Inspection·March 19, 2024

F 0687 Provide appropriate foot care. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, it was determined that the facility failed to provide 1 of 1 (Resident #1) sampled residents with foot care and treatment in accordance with professional standards of practice , including to prevent complications from the resident's medical condition. Residents Affected - Few The findings included: During an observation conducted of Resident #1 on 03/19/24 at 11:15 AM and accompanied with the Director of Nursing (DON) and Assistant Director of Nursing , the resident was asked permission by the DON and granted permission to have both feet examined. The examination noted the following: < Observation of the Left foot noted that the sock was caked with a black substance and was noted difficult to peel the sock away from the foot. The resident was noted to have pain/discomfort during the sock removal. Photographic evidence obtained. < Observation of the Left foot noted the entire top surface and toes to be covered with thickened, brown/black scaly type matter and had an offensive odor. The toenails (5) were elongated, thickened, brittle, cracked/crumbly, odorous, and discolored black /brown. The great toe was especially noted to be discolored, cracked, and skin area around the nail to be inflamed and painful to the touch. The Director of Nursing (DON) was noted to spread the toes apart and it was noted to have large accumulations of a reddish/black substance between each toe. The DON stated that the black substance between each toe was a type of Fungus and further stated that the resident required immediate podiatry treatment for the foot, toes, and fungus. Photographic evidence obtained. < Observation of the Right foot noted that the shin area had what appeared to be deep scabs (2) . The entire top of the Right foot and toes was noted to be covered with a black/brown scaly matter and odorous. The toenails (5) were noted to be discolored brown, elongated, thick, brittle, and crumbly. The DON stated again stated that the resident required immediate podiatry care. Photographic evidence obtained. Following the observations conducted on 03/19/24 the Director of Nursing again stated that Resident #1 required immediate podiatry care for bilateral feet, toes, and toenails. He also stated he had not been made aware of the conditions of the resident's feet. Following the 03/19/24 observations a review of the clinical record of Resident #1 noted a Podiatry evaluation that was dated 02/15/24. Review of the evaluation noted the following documentation: (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: 105558 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 105558 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/19/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Aviata at West Palm Beach 5065 Wallis Road West Palm Beach, FL 33415 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)