Health inspection·March 28, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to provide a clean and comfortable environment for 3 of 3 sampled Residents (Resident #2, Resident #3 and Resident #4). The findings included: 1. Review of the record revealed Resident #2 was last admitted to the facility on [DATE]. Review of the current Minimum Data Set (MDS) assessment dated [DATE] documented Resident #2 had a Brief Interview for Mental Status (BIMS) score of 15, on a 0 to 15 scale, indicating the resident was cognitively intact. During an observation and interview on 03/28/25 at 10:25 AM, when asked if there were any cleanliness concerns regarding the room, Resident #2 stated there were roaches seen all the time. When asked what the facility did about it, Resident #2 stated pest control comes out but believed whatever they are using was not working because she still saw them around. She voiced that they got in her way and went up the walls. It's not acceptable she stated. An observation was made of Resident #2 room, heavy dirt residue was seen on the edges and corners of the floors in the room and bathroom. During an interview on 03/28/25 at 10:30 AM, when asked if there was a pest control problem, Staff A voiced that she had not seen many but believed the company was not effective. I think they should change companies she stated. 2. Review of the record revealed Resident #3 was on an enteral feeding (a method used to provide nutrition directly into the gastrointestinal tract through a tube.) During an interview and observation on 03/28/25 at 10:40AM, was asked how the cleanliness of the room was, Resident #3's representative stated It isn't as clean as I would like it to be. The representative pointed out her areas of concern in the room. Observation conducted on walls, bathroom door, floor near feeding and resident curtains revealed dried tube feeding splashed on them, photographic evidence obtained. Further observation revealed dirt accumulation along the edges and corners of the Resident's room and bathroom. 3. Review of the current Minimum Data Set (MDS) assessment dated [DATE] documented Resident #4 had a Brief Interview for Mental Status (BIMS) score of 3, on a 0 to 15 scale, indicating the resident was severely cognitively impaired. During an observation on 03/28/25 at 11:05 AM, heavy ceiling damage and holes were seen around the Page 1 of 2 105372 105372 03/28/2025 Avante at Lake Worth, Inc. 2501 N A St Lake Worth, FL 33460

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few curtain tracks in Resident #4's room. Further observation revealed that this room also had heavy dirt debris on the floor corner and edges located in the Resident's room and bathroom. 4. During an interview on 03/28/25 at 12:56 PM, when asked what projects he was working on, the Director of Maintenance and Housekeeping services stated he was working on repairing Resident #4's ceiling. He stated that 2 days ago Resident #4 had pulled out the curtains himself; they were working on transferring the Resident to another room to get his room repaired. When asked how they clean the floors, he stated that they use auto scrubbing machine; for the corners and edges of the floors they use an angle brush and scrappers. When he was made aware of observations and concerns in resident rooms, he stated that their machines had been broken for a month and a half and it has taken a while to get them back due to the parts needed to fix them. When asked how they were deep cleaning without machines, he stated they were hand mopping and he agreed that was not effective. On 03/28/25 at 1:30 PM, an environmental tour was conducted with the Director of Maintenance and Housekeeping services. Resident #3's room was toured and he agreed the room needed to be cleaned, wiped down and repainted. When Resident #4's was observed, the Director of Maintenance and Housekeeping services also agreed that room was unclean and needed attention. During an interview on 03/28/25 at 2:22 PM, the Administrator was made aware of the observations made and concerns voiced by Residents and Resident families regarding cleanliness and pests. The Administrator ackowledged the concerns and findings. 105372 Page 2 of 2