Inspection·April 21, 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 interview and record review, the facility failed to ensure a physician-ordered ultrasound was scheduled and performed for 1 of 3 sampled residents (Resident #1). Residents Affected - Few The findings included: Resident #1 was admitted to the facility on [DATE] with diagnoses that included Hypertension, Hemiplegia and Hemiparesis following Cerebral Infarction affecting Left Non-Dominant Side, and Dysphagia. A review of the most current Minimum Data Set (MDS) assessment, dated 03/06/25, under Section C, revealed a Brief Interview of Mental Status Score of 6 indicating Resident #1 had impaired cognition. Section GG under functional limitations in range of motions revealed Resident #1 had impairment on one side. Toileting and hygiene which included the ability to maintain perineal hygiene, revealed that Resident #1 need substantial and maximal assistance. A review of the wound care progress notes in December 2024 indicated the resident had fungal rashes to the vaginal folds, they were treated with Nystation cream, and which had been resolved. A physician order for a GYN consult for vaginal bleeding was ordered 12/18/25. In an interview with Staff K, Nurse Practitioner (NP) on 04/21/25 at 12:51 PM, she acknowledged she cared for Resident #1, who can't move on one side and can't speak. When asked if Resident #1 had vaginal bleeding and rashes, she responded that the resident had a history and was diagnosed with post-menopausal bleeding. She added that she had written notes on Resident #1's electronic medical records regarding the vaginal bleeding. A review of the Physician Orders revealed an order dated 3/26/25 to schedule a Trans Vaginal Ultrasound. In an interview with Staff J, Registered Nurse (RN) 04/21/25 at 4:30 PM when asked if she had taken care of Resident #1 before, she responded, that she had cared for her. When asked if she had witnessed any vaginal rash or bleeding, she responded, she had not. She added she was caring for Resident #1 last week and did not notice any open skin, rash or irritation in the perineal area. When asked if she was aware there is an order for a transvaginal ultrasound for Resident #1, she responded she was not aware and she had not received an order for an ultrasound. She also stated she did not see an order for a transvaginal ultrasound for Resident #1. In an interview with Resident #1's family member on 04/21/25 at 3:50 PM, he stated the facility did (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: 105521 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 105521 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avante at Boca Raton, Inc. 1130 NW 15th Street Boca Raton, FL 33486 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)