Health inspection·May 17, 2023

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview and clinical record review, the facility staff failed to provide timely care and services for 8 of 11 sampled residents who are dependent upon the staff to provide incontinent care and/or position changes, Residents #2, #3, #4, #6, #7, #8, #9 and #11. The Memory Unit had a census of 25 residents. The facility census was 162. Residents Affected - Some The findings included: Observations on the Locked Memory Care Unit on 05/15/23 beginning at 11:50 AM to 3:00 PM, revealed that multiple dependent residents remained in the dining room and were not provide the necessary services for incontinent care and repositioning. The unit had a census of 25 residents and was staffed with 1 licensed nurse, 2 certified nursing assistants for patient care and 1 activity aide for activities and assistance with dining and snacks. Upon entry onto the unit, there were 12 residents in the dining room along with the activity aide of which 8 residents remained in the dining room the entire time of the surveyor's observations. These residents were later identified as Resident #3, Resident #4, Resident #6, Resident #7, Resident #8, Resident #9, and Resident #11. Resident #2 came into the dining room at approximately 12:15 PM and remained in the dining room. a. Review of the clinical record for Resident # 7 revealed that the resident was admitted to the facility on [DATE] with diagnoses that included Hypertensive Heart Disease with Heart Failure and Unspecified Dementia, unspecified severity with other behavior disturbances. The resident had a recent hospitalization and additional diagnoses that included Transient Cerebral Ischemic Attack (TIA) and Cognitive Communication Deficit. The 05/09/23 Change in Condition Minimum Data Set Assessment (MDS) noted the resident as extensive assist of two staff for Bed mobility and transfers, uses a wheelchair for mobility; and total assistance of two staff for toilet use and extensive assistance of one staff for personal hygiene. The resident had an indwelling catheter and is always incontinent of bowels. The facility identified a problem on the 01/12/23 for Plan of Care of Activities of Daily Living Functional Status / Rehabilitation Potential related to decreased mobility, secondary to diagnosis of weakness, gait / mobility Abnormality, Osteoporosis, Hypothyroidism, Dementia, history of TIA, history of Cardiac Arrest as evidenced by extensive assist with bed mobility / total / limited with wheelchair / transfers / non-ambulation. Approaches included Hoyer Lift with 2 assist for transfers (added 05/15/23); 1/2 siderails to increase bed mobility, encourage resident to ask for assistance as needed, and observe for signs of overtiring. Another problem was identified on 01/12/23 for Bowel elimination, alteration in secondary to occasional constipation, Gastroesophageal Reflux Disease, history of Pancreatitis, Dementia, Weakness, Gait / Mobility Abnormality as evidence by total incontinent of bowels. Approaches included: Allow time (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 10 Event ID: 105687 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 105687 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/17/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Solaris Healthcare Parkway 800 SE Central Pkwy Stuart, FL 34994 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)