Ft Lauderdale Health & Rehabilitation Center

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to accurately assess residents for a psychiatric diagnosis for 1 of 2 sampled residents reviewed for Preadmission Screening and Resident Review (PASARR), Resident #15.

Inspectors wroteBased on review of policy and procedure, record review and interview, the facility's failed to ensure that it followed physician's orders and documented nursing interventions for a resident's elevated Blood Sugar Levels (BSL), when out of range, for 1 of 4 sampled residents reviewed for Nutrition, Resident #146.

Inspectors wroteBased on interview, record review, and observation, the facility failed to accurately assess residents for safe smoking for 1 of 2 sampled residents reviewed for smoking, Resident #81.

Inspectors wroteBased on review of policy and procedure, observation, interview and record review, the facility failed to ensure it performed Foley Catheter and Peri-care in a sanitary manner for 1 of 1 sampled residents observed, Resident #10.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to follow oxygen orders and ensure the MDS (Minimum Data set) assessment was accurate. for 1 of 2 sampled residents reviewed for oxygen therapy (Resident #79). which has the potential to affect 8 residents on oxygen therapy; and the facility failed to obtain physicians order for oxygen therapy administration for 1 of 2 sampled residents reviewed for oxygen therapy (Resident #138).

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to accurately reconcile controlled medications and failed to ensure discontinued controlled medications were removed from the medication cart for 3 of 12 sampled residents reviewed for controlled medications reconciliation, Resident #37, Resident #172 and Resident #156.

Inspectors wroteBased on review of policy and procedure, observation, interview and record review, the facility failed to 1) ensure that it secured and locked three (3) over-the-counter (OTC) topical cream medication tubes for the sampled residents observed, Resident #138, 2) to promptly discard one (1) expired OTC topical cream medication tubes for Resident #138. 3) secure and lock the Medication cart located on the South wing, for 1 of 8 Medication carts observed, 4) properly label topical medications stored in Medication Storage rooms on the second floor for 1 of 6 Medication Storage rooms observed.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to follow the approved menu for lunch on 03/11/26. The deficient practice had the potential to affect 90 residents with orders for regular texture foods. The census at the time of the survey was 161 residents.

Inspectors wroteBased on observations, interviews and record review, the facility failed to serve food in appropriate form to meet the needs of 1 of 43 residents with orders for mechanical soft foods, Resident #72.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to clean and disinfect the glucometer as per manufacturer's instructions and properly perform hand hygiene for 1 of 1 sampled resident reviewed for blood glucose monitoring (Resident #197). The facility also failed to implement measures for infection control practices during intravenous (IV) antibiotic therapy for 1 of 1 sampled resident reviewed for infection control (Resident #175).

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure infection control practices were implemented, as evidenced by Enhanced Barrier Precautions (EBP) for infection control for perineal care for 1 of 1 perineal care observation, Resident #5; failed to follow professional standards of practice for 1 of 1 wound care observation, Resident #5; and failed to follow the Center for Disease Control (CDC) guidelines for Enhanced Barrier Precautions (EBP) for 14 of 14 residents on Enhanced Barrier Precautions (EBP).

Inspectors wroteBased on observations and interviews, the facility failed to provide a safe, clean, comfortable and homelike environment for 9 out of 100 rooms and elevator areas.

Inspectors wroteBased on observation, interview, and record review, it was determined that the approved menu and portion sizes were not followed for 137 of 145 facility residents who eat by mouth.

Inspectors wroteBased on review of policy and procedure, observation, interview and record review, the facility failed to ensure that the MDS (Minimum Data Set) Resident Comprehensive Assessment was completed in a timely manner for 6 of 42 sampled residents reviewed for MDS Assessments, (Resident #77, Resident #40, Resident #24, Resident #33, Resident #39, and Resident #23).

Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure residents received foot care (Podiatry) in a timely manner for 2 of 2 sampled residents reviewed for Podiatry Care (Resident #4 and #130).

Inspectors wroteBased on record review, observations and interviews, the facility failed to obtain a variety of Gluten Free products to honor 1 of 1 sampled resident reviewed for Therapeutic Gluten Free Modified Diet (Resident #130).

Inspectors wroteBased on observation, interview, and record review, it was determined that, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 123 of the 145 facility residents, who eat food by mouth.

Inspectors wroteBased on interviews and record reviews, the facility failed to provide an appropriate discharge and failed to provide discharge documents in a language that the resident can understand for 1 of 1 sampled resident reviewed for discharge rights (Resident #1).

Inspectors wroteBased on interviews and record reviews, the facility failed to prevent elopement by not educating staff in identifying residents at risk for elopement for 1 of 2 sampled residents reviewed for elopement (Resident #1).

Inspectors wroteBased on interviews and record reviews, the facility failed to develop, implement, and maintain an effective elopement training program for all new and existing staff. The facility failed to have effective communication training on the appropriate steps to take if an elopement occurs for 1 of 2 sampled residents reviewed for elopement (Resident #1).

Inspectors wroteBased on observation and interview, the facility failed to provide housekeeping and maintenance service in residential room areas (First Floor & Third Floor), and the the commercial laundry area.

Inspectors wroteBased on observation and interview, it was determined that the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety that included sanitation issues in the main kitchen , and sanitation issues during meal service in the main dining room.

Inspectors wroteBased on observations, interviews, and record reviews the facility failed to provide care to maintain resident's dignity for 2 of 2 sampled residents reviewed for Dignity (Resident #62 and #26).

Inspectors wroteBased on record review, observations and interviews, the facility failed to promote and facilitate self-determination for 2 of 2 sampled residents (Resident #33 & #111). Specifically, assist the resident in choices for getting out of bed for Resident #33; the facility failed to provide showers for resident per shower schedule/preferences and failed to properly use the mechanical (Hoyer) lift for Resident #111.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide care and services to ensure self feeding ability did not diminish for 3 (Resident's #123, #133, and #451) of 8 sampled residents reviewed for nutrition.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide necessary services to maintain good nutrition for 1 (Resident #135) of 8 sampled residents, who is unable to self feed.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide quality care in a timely manner for 1 of 1 sampled residents reviewed for Quality of Care, Resident #402. The failure existed due to the untimely removal of staples which were present in Resident #402's scalp for approximately 25 days.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide adequate catheter care for 1 of 1 sampled residents reviewed for Catheter Care, (Resident #401), as evidenced by, lack of privacy, use of gloved hands to close the privacy curtain and door and then using the same gloves to begin cares, use of sterile gloves to search the resident's room for supplies, not having supplies ready/available for use, removing the sterile gloves and using regular/clean gloves to perform the rest of the catheter change, keeping the regular/clean gloves in the pocket for use, lack of catheter securing device.