The Lilac At Silver Palms
THE LILAC AT SILVER PALMS in NORTH MIAMI, FL — inspection on February 20, 2026.
Found 10 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
During an interview on 02/18/2026 at 10:38 AM, Staff D, Occupational Therapy Assistant and the Physical Therapist revealed they were aware Resident # 29 had a Cholecystostomy drainage catheter but did not realize it was visible today and they would inform nurse if they had noticed it was visible.
During an interview with the Director of Nursing on 02/19/2026 at 9:41 AM it was revealed that staff are to place the Cholecystostomy drainage bag in a privacy covering to provide dignity.
Record review of facility's policy and procedure titled, Resident Rights-Exercise of Rights date issued: 1/2026 revealed Policy: All residents have rights guaranteed to them under Federal and State laws and regulations.
This policy is intended to lay the foundation for the resident rights requirements in long-term care facilities.
Each resident has the right to be treated with dignity and respect.
All activities and interactions with residents by any staff, temporary agency staff or volunteers must focus on assisting the resident in maintaining and enhancing his or her self-esteem and self-worth and incorporating the resident's, goals, preferences, and choices.
When providing care and services, staff will respect each resident's individuality, as well as honor and value their input.
686125 02/20/2026
The Lilac at Silver Palms 14601 NE 16th St North Miami, FL 33161
residents' personal medical information unattended on top of medication cart. 2) Facility's staff failed
nursing unit.
There were three nursing units in the facility at the time of survey.
The findings included:Observation on 02/19/2026 at 10:32 AM on the facility's second-floor south unit revealed an unattended medication cart with paperwork that contained residents' personal information visible (photo). On 02/19/2026 at 10:34 AM Staff J, Registered Nurse (RN) exited a room and approached the medication cart and was made aware of the identified concern.
Staff J, RN stated: We keep resident's information private by closing our computer screens and shredding documents.
This paperwork shouldn't be on top of cart and should have been shredded.On 02/19/2026 at 2:45 PM the Director of Nursing revealed staff are to close computer screens and turn paperwork over to keep resident information private.Observation on 02/19/2026 at 10:40 AM revealed Staff J, RN leaving the 2nd floor medication cart in the hallway with the computer screen open and residents' information visible on screen.
Staff B, Licensed Practical Nurse (LPN) was observed walking down the hallway and the closed computer screen.
Staff B, LPN was interviewed and stated, I asked [Staff J, RN] to help a resident and she forgot to close the screen, so I closed the computer screen.
Record review of facility's policy dated 1/2026 revealed. POLICY: It is the policy of the facility to maintain Medical Records in accordance with State and Federal regulations.6.The facility will safely guard clinical record information against loss, destruction or unauthorized use.
686125 02/20/2026
The Lilac at Silver Palms 14601 NE 16th St North Miami, FL 33161
Review of Resident # 68's electronic medication administration record revealed the Admelog solo injection was last administered on 02/17/2026 at 5:36 PM by Staff E, LPN (photo).
Staff E, LPN was asked about the facility's medication storage and administration protocols and stated: I check for the correct resident and the expiration date before I administer the medication.
Expired insulin should not be stored in cart or administered.
Record review of a demographic sheet revealed Resident # 68 was admitted on [DATE] with diagnosis that included but not limited to: Diabetes Mellitus (DM).
Record review of a Quarterly minimum data set reference dated 12/5/25 revealed Resident#68 had a Brief Interview of Mental Status score of 3, indicated severe cognitive impairment and injections and was taking Hypoglycemic medications (including insulin).
Record review of a care plan initiated: 03/23/2023 and revised: 03/23/2023 revealed Resident#68 had interventions that included: Accu Checks and sliding scale insulin as ordered.
Record review of a physician orders sheet revealed: Resident #68 had an order dated 11/12/25 for Admelog Solostar 100 Units per milliliter (unit/mL) Solution pen-injector directions: inject subcutaneously two times a day related to Type 2 DM.On 02/19/2026 at 9:36 AM, the Director of Nursing was made aware of the identified concern and revealed pharmacy staff comes in and check the med carts every two weeks and remove any expired medications. No expired materials are to be kept in the medication rooms or carts. No expired medications are to be administered to residents.
During an interview on 02/20/2026 at 7:51 AM the Pharmacist Consultant stated: Opened insulins expire after 28 days and some after 45 days.Review of a listing of insulin with expiration dates provided for review with the Pharmacist Consultant revealed Admelog Solostar insulin pen expired 28 days after opening.
Record review of facility's policy and procedure titled, Quality of Care dated 1/2026 reveled Policy: It is the policy of the facility to ensure that each resident receive, and the facility provides the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care, in accordance with State and Federal Regulations.Definitions:Quality of care is a fundamental principle that applies to all treatment and care provided to facility residents.
Based on the comprehensive assessment of a resident, the facility must ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices.
686125 02/20/2026
The Lilac at Silver Palms 14601 NE 16th St North Miami, FL 33161
possible; and each resident receives adequate supervision and assistance devices to prevent
686125 02/20/2026
The Lilac at Silver Palms 14601 NE 16th St North Miami, FL 33161
During an interview on 02/19/2026 9:43 AM, the Director of Nursing (DON) revealed the catheter tubing should be straight to prevent back flow of urine to prevent urinary tract infection (UTI). On 02/20/2026 at 7:56 AM, the Infection Preventionist stated, Staff are to ensure tubing is not kinked or coiled to prevent back flow of urine which could cause a UTI.
Record review of the facility's Policies and Procedures: titled, Policies and Procedures Infection Control- Indwelling Catheter Care Date Issued: 1/2026 revealed POLICY: It is the policy of the facility to ensure that the residents receive care and services to prevent urinary tract infections in those residents with an indwelling catheter, in accordance with standards of practice.
686125 02/20/2026
The Lilac at Silver Palms 14601 NE 16th St North Miami, FL 33161
During an interview on 02/20/2026 at 7:51 AM the Pharmacist consultant stated: Opened insulins expire after 28 days and some after 45 days review of the pharmacy listing of insulin with expiration dates that revealed Admelog Solostar insulin pen expired 28 days after opening.
Record review of facility's policy and procedure titled, Medication Storage dated Free of Accident dated: 11/2020 revised 5/4/2022 revealed: Policy: It is the policy of this facility to ensure all medications housed on our premises will be stored in the pharmacy and/or medication rooms according to the manufacturer's recommendations and sufficient to ensure proper sanitation, temperature, light, ventilation, moisture control, segregation, and security.
686125 02/20/2026
The Lilac at Silver Palms 14601 NE 16th St North Miami, FL 33161
serve food in accordance with professional standards.
condition and to ensure resident's food items were dated and labeled in the nourishment refrigerator
residing on the Second Floor North Wing out of 94 residents in the facility at the time of the survey.The findings included:
Record review of the Use and Storage of Food Brought by Family or Visitors Policy and Procedure (revision date March 20223); Policy Statement-It is the right of the residents of this facility to have food brought in by family or other visitors, however, the food must be handled in a way to ensure the safety of the resident; Policy Explanation and Compliance Guidelines: 2) All food items that are already prepared by the family or visitor brought in must be labeled with content and dated and a) The facility may refrigerate labeled and dated prepared items in the nourishment refrigerator.Observation of the nourishment refrigerator on the Second Floor North Wing used to store resident's foods on 2/17/26 at 8:41 AM revealed a lunch bag in the refrigerator without a name or date on it.
Photographic evidence submitted.Interview and Observation with Staff A, Licensed Practical Nurse on 2/17/26 at 8:44 AM.
She opened the lunch bag and it contained several food items.
She stated, This belongs to a resident.
The lunch bag should have a label on it and a date.Interview with the Director of Nursing on 2/17/26 at 9:49 AM.
She confirmed that food items in the refrigerator and freezer for residents should be labeled and dated.
686125 02/20/2026
The Lilac at Silver Palms 14601 NE 16th St North Miami, FL 33161
The surveyor asked why there were no hospice nursing notes readily available for review in Resident #5's medical records.
The second floor Charge LPN replied, I have been calling asking for notes, but none have been sent.
During an interview on 02/19/26 at 1:50 PM, the Director of Nursing (DON) stated: The hospice nurse visits once a week.
Hospice staff are to sign, send notes and give report to the floor nurses.On 02/19/26 at 2:15 PM, the second floor Charge LPN entered the conference room and revealed to the surveyors that the hospice notes had just been emailed.
The DON was also present and revealed this was not efficient.
Record review of the Hospice Nursing Facility Agreement effective 07/23/2024 signed between facility and hospice company revealed Coordination of Care.(i) General.
Facility shall participate in any meetings, when requested by Hospice, for the coordination of services provided to Hospice Patients.
Hospice and Facility shall communicate with one another regularly and as needed for each particular Hospice Patient.
Each party is responsible for documenting such communications in its respective clinical records to ensure that the needs of Hospice Patients are met 24 hours per day.
Record review of the facility's policy and procedures titled, Hospice dated 1/2026 revealed Policy: It is the policy of the facility to provide collaborative care with Hospice providers to ensure that our resident's end of life preferences and choices are honored.
Procedures:5.
The designated interdisciplinary team member is responsible for the following:Collaborating with hospice representatives and coordinating LTC facility staff participation in the hospice care planning process for those residents receiving these services.Communicating with hospice representatives and other healthcare providers participating in the provision of care for terminal illness, related conditions, and other conditions, to ensure quality of care for the patient and family
686125 02/20/2026
The Lilac at Silver Palms 14601 NE 16th St North Miami, FL 33161
Review of the facility's survey history revealed, during a recertification survey with exit dated January 30, 2025, F-F880 Infection Prevention & Control, F-F689 Free of Accident hazards/Supervision/Devices, and F761Medication Storage were cited.
Review of the Quality Assurance and Performance Improvement (QAPI) Committee Meeting Sign-in Sheets revealed: The facility had a QAA Committee meeting monthly.
Attendees included: Administrator, Medical Director, Director of Nursing (DON) and other department heads.Interview with the Administrator on 02/20/2026 at 3:15 PM revealed the QAPI (Quality Assurance and Performance Improvement) meetings are held each month or as needed.
The members include: The Administrator, Medical Director, Director of Nursing, Assistant Director of Nursing/ Infection Preventionist, Maintenance Director, Housekeeping/Laundry Supervisor, Social Services Director, Activity Director, Food Service Manager, Business Office Manager, Admissions Coordinator, Medical Records, Registered Dietitian, Pharmacist consultant, Unit Managers and Certified Nursing Assistants.
The purpose of the QAPI is to identify and review interventions to meet all the need of residents and ensure regulations are being followed; evaluate and revise interventions as needed. We monitor the progress of our goals by receiving input from staff, family, residents and vendors as well as doing rounds daily.
All issues are considered a priority. We have some plans of improvement that remain ongoing.'
686125 02/20/2026
The Lilac at Silver Palms 14601 NE 16th St North Miami, FL 33161
each night shift.
Record review of the facility's Policies and Procedures: titled, Policies and
medications via an enteral feeding tube to ensure that residents attain or maintain the highest
regulation.
Record review of the facility's Policies and Procedures: titled, Policies and Procedures: Infection Prevention and Control and Surveillance Program Date Issued: 1/2026 revealed POLICY: It is the policy of the facility to ensure that the Infection Control Program is designed to prevent, identify, report, investigate, and control the spread of infections and communicable disease for all residents, staff, volunteers, visitors, and other individuals providing services under a contractual arrangement; provide a safe, sanitary and comfortable environment; and to help prevent the development and transmission of disease and infection, in accordance with State and Federal Regulations, and national guidelines.