Health inspection·April 10, 2025

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews and interviews, the facility failed to provide blood pressure monitoring to meet the needs of a resident, and failed to assess the accuracy of medication administration, for 1 of 3 sampled residents (Resident #1). Residents Affected - Few The Findings included: A review of the facility's policy on Medication Administration, dated 01/27/2025, revealed medications are administered in accordance with the prescribers orders, and number 11 revealed vital signs are checked and verified for each resident prior to administering medications. 1) Resident #1 was admitted on [DATE] and was discharged on 11/08/24. A review of diagnoses included Atrial Fibrillation, Pneumonia with Shortness of Breath, Coronary Artery Disease, and Heart Failure. A review of the Minimum Data Set (MDS) dated [DATE] under Section C for Brief Interview of Mental Staus (BIMS) revealed a score of 15 indicating good mental cognition. A review of orders dated 11/6/24 at 4:47 PM revealed Spironolactone oral tablet 25 MG, give 0.5 tablet by mouth one time a day for edema, hold if Systolic Blood pressure (SBP) is less than 120. A review of orders dated 11/5/24 at 1:00 PM revealed to obtain and document vital signs every shift for 72 hours, then re-assess for continued monitoring. A review of the Medication Adiministration Record (MAR) dated 11/7/24 at 9:00 AM revealed Spironolactone was given by Staff D, Licensed Practical Nurse (LPN), when she took and recorded Resident #1's blood pressure reading of 86/62 on 11/7/24 at 8:55 AM . A review of Resident #1's docuemnted blood pressire (BP) measurement revealed the following : on 11/7/25 at 8:55 AM, it was 86/62, on 11/7/25 at 10:44 PM, it was 87/68, and on 11/8/25 at 6:54 AM, it was 85/42. A further review of documented BP revealed there was no BP recorded between 8:55 AM and 10:44 PM on 11/7/24, revealing no reassessment for continuing monitoring was done per doctor's order. There was no BP documentation on 11/7/24 between 10:44 PM and 11/8/24 at 6:54 AM revealing no re-assessment for continuing monitoring was done per doctor's order. (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 3 Event ID: 105506 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 105506 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/10/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Encore at Boca Raton Rehabilitation and Nursing Ce 7300 Del Prado Circle South Boca Raton, FL 33433 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)