Life Care Center Of Port Saint Lucie

F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

skin injury will be healed. An intervention was for staff to do weekly skin checks.Review of the skin assessments for Resident #5 revealed that skin assessments were not done on the week of 10/05/25, 09/14/25, 09/21/25, 09/28/25, 08/17/25, 08/10/25, and 08/03/25, and no skin assessments were completed

in the month of July. 3) Record review revealed Resident #1 was admitted to the facility on [DATE REDACTED]. Review of the annual assessment documented a BIMS score of 15 on a 0-15 scale, indicating no cognitive impairment.Review of the care plan dated 09/16/25 revealed a focus that Resident #1 had a potential for pressure ulcer development and skin breakdown related to impaired mobility, bladder incontinence, diagnosis of peripheral vascular disease (decreased blood flow) with a goal that the resident will have intact skin free of redness blister discoloration. An intervention documented on this care plan was that staff do weekly skin checks.Review of the physician orders revealed an order dated 08/01/2024 instructed staff to complete weekly skin checks every day (7:00 AM to 3:00PM) shift on Thursday for skin monitoring.Review of the skin assessments for Resident #1, revealed that skin assessments were not done on 07/24/25, 07/31/25, 08/14/25, 08/21/25, 08/28/25, 09/04/25, 09/11/25, 09/18/25, 10/02/25, and 10/09/25.Review of

the August and September Treatment Administration Record for Resident #1 revealed staff had signed acknowledging that the skin checks were done. During an interview on 10/15 at 09:18 AM, when asked how do you know when a resident is scheduled for a skin check Staff A, Licensed Practical Nurse (LPN) stated.

It will pop up on the UDA in the computer to let me know it is due. When asked where do you document the skin assessment, she stated, I will click on the UDA tab, and it will open up to the skin assessment for documentation. During an interview on 10/15/25 at 09:20 AM, when asked how the nurse knows when the resident is scheduled for a skin check, the Unit Manager (UM) stated, It will pop up on the UDA to let them know that the skin check is due. Also, I print out a list of the skin checks that are due for that day and highlight the names. When asked where the nurse documented the skin assessment, she stated, They document in the record under assessment. During an interview on 10/15/25 at 9:21 AM, when asked how do you know when your resident is due for a skin check, Staff B, LPN stated, It pops up on the UDA. When asked where she documented the skin check, she stated In the assessment, I go to the resident that is due and choose skin assessment.

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/15/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Life Care Center of Port Saint Lucie

3720 SE Jennings Rd Port Saint Lucie, FL 34952

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0692 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

change in a resident's weight, she stated, I would call the doctor and get and order for a reweigh. I would reweigh the resident to make sure it's accurate. The UM was asked to review Resident #4's weights, after her review, she was asked when did the resident have a significant change in his weight, She stated on 09/23/25. When asked if there was a change in condition done for the significant weight loss the resident,

she stated I don't see one in the computer, but I will talk to the Director of Nursing (DON). When asked was

the weight loss discussed in the care plan meeting, she looked in the record and stated, On 09/25/25 there was an IDT meeting and it stated the diet, weights, medications were discussed, and no changes were made. When asked was the daughter present, she stated, Yes the resident and daughter was present.

When asked what interventions were done for the weight loss and when were they initiated She stated on 10/1/25 the dietician ordered weekly weights, medpass and fortified foods. Review of a weight change note dated 10/01/25, the Registered Dietitian (RD) documented a weight of 144.5 and her response was that the resident reported his usual body weight was approximately 137 lbs, he had good oral intake, and she will add fortified food, med pass (oral supplement) twice a day and continue weekly weights.During an interview

on 10/15/25 at 12:20 PM, when asked are you familiar with Resident #4, the Registered Dietitian (RD) stated, Yes. When asked when she was made aware of the resident's weight loss that was documented on 09/23/25, she stated, I reviewed his weight on 09/30/25. When asked if she attended the care plan meeting

on 09/25/25, with the resident and his daughter, she stated, No. When asked how are you made aware of a resident who has a significant weight change, she stated, I review the weights weekly. When asked do you receive any type of alert of a resident's significant weight change, she stated No. When asked what did you do when you were aware of the weight change for Resident #4, she stated I requested a reweight and his weight was 142 pounds. When asked so the reweigh wasn't done until 7 days later, she stated I'm guessing yes. When asked what intervention was done for the weight loss, she stated I added fortified foods (more calories), med pass (supplement) and ordered weekly weights on 10/01/25. When asked did you speak with

the family about the significant weight loss, she stated No, because I figured because he had a BIMS of 14,

it was ok for me to just speak with him. During an interview with the MDS Coordinator on 10/15/24 at 1:10 PM, when asked what was discussed at the care plan meeting with Resident #4 and his daughter on 09/25/25, the MDS Coordinator went to the progress note in the record and stated, Therapy progress, medication, care plan was discussed. When asked who was present, she showed the care plan conference

record which was signed by the Speech Therapist and Activities Director. When asked was his weight discussed, the MDS coordinator stated Not in detail. Not any that was of concern.

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