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Complaint Investigation

Coral Reef Subacute Care Center Llc

Inspection Date: December 30, 2025
Total Violations 1
Facility ID 105910
Location MIAMI, FL
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Inspection Findings

F-Tag F0550

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

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

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Based on record review, observation, and interview, the facility's staff failed to answer incoming calls after 8:00 PM. Six documented calls to the facility were not answered by the staff. This deficient practice had the potential to affect all 159 residents residing in the facility at the time of the survey. The findings include.Observational tour on 01/20/2026 at 3:35 PM, revealed the East Wing nursing station had three desk phones and one portable phone. The [NAME] Wing nursing station had three desk phones and one portable phone. The North Wing nursing station also had three desk phones and one portable phone on the counter. There were three nurses at each nursing station engaged in various tasks.On 12/29/2025 the surveyors made multiple attempts to contact the facility by phone at different times as follows:9:34 PM - The phone rang 10 times, but no one answered 9:42 PM - The phone rang 15 times, but no one answered.9:48 PM - The phone rang 15 times, but no one answered.10:01 PM - The phone rang 15 times, but no one answered.10:16 PM - The phone rang 17 times, but no one answered.10:28 PM - The phone rang 16 times, and no one answered.During an interview on 12/30/2025 at 10:35 AM, the Administrator explained that the facility's phone system routed calls to the receptionist between 8:00 AM and 8:00 PM, who then distributed calls to residents and the nursing station. After 8:00 PM, calls were directed straight to the nursing station, where nurses were responsible for answering. The Administrator stated that she did not understand why nurses failed to respond to the calls during the reported time frame.On 12/30/2025 at 11:20 AM, Staff A (Concierge) stated that she did not recognize Resident #2's name. Staff A stated that her role involved maintaining communication with residents and their families and also family members had her personal cell phone number to contact her directly in case of emergencies.On 01/20/2026 at 3:52 PM, Staff B Registered Nurse (RN), stated that when nurses received calls for the residents, the calls are transferred to the portable phone taken to the resident. Review of the facility's Policy and Procedures for Residents' Rights (published 10/20/2022) indicated: Policy Statement: Employees shall treat all residents with kindness, respect, and dignity. Policy Interpretation and Implementation: Federal and state laws guaranteed certain basic rights to all residents of this facility. These rights included the residents' right to communicate with and access people and services, both inside and outside the facility.

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:

📋 Inspection Summary

CORAL REEF SUBACUTE CARE CENTER LLC in MIAMI, FL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 MIAMI, 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 CORAL REEF SUBACUTE CARE CENTER LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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