West Delray Nursing & Rehab Center
WEST DELRAY NURSING & REHAB CENTER in DELRAY BEACH, FL — inspection on March 12, 2025.
Found 1 citation. 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
Review of the facility's plan of correction for the recertification survey with a correction date of 04/11/25 was conducted and revealed the Licensed Nursing staff were re-educated on 04/11/25 by the Staff Development Nurse / designee on the medication administration process with emphasis on timeliness.
Review of the facility's plan of correction included a Medication Pass Observation record dated 04/03/25 signed by the Consultant Pharmacist for Staff A, Licensed Practical Nurse.
Review of the facility's plan of correction included a Medication Pass Observation record dated 04/05/25 signed by the Consultant Pharmacist for Staff C, Licensed Practical Nurse (LPN).
Review of Staff B, Licensed Practical Nurse Agency Orientation Checklist signed on 04/11/25 documented that the staff completed orientation to the medication and treatment guidelines.
The facility failed to have an effective QAPI program that ensured the medication error rate was not greater than 5% (percent).
106005
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 106005 B.
Wing 03/12/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
West Delray Nursing & Rehab Center 16200 S Jog Road Delray Beach, FL 33446
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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.