situation resulted in Immediate Jeopardy. […]

• No harm, potential for more than minimal, widespreadF812Mar 10, 2022

  Based on observations, interviews, and record review, the facility failed to maintain food safety requirements with storage, preparation, and distribution in accordance with professional standards for food service safety which included: failure to maintain sanitary conditions and failure to maintain adequate holding temperatures. The findings included: During the initial tour of the kitchen conducted on 03/07/22 at 8:47 AM, accompanied by the Cook Supervisor, the following was noted: 1. Three light bulbs over the dishwashing area were out. 2. A moderate amount of flying black pests that resembled fruit flies were observed in the dishwashing area. 3. […]

• No harm, potential for more than minimal, patternF914Jul 31, 2024

  Based on observation and interview, the facility failed to provide privacy curtains for residents in 14 resident rooms (Rooms 121-133) for Bed A, which is closest to the door, and affecting 2 of 2 sampled Residents #40 and #77. The findings included: During an initial tour on 07/28/24 at 9:39 AM, the surveyor observed that Residents #77, residing nearest the door (Bed A), did have no privacy curtains. On 07/29/24 at 11:28 AM, the surveyor observed that Resident #40, residing by the door, did not have privacy curtains. On 07/30/24 at 12:07 PM, the surveyor observed Staff K, RN (Registered Nurse), providing tube feeding to Resident #40. […]

• No harm, potential for more than minimal, patternF812Jun 28, 2023

  Based on observation, interview and record review, the facility failed to provide foods that were prepared in a sanitary manner in accordance with professional standards. The findings included: 1. During the initial kitchen tour, on 06/25/23 at 8:53 AM, accompanied by the Food Service Director (FSD) and Staff A, Cook the following were noted: a. The air conditioning unit was not working in the kitchen, and the facility had been using portable units to cool the kitchen. The portable units required water to be plumbed to them. The water that was plumbed to the portable units was the cold water from the hand washing sink, located at the end of the production area where meals are plated from the hot holding unit. […]

• No harm, potential for more than minimal, patternF805Mar 10, 2022

  Based on observations, interviews, and record review, the facility failed to prepare pureed foods in a safe form for the breakfast meal on 03/08/22 for 9 of 9 residents on pureed diets which affected 2 sampled residents (Resident #20 and Resident #293). The findings included: Review of the facility's form titled Pureed - Dysphagia Level 1 documented the following: The pureed consistency is planned according to the regular consistency, but the texture is modified to a smooth, pudding-like texture for all food items. Pureed recipes are needed for each item that requires addition of fluid and mechanical manipulation to achieve a pudding-like, smooth, lump-free, puree consistency. […]