Health inspection·May 21, 2025

F 0635 Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of policy and procedure, interview and record review, the facility failed to timely order to obtain and document proper admission physician orders for immediate care involving surgical site and Foley catheter care, and for pain medication for a resident; re-assess and document a resident's pain level; and administer routinely ordered medications to a resident, for 1 of 2 sampled residents reviewed for admission orders after surgery, Resident #1. Residents Affected - Few The findings included: Review of the facility policy and procedure titled, Pain Observation and Record, provided by the Director of Nursing (DON) reviewed April 21, 2021, documented in the Policy Statement: Pain Observation and Record UDA will be completed on every resident as part of the admission process. Pain will be re-observed and recorded any time a resident states that his/her pain level has changed/when pain medication or dosage is changed, or anytime the resident's condition significantly changes. Purpose: The management of pain is essential to enhance quality of life by routinely reviewing a resident's level of pain and providing and managing pain control in collaboration with the attending physician/Medical Director. General Guidelines: 1. A. Pain observation and Record UDA will be completed on every resident as part of the admission process, quarterly and upon significant change in resident status and become part of the medical record. 2. If a resident states, or shows signs that he/she is having pain and does not currently have a prescribed pain medication, or is not receiving relief from current type dosage frequency of pain medications; and this is considered unstable, the nurse will contact the attending physician to discuss pain observations and interventions and develop a plan of care to better control the pain. Record review of the facility policy and procedure titled, Assisting the Nurse in Examining the Resident, provided by the DON reviewed August 2017 documented in the Policy Statement: .Purpose: The purposes of this procedure are to examine the condition of the resident's body and to observe the resident's performance admission Notes/admission Data Collection: admission Notes/admission Forms should include as a minimum documentation of the admission of a resident (as they may apply): .f. Vital signs and condition of resident upon admission (i.e. confused, weak, alert, etc.) g. Time physician was notified of the admission. h. Time physician's orders were received and verified l. Medications were ordered from the pharmacy Record review revealed Resident #1 was admitted to the facility on [DATE] at 6:46 PM with diagnoses that included Encounter for other Orthopedic Aftercare and Malignant Stage 4 Neoplasm of Prostate with metastasis to multiple sites to include bone and Hypertension. Resident #1 had been previously admitted to the hospital on [DATE], he was status-post (s/p) second (2nd) major spinal surgery performed on 04/24/25. Resident #1 was noted, in facility records, as being Independent with Cognitive (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: 105009 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 105009 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Golfcrest Nursing Center 600 North 17th Ave Hollywood, FL 33020 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)