Plantation Nursing & Rehabilitation Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, record review and interviews, the facility failed to monitor the temperatures for 2 of 4 sampled residents, Resident #43 and Resident #98, who were being treated with an antibiotic for respiratory infection, as evidenced by no temperatures were documented.The findings included:Review of the facility policy titled Vital Signs revised on 04/28/24, documented in part: Vital signs are indicators of health status, including temperature, pulse, blood pressure, respiratory rate, oxygen saturation, and pain. Policy Explanation and Compliance Guidelines: 4. Vital signs should be obtained at least in the following circumstances: c. daily for a resident receiving skilled services per physician order. At least weekly for resident's receiving custodial care, or nonskilled services. When residents' general condition changes. Vital signs should be obtained by the nurse when administering certain medications or monitoring for effectiveness of medication or therapies. Record review revealed that Resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of policy and procedure, observation, interview and record review, the facility failed to ensure that it followed the physician's order for splints in order to prevent further decline in range of motion (ROM) for 2 of 2 sampled residents observed, Resident #53 and Resident #44.The findings included:Review of the facility policy, titled, Policy and Procedure - Range of Motion (ROM) Splints, Braces, Orthotics, provided by the Director of Nursing (DON), revised 10/26/23, documented in the Policy Statement: Residents identified as a risk for contractures will have ROM program .which includes the programs provided to prevent contractures and keep joints as limber as possible . Splints, braces and orthotics will be applied according to manufacturer's instructions and/or instructions from physical and occupational therapy .Purpose: To maintain a resident's ability to move a joint through its normal range of movement and perform activities of daily (ADL). To prevent pain, discomfort, swelling and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations interviews and record reviews, the facility failed to follow the professional standards of care, as evidenced by failure to verify gastrostomy placement, for 1 of 5 sampled residents on tube feedings, Resident #25. The findings included: Review of the American Society for Parenteral and Enteral Nutrition (ASPEN), Safe Practices for Enteral Nutrition Therapy revealed one of the recommendations to prevent aspiration related to enteral nutrition, is to verify that feeding tube is in proper position before initiating feedings. https://aspenjournals.onlinelibrary.[NAME].com/doi/full/10.1177/0148607116673053.Review of the facility's policy titled, Care and Treatment of Feeding Tubes, with a revision date of 04/01/24, revealed the facility is to utilize feeding tubes in accordance with current clinical standards of practice, with interventions to prevent complications to the extent possible. Additionally, license nurses will monitor and check that the feeding is in the right location, and that…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to follow their policy for proper tracheostomy care for 1 of 3 resident (Resident #23), and failed to perform pre and post respiratory assessment for 1 of 3 sampled residents reviewed for tracheostomy care (Resident #695); failed to obtain written and care treatment orders for 1 of 5 sampled residents, Resident #53; failed to obtain oxygen therapy orders for 1 of 5 sampled residents, Resident #84; failed to perform pre and post assessments including vital signs for 1 of 5 sampled residents, Resident#695; and failed to properly store and maintain respiratory equipment and supplies for 3 of 5 sampled residents reviewed for oxygen therapy, Resident #31, Resident #6, and Resident #25.The findings included:Review of the policy titled, Tracheostomy Care-Suctioning with a revision date of 03/27/24, revealed the facility will ensure that residents who need respiratory care, including tracheal suctioning are provided such care consistent with…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interviews, the facility failed to provide accurate fluid consistency per the physician orders for thickened liquids for 1 of 3 sampled residents, Resident #408, as evidenced by the resident was provided liquids in the consistency that was not ordered for her. The findings included:1 Record review revealed Resident #408 was admitted to the facility on [DATE]. Review of the initial comprehensive assessment was still in progress and a Brief Interview Mental Status score was not yet documented. There was documented medical diagnoses history of Parkinson's disease (disorder affecting central nervous system) and dementia (memory loss) for Resident #408. Review of the physician orders revealed Resident #408, was on a regular diet that is to be mechanically soft, and the liquids should be of nectar (mildly thick, not thin) thickened consistency. During an observation on 06/23/25 at 12:27 PM, in the resident's room, Resident #408 was sitting up in bed, while being fed by Staff X,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations and interviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety and sanitary conditions, and to prevent foodborne illnesses during two of the two visits to the main kitchen.The findings included:In a tour of the main kitchen on 06/23/25 at 7:58 AM with the Food Service Director, the following issues were noted:a. A round garbage bin was partially covered in the food production area.b. The reach-in freezer contained a yellow-colored frozen food item that was not labeled or dated. c. The reach-in freezer was noted with a box of frozen egg patties that was partially opened to the air and not sealed. d. The reach-in freezer noted five frozen meals of Pot Roast of Beef that did not have an expiration date or the date that they were placed in the reach-in freezer. e. The reach-in Traulsen refrigerator noted 46 fluid ounces of thickened cranberry cocktail, which expired on 06/05/25.f. The walk-in refrigerator was noted with a box of chicken thighs with the bag opened and exposed to the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record reviews, the facility failed to maintain the infection control standards in the laundry room; failed to maintain a sanitary environment during tube feeding for 1 of one sampled resident, Resident #95; failed to maintain the infection control standards for Enhanced Barrier Precautions (EBP), for 2 of 64 sampled residents, Resident #19 and Resident #88; and failed to follow the Center for Disease Control and Prevention (CDC), EBP guidelines for 4 of 64 sampled residents, that included 56 adults and 8 pediatrics, Resident #31, Resident #6, Resident #23, and Resident #25. The findings included:Review of the Center for Disease Control and Prevention (CDC), Enhanced Barrier Precautions guidelines, revealed the following: Everyone must clean their hands, including when both entering and leaving the room: Providers and Staff must also wear gloves and a gown for the following; high-contact care resident care activities, dressing, bathing-showering, transferring, changing…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review, and interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety that included failure to hold hot and cold foods at the regulatory temperature of 41 degrees Fahrenheit (F) or below, or 135 degrees F or higher. The findings included: Review of the facility's Policy and Procedures for Food Temperatures (Manual 3-24 - 2015) documented, in part, the following: 1. All hot food items must be cooked to appropriate internal temperatures, held and served at a temperature of at least 135 degrees Fahrenheit (F). 2. All cold food items must be maintained and served at a temperature of 41 degrees F or below. 3. Tray line and alternative meal preparations an service areas will avoid the following methods: Holding foods in the temperature danger zone (41 degrees F to 135 degrees F). Holding foods on a steam table for more than 4 hours. During the observation of the lunch tray line assembly in the main kitchen on 03/27/24, at 11:45 AM and accompanied with the facility's Corporate…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for 12 of 30 resident rooms, 1 of 1 clean linen storage rooms, and 1 of 1 clean nursing wound storage supply room located on the Second Floor Geriatric Unit. The findings included: During the initial observational tour conducted on 03/25/24 and the Environment Tour conducted on 03/28/24 at 10:30 AM accompanied with the Administrator, Director of Nursing, and Director of Housekeeping, and on the Geriatric Unit located on the second floor of the facility, the following was noted: a. room [ROOM NUMBER]: The exteriors of the room chairs (2) were noted to be heavily worn, in disrepair, and areas of paint stains, bathroom call bell cord was wrapped around the bathroom handrail (the resident stated she utilizes the bathroom independently), and one of 2 bathroom lights was not working. b. room [ROOM NUMBER]: The exteriors of the room chairs (2) were…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the approved facility menu was not being followed for physician ordered diets that included: Regular Diet (total 7 residents - included sampled Residents #9 and #85), Soft & Bite Sized Level 6 (total 7 residents - included sampled Resident #2), and Moist & Minced Level 5 (included Resident #3). The findings included: Review of the approved menu for the Lunch meal of 03/27/24 noted the following to be served: - Regular Chicken Stew - 12-ounce portion to be served - Soft Bite Sized Level 6 (SB6) - 4-ounces [NAME] with Thickened Sauce - Moist & Minced Level 5 (MM5) - 4-ounces [NAME] with Thickened Sauce Observation of the tray line assembly in the Main Kitchen on 03/27/24 at 11:30 AM, accompanied with the Corporate Food Service Director (CFSD) noted the following: a. Staff B, the PM cook, was noted to be utilizing a #12 scoop (2-3 ounces) as a standard serving of the Regular Chicken Stew. The surveyor reviewed the approved lunch menu which documented a 12-ounce portion. Interview with Staff B, at the time of the observation, stated he…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, observations and record review, the facility failed to provide nutritional assessments and interventions promptly and follow up on monthly weights for 2 of 4 sampled residents reviewed for nutrition, Residents #17, and #7. The findings included: A review of the facility's policy, titled, Nutritional Assessment/Evaluation, revised on 9, 2017, showed the following: the Dietitian, in conjunction with the nursing staff and healthcare practitioners, will conduct a nutritional Assessment/Evaluation for each resident upon admission (within current initial Assessment / Evaluation timeframes) and as indicated by a change in condition that places the resident at risk for impaired nutrition. 2. The nutritional Assessment / Evaluation will be a systematic, multidisciplinary process that includes gathering and interpreting data and using that data to help define meaningful interventions for the resident at risk for or with impaired nutrition. A review of the facility's policy, titled, Weight…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to maintain aspiration precautions for a resident who was being fed by enteral means (tube feeding), as evidenced by staff not consistently keeping the head of the bed elevated while the tube feeding was running for Resident #77; and failed to follow Practitioner orders for tube feeding (Resident #98), for 2 of 6 sampled residents reviewed for tube feeding. The findings included: 1. Resident #77 is two years old and has a tracheostomy related to Impaired breathing mechanics, is on a ventilator and has a history of Chronic Respiratory Failure and Dysphagia. He was initially admitted on [DATE] and readmitted on [DATE]. In an observation conducted on 01/10/23 at 3:00 PM, Resident #77 was noted in his crib sleeping sideways across the mattress with his head flat down. Continued observation showed a tube feeding running at 40 milliliters an hour with Peptamen Junior (tube feeding formulary). Staff B, Licensed Practical Nurse (LPN), was noted…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of policy and procedure, observation, record review and interview, the facility failed to ensure that it obtained a current, written physician's order for Oxygen therapy treatment for 2 of 2 sampled residents observed, Resident #358 and Resident #6. The findings included: Review of the facility policy and procedure on 01/11/23 at 1:55 PM, titled, Oxygen Administration, provided by the Director of Nursing (DON) revised 05/04/22, documented in the Policy Statement: Oxygen is administered to residents who need it, consistent with professional standards of practice, the comprehensive person-centered care plans, and the resident's goals and preferences Policy Explanation and Compliance Guidelines: 1. Oxygen is administered under orders of a physician 3. Staff shall document the initial and ongoing assessment of the resident's condition warranting oxygen and the response to oxygen therapy. 4. The resident's care plan shall identify the interventions for oxygen therapy, based upon the resident's…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.