Inspection·February 21, 2024

F 0569 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to provide 1 of 3 sampled residents during closed record review, Resident #1, a personal refund within 30 days of discharge and a final itemized accounting bill. Residents Affected - Few The findings included: Record review of the facility's policy, titled, Refund Policy, revised on April 2017, documented, Any funds on deposit with the facility shall be refunded upon the request of the resident, resident representative, or resident's estate. The Policy Interpretation and Implementation, documented, in part: Within 30 days of resident's discharge or death, the facility will refund the resident's personal funds and provide a final accounting of those funds to the resident, the resident's representative, or the resident's estate. Inquiries concerning refunds should be referred to the Administrator or to the business office. Record review of the closed clinical and financial records for Resident #1 on 02/21/24, noted the resident had an admission date of 09/14/23 with diagnoses that included Aftercare Following Hip Surgery and Fracture of the Right and Left Patella. Resident #1 was discharged on 11/21/23. Further review of the clinical record revealed on 11/10/23, the resident received an insurance Notice of Medical Non-Coverage, dated 11/10/23, indicating the last day of skilled care coverage would be 11/13/23. Review of Resident #1's social service notes documented the resident stated to the facility she was not ready for discharge home and requested another week of skilled therapy at the facility. Further record review of social service revealed the resident lost the first appeal with the insurance company but had won a second Reconsideration Appeal. The facility had requested of the resident pay privately ($3,480.00) for this additional week, until the insurance appeal's cost and billing, were determined and paid to the facility. Further review revealed the facility failed to provide Resident #1 with a requested itemized final bill upon the resident's discharge to home on [DATE]. (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 2 Event ID: 105505 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 105505 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/21/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Margate Health and Rehabilitation Center 5951 Colonial Drive Margate, FL 33063 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)