Nspire Healthcare Tamarac

Inspectors wroteBased on interviews and a review of facility records, the facility failed to provide evidence of documented grievances submitted by 1 of 1 sampled resident, Resident #75, regarding delays in the call-light response and concerns related to activities of daily living (ADL) care.

Inspectors wroteBased on review of policy and procedure, observation, record review and interview, the facility failed to obtain physician orders for intravenous (IV) midline catheter and care for 1 of 1 sampled resident observed, Resident #111.

Inspectors wroteBased on observation, interview and record review, the facility failed to follow their menu for 2 sampled residents on a therapeutic diet, Residents #1 and #45. The census at the time of survey was 121, with 31 residents designated as being on a mechanical soft diet and 7 residents designated as on a CHO (Carbohydrate) Controlled diet.

Inspectors wroteBased on observation, interview and record review, the facility failed to follow the prescribed therapeutic diet for 1 of 2 sampled residents reviewed for therapeutic diets, Resident #1.

Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to ensure that meat prepared and ready to be served to residents was maintained at the proper hot-holding temperature on the steam table. This deficiency had the potential to affect all 12 of 12 sampled residents who received the alternate lunch meal, which included chicken on 12/08/25. The census at the time of survey was 121.

Inspectors wroteBased on observation and interview, the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interiors for residential rooms, community shower rooms, activity rooms, and common areas) located on First Floor West, Second Floor East, and Second Floor West.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to properly remove and dispose of controlled medications for 2 of 3 discharged residents reviewed during medication storage observation, affecting Residents #497 and #496; failed to secure and properly lock 3 of 3 emergency crash carts observed during the initial tour; failed to safely secure prescription and over-the-counter (OTC) medications; failed to properly date stamp an opened insulin bottle observed during medication storage opportunities in the 1-East unit; and failed to discard expired topical medication stored in the wound treatment cart observed during medication storage tour.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide residents with a nourishing, palatable, well-balanced diet and to meet the preferences of potentially 117 facility residents.

Inspectors wroteBased on observation, interview and record review, the facility failed to prepare foods in a manner to maintain the nutritional value of the foods, for potentially 117 residents.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to prepare, store and serve foods in a sanitary manner in accordance with professional standards for food safety.

Inspectors wrote2. Record review revealed Resident #8 was admitted to the facility on [DATE] with diagnoses that included Neuromuscular Dysfunction of Bladder, Peripheral Vascular Disease, Hypertension, Multiple Sclerosis, Major Depressive Disorder, Seizures, Polyneuropathy and Muscle Weakness. Resident #8 had a Brief Interview Mental Status (BIMS) score of 15 (cognitively intact). During a Peri-care and Foley catheter care observation conducted on 06/11/24 at 10:50 AM by Staff I, Certified Nursing Assistant (CNA), Staff I was observed doing the following: a. while gathering her pre-bagged supplies, she initially dropped the bagged towels and supplies in the garbage can next to Resident #8's bed b. Staff I began to perform Resident #8's pericare, in her same uniform, without first donning a gown. c. [...]

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to make prompt efforts to repair and replace necessary kitchen equipment in order to provide wholesome and palatable food at the appropriate temperatures.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide a wheelchair to a resident for mobility and to allow the resident to attend activities, for 1 of 1 sampled resident, Resident #13.

Inspectors wroteBased on review of policy and procedure, interview and record review, the facility failed to ensure that it provided appropriate personal assistive care and services for 1 of 1 sampled resident observed for Activities of Daily (ADLs), Resident #68.

Inspectors wroteBased on review of policy and procedure, observation, interview and record review, the facility failed to follow appropriate care and services for 1 of 1 sampled resident observed during a Foley catheter and peri care observation, Resident #8.

Inspectors wroteBased on record review and interview, the facility failed to ensure residents received ongoing communication and collaboration with the dialysis center, for 1 of 1 sampled resident, Resident #106, reviewed for dialysis, regarding dialysis observation, care and services.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the medication error rate was not 5 percent (%) or greater. The medication error rate was 14.70 percent (%), five (5) medication errors were identified while observing a total of 34 opportunities, affecting Resident #499 and Resident #8.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure it developed and implemented an effective Quality and Performance Improvement Plan (QAPI) that addressed residents' food concern needs, failed to ensure kitchen euipement was repaired timely and failed to make effective efforts to provide meals that were palatable, appealing and at appropriate temperatures.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to maintain call lights within reach of residents for 3 of 3 sampled residents reviewed, Residents #23, 481 and 13, as evidenced by call lights being out of the residents' reach.

Inspectors wroteBased on observations, interviews and record review, the facility failed to provide care and services as per physician orders for 1 of 3 sampled residents, Resident #3.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide dining in a dignified manner during dining observations for 5 of 5 sampled residents (Resident #54, Resident #63, Resident #41, Resident #1, and Resident #9).

Inspectors wroteBased on observations, interviews and record review, the facility failed to follow tube feeding orders as per physician's orders for 1 of 1 sampled resident reviewed for tube feeding (Resident #62).

Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure controlled substance medication reconciliation was accurate for 3 of 6 sampled residents reviewed during the controlled substance record review at the facility's 2 [NAME] wing, for Residents #10, #30 and #44.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to secure medications at the bedside for 3 of 3 sampled residents, Residents #94, #74 and #25; and failed to secure medications in the unlocked dialysis room.

Inspectors wroteBased on observations, record reviews, and interviews, the facility needed to follow its menus to meet the nutritional needs of the residents observed during the main kitchen tray line observation.

Inspectors wroteBased on observations, record reviews, and interviews, the facility needed to follow its menus to meet the nutritional needs of the residents observed during the main kitchen tray line observation; and failed to provide the correct diet consistency per physician's orders for 4 of 4 sampled residents reviewed during dining observations (Resident #54, Resident #49, Resident #1, and Resident #25).

Inspectors wroteBased on record review, observations and interviews, the facility failed to follow physician's orders for Resident #48 during medication administration observation and failed to accurately maintain documentation of medication administration of physician's orders for Resident #107.