Inspection visit

InspectionApril 30, 2026

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

105336 PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE , LAUDERDALE LAKES, Florida, 33319 |-------------------|------------------------------------------------------------------------------------------------------------|--------------|-------------------------------------------------------------------------------------------------------------|---------------------| | F0000 | INITIAL COMMENTS | F0000 | | | | | An unannounced Recertification and Complaint | | | | | | survey, complaint numbers 2026006727, 2026007112, | | | | | | and 2026006731, was conducted on | | | | | | through | | | | | | at Palms Care Center and Rehab. | | | | | | The facility is not in compliance with 42 CFR Part | | | | | | 483, Requirements for Long Term Care Facilities. | | | | | F0677 | ADL Care Provided for Dependent Residents | F0677 | | | | SS = D | | | | | | | CFR(s): 483.24(a)(2) | | | | | | $483.24(a)(2) A resident who is unable to carry out | | | | | | activities of daily living receives the necessary | | | | | | services to maintain good nutrition, grooming, and | | | | | | personal and oral hygiene; | | | | | | This REQUIREMENT IS NOT MET as evidenced by: | | | | | | Based on observation, record review, and interview, | | | | | | the facility failed to provide grooming services for 1 | | | | | | of 21 sampled residents. Resident #42, observed | | | | | | during the screening process. | | | | | | The findings included: | | | | | | Record review revealed Resident #42 was admitted | | | | | | to the facility on | | | | | | included Major | | | | | | , with diagnoses that | | | | | | , Generalized | | | | | | Right | | | | | | , Category 5. | | | | | | and | | | | | | Left | | | | | | Category 5. A quarterly | | | | | | assessment dated | | | | | | revealed that Resident | | | | | | of 15 | | | | | | #42 had a | | | | | | indicating he was | | | | | | . His care plan | | | | | | dated | | | | | | documented that he had a self-care | | | | | | with grooming. The goal was for Resident #42 | | | | | | to have a clean, neat appearance daily. One of the | | | | | | interventions listed was for staff to provide | | | | | | -on | | | | | | assistance with grooming. | | | | | | An observation on | | | | | | at approximately 1:30 | | | | | | PM revealed Resident #42 looked unkempt, and his | | | | | | beard extended approximately | | | | | | inches below his | | | | | | An interview on | | | | | | at approximately 1:40 PM | | | | PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE, LAUDERDALE LAKES, Florida, 33319 |-------------------|-------------------------------------------------------------------------------------------------------------------|--------------|---------------------------------------------------------------------------------------------------------------|---------------------| | F0677 SS = D | Continued from page 1 with Resident #42 revealed he always kept his groomed in the past. When asked if he liked the current length of his beard, Resident #42 said he preferred his beard trimmed around his and upside. When asked why it was so long, the resident said they don't have trimmers on their cart anymore. One of the (unnamed) nurses or CNAs (Certified Nursing Assistant) said he had to go to the shop if he wanted his beard shaved. Resident #42 said that it would have cost about $30 dollars, and he couldn't afford to pay the salon for that service. During another interview on AM, Resident #42 said he had requested to be shaved approximately 6 – 8 months ago and he was told that the electric trimmers were missing. Since then, Resident #42 said he asked about 3 – 4 more times to be shaved. He said he was told there were no trimmers and more than one staff member told him he had to go to the salon if he wanted that service. An interview on at 8:55 AM with Staff B, Licensed Practical Nurse (LPN), revealed that grooming was one of the duties that the CNAs were responsible for. An interview with Staff C, CNA, was conducted on at 11:20 AM. Staff C agreed that Resident #42's beard looked like it needed to be groomed. Staff C said that she had shaved residents before with an electric shaver. She said the electric shaver with shears used to be kept at the nurse's station. The CNA and the surveyor walked to the nurse's station. The CNA did not find the electric shaver at the nurse's station. | F0677 | | | | F0825 SS = D | Provide/Obtain Specialized Rehab Services CFR(s) 483.65(a)(1)(2) $483.65 Specialized rehabilitative services. $483.65(a) Provision of services. If specialized rehabilitative services such as but not limited to , , , speech-language and rehabilitative services for mental illness and intellectual or services of a lesser intensity as set forth at §483.120(c), are required in the resident's comprehensive plan of care, the facility must. | F0825 | | | 3370 NW 47TH TERRACE , LAUDERDALE LAKES, Florida, 33319 TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) DATE

F0825 Continued from page 2 F0825 $483.65(a)(1) Provide the required services; or $483.65(a)(2) In accordance with §483.70(f), obtain the required services from an outside resource that is a provider of specialized rehabilitative services and is not excluded from participating in any federal or state health care programs pursuant to section 1128 and 1156 of the Act. This REQUIREMENT IS NOT MET as evidenced by: Based on observation, interview and record review, the facility failed to provide timely rehabilitative services for 2 of 8 sampled residents reviewed for Physical and Resident #66. The findings included: 1. Record review revealed Resident #3 was admitted to the facility on . The medical diagnoses included: (total loss of movement to one side of the body) and (partial loss of movement to one side of the body) following a left side that occurs on the left side of the ). Silent (silent ) and . Wasting. Review of the quarterly Minimum Data Set (MDS) assessment dated (documented ) score of 15, on a 0-15 scale, Mental Status (resident) The MDS also documented Resident #3 had to both upper and lower extremities, which required either from the staff or dependence on the staff to perform the activities of daily living such as ..., bathing, toileting and personal hygiene. Review of the quarterly ( i ) Screening dated . indicated Resident #3 would benefit from skilled / services to improve strength, balance and reduce the need for significant care giver assistance. Review of the current care plan dated documented Resident #3 was to wear a right resting for 4 to 6 hours as tolerated, with a goal to prevent further . The interventions were to have the resident participate in range of motion exercises 7 days per week, and to refer to / for therapeutic intervention. 105336 PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE , LAUDERDALE LAKES, Florida, 33319 PREFIX TAG ID PREFIX TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) COMPLETION DATE

F0825 SS = D Continued from page 3

F0825 Review of the physician's orders dated instructed to evaluate and treat Resident #3, provide services 3 times per week for 4 weeks for therapeutic exercises and activities along with self-care training. Another order dated instructed to evaluate and treat the resident 4 times per week for 30 days. Review of the . Evaluation and Plan of Treatment indicated the resident started services on , 35 days after the initial screening on , services started on During an observation on at 9:42 AM, and on at 8:17 AM and on at 8:39 AM, Resident #3 was observed in bed with a right- in place. During an interview with Resident #3 on 9:42 at AM and on at 8:17 AM, the resident was asked if she was doing exercises with the staff for her right . Resident #3 stated on both occasions that she had not been doing any exercises. During an interview and side by side review of the records on at 8:44 AM, the Director of Rehabilitation Services, who is a Physical explained that the usual time frame for a resident to be screened by / , evaluated or started on services is within 1 week. Each visit with the resident is . She confirmed that Resident #3 was screened on , but did not begin services until . The Director of Rehabilitation Services admitted there was a delay in the care of Resident #3 to improve the resident's functioning, to reduce the need for significant assistance. She attributed this to staffing during that period; having to prioritize between residents who required a higher level of , to those less acute, as well as the volume of admissions. She further stated Resident #3 continued to require one person assistance from the time of screening to the start of services. 2. Record review revealed Resident #86 was admitted to the facility on . The medical diagnoses included (permanent tightening of or skin) of right and left Wasting and Atrophy. Review of the quarterly MDS assessment dated , documented PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE, LAUDERDALE LAKES, Florida, 33319 PREFIX TAG

F0825 Continued from page 4 SS = D Resident #86 with a score of 0, indicating the resident had severe . The MDS also documented the resident required from the staff or was dependent on the staff for transferring and performing activities of daily living (ADLs). Review of the quarterly , ( ) screening dated , indicated the resident would benefit from skilled services to improve activities of daily living (ADLs) through increased strengthening. Review of the current care plan dated documented Resident #86 had a self-care with a goal to improve the resident's functioning through staff interventions. The interventions included the resident to have 1-or-2-person assistance for meals, baths and bed mobility, and / services as required. Review of the physician's orders dated instructed for to evaluate and treat Resident #86, provide services 4 times per week for 30 days for therapeutic exercises and activities along with self-care training. Review of the Plan of Treatment indicated the resident started services , 25 days after the initial screening on . During an interview and side-by-side review of the record on at 10:38 AM, the Director of Rehabilitation Services was asked about the lack of intervention between the time of the resident's screening and the start of services. She admitted that the services for Resident #86 which were required to strengthen the resident and improve the ADLs, were also delayed. F0825

F0880 Prevention & Control F0880 SS = D CFR(s). 483.80(a)(1)(2)(4)(e)(f) $483.80 Control The facility must establish and maintain an prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable and $483.80(a) prevention and control program. 105336 3370 NW 47TH TERRACE, LAUDERDALE LAKES, Florida, 33319 TAG CROSS-REFERENCED TO THE COMPLETION DATE

F0880 Continued from page 5 SS = D The facility must establish an prevention and control program (IPCP) that must include, at a minimum, the following elements: $483.80(a)(1) A system for preventing, identifying, reporting, investigating, and controlling and communicable for all residents, staff, volunteers, visitors, and other individuals providing services under a contractual arrangement based upon the facility assessment conducted according to §483.71 and following accepted national standards; $483.80(a)(2) Written standards, policies, and procedures for the program, which must include, but are not limited to: (i) A system of surveillance designed to identify possible communicable or before they can spread to other persons in the facility. (ii) When and to whom possible incidents of communicable or should be reported; (iii) Standard and transmission-based precautions to be followed to prevent spread of ; ( )When and how isolation should be used for a resident, including but not limited to: (A) The type and duration of the isolation, depending upon the agent or organism involved, and (B) A requirement that the isolation should be the least restrictive possible for the resident under the circumstances. (v) The circumstances under which the facility must prohibit employees with a communicable or skin residents or their food, if direct contact will transmit the ; and (vi)The staff involved in direct resident contact. $483.80(a)(4) A system for recording incidents identified under the facility's IPCP and the corrective actions taken by the facility.

F0880 105336 PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE, LAUDERDALE LAKES, Florida, 33319 PREFIX TAG ID PREFIX TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) COMPLETION DATE

F0880 SS = D Continued from page 6 $483.80(e) Linens. Personnel must handle, store, process, and transport linens so as to prevent the spread of $483.80(f) Annual review. The facility will conduct an annual review of its IPCP and update their program, as necessary. This REQUIREMENT is NOT MET as evidenced by: Based on observations, record reviews, and interview, the facility failed to use appropriate control practices with equipment for 2 of 3 sampled residents, Resident #32 and Resident #65, reviewed for 15 residents who had physician's orders for treatments. The findings included: Record review of the facility's policy on Administering Medications through a Small (Handheld) rinse and the equipment, and to allow the equipment to dry on a paper towel. When the equipment was completely dry, it was to be stored in a plastic bag with the resident's name and the date on it. Record review revealed Resident #32 was admitted to the facility on . His diagnoses included, (Unspecified, ), and Acute and Review of an assessment dated that Resident #32 had a ( ) of 15, which indicated that she was a . A review of the medical administration record dated showed that she received Solution via at 6:00 AM. Her care plan documented she had the potential for complications of and distress related to her history of An observation on at approximately 10:00 AM revealed Resident #32's 3-drawer dresser next to her bed. The mask on the mask rested directly on the top surface of the dresser. Small light-colored crumb-like debris was 105336 PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE, LAUDERDALE LAKES, Florida, 33319 PREFIX TAG ID PREFIX TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) COMPLETION DATE

F0880 SS = D Continued from page 7 on the top surface of the dresser next to the mask. The mask was not on top of a paper towel, and it was not in a plastic bag. Photographic Evidence Obtained. Record review revealed Resident #65 was admitted to the facility on . His diagnoses included with Acute Exacerbation, and Unspecified. An assessment dated revealed that Resident #65 had a ( ) of 15, which indicated he was . His care plan last revised documented he had the potential for complications of , distress related to his medical history that included . Failure. , and the use of . The medication administration record documented that Resident #65 was administered . Resident Inhalatered Solution via . twice on and three times on . An observation on PM, revealed Resident #65’s mask on the top surface of the 3-drawer dresser next to his bed. The mask was not on top of a paper towel. It was not covered inside a plastic bag. Photographic Evidence Obtained An observation on at approximately 3:00 Resident #65’s mask was on top of the dresser. It was not on top of a paper towel. The mask was not covered inside a plastic bag. Photographic Evidence Obtained An observation on at 4:50 PM revealed Resident #65’s mask was on top of the dresser. It was not on top of a paper towel. The mask was not covered inside a plastic bag. Photographic Evidence Obtained An observation on at 3:04 PM revealed Resident #65’s mask was on top of the dresser. It was not on top of a paper towel. The mask was not covered inside a plastic bag. Photographic Evidence Obtained An interview was conducted with Staff A, (RN Supervisor), on at 5:19 PM. Together, Staff A and the surveyor went to rooms of Resident #32 and Resident #65. Staff A agreed that the masks of Resident #32 and Resident #65 were directly on top of the surface of the dressers in each of the resident’s rooms. Staff A explained that the facility’s policy was to keep the mask in a zip lock bag with the resident’s PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE, LAUDERDALE LAKES, Florida, 33319 PREFIX TAG ID PREFIX TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) COMPLETION DATE

F0880 SS = D Continued from page 8 name, room number, and date. She said she had no idea why they weren't stored properly. When asked what the possible consequences were from leaving the top of the dresser uncovered, Staff A said it could increase the resident's risk of

F0880 An interview with the DON on masks at 3:30 PM clarified that the masks were supposed to be cleaned after each use.

F0552 SS = B Right to be Informed/Make Treatment Decisions CFR(s): 483.10(c)(1)(4)(5) $483.10(c) Planning and Implementing Care. The resident has the right to be informed of, and participate in, his or her treatment, including: $483.10(c)(1) The right to be fully informed in language that he or she can understand of his or her total health status, including but not limited to, his or her medical condition. $483.10(c)(4) The right to be informed, in advance, of the care to be furnished and the type of care giver or professional that will furnish care. $483.10(c)(5) The right to be informed in advance, by the physician or other practitioner or professional, of the risks and benefits of proposed care, of treatment and treatment alternatives or treatment options and to choose the alternative or option he or she prefers. This REQUIREMENT IS NOT MET as evidenced by: Based on observation, interview and record review, the facility failed to obtain informed consents for use of, medications for 1 of 5 sampled residents reviewed for unnecessary medications and 2 of 2 sampled residents reviewed for accidents, Residents #41, #42 and #95. The findings included: The facility's policy titled, Informed Consent for Drugs, undated, revealed a drug is "any drug that affects activities associated with mental processes and behavior, including but not limited to (e.g. , , , ).

F0552 105336 PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE, LAUDERDALE LAKES, Florida, 33319 PREFIX TAG ID PREFIX TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) COMPLETION DATE

F0552 SS = B Continued from page 9 stabilizers, agents, relaxers, modulators, and over-the-counter NMDA natural/herbal products". Informed consent is "disclosure of material information (reasons for use, benefits, risks, including black box warnings, alternatives including non-pharmacological approaches) to the resident or their representative/surrogate allowing them to accept, refuse, or revoke consent. Consent must be obtained prior to initiation or increase." 1. Record review revealed Resident #95 was admitted to the facility on 's with diagnoses that included and Open-Angle . . . . Severe Stage. Her . . . . ) score was 12 on the quarterly Minimum Data Set (MDS) dated . This indicated the resident had moderate . A review of the resident's medications revealed a physician's order for Oral Tablet 50 MG (milligrams) give 1 tablet by She also was prescribed at bedtime for Oral Tablet Delayed Release 125 MG ( ) give 1 tablet by two times a day for stabilizer. A review of the Informed Consent for Use of Medication revealed the medication is listed and signed by the resident on as consenting to being given that medication. There was no consent for at 1:00 PM, the Director of Nursing (DON) was asked about the consent for and she stated there was no consent for medication. It was discussed with because it is an medication. It was discussed with the DON that it is being used as a stabilizer, and therefore, it should have an informed consent. 2. Record review revealed Resident #41 was admitted to the facility on with diagnoses of and Collapse, Type 2 . Her . . . . . score was 6 on the quarterly MDS dated indicating she was severely review of the resident's medication revealed a physician's order for MG give 1 tablet by 2 times a day for Major Oral Tablet 50 There was an additional order for Oral Tablet 100 MG give1 tablet by at bedtime for Major There was also a physician's order for Tablet Delayed Release 125 MG 1 tablet 105336 PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE, LAUDERDALE LAKES, Florida, 33319 PREFIX TAG ID PREFIX TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) COMPLETION DATE

F0552 SS = B Continued from page 10 three times a day for

F0552 A review of the Informed Consent for Use of Medication revealed the medication is listed and signed by the resident on as consenting to being given that medication. There was no consent for at 1:00 PM, the Director of Nursing (DON) was asked about the consent for stated there was no consent for , and (she) because it is an medication. It was discussed with the DON that it is being used as a stabilizer, and therefore, it should have an informed consent. The DON agreed that there should be a consent for stabilizer. because it is being used as a 3.Record review revealed Resident #42 was admitted to the facility on included Major with diagnoses that and Right and Left . Review of the quarterly assessment dated revealed Resident #42 had a ( ) score of 15 which indicated he was dated stated he had a potential for adverse side effects related to the use of an for . He had a physician's order dated 50 milligrams daily, with instructions to give 1 tablet by at bedtime for Record review revealed an Informed Consent for Medication dated that was verbally signed in person by Resident #42. The box that had a checkmark documented Resident #42 consented to the use of the form said that he understood once the target behavior system was controlled, the dose would be gradually reduced to the lowest possible dosage and frequency or discontinued unless contraindicated by the physician. Photographic Evidence Obtained. Record review revealed Resident #42 had a physician's order for oral tablet 150 milligrams dated . The instructions said to give 0.5 tablet by at bedtime related to Major ordered per day was 75 milligrams. A Encounter dated noted "during last visit, patient was stable." The date of service for the prior visit was . On Resident #42 had an order for 75 milligrams of per day. A physician's order for 100 milligrams oral tablets dated 105336 PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE , LAUDERDALE LAKES, Florida, 33319 PREFIX TAG ID PREFIX TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) COMPLETION DATE

F0552 SS = B Continued from page 11 was active at the time of the survey. The instructions to give 1 tablet by bedtime for Major . The total number of milligrams per day was 100mgs. An interview was conducted with the DON on at 5:15 PM. When asked if she had documentation of a more recent Informed Consent for that was dated after the increase in the strength of for Resident #42, the DON said no. The DON said that she didn't think it was required to have a consent formed signed after an increase in the dosage of a, .

F0552

F0583 SS = B Personal Privacy/Confidentiality of Records CFR(s): 483.10(h)(1)-(3)(i) $483.10(h) Privacy and Confidentiality. The resident has a right to personal privacy and confidentiality of his or her personal and medical records. $483.10(h)(i) Personal privacy includes accommodations, medical treatment, written and telephone communications, personal care, visits, and meetings of family and resident groups, but this does not require the facility to provide a private room for each resident. $483.10(h)(2) The facility must respect the residents right to personal privacy, including the right to privacy in his or her oral (that is, spoken), written, and electronic communications, including the right to send and promptly receive unopened mail and other letters, packages and other materials delivered to the facility for the resident, including those delivered through a means other than a postal service. $483.10(h)(3) The resident has a right to secure and confidential personal and medical records. (i) The resident has the right to refuse the release of personal and medical records except as provided at $483.70(h)(2) or other applicable federal or state laws. (ii) The facility must allow representatives of the Office of the State Long-Term Care Ombudsman to examine a resident's medical, social, and administrative records in accordance with State law.

F0583 3370 NW 47TH TERRACE, LAUDERDALE LAKES, Florida, 33319 CROSS-REFERENCED TO THE DATE

F0583 Continued from page 12 F0583 SS = B This REQUIREMENT is NOT MET as evidenced by: Based on observation, interview and record review, the facility failed to protect private medical records for 1 of 1 sampled resident reviewed for privacy, Resident #36. The findings included: Record review revealed Resident #36 was admitted to the facility on with diagnoses of and Affecting Left Dominant Side, and Type. Her was 6 on the quarterly Minimum Data Set (MDS) assessment dated indicating she was severely . On at 2:00 PM, a family member of the resident was interviewed. She stated she was given the wrong envelope when she took her mother to the doctor. She spoke with the Administrator and put in a grievance with the facility. Review of grievance dated revealed and reported resident returned from an the incorrect enveloped was given to the patient. The review of the Action taken documented the new ward clerk was in serviced in HIPPA (Health Insurance Portability and Accountability Act). An interview was conducted with Staff D, Unit Secretary, on at 10:58 AM with Staff D. Unit 4th day here. Staff D stated they do the envelopes 1 week in advance, the name of the patient and the doctor's address is taped on the outside of the business envelope; and the inside of the envelope is the progress notes, sheet, physician orders, medication list and consult report that the physician would write on. Staff D stated she gave the correct name on the outside of the envelope but inside was another resident's information. She was the only resident who went to the doctor that day so there was no other resident involved. The resident whose information was inside of the envelope was [blanks] cancelled. She stated that since this occurred, she has a new way of doing this. She puts the name of the patient on the outside of the envelope and inside of the envelope she puts the progress notes, [blanks] sheet, physician orders, medication list and consult report that the physician would write on. Staff D stated she would open the envelope in front of the resident or [blanks]. 105336 PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE, LAUDERDALE LAKES, Florida, 33319 PREFIX TAG ID PREFIX TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) COMPLETION DATE

F0583 SS = B Continued from page 13 family member to assure that the resident is receiving the correct information. All of the residents or representatives go to her to pick up the envelopes.

F0583 3370 NW 47TH TERRACE, LAUDERDALE LAKES, Florida, 33319 CROSS-REFERENCED TO THE PREFIX TAG COMPLETION DATE

N0000 INITIAL COMMENTS N0000 An unannounced Relicensure and Complaint survey, complaint numbers 2026006727, 2026007112, and 2026006731, was conducted on through at Palms Care Center and Rehab. The facility had deficiencies at the time of the survey. Complaint number 2026007112 was substantiated under Resident Rights and cited at F583.

N0201 Right to Adequate and Appropriate Health Care N0201 SS = D CFR(s): 400.022(1)(I), FS (I) The right to receive adequate and appropriate health care and protective and support services, including social services; mental health services, if available; planned recreational activities; and therapeutic and rehabilitative services consistent with the resident care plan, with established and recognized practice standards within the community, and with rules as adopted by the agency. This LICENSURE REQUIREMENT is NOT MET as evidenced by: Based on observation, interview and record review, the facility failed to provide timely rehabilitative services for 2 of 8 sampled residents reviewed for Physical and Resident #86; and failed to provide grooming services for 1 of 21 sampled residents, Resident #42. The findings included: 1. Record review revealed Resident #3 was admitted to the facility on . The medical diagnoses included: (total loss of movement to one side of the body) and (partial loss of movement to one side of the body) following a left side that occurs on the left side of the ). Silent (silent ) and . Wasting. Review of the quarterly Minimum Data Set (MDS) assessment dated documented a Brief Interview of Mental Status ( ) score of 15, on a 0-15 scale, indicating the resident was . The MDS also documented Resident #3 had to both upper and lower extremities, which required Office of Primary Care and Health Systems Management PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE , LAUDERDALE LAKES, Florida, 33319 Continued from page 1 from the staff or either dependence on the staff to perform the activities of daily living such as , bathing, toileting and personal hygiene. Review of the quarterly , ( i ) Screening dated / indicated Resident #3 would benefit from skilled services to improve strength, balance and reduce the need for significant care giver assistance. Review of the current care plan dated documented Resident #3 was to wear a right resting for 4 to 6 hours as tolerated, with a goal to prevent further . The interventions were to have the resident participate in range of motion exercises 7 days per week, and to refer to / for therapeutic intervention. Review of the physician's orders dated instructed to evaluate and treat Resident #3, provide services 4 times per week for 4 weeks for therapeutic exercises and activities along with self-care training. Another order dated instructed to evaluate and treat the resident 4 times per week for 30 days. Review of the Plan of Treatment indicated the resident started services on screening on ,.35 days after the initial services started on . During an observation on at 8:17 AM and on at 9:42 AM, at 8:39 AM, Resident #3 was observed in bed with a right- in place. During an interview with Resident #3 on 9:42 AM and on at 8:17 AM, the resident was asked if she was doing exercises with the staff for her right . Resident #3 stated on both occasions that she had not been doing any exercises. During an interview and side by side review of the records on at 8:44 AM, the Director of Rehabilitation Services, is a Physical examined that the usual time frame for a Physical to be screened by , evaluated and started on services is within 1 week. Each visit with the resident is documented. She confirmed that Resident #3 was screened on but did not begin services until . The Director of PREFIX CROSS-REFERENCED TO THE COMPLETION DATE

N0201 SS = D N0201 1098096 04/30/2026 PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE, LAUDERDALE LAKES, Florida, 33319 PREFIX TAG ID PREFIX TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) COMPLETION DATE

N0201 SS = D Continued from page 2 Rehabilitation Services admitted there was a delay in the care of Resident #3 to improve the resident’s functioning; to reduce the need for significant assistance. She attributed this to staffing during that period; having to prioritize between residents who required a higher level of , to those less acute, as well as the volume of admissions. She further stated Resident #3 continued to require one person assistance from the time of screening to the start of services. 2. Record review revealed Resident #86 was admitted to the facility on diagnoses included (permanent tightening of or skin) of right and left Wasting and Atrophy. Review of the quarterly MDS Assessment dated , documented score of 0, indicated the resident had severe also documented the resident required from the staff or was dependent on the staff for transferring and performing activities of daily living (ADLs). Review of the quarterly , ( ) screening dated , indicated the resident would benefit from skilled services to improve activities of daily living (ADLs) through increased strengthening. Review of the current care plan dated documented Resident #86 had a self-care wound care to improve the resident’s functioning through staff interventions. The interventions included the resident to have 1-or-2-person assistance for meals, baths and bed mobility, and / services as required. Review of the physician’s orders dated instructed for to evaluate and treat Resident #86, provide services 4 times per week for 30 days for therapeutic exercises and activities along with self-care training. Review of the Plan of Treatment indicated the resident started services on , 25 days after the initial screening on During an interview and side-by-side review of the record on at 10:38 AM, the Director of Rehabilitation Services was asked again about the lack of intervention between the time of the resident’s screening and the start of services. She

N0201 STATE FORM PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE, LAUDERDALE LAKES, Florida, 33319

N0201 SS = D Continued from page 3 services for Resident #86 which were required to strengthen the resident and improve the ADLs, were also delayed. N0201 3. Record review revealed Resident #42 was admitted to the facility on , with diagnoses that included Major Generalized Category 5, and Left Right quarterly assessment dated Resident #42 had a of 15 indicating he was . His care plan dated documented that he had a self-care with grooming. The goal was for Resident #42 to have a clean, neat appearance daily. One of the interventions listed was for staff to provide -on assistance with grooming. An observation on PM revealed Resident #42 looked unkempt, and his beard extended approximately inches below his An interview on at approximately 1:30 with Resident #42 revealed he always kept his groomed in the past. When asked if he liked the current length of his beard, Resident #42 said he preferred his beard trimmed around his . When asked why it was so long, the resident said they don't have trimmers on their cart anymore. One of the (unnamed) nurses or CNAs (Certified Nursing Assistant) said he had to go to the shop if he wanted his beard shaved. Resident #42 said that it would cost 980 dollars, and he couldn't afford to pay the salon for that service. During another interview on at 11:05 AM, Resident #42 said he had requested to be shaved approximately 6 - 8 months ago and he was told that the electric trimmers were missing. Since then, Resident #42 said he asked staff about 3 - 4 more times to be shaved. He said that he was told there were no trimmers and more than one staff member told him that he had to go to the salon if he wanted that service. An interview on at 8:55 AM with Staff B, Licensed Practical Nurse (LPN), revealed that grooming was one of the duties that the CNAs were responsible for. An interview with Staff C, CNA, was conducted on at 11:20 AM. Staff C agreed that Resident #42's beard looked like it needed to be groomed. Staff C said that she had shaved residents before with an electric shaver. She said the electric shaver 1098096 04/30/2026 PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE , LAUDERDALE LAKES, Florida, 33319 PREFIX TAG ID PREFIX TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) COMPLETION DATE

N0201 SS = D Continued from page 4 with shears used to be kept at the nurse's station. The CNA and the surveyor walked to the nurse's station. The CNA did not find the electric shaver at the nurse's station. An interview with the Directo Of Nursing (DON) on at 11:05 AM revealed that she kept electric shavers in her office. Class III

N0201

N0199 SS = B Right to be Informed of Medical Condition CFR(s): 400.022(1)(j), FS (j) The right to be adequately informed of his or her medical condition and proposed treatment, unless the resident is determined to be unable to provide informed consent under Florida law, or the right to be fully informed in advance of any nonemergency changes in care or treatment that may affect the resident's well-being; and, except with respect to a resident adjudged... participate in the planning of all medical treatment, including the right to refuse medication and treatment, unless otherwise indicated by the resident's physician; and to know the consequences of such actions. This LICENSURE REQUIREMENT is NOT MET as evidenced by: Based on observation, interview and record review, the facility failed to obtain informed consents for use of medications for 1 of 5 sampled residents reviewed for unnecessary medications and 2 of 2 sampled residents reviewed for accidents, Residents #41, #42 and #95. The findings included: The facility's policy titled, Informed Consent for Drugs, undated, revealed a drug is "any drug that affects activities associated with mental processes and behavior, including but not limited to (e.g., . . . , . . . , . . . ), stabilizers, agents, relaxers, modulators, and over - the - counter natural/herbal products". Informed consent is "disclosure of material information (reasons for use, benefits, risks, including black box warnings,"

N0199 STATE FORM 1098096 04/30/2026 PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE, LAUDERDALE LAKES, Florida, 33319 PREFIX TAG ID PREFIX TAG CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY) COMPLETION DATE NO199 SS = B Continued from page 5 alternatives including non-pharmacological approaches) to the resident or their representative/surrogate allowing them to accept, refuse, or revoke consent. Consent must be obtained prior to initiation or increase." 1. Record review revealed Resident #95 was admitted to the facility on with diagnoses that included , and Open-Angle , , Severe Stage. Her score was 12 on the quarterly Minimum Data Set (MDS) dated . This indicated the resident had moderate . A review of the resident's medications revealed a physician's order for give 1 tablet by Oral Tablet 50 MG (milligrams) at bedtime for Oral Tablet She also was prescribed Delayed Release 125 MG ( . I give 1 tablet by two times a day for stabilizer. A review of the Informed Consent for Use of Medication revealed the medication is listed and signed by the resident on as consenting to being given that medication. There was no consent for . On at 1:00 PM, the Director of Nursing (DON) was asked about the consent for , and she stated there was no consent for because it is an medication. It was discussed with the DON that it is being used as a stabilizer, and therefore, it should have an informed consent. 2. Record review revealed Resident #41 was admitted to the facility on with diagnoses of and Collapse, Type 2 , and . Her score was 6 on the quarterly MDS dated indicating she was severely . A review of the resident's medication revealed a physician's order for MG give 1 tablet by 2 times a day for Major Oral Tablet 50 . There was an additional order for Oral Tablet 100 MG give1 tablet by at bedtime for Major There was also a physician's order for Tablet Delayed Release 125 MG 1 tablet three times a day for A review of the Informed Consent for Use of Medication revealed the medication is listed and signed by the resident on as consenting to being given that medication. STATE FORM 1098096 04/30/2026 PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE, LAUDERDALE LAKES, Florida, 33319 |-------------------|-------------------------------------------------------------------------------------------------------------|--------------|-------------------------------------------------------------------------------------------------------------|---------------------| | NO199 SS = B | Continued from page 6. There was no consent for medication. On at 1:00 PM, the Director of Nursing (DON) was asked for the consent for , and she stated there was no consent for , because it is an medication. It was discussed with the DON that it is being used as a stabilizer, and therefore, it should have an informed consent. The DON agreed that there should be a consent for because it is being used as a stabilizer. 3. Record review revealed Resident #42 was admitted to the facility on diagnoses that included Major with , and . Review of the quarterly assessment dated revealed Resident #42 had a score of 15 which indicated he was . Review of the care plan dated stated he had a potential for adverse side effects related to the use of an for . He had a physician's order dated for 50 milligrams daily, with instructions to give 1 tablet by at bedtime for . Record review revealed an Informed Consent for Medication dated , that was verbally signed in person by Resident #42. The box that had a checkmark documented the Resident #42 consented to the use of the . The consent for the medication was unmarked once the resident behavior system was controlled, the dose would be gradually reduced to the lowest possible dosage and frequency or discontinued unless contraindicated by the physician. Photographic Evidence Obtained. | NO199 | | | | NO202 SS = B | Right to Privacy CFR(s): 400.022(1)(m), FS (m) The right to have privacy in treatment and in caring for personal needs; to close room doors and to have facility personnel knock before entering the room, except in the case of an emergency or unless medically contraindicated; and to security in storing and using personal possessions. Privacy of the resident's body shall be maintained during, but not limited to, toileting, bathing, and other activities of personal hygiene, except as needed for resident | NO202 | | | STATE FORM PALMS CARE CENTER AND REHAB 3370 NW 47TH TERRACE , LAUDERDALE LAKES, Florida, 33319 --- | --- | --- | --- | ---

N0202 SS = B | Continued from page 7 Residents' personal and safety or assistance. Residents' personal and medical records shall be confidential and exempt from the provisions of s. 119.07(1). This LICENSURE REQUIREMENT is NOT MET as evidenced by: Based on observation, interview and record review, the facility failed to protect private medical records for 1 of 1 sampled resident reviewed for privacy, Resident #36. The findings included: Record review revealed Resident #36 was admitted to the facility on with diagnoses of following and Affecting Left Dominant Side, and Type. Her was 6 on the quarterly Minimum Data Set (MDS) assessment dated indicating she was severely. On at 2:00 PM, a family member of the resident was interviewed. She stated she was given the wrong envelope when she took her mother to the doctor. She spoke to the Administrator and put in a grievance with the facility. Review of grievance dated revealed the resident returned from an and reported that the incorrect enveloped was given to the patient. A review was taken documented the new ward clerk was in serviced on HIPPA (Health Insurance Portability and Accountability Act). An interview was conducted with Staff D, Unit Secretary, on at 10:58 AM who stated this is her 4th day here. Staff D stated they do the envelopes 1 week in advance; the name of the patient and the doctor's address is taped on the outside of the business envelope; and the inside of the envelope is the progress notes, sheet, physician orders, medication list and consult report that the physician would write on. Staff D stated she gave the resident's daughter the envelope that had the correct name on the outside of the envelope but inside was another resident's information. She was the only resident who went to the door that day so they had no other resident involved. The resident involved whose information was inside of the envelope had cancelled. She stated that since this had occurred, she has a new way of doing this. She puts the name of the patient and the doctor's information on the outside of the envelope and inside of the his . . . | N0202 | | 1098096 04/30/2026 3370 NW 47TH TERRACE , LAUDERDALE LAKES, Florida, 33319 PREFIX PREFIX CROSS-REFERENCED TO THE COMPLETION DATE

N0202 SS = B Continued from page 8 envelope she puts the progress notes, sheet, physician orders, medication list and consult report that the physician would write on. Staff D stated she would open the envelope in front of the resident or family member to assure that the resident is receiving the correct information. All of the residents or representatives go to her to pick up the envelopes. Class N0202

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Citations

No citations recorded on this visit

The surveyor cited no deficiencies during this survey.

FAQ · About this visit

Common questions about this visit

What happened during the April 30, 2026 survey of PALMS CARE CENTER AND REHAB?

This was a inspection survey of PALMS CARE CENTER AND REHAB on April 30, 2026. The surveyor cited no deficiencies.

Were any deficiencies cited at PALMS CARE CENTER AND REHAB on April 30, 2026?

No deficiencies were cited during this survey.

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

SourceView on CMS Care Compare

Next steps

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Data from CMS Care Compare public records. Dataset last refreshed August 3, 2026. If you believe any information is inaccurate, report it here.

Inspection·April 30, 2026