Palm Beach Nursing Center
PALM BEACH NURSING CENTER in LAKE WORTH, FL — inspection on June 28, 2024.
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
F-F690).
b) Failure to ensure timely and appropriate respiratory care for Residents #78, #51, #31, and #82. (Refer to
F-F695).
c) Failure to ensure palatable and hot food as voiced by Residents #82, #89, #93, and #77. (Refer to
Review of the latest skin evaluation completed on 06/27/24 documented a rash to the sacrum with orders in place.
This assessment lacked any redness to the perineal area.
Review of the current care plans initiated on 04/30/23 confirmed the bowel and bladder incontinence and the resident's need for total assistance with incontinence care.
During an interview on 06/24/24 at 2:50 PM, the son of Resident #66 volunteered, Mom gets lots of UTIs here.
She did not get them at home.
An observation of incontinence care for Resident #66 was made on 06/27/24 at 11:24 AM with Staff T, Certified Nursing Assistant (CNA).
Upon removal of the resident's adult brief and during personal care to the resident's front side, the skin was noted to be red, and the resident was grimacing as if uncomfortable.
The CNA did not notice the resident's grimacing.
The CNA provided appropriate care to the resident's front area, then assisted the resident to her side.
Staff T then cleaned the resident's back side by wiping from the buttock toward the front with each cleansing swipe and rinse. Resident #66 continued to grimace.
When asked by the surveyor if that hurt, the resident stated, Yes, that hurts.
The CNA acknowledged and provided care more gently. A diffuse red rash was noted on the resident's upper buttock and lower back.
105466
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 105466 B.
Wing 06/28/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Palm Beach Nursing Center 4405 Lakewood Road Lake Worth, FL 33461
Review of the record revealed the resident's Brief Interview for Mental Status (BIMS) score was 13, on a scale of 0 to 15, indicating the resident was cognitively intact.
b)
During an interview on 06/24/24 at 10:33 AM, Resident #31 stated he often has to wait an hour for staff to assist him with repositioning.
The resident's BIMS score was 14, indicating he was cognitively intact.
c)
During an interview on 06/25/24 at 11:43 AM, Resident #74 stated he has been left in his chair for up to five hours because there is not enough staff.
The resident also stated sometimes incontinent care is provided at 1 PM, and then he is not provided incontinent care again until 9 PM. Resident #74 stated there is not enough staff to help reposition him either. Resident #74 had a BIMS score of 13, indicating he is cognitively intact.
d)
During an interview on 06/24/24 at 1:05 PM, Resident #63 stated his only complaint is that the 11 PM to 7 AM staff are not attentive.
The resident stated he has to yell and scream, they just won't come, and he feels the staff are sleeping at night.
When asked what assistance he required during the night, Resident #63 explained that he has a sacral pressure ulcer and although he can't lie on his sides for a long period of time, he would like to get off of his back at times. He further stated if staff do put him on his side, they won't come back to put him back on his back when he calls. Resident #63 had a BIMS score of 15, indicating he was cognitively intact.
e)
During an interview on 06/24/24 at 10:58 AM, Resident #45 stated when she does number 2 (defecate) in the morning, sometimes she doesn't get changed until the afternoon. Resident #45 was admitted to the facility on [DATE] and stated that had happened three times.
The resident voiced there's not enough staff.
Although the resident's BIMS score was an 08, indicating she had some cognitive issues, she was able to be interviewed.
f)
During an interview on 06/24/24 at 11:30 AM, Resident #221 stated, I don't think there is enough staff.
During the night I have to wait a long time to get someone to answer my call for help.
Sometimes they don't come. Resident #221 was a new admission, was alert and oriented, and able to be interviewed.
105466
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 105466 B.
Wing 06/28/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Palm Beach Nursing Center 4405 Lakewood Road Lake Worth, FL 33461