TERRACE OF DELRAY BEACH NURSING AND REHABILITATION Nursing Home


TERRACE OF DELRAY BEACH NURSING AND REHABILITATION (CCN: 105475) is a For profit - Corporation facility located in DELRAY BEACH, FL (33484). The facility has an overall rating of 2/5, health inspection rating of 2/5, and a staffing rating of 4/5. It offers 120 certified beds and maintains an average of 96.4 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.74766 total hours per resident per day. It has been certified since September 6, 1984 and the last listed health inspection was on June 28, 2023, The facility is located in Palm Beach county and provides senior and nursing home care.

TERRACE OF DELRAY BEACH NURSING AND REHABILITATION Summary


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Provider Name: TERRACE OF DELRAY BEACH NURSING AND REHABILITATION

Address: 5430 LINTON BLVD, DELRAY BEACH, FL 33484

Phone: (561) 495-3188

County: Palm Beach (490)

Ownership Type: For profit - Corporation

Certified Beds: 120

Average Residents Per Day: 96.4 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: TERRACE OF DELRAY BEACH LLC

First Approved Date: September 6, 1984

Affiliated Entity: ELEVATE CARE (197)

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Both

Sprinkler System Status: Yes

Overall Rating: 2 ()

Health Inspection Rating: 2 ()

QM Rating: 4 ()

Long Stay QM Rating: 4 ()

Short Stay QM Rating: 4 ()

Staffing Rating: 4 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.21982, LPN Staff Hours Per Day: 0.5643, RN Staff Hours Per Day: 0.9635, Licensed Staff Hours Per Day: 1.5278

Total Nurse Staff Hours Per Day, per resident: 3.74766

Weekend Nurse Staff Hours: 3.16689, Weekend RN Staff Hours: 0.5454

PT Staff Hours Per Day, per resident: 0.0000

Nurse Staff Turnover: 46.2, Nurse Turnover Note:

RN Turnover: 62.1, RN Turnover Note:

Admin Left Number: 1, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 2.1184, Case Mix LPN Hours Per Day: 0.7006, Case Mix RN Hours Per Day: 0.3309

Adjusted Nurse Aide Hours Per Day, per resident: 2.13479, Adjusted LPN Hours Per Day: 0.5943, Adjusted RN Hours Per Day: 1.0971

Total Adjusted Nurse Hours Per Day, per resident: 3.75011

Adjusted Weekend Nurse Hours Per Day, per resident: 3.16896

Health Survey Dates and Scores: Cycle 1: 2023-06-28 (Score: 24), Cycle 2: 2022-03-10 (Score: 127), Cycle 3: 2021-02-25 (Score: 16)

Total Weighted Health Score: 57.000

Reported Incidents: 0, Substantiated Complaints: 5

Infection Control Citations: 4

Fines and Penalties: Number of Fines: 4, Total Fines in Dollars: 16324.23, Payment Denials Number: 0, Total Penalties Number: 4

Location and GPS: 5430 LINTON BLVD,DELRAY BEACH,FL,33484 (26.4393, -80.129)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-06-28

Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-07-28

Citation on 2023-06-28

Type: Health, Deficiency: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-07-28

Citation on 2023-06-28

Type: Health, Deficiency: Provide safe, appropriate pain management for a resident who requires such services.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-07-28

Citation on 2023-06-28

Type: Health, Deficiency: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-07-28

Citation on 2023-06-28

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-07-28

Citation on 2022-04-15

Type: Health, Deficiency: Ensure staff are vaccinated for COVID-19

Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-05-13

Citation on 2022-09-08

Type: Health, Deficiency: Respond appropriately to all alleged violations.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-10-08

Citation on 2022-05-27

Type: Health, Deficiency: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-07-03

Citation on 2022-05-27

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-07-03

Citation on 2022-05-27

Type: Health, Deficiency: Provide enough food/fluids to maintain a resident's health.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-07-03

Citation on 2022-05-27

Type: Health, Deficiency: Perform COVID19 testing on residents and staff.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-07-03

Citation on 2022-03-10

Type: Health, Deficiency: Keep residents' personal and medical records private and confidential.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-04-10

Citation on 2022-03-10

Type: Health, Deficiency: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-04-10

Citation on 2022-03-10

Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-04-10

Citation on 2022-03-10

Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-04-10

Citation on 2022-03-10

Type: Health, Deficiency: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-04-10

Citation on 2022-03-10

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-04-10

Citation on 2021-02-25

Type: Health, Deficiency: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-03-25

Citation on 2021-02-25

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-03-12


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-07-10

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler systems.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-08-03

Citation on 2021-02-24

Type: Fire Safety, Tag: 0161, Version: New

Description: Use approved construction type or materials.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-03-04

Citation on 2021-02-24

Type: Fire Safety, Tag: 0351, Version: New

Description: Install an approved automatic sprinkler system.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-03-04

Citation on 2021-02-24

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler systems.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-03-25

Citation on 2021-02-24

Type: Fire Safety, Tag: 0917, Version: New

Description: Ensure electrical receptacles or cover plates have distinctive color or marking.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-03-04

Citation on 2021-02-24

Type: Fire Safety, Tag: 0919, Version: New

Description: Meet requirements for the use of electrical equipment.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-03-04