Inspection·January 29, 2024

F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on policy review, observation, interview and record review, the facility failed to ensure proper perineal care to residents with a history of and current Urinary Tract Infection (UTI) for 1 of 3 sampled residents observed during perineal care, Resident #3. The finding included: The policy titled perineal care, dated 11/01/2018, documented, in part: the purposes of this procedure are to provide cleanliness and comfort to the resident, to prevent infections and skin irritations, and to observe the resident's skin condition .; the following equipment and supplies will be necessary when performing this procedure: wash basin, towels, washcloth, soap (or other authorized cleansing agent) .; and steps in the procedure: #9 for a female resident: a) wet washcloth and apply soap or skin cleansing agent. Review of the in-house UTI [Urinary Tract Infection] list, dated from October 2023 to present (January 29, 2024), evidenced there were 25 cases of facility acquired UTIs during this time. Review of record for education / in-services, dated August 2023, revealed education / in-services was provided regarding pericare / Foley catheter care. Record review for Resident #3 revealed the resident was admitted to the facility on [DATE], with diagnoses that included: Septicemia (blood poisoning by bacteria), and Urinary Tract Infection (UTI) in the last 30 days. The admission Minimum Data Set (MDS) assessment, reference date, 01/04/24, indicated a Brief Interview for Mental Status (BIMS) score of 12, indicating Resident #3 was moderately cognitively impaired. This MDS recorded no mood/behavior issue; the functional abilities and goals for toilet hygiene as dependent for admission performance; and shower / bathing was self-substantial assistance for admission performance. Additional record review revealed a urinalysis dated 01/26/24 was positive for UTI. Review of the Physician orders revealed an order dated 01/28/24 for Bactrim DS (Sulfamethoxazole-Trimethoprim) 800-160 mg 1 tablet by mouth twice a day for UTI. Review of care plan, dated 01/29/24, recorded, that Resident #3 had urinary incontinence (loss of bladder control), Cystitis (inflammation of the bladder), and UTI. This care plan recorded Resident #3 had received Macrobid (antibiotic) from 01/16/24 through 01/20/24 and Bactrim DS (antibiotic) was ordered from 01/28/24 through 02/01/24 for a UTI. Review of progress note dated 01/28/24 written at 10:10 PM documented Resident #3 started the (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: 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 01/29/2024 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)