Inspection·April 23, 2025

F 0880 Provide and implement an infection prevention and control program. 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 the facility failed to implement Enhanced Barrier Precautions (EBP) for a resident with active wounds and a Peripherally Inserted Central Catheter (PICC) line, for 1 of 6 sampled residents on EBP (Resident #3); and facility failed to implement infection control practices for a resident with a urinary catheter, for 1 of 3 sampled residents (Resident #1.) Residents Affected - Few The findings included: 1) Review of the policy titled Enhanced Barrier Precautions Chapter: Infection Prevention and Control revised 06/13/24 documented Enhanced Barrier Precautions are indicated . 2. Wounds, and/or indwelling medical devices even if the resident is not known to be infected or colonized with a Multi-Drug-Resistant Organism (MDRO). Indwelling devices: Indwelling urinary catheters, Gastronomy-feeding tubes, Central lines including PICC, Midline, tracheostomy tubes . Review of the record revealed Resident #3 was admitted to the facility 04/16/25. A Brief Interview for Mental Status (BIMS) evaluation conducted on 04/17/25 documented the Resident had a BIMS score of 13, on a 0 to 15 scale, indicating the resident was cognitively intact. Review of the care plan dated 04/17/25 documented Resident #3 is at risk for impairment to skin integrity related to Peripheral Artery Disease (PAD), Diabetes Mellitus (DM). 04/16/24 admitted with R great toe wound/infection. Interventions included Enhanced Barrier Precautions. Review of the current orders revealed Resident #3 had a PICC line and active wounds. Further review revealed the Resident's wounds were located on the right great toe and right heel. Resident #3 had active orders for wound treatments and was currently receiving antibiotics. No active EBP orders were revealed upon record review. During an observation conducted on 04/23/25 at 9:59 AM the Wound Care Nurse was seen inside Resident #3's room. No EBP sign or Personal Protective Equipment (PPE) was observed at the Resident's doorway. At 10:13 AM another attempt was made to observe the Resident, the Wound Care Nurse was still in the room with Resident #3. During an observation and interview conducted on 04/23/25 at 11:50AM, no EBP sign or PPE was observed upon entrance or inside the Resident #3's room. When asked if staff wear a gown when they provide direct care she stated, No, I don't think they wear gowns. Resident #3 stated she had a PICC line and two wounds and she was currently being treated with antibiotics. During an interview on 04/23/25 at 12:29 PM, when asked what Residents should be placed on EBP, 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 3 Event ID: 105837 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 105837 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/23/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Boynton Beach Rehabilitation Center 9600 Lawrence Rd Boynton Beach, FL 33436 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)