West Delray Nursing & Rehab Center

In the surveyor’s words

From the most serious findings on record at West Delray Nursing & Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF686Nov 30, 2023

  Based on observations, interviews, and record review, the facility failed to prevent the development and worsening of pressure ulcers for 2 of 6 sampled residents reviewed for pressure ulcers, Residents #289 and #339. The findings included: 1. Record review for Resident #289 revealed that he was initially admitted to the facility on [DATE]. He was last readmitted from the hospital on 10/11/23 and was discharged to the hospital on 11/07/23. He did not return from the hospital. Resident #289 had a medical history significant for Dementia, Stroke, Trouble Swallowing, Confusion, Liver Cirrhosis, Diabetes, Altered Mental Status, End Stage Renal Disease (on Dialysis), Depression and Anxiety. A Significant Change Minimum Data Set (MDS) was documented on 10/17/23. […]

• No harm, potential for more than minimal, widespreadF812Nov 30, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. The findings included: 1. Review of facility policy, titled, Date Marking for Food Safety, date implemented: 04/07/23 included: Policy: Facility adheres to a date marking system to ensure the safety of ready-to-eat, time / temperature control for food safety. Policy Explanation: #2: The individual opening or preparing a food shall be responsible for date marking the food at the time the food is open or prepared. […]

• No harm, potential for more than minimal, widespreadF812Jul 28, 2022

  Based on observation and interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. The findings included: 1. During the initial kitchen / food service observation tour conducted on 7/25/22 at 9 AM, the following were noted (The Dietary Manager was not in the facility at the time of the observation tour): (a) Observation of the walk-in freezer noted that the internal temperature was not being maintained at the regulatory zero degrees F (Fahrenheit) or below. Food items located on freezer shelves were not soft and not frozen solid. An observation of the thermometer located within the unit was recorded at 30 degrees F. […]

• No harm, potential for more than minimal, patternF584Nov 30, 2023

  Based on observation and interview, the facility failed to provide housekeeping and maintenance services necessary to maintain sanitary, orderly interiors for resident rooms (Unit 1 and Unit 2), resident lounge areas, main dining room, and laundry area. The findings included: 1. During observation of the lunch meal in the main dining room on 11/27/23 at 12:30 PM, it was noted that the exteriors of 10 of 19 dining room chairs were heavily worn and had large amounts of a white substance dripped over the entire wood chair frame. Photographic evidence Obtained. 2. […]

• No harm, potential for more than minimal, patternF584Jul 28, 2022

  Based on observation and interview, the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for 2 (100 Unit & 200 Unit) of 2 residential units. The findings included: 1. During during environment observation tours conducted on 07/27/22 and 07/28/22, accompanied with the Director of Housekeeping and Director of Maintenance, the following were noted: 100 Unit: Handrails: The wall mounted wood handrails were noted to be heavily worn and exposing the wood base. The handrails were noted to be located in the the following hallways: Rooms #101-116, Rooms #117-#124, and Rooms #125 - 134. […]