Luxe At Jupiter Rehabilitation Center (the)

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

would not be appropriate to go to an appointment alone. When asked if she recalled the appointment for Resident #2 on 10/03/25, the LPN stated she had, and had communicated previously with the resident's daughter about the need to go with the resident for appointments and the daughter had been doing so. The LPN stated the resident had a lot of appointments and she assumed the daughter would be there as the Unit Manager and schedulers usually coordinate that. The LPN stated, I guess that one's on me . I just thought she would be there but did not check with her about that appointment. When asked how Resident #2 was dressed for the appointment, the LPN stated he had no clothing at the facility, so she made sure the CNAs double-gowned him to make sure he was covered front and back. When asked if there was any facility practice of supplying residents who have no clothing with clothing the LPN stated she was not aware of anything. During an interview on 10/22/25 at 2:10 PM, when asked if she was aware Resident #2 was sent out to a physician appointment alone and in a hospital gown, the Social Services Director (SSD) stated, Oh no . we don't do that . it is just common sense.During an interview on 10/22/25 at 3:07 PM, the Assistant Director of Nursing (ADON) explained she had been at the facility about three weeks and had known about the appointment issues with Resident #2 on 10/03/25. When asked if she was aware of the way in which Resident #2 was dressed at the appointment, the ADON stated she was made aware after he had already left the facility and staff informed her they had not wanted him to miss the appointment. The ADON stated there was a lost and found with clothing that could have been used for Resident #2.

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If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/24/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Luxe at Jupiter Rehabilitation Center (the)

674 Pioneer Road Jupiter, FL 33458

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0684

the ADON stated, No, that would not be appropriate.

Level of Harm - Minimal harm or potential for actual harm

2) A record review revealed that Resident #4 was admitted to the facility on [DATE REDACTED]. His diagnoses included Unspecified Sequelae of Cerebral Infarction, Metabolic Encephalopathy, Mild Cognitive Impairment of Uncertain or Unknown Etiology, Cerebral Ischemia, Dysphagia, Pharyngoesophageal Phase (difficulty swallowing), Unsteadiness on Feet, and Chronic Post Traumatic Stress Disorder. Resident #4's Brief

Interview for Mental Status (BIMS) score, per Minimum Data Set (MDS) assessment dated [DATE REDACTED], was 9.

This indicated that Resident #4 had moderate cognitive impairment.

Residents Affected - Few

A record review of the Resident #4's electronic medical record revealed a progress note entered on 10/22/25 at 8:23 am that documented Resident LOA for Apt VA follow up colonoscopy procedure. LOA stands for leave of absence. Apt VA stands for Appointment Veterans Affairs.

During an interview on 10/22/25 at 9:00 am, Resident #4 was sitting alone outside the front door of the facility. He was wearing a Veteran's hat. He said he was waiting to be picked up to go to a follow-up exam.

When he was asked how Veterans usually inquire about Veterans Affairs Benefits, Resident #4 said that there were monthly meetings held in the Senior Center. He explained that the person who ran the meetings was always helpful when he had any questions. A few minutes later, a CNA exited the facility. While she passed Resident #4, she told him she left his breakfast in his room. They exchanged some dialogue. Then,

the CNA walked towards the parking lot and Resident #4 remained waiting in his wheelchair in front of the entrance to the facility. There were no facility employees outside with him after the CNA left.

During an observation on 10/22/25 at approximately 10:30 am, Resident #4 was picked up for his appointment. The driver helped him get into the van.

During interview with Resident #4 in his room on 10/22/25 at 4:58 pm, after he returned from his appointment, he explained that he was driven to the Veterans Affairs (VA) Medical Center by transportation provided by the VA. When asked the name of the transport company he said it was called: Special Modes for transportation. Resident #4 said They dropped me off. When asked how he got back to the facility, he explained that after appointments, there's a waiting spot that everyone knows, and I went to that spot, and

they picked me up. When Resident #4 was asked if there was someone from the facility with him during the appointment, or a member of his family with him when he was there, he said No one accompanied me to

the appointment. He added that his family did not live in this state.

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet