Viera del Mar Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Viera del Mar Health and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF578May 1, 2026

  Based on interview and record review, the facility failed to honor a resident's expressed wishes for Do Not Resuscitate (DNR) by not verifying those wishes were accurately documented to ensure a resident's wishes related to health care treatments and procedures at the end of life were followed for 1 of 1 resident reviewed for advance directives, out of a total sample of 57 residents, (#111). This failure contributed to resident #111 receiving cardiopulmonary resuscitation (CPR) and other invasive procedures in violation of an explicit wish for a natural and dignified death. There was likelihood resident #111 experienced severe pain, and could have suffered broken bones, organ damage, and a prolonged dying process. […]

• Immediate jeopardy, isolatedF610Jul 18, 2023

  Based on observation, interviews, and record review, the facility failed to thoroughly investigate potential allegation of neglect related to elopement for 1 of 8 sampled residents, (#1). The facility's failure to investigate and determine the root cause of the elopement, prevented them from implementing interventions and safeguards to prevent further elopements. On 4/8/23 at 11 AM, resident #1 walked past the facility's receptionist and exited through the facility's front doors. The staff were unaware the resident had exited the facility, unsupervised until another resident observed the resident outside through his bedroom window and alerted staff. […]

• Immediate jeopardy, isolatedF689Jul 18, 2023

  Based on record review, and interviews, the facility failed to prevent a vulnerable, cognitively impaired resident from exiting the facility, unsupervised and failed to provide adequate supervision and secure environment for 1 of 8 sampled residents reviewed for elopement, (#1). On 4/8/23 at 11 AM, resident #1 walked past the facility's receptionist and exited through the facility's front doors. The staff were unaware the resident had exited the facility, unsupervised until another resident observed the resident outside through his bedroom window and alerted staff. […]

• Immediate jeopardy, isolatedF835Jul 18, 2023

  Based on observation, record review, and interviews, the facility failed to effectively provide supervision and secure environment to prevent elopement and failed to conduct thorough investigation to prevent further elopement for 1 of 8 sampled residents, (#1). On 4/8/23 at 11 AM, resident #1 walked past the facility's receptionist and exited through the facility's front doors. The staff were unaware the resident had exited the facility, unsupervised until another resident observed the resident outside through his bedroom window and alerted staff. […]

• Immediate jeopardy, isolatedF689Dec 22, 2021

  Based on observation, interview, and record review, the facility failed to prevent a physically and cognitively impaired resident from exiting the facility; failed to conduct assessments to identify risk for elopement and implement appropriate interventions to mitigate elopement risk; and failed to ensure staff responded to an exit door alarm to promote safety for 1 of 5 total residents reviewed for elopement, (#1). On 11/15/21 at approximately 1:00 PM, the facility failed to prevent resident #1, a physically and cognitively impaired resident from exiting the facility unsupervised. The resident walked away from her room, through an unoccupied unit and exited through fire egress doors at the end of a hallway. […]