Jackson Memorial Perdue Medical Center
JACKSON MEMORIAL PERDUE MEDICAL CENTER in CUTLER BAY, FL — inspection on April 30, 2026.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Resident # 45 goes independently to the north wing patio to smoke and is alert and oriented.
The
cigarettes on their person but not lighter.
Staff check on a daily basis to make sure there are no
Nursing (DON) was made aware of the identified concern.
The DON stated: All smoking takes place on the north wing patio. We always have someone to supervise on the patio.
The person who is supervising gives aprons to those who use them, keep the lighters locked up, and keep the keys.
The residents are allowed to keep cigarettes not lighters. We allow residents to keep cigarettes to maintain a level of independence. I would not want them to keep the lighters because it is a safety concern.On 04/27/2026 at 9:59 AM The Risk Manager stated, My goal is to reduce injury; only residents who are alert and oriented and who can smoke independently can keep their cigarettes.
Otherwise, a staff member keeps the cigarettes and lighters.
Residents should never keep their lighters on them and if the lighter is plain sight we remove it. I spoke to [Resident # 45], and he gave us the lighter.
105252 04/30/2026
Jackson Memorial Perdue Medical Center 19590 Old Cutler Road Cutler Bay, FL 33157
Based on observations, record review and interviews, the facility failed to maintain an accurate
inaccurate controlled substance records identified for the North Wing's Red Medication Cart.
The facility had a total of six medication carts at the time of survey.The findings included:On 04/27/2026 at 11:00 AM, during a medication cart check and narcotic accounting review conducted with Staff F, Registered Nurse (RN) on the North Wing's Red Medication Cart the following narcotic accounting discrepancies.Review of Resident #97's narcotic accounting log for Tramadol Hydrochloride (HCL) 50 milligram (mg) tablet by mouth every 12 hours for non-acute pain documented 22 tablets remaining.
However, the medication bingo card had 21 pills (photo).
Review of Resident #109's narcotic accounting log for balance of 52 Oxycodone-Acetaminophen 5 per 325mg tablets via gastric tube every 12 hours for nonacute pain recorded 52.
However, the medication bingo card had 51 pills (photo). On 04/27/2026 at 11:13 AM, Staff F, RN explained that the facility's policy regarding controlled medication accounting required recording the time in the computer and signing the log to indicate how many pills remained when a controlled medication was removed from the bingo card.
Interview on 04/27/2026 at 11:15 AM Staff D, RN/North wing Unit Manager stated: I trained nursing staff to sign the narcotic book at the beginning of the shift and the end making sure the paper matches the bingo card. If a nurse pulls a controlled medication, they sign the book at the time the medication is pulled. On 04/27/2026 at 2:45 PM, the Director of Nursing revealed nurses must sign at the time a pill is removed to keep the reconciliation form accurate.
Record review of the facility's policy and procedure titled Controlled Medications date: 11/19/2025 Policy: Medications included in the Drug Enforcement Administration (DEA) classification as controlled substances are subject to special handling, storage, disposal, and recordkeeping in the facility, in accordance with federal and state laws and regulations.
Procedures: 6.
When a controlled medication is administered, the licensed nurse administering the mediation immediately enters all of the following information on the accountability record: Date and time of administration.
Amount administered.
Signature of the nurse administering the dose, completed after the medication is actually administered.
105252 04/30/2026
Jackson Memorial Perdue Medical Center 19590 Old Cutler Road Cutler Bay, FL 33157
serve food in accordance with professional standards.
wearing a beard restraint.
This has the potential for hair to come in contact with food.The findings
(reviewed 06/11/2025) documented the following: Purpose: To establish standards for nutrition services employees that promote neat appearance that will ensure efficient, safe and sanitary operations in the preparation and service of the food consumed by all residents, staff and guests in the facility; Procedure: 1) Employees working in the Nutrition Services Department wear hairnets or coverings that cover all of the hair.Second observation of the kitchen on 04/29/2026 at 10:56 AM revealed Staff A, [NAME] with a beard and not wearing a beard guard. He was taking temperatures of food items on the lunch tray line.Interview with Staff A, [NAME] on 04/29/2026 at 11:08 AM. He confirmed that he was not wearing a beard guard and he was supposed to have one on.Observation of Staff B, Food Service Worker and the Certified Dietary Manager on 04/29/2026 at 11:13 AM revealed the workers with a beard and not wearing a beard guard.Interview with Staff B, Food Service Worker on 04/29/2026 at 11:14 AM. He confirmed that he was not wearing a beard guard and he was supposed to have one on.Interview with the Certified Dietary Manager on 04/29/2026 at 11:15 AM. He confirmed that he was not wearing a beard guard and should have one on.Interview with the Director of Nutrition Services on 04/29/2026 at 11:16 AM.
She stated, I guess going forward, they should be wearing a beard guard, if they have one.
Review of the Food Code of the [ ] a federal program, the current standards of practice is that the food service staff must wear hair restraints such as a hairnet, hat, and/or beard restraint to prevent hair from contacting food.
105252 04/30/2026
Jackson Memorial Perdue Medical Center 19590 Old Cutler Road Cutler Bay, FL 33157
During an interview on 04/30/26 at 2:45 PM with the Administrator stated, On 04/30/2026 at 2:26 PM The Administrator stated, The members include Medical Director, Nursing home administrator, Pharmacist, Compliance director, Infection Preventionist, and some nurses. We meet every month and as needed to identify trends, provide quality of care quality life and to improve the system we have in place.
Record review of the facility's Quality Assurance Performance Improvement Plan Policy and Procedure reviewed on 02/16/2026 revealed Policy:The facility must develop, implement, and maintain a effective, comprehensive, data-driven Quality Assurance and Performance Improvement Committee, Plan and Program (QAPI) program that focuses on indicators of the outcomes of care and quality of life.This committee shall meet on a monthly basis and shall have members consisting of the facility Risk Manager, Administrator, Director of Patient Care Services, Medical Director, Pharmacy Consultant, Infection Control Preventionist, Unit Managers, Maintenance, Environmental Supervisor, Social Work, Dietary personnel, Activities Supervisor and APRN.The Administrator is responsible for the Quality Assurance Performance Improvement Committee, Plan and Program (QAPI).Purpose:To implement a preemptive approach to continually improve the manner in which we care for our residents, staff and visitors, so that we may realize our vision of providing and delivering the highest level of care and quality of life.To address all systems of care and management practices, including clinical care, quality of life, and residents' choices. To utilize the best available evidence to define and measure indicators of quality and facility goals that reflect processes of care and facility operations that have been shown to be predictive of desired outcomes for residents in our SNF. To reflect the complexities, unique care, and services that our facility provides.To assess resident care practices; review facility quality indicators, facility incident reports, deficiencies cited by AHCA, and resident grievances; and develop plans of action to correct and respond quickly to identified quality deficiencies.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.