Health inspection·February 1, 2024

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interviews and administrative record review, the facility failed to ensure that one of two hallways on the Medbridge Unit is maintained and did not have an offensive odor of urine. The findings included: An observation on the Medbridge Unit on 01/31/24 beginning at 1:00 PM revealed the smell of a lingering strong urine odor was noted in the hallway from rooms 172-173 to 178-179. The smell was noted to be the strongest in rooms 176 - 179. An interview was conducted on 01/31/24 at approximately 1:05 PM with the Registered Nurse, Staff C, who confirmed the presence of the offensive odor, by stating, I know. The staff member then returned to her medication cart. An interview was conducted on 01/31/24 at approximately 1:07 PM with the Unit Manager, who also confirmed the presence of the odor and stated she knew who it was. An interview was conducted on 01/31/24 at approximately 1:15 PM with the Housekeeping Director, who reported that they clean the rooms and mop the floor. However, when the residents waste their urinal, then the staff on the floor will need to clean that up. The surveyor requested documentation for cleaning rooms to verify if the rooms were cleaned. According to the paperwork that was provided which documented the housekeeping clean-up of rooms, revealed that the staff had cleaned the aforementioned residents' rooms 01/31/24. An interview was conducted on 01/31/24 at 1:18 PM with the Floor Tech, who reported that he mopped rooms 174, 176 and 178 at approximately 12:10 PM. However, rooms [ROOM NUMBERS] still smelled of urine and the smell permeated into the hallway. Further observations of the rooms beginning at 1:20 PM revealed in room [ROOM NUMBER], there was a strong urine odor noted inside of the room. Further observation revealed there were urinals sitting on the floor, next to each resident's nightstand. room [ROOM NUMBER] also had a strong urine smell. During further observation, it was noted that the resident in 176 B had a feeding tube, wearing an adult incontinent brief. The resident in 176 A, uses a urinal. Random interviews on 01/31/24 beginning at 1:30 PM with residents on the Medbridge Unit also Page 1 of 2 105496 105496 02/01/2024 Isles of Boynton Nursing and Rehab Center 3001 South Congress Avenue Boynton Beach, FL 33426

F 0921 confirmed the persistent presence of the strong urine smell on the unit. One resident stated that he noticed that the urine smell was stronger as of 01/31/24, than it had been previously. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 105496 Page 2 of 2