Health inspection·July 11, 2024

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm Based on observations, record review and interview the facility failed to maintain good grooming and personal hygiene for one resident (Resident #62) out of 24 residents sampled, as evidenced by observations of dirt under Resident #62's fingernails. There were 74 residents residing in the facility at the time of survey. Residents Affected - Few The findings included: On 07/08/24 at 9:30 AM Resident #62 was observed lying in bed awake alert, nonverbal and used left upper extremity to gesture. Dirt was observed under Resident # 62's fingernails on the left hand. On 07/11/24 at 8:35 AM Resident #62 was observed lying in bed awake alert and dirt was observed under the fingernails of left hand. Record review of demographic sheet for Resident #62 revealed an admission date of 9/15/2023 with diagnosis that included Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting right dominant side. Record review of the quarterly Minimum Data Set (MDS) with an assessment reference date of 6/3/2024 Section C for cognitive status revealed a Brief Interview of Mental Status (BIMS) score of 11 out of 15 which indicated moderate cognitive impairment. Section GG for functional abilities and Goals revealed dependent for personal hygiene care. Section E for behaviors revealed no indicators of psychosis. Record review of a Care Plan started on 9/18/23 and revised on 6/5/24 for Resident #62 revealed total care was required to maintain personal hygiene. The interventions included: Aid with oral care, washing, drying face hands, and perineum. Record review of physician orders revealed an order dated 10/25/2023 to check that fingernails are clean and trimmed every day. On 07/11/24 at 8:35 AM, Registered Nurse (RN) Unit Manager acknowledge Resident #62's fingernails are dirty and should have been cut and cleaned. The schedule indicates that residents' nails are to be cut and cleaned on Sundays on the evening shift; the schedule is kept in the CNA's (Certified Nursing Assistants) binder. Record review of a Policy entitled, Giving a Bed bath revised October 2010 revealed Purpose: The purpose of this procedure is to promote cleanliness, provide comfort to the resident and to observe the condition of the resident's skin. 15. Arms and Hands: d. Check the resident's fingernails, nail (continued on next page) 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 Page 1 of 4 Event ID: 105005 Printed: 05/28/2026 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 105005 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/11/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Coral Gables Nursing and Rehabilitation Center 7060 SW 8th Street Miami, FL 33144 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)