West Gables Health Care Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation and interviews and record review, the facility failed to ensure that emergency bathroom call-light systems were properly installed, maintained, and accessible to residents to prevent accidents and ensure timely assistance for three rooms (Wing A (North) room [ROOM NUMBER] and 428, and Wing D (East), room [ROOM NUMBER]) out of sixty rooms on the facility's 4th floor. As evidenced by missing toilet-side emergency call-light cord in room [ROOM NUMBER] and missing shower call-light cords in rooms [ROOM NUMBERS]. This deficient practice significantly increased the risk of potential accidents and injuries. Fifty-four residents resided in the facility at the time of the survey. The findings include.
Observations during the environmental tour on 12/22/2025 revealed the emergency shower call-light cords were missing in the bathrooms of the 4th Floor, Wing A (North) rooms [ROOM NUMBERS], and Wing D (East), room [ROOM NUMBER]. In room [ROOM NUMBER], the toilet-side emergency call-light cord was missing, and the shower call-light cord was across the bathroom doorway, crossing over from the shower side to the toilet side. (Photographic evidence)On 12/22/2025 at 12:16 PM, Staff A Certified Nursing Assistant (CNA) acknowledged that they had crossed over the call-light cord from the shower side to the toilet side and was unaware of the reason behind its position, assuming it had been moved so the resident could reach it while using the toilet. On 12/22/2025 at 1:07 PM, The Maintenance Director reviewed photographic evidence and toured the affected rooms, noting that the toilet call-light cord in room [ROOM NUMBER] had been ripped off. He confirmed that additional rooms (rooms [ROOM NUMBERS]) were missing shower call-light cords and required immediate repair.On 12/22/2025 at 2:50 PM, the Director of Nursing (DON), revealed she was not aware the toilet call-light cord in room [ROOM NUMBER] had been ripped off and rooms [ROOM NUMBERS] were missing shower call-light cords and acknowledged the condition was hazardous.The facility's undated Policy and Procedures state in item 4-A: The call system is accessible to residents in each toilet, bath, or shower facility, including when a resident is lying on the floor.
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:
WEST GABLES HEALTH CARE CENTER in MIAMI, 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 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 WEST GABLES HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.