Inspection·August 12, 2025

K0000 INITIAL COMMENTS K0000 An unannounced Fire & Life Safety relicensure survey was conducted on Inverrary, a nursing home in Lauderhill, Florida in accordance with National Fire Protection Association (NFPA) 1 and 101 (2021 Edition) and applicable requirements of Florida State Fire Marshal's Rules and Regulations, Florida Administrative Code (F.A.C.) 69A-3, F.A.C. 69A-53, F.A.C. 59A-4 and Florida Statutes (F.S.) 400 Part II and F.S. 633.0215, adopting National Fire Protection Association (NFPA) 1 and 101 (2021 Edition) known as the Florida Fire Prevention Code and all NFPA referenced standards and requirements adopted per NFPA 101, Chapter 2. The following is a description of deficiencies found at the time of the visit:

K0920 Electrical Equipment - Power K0920 SS = D and Extens Bldg. 05 CFR(s): NFPA 99 Electrical Equipment - Power and Extension Power strips in a patient care vicinity are only used for components of movable patient-care-related electrical equipment (PCREE) assemblies that have been assembled by qualified personnel and meet the conditions of 10.2.3.6. Power strips in the patient care vicinity may not be used for non-PCREE (e.g., personal electronics), except in long-term care resident rooms that do not use PCREE. Power strips for PCREE meet UL 1363A or UL 80601-1. Power strips for non-PCREE in the patient care rooms (outside of vicinity) meet UL 1363. In non-patient care rooms, power strips meet other UL standards. All power strips are used with general precautions. Extension are not used as a substitute for fixed wiring of a structure. Extension used temporarily are removed immediately upon completion of the purpose for which it was installed and meets the conditions of 10.2.4. 10.2.3.6, 10.2.4, 10.5.2.3 (NFPA 99), NFPA 70 This LICENSURE REQUIREMENT is NOT MET as evidenced by: Office of Primary Care and Health Systems Management Florida Department of Health LIFE CARE CENTER AT INVERRARY 4300 ROCK ISLAND ROAD , LAUDERHILL, Florida, 33319

K0920 SS = D Bldg. 05 Continued from page 1 Based on observation and staff interview, the facility failed to maintain their electrical system in accordance with NFPA 1. The findings included: On between 12:30 PM and 2:30 PM during facility tour with the Director of Maintenance Director, the electrical water cooler inside the break room located on the first floor was not plugged into a ground fault circuit interrupter (GFCI). An interview was conducted with the Administrator and Director of Maintenance, concurrent with the observations and they acknowledged the findings. The findings were reviewed with the Administrator and Director of Maintenance at the exit on 2:45 PM. NFPA 1 (2021 Edition) 11.1.2.1 NFPA 101 (2021 Edition) 19.5.1.1, 9.1.2 NFPA 70 (2020 Edition) 422.5 (A)(2) Class III

K0920 LIFE CARE CENTER AT INVERRARY 4300 ROCK ISLAND ROAD , LAUDERHILL, Florida, 33319

K0000 INITIAL COMMENTS

K0000 An unannounced Fire & Life Safety recertification survey was conducted on at Life Care Center at Inverrary, a nursing home in Lauderhill, Florida. Life Care Center at Inverrary is not in compliance with 42 CFR 483.90 (a) & (b) and National Fire Protection Association (NFPA) 101 (2012 Edition) and Tentative Interim Amendments ('s) and Tentative Interim Amendments ('s) and requirements for nursing homes. Initial Plan Review: 2003 Existing NFPA 220 Construction Type: V (111) Number of licensed beds: 120 Census: 109 The following is a description of deficiencies found at the time of the visit:

K0920 SS = D Bldg. 01 Electrical Equipment - Power and Extens

K0920 Electrical Equipment - Power and Extension Power strips in a patient care vicinity are only used for components of movable patient-care-related electrical equipment (PCREE) assemblies that have been assembled by qualified personnel and meet the conditions of 10.2.3.6. Power strips in the patient care vicinity may not be used for non-PCREE (e.g., personal electronics), except in long-term care resident rooms that do not use PCREE. Power strips for PCREE meet UL 1363A or UL 60601-1. Power strips for non-PCREE in the patient care rooms (outside of vicinity) meet UL 1363. In non-patient care rooms, power strips meet other UL standards. All power strips are used with general precautions. Extension are not used as a substitute for fixed wiring of a 106047 LIFE CARE CENTER AT INVERRARY 4300 ROCK ISLAND ROAD , LAUDERHILL, Florida, 33319 PREFIX TAG ID PREFIX TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) COMPLETION DATE

K0920 SS = D Bldg. 01 Continued from page 1 structure. Extension used temporarily are removed immediately upon completion of the purpose for which it was installed and meets the conditions of 10.2.4. 10.2.3.6 (NFPA 99), 10.2.4 (NFPA 99), 400-8 (NFPA 70), 590.3(D) (NFPA 70). This STANDARD is NOT MET as evidenced by: Based on observation and staff interview, the facility failed to maintain their electrical system in accordance with NFPA 101. The findings included: On between 12:30 PM and 2:30 PM during facility tour with the Director of Maintenance Director, the electrical water cooler inside the break room located on the first floor was not plugged into a ground fault circuit interrupter (GFCI). An interview was conducted with the Administrator and Director of Maintenance, concurrent with the observations and they acknowledged the findings. The findings were reviewed with the Administrator and Director of Maintenance at the exit on 2:45 PM. NFPA 101 (2012 Edition) 19.5.1.1, 9.1.2 NFPA 70 (2011 Edition) 422.52 LIFE CARE CENTER AT INVERRARY 4300 ROCK ISLAND ROAD , LAUDERHILL, Florida, 33319 PREFIX TAG ID PREFIX TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) DATE

E0000 Initial Comments

E0000 During the Fire & Life Safety recertification survey conducted on Inverrary, a nursing home, at Life Care Center at Inverrary, Emergency Preparedness was reviewed. Life Care Center at Inverrary is in compliance with Emergency Preparedness per Code of Federal Regulations (CFR) 42, Part 483.73, Requirement for Long Term Care Facilities.