Inspection·November 25, 2025

K0000 11/17/2025 Bldg. 01 An unannounced Fire & Life Safety revisit survey was conducted on 11/25/2025 at Life Care Center at Inverrary, a nursing home in Lauderdale, Florida. This was a follow-up to the Annual Fire & Life Safety survey completed on 08/12/2025. All previously cited Fire & Life Safety deficiencies were corrected. There were no deficiencies found at the time of the revisit. 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 reverse for further 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 Event ID: GUI6-L2 Facility ID: 35960976 If continuation sheet Page 1 of 1 PRINTED: 12/15/2025 FORM APPROVED Florida State Department of Health | STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS | (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 130471022 | (X2) MULTIPLE CONSTRUCTION A. BUILDING 05 - MAIN LIC B. WING | (X3) DATE SURVEY COMPLETED 11/25/2025 | NAME OF PROVIDER OR SUPPLIER LIFE CARE CENTER AT INVERRARY STREET ADDRESS, CITY, STATE, ZIP CODE 4300 ROCK ISLAND ROAD , LAUDERHILL, Florida, 33319 | (X4) ID PREFIX TAG | SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) | ID PREFIX TAG | PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) | (X5) COMPLETION DATE | |---|---|---|---|---| | K0000 Bldg. 05 | INITIAL COMMENTS An unannounced Fire & Life Safety revisit survey was conducted on 11/25/2025 at Life Care Center at Inverrary, a nursing home in Lauderhill, Florida. This was a follow-up to the Annual Fire & Life Safety survey completed on 08/12/2025. All previously cited Fire & Life Safety deficiencies were corrected. There were no deficiencies found at the time of the revisit. | K0000 | | 11/17/2025 | Office of Primary Care and Health Systems Management | LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE | TITLE | (X6) DATE | |---|---|---| STATE FORM Event ID: GUI6-L2 Facility ID: 35960976 If continuation sheet Page 1 of 1