Inspection·March 12, 2024

F 0636 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical and administrative record review and interview, the facility failed to ensure timely completion of the Comprehensive Assessments for 2 of 3 sampled resident, Residents #2 and #3, as evidenced by lack of timely initial and periodically a comprehensive, accurate, standardized reproducible assessment of each resident's functional capacity. The findings included: 1. Review of the clinical record for Resident #2 on 03/05/24 revealed the resident was admitted to the facility on [DATE]. Review of the record failed to provide evidence that the resident had a Comprehensive Assessment completed for the resident. The Minimum Data Set (MDS) is part of the U.S. federally mandated process for clinical assessment of all residents in Medicare or Medicaid-certified nursing homes. It is a core set of screening, clinical and functional status elements, including common definitions and coding categories, which forms the foundation of a comprehensive assessment. Review of the electronic record, MDS, noted that the resident's initial assessment was in process, showing all areas were red and incomplete 36 days later. An interview was conducted on 03/05/24 at 3:12 PM with the MDS Coordinator, who, when asked about the resident's MDS, stated, It's just late. She further explained that they are behind on completing MDSs. She stated she started at the facility in July and the facility was behind then and we remain behind now. She further confirmed that the MDS is to be completed within 14 days after admission. 2. Review of the clinical record for Resident #3 on 03/05/24 revealed that the facility initiated a significant change MDS on 02/07/24. On 03/05/24, 27 days later, the MDS remained incomplete. An interview was conducted on 03/05/25 at approximately 4:30 PM with the MDS Coordinator, who stated they created the Significant Change MDS assessment for the resident and again stated that It's just late. 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 5 Event ID: 105762 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 105762 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/12/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Prosper Health and Rehabilitation Center 11375 Prosperity Farms Road Palm Beach Gardens, FL 33410 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)