Inspection·January 2, 2025

DEPARTMENT OF HEALTH AND HUMAN SERVICES PRINTED: 01/16/2025 CENTERS FOR MEDICARE & MEDICAID SERVICES FORM APPROVED OMB NO. 0938-0391 STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION IDENTIFICATION NUMBER: A. BUILDING (X3) DATE SURVEY COMPLETED 106067 B. WING R 01/02/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE NURSING CENTER AT LA POSADA, THE 3600 MASTERPIECE WAY PALM BEACH GARDENS, FL 33410 (X4) ID SUMMARY STATEMENT OF DEFICIENCIES ID (X5) PREFIX TAG (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX TAG PROVIDER'S PLAN OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE COMPLETION REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE DEFICIENCY) (F 000) INITIAL COMMENTS (F 000) An unannounced revisit to the Recertification survey was conducted on 01/02/25 at The Nursing Center at La Posada. The facility is in compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE Electronically Signed 01/15/2025 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 of survey these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. FORM CMS-2567(02-99) Previous Versions Obsolete Event ID:EV1E12 Facility ID: 35961005 If continuation sheet Page 1 of 1 PRINTED: 01/16/2025 FORM APPROVED Agency for Health Care Administration STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 35961005 (X2) MULTIPLE CONSTRUCTION A. BUILDING: ______________ B. WING ______________ (X3) DATE SURVEY COMPLETED R 01/02/2025 NAME OF PROVIDER OR SUPPLIER NURSING CENTER AT LA POSADA, THE STREET ADDRESS, CITY, STATE, ZIP CODE 3600 MASTERPIECE WAY PALM BEACH GARDENS, FL 33410 (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) COMPLETE DATE {N 000} INITIAL COMMENTS An unannounced revisit to the Relicensure survey was conducted on 01/02/25 at The Nursing Center at La Posada. The previously cited deficiencies were found corrected at the time of the survey. {N 000} AHCA Form 3020-0001 LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE Electronically Signed TITLE (X6) DATE 01/15/25 STATE FORM 6899 EV1E12 If continuation sheet 1 of 1