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Complaint Investigation

Darcy Hall Of Life Care

September 5, 2025 · West Palm Beach, FL · 2170 Palm Beach Lakes Blvd
Citations 2
CMS Rating 2/5
Beds 220
Provider ID 105516
Healthcare Facility
Darcy Hall Of Life Care
West Palm Beach, FL  ·  View full profile →
Inspection Summary

DARCY HALL OF LIFE CARE in WEST PALM BEACH, FL — inspection on September 5, 2025.

Found 2 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.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Immediate Jeopardy

jeopardy to resident health or safety

entry system onto the memory care unit was replaced with the keypad the truth device.

Audit reviewed. 40.

From 08/31/25 through 09/01/25 facility licensed nurses completed a review of the accuracy of 185 current residents elopement risk evaluations period of the 185 residents, 52 residents resided in the memory care unit and 51 of those who were already assessed to be at risk for elopement.

The remaining 1 of 52 residents was originally placed on The [NAME] Wing unit for behavior management but has since become a risk for elopement.

The residence assessment was updated to reflect the risk of elopement.Sample of 3 confirmed. 41. On 09 02/25 the care plans and CNA Kardexs' of 52 of 52 residents at risk for elopement were reviewed.

All were found to be in compliance with risk for elopement identified.Audit verified. 42.

Director of Nursing /designee to complete monitoring of new admission evaluations to ensure risk for a low moment inaccuracy identified and care plan and Kardex are reflective of the risk, where appropriate.3 new admissions, 09/04/25 audited reviewed. 43.

The Medical Director was informed of the citations and is in agreement with the removal plan.

The following staff were interviewed for verification of staff education: Staff A, CNA was interviewed on 09/03/25 at 11:30 AM.

Staff A stated she had recently completed elopement and abuse & neglect education after the incident with Resident #1; knowledge verified.Staff D, CNA was interviewed on 09/03/25 at 1:17 PM, Staff D stated she had recently completed elopement and abuse & neglect education after the incident with Resident #1; knowledge verified.Staff E, RN was interviewed 09/03/25 at 2:17 PM, Staff E stated a code silver which means a missing person in the facility, was called and every department participated in search.

The education was provided after the incident occurred.The ADON was interviewed on 09/04/25 at 3:30 PM, the ADON had an elopement drill this morning. A written Elopement quiz was completed and stated some were done over the phone.

She stated on the [NAME] unit they changed the entrance touch pad to have a code residents have a wrist band on, and visitors wear red lanyard for identification. An elopement book is on every unit as well as at the receptionist's desk.Staff F, CNA was interviewed on 09/04/25 at 3:45 PM.

Staff F gave examples of wandering behavior and elopement such as pushing doors and staying next to the exit.

She stated they call a code silver- missing person if they have an elopement and training included what to do if there is a missing resident.

Staff F acknowledged the change of the lock system up[TRUN

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/05/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Darcy Hall of Life Care

2170 Palm Beach Lakes Blvd West Palm Beach, FL 33409

SUMMARY STATEMENT OF DEFICIENCIES

jeopardy to resident health or safety

period of the 185 residents, 52 residents resided on the memory care unit and 51 of those who were already assessed to be at risk for elopement.

The remaining 1 of 52 residents was originally placed on The [NAME] Wing unit for behavior management but has since become a risk for elopement.

The residence assessment was updated to reflect the risk of elopement.

Audits reviewed. No concerns. 42. On 09 02/25 the care plans and CNA kardexes of 52 of 52 residents at risk for elopement were reviewed.

All were found to be in compliance with risk for elopement identified.Sample of 3 residents reviewed with no concerns. 43.

Director of nursing/designee to complete monitoring of new admission evaluations to ensure risk for elopement inaccuracy identified and care plan and kardex are reflective of the risk, where appropriate. 3 admissions on 09/04/25 and audited (for west unit). 44.

The Medical Director was informed of the citations and is in agreement with the removal plan.

The following staff were interviewed for verification of staff education: Staff A, CNA was interviewed on 09/03/25 at 11:30 AM.

Staff A stated she had recently completed elopement and abuse & neglect education after the incident with Resident #1; knowledge verified.Staff D, CNA was interviewed on 09/03/25 at 1:17 PM, Staff D stated she had recently completed elopement and abuse & neglect education after the incident with Resident #1; knowledge verified.Staff E, RN was interviewed 09/03/25 at 2:17 PM, Staff E stated a code silver which means a missing person in the facility was called and every department participated in search.

The education was provided after the incident occurred.The ADON was interviewed on 09/04/25 at 3:30 PM, the ADON had an elopement drill this morning. A written Elopement quiz was completed and stated some were do[TRUNCATE

Facility ID:

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 WEST PALM BEACH, 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 DARCY HALL OF LIFE CARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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