Inspection·January 22, 2026

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, and interview, the facility failed to ensure that a newly admitted resident received timely, consistent, and properly documented dermatologic treatment in accordance with professional standards of practice and the comprehensive, person-centered care plan for two of three residents reviewed for wound care, of a total sample of six residents, (#6, and #2). 2. Resident #2 was admitted to the facility on [DATE] for nerve pain. The Minimum Data Set Quarterly assessment dated [DATE] noted resident #2 was cognitively intact, required partial to moderate assistance with activities of daily living, and was occasionally incontinent. Residents Affected - Few Review of resident #2's care plan dated 8/18/25 revealed a focus for a pressure ulcer to open area, buttocks. Interventions included to complete weekly skin checks and measure length, width, and depth, if possible. Resident #2 had a care plan dated 8/18/25 for risk for skin impairment. Care plan interventions included monitor/observe skin while providing routine care, nutritional supplements/diet as ordered, preventative skin treatments as ordered, skin checks weekly and provide incontinence care promptly. Review of physician orders dated 8/16/25, with no stop date, included cleanse bilateral lower legs with normal saline, pat dry, and wrap with dry dressing for wound care-abrasion. The order specified staff to monitor site for signs of infections until healed, every evening shift for wound care. Review of the Treatment Administration Record (TAR) for the physician order dated 8/18/25 to 8/31/25 revealed a missing treatment on 8/20/25. Review of physician orders dated 8/18/25 for wound care in between buttocks. The order specified to cleanse the area with 1/4 Dakins and apply zinc oxide every shift. The TAR for the wound care in between buttocks order from 8/18/25 to 8/31/25 revealed missing treatments for 8/24/25 nightshift, 8/30/25 dayshift, and 8/31/25 dayshift. A physician orders dated 8/21/25 with no stop date– for wound Care-Abrasion: Cleanse (bilateral lower legs) with NS, pat dry, and wrap with dry dressing. Monitor site for signs/of infections until healed. Every dayshift for wound care. The TAR for the physician order 8/18/25 to 8/31/25 revealed missing treatments on 8/23/25 and 8/30/25. On 1/22/25 at 3:15 PM, the Wound Care Nurse (WC), stated her responsibilities were for residents who needed treatment for stage three or greater pressure wounds (deeper, open wounds). She stated the 'cart nurses' (staff nurses) provided regular treatment for wounds stage two and less (less serious wounds). On 1/22/25 at 12:40 PM, LPN revealed her responsibilities as the 'cart nurse'. She stated she (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: 106123 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 106123 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/22/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Viera Del Mar Health and Rehabilitation Center 2355 Vidina Drive Viera, FL 32940 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)