Health inspection·December 11, 2025

F 0635 Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and record reviews, the facility had failed to obtain admission orders for a medicated patch for one (Resident #175) out of three sampled newly admitted residents. Resident #175 had an undated medicated patch that the resident reported was for hypertension on the left shoulder but there was no corresponding physician's order in the resident's clinical records, which noted orders for oral hypertensive medications that the resident had been receiving since admission. This deficient practice could have caused severe hypotensive reactions for Resident #175, who had been admitted from the hospital to the facility six days earlier. At the time of the survey, 166 residents resided in the facility.Observation on 12/09/25 at 11:20 AM revealed an undated patch on Resident # 175's left shoulder. (photo evidence) Upon interview, Resident#175 stated: This patch is for hypertension and is to be changed monthly. I received it from the hospital, and I told staff, but no one has done anything. The surveyor notified Staff C, Registered Nurse (RN) who stated, I don't know about a patch and I will check.Observation and interview on 12/09/25 at 11:20 AM revealed an undated patch on Resident #175's left shoulder. (photo evidence) Resident #175 revealed: This patch is for hypertension and is to be changed monthly. I received it from the hospital, and I told staff, but no one has done anything. The surveyor then notified Staff C, a Registered Nurse (RN), who replied, I don't know about a patch and I will check. On 12/9/25 at 12:07 PM, the 3rd floor RN Supervisor approached the surveyor and stated, No one knows what type of patch it is. [Resident#175] came from the hospital and does not want to remove it. I spoke to the doctor today and the doctor will come to see the resident and possibly gives new orders. Surveyor asked, Are skin checks done upon admission? The RN, Supervisor replied: Yes but that was missed.On 12/9/25 at 2:56 PM, the Director of Nursing approached the surveyor and revealed they had received new orders for a medicated patch for hypertension for Resident#175.The demographic sheet review revealed that Resident#175 was admitted on [DATE] with diagnoses including Essential (PRIMARY) Hypertension (HTN). Record review revealed all Minimum Data Sets were in progress.Record review of a December 2025 physician's order sheet revealed an order dated 12/3/25 for Metoprolol Succinate Oral Capsule Extended Release 24 Hour Sprinkle 50 Milligrams (MG) by mouth one time a day for HTN.Record review of a care plan initiated on 12/04/25 and Revision on 12/05/25 revealed Resident #175 was at risk for cardiac/circulatory complications related to: Hyperlipidemia, HTN, Coronary Artery Disease and Congestive Heart Failure with interventions that included: Give medications as ordered, monitor for adverse signs, and symptoms.Record review of the facility's policy titled Physician Services dated 3/1/21 revealed Intent: It is the policy of the facility to ensure Physician Services are in accordance to State and Federal regulations. Residents Affected - Few 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 4 Event ID: 106132 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 106132 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/11/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE South Dade Nursing and Rehabilitation Center 17475 S Dixie Hwy Miami, FL 33157 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)