Palm Beach Nursing Center
Inspection Findings
F-Tag F0684
F 0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record reviews and interviews the facility failed to coordinate the care ordered by the podiatrist for 1 of 3 sampled residents (Resident #2). The findings included:Review of the record revealed that Resident #2 was admitted to the facility on [DATE REDACTED]. Review of the diagnosis revealed a documented history of Type 2 diabetes with left foot ulcer, chronic osteomyelitis (infection in bone), and right below the knee amputation.
During an interview with Resident #2's daughter on 10/28/25 at 1:45 PM, she stated that she was concerned because her father is healing from an amputation of his left toes. She stated that she scheduled
a follow up appointment for the resident to be seen be the podiatrist on 10/27/25 and he missed the appointment, because the nurse forgot to make arrangements for transportation. The resident's daughter stated I am concerned about the delay in care. My father was supposed to have surgical debridement done but the facility failed to do what was needed for medical clearance. During an interview with the Administrator on 10/28/25 at 1:20 PM, the podiatry visit notes for Resident #2 were requested. She stated,
They should be uploaded on the resident's record. She was made aware that no podiatry notes were found
on the resident's chart.During an interview on 10/28/25 at 3:32 PM, the administrator stated that she had to call the podiatrist office to get copies of the visit notes, because they could not locate them. She provided copies of the visit notes for 09/22/25 to 10/17/25.Review of the podiatry visit note dated 10/03/25, documented a plan that new dressing orders were given and Resident #2 was to follow up in 2 weeks.Review of the physician orders for Resident #2 did not reveal any updated wound care orders as of 10/03/25. Review of the podiatry visit note dated 10/17/25, revealed documentation by the podiatrist that stated suspect pseudomonas infection of the left foot wound and further surgical debridement is warranted at this time, a script for medical clearance and cephalexin. The plan was for Resident #2 to have surgical debridement within the next 7-14 days pending medical clearance.During an interview on 10/28/25 at 4:30 PM, the first floor Unit Manager was asked to view the progress note for 10/03/25. When asked were orders sent with visit note, she looked in the resident's record and stated I don't know. The only wound care order for Resident #2 is from 09/18/25. She was asked to view the visit note dated 10/17/25 and was asked if she knew where the script for medical clearance and the cephalexin was that was given with the visit note, shed stated, I wasn't aware of this. The Unit Manger was asked what the process was when the resident had a doctor's appointment and returned with paperwork, she stated Either me or the nurse will review the paperwork and input any orders. When asked what if the resident returns from a doctor's appointment without any paperwork what would you do, she stated I would call the doctor's office to follow up.During an
interview with the ADON (Assistant Director of Nursing), when asked what the process is when a resident has a doctor's appointment and returns with paperwork, she stated, The nurse should review the paperwork and put in any orders given. When asked what if the resident returns without paperwork, she stated the nurse should call the doctor's office to make sure no new orders were given.
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
PALM BEACH NURSING CENTER in LAKE WORTH, FL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LAKE WORTH, FL, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PALM BEACH NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.