Inspection Reports for
Chatsworth at Pga National
347 HIATT DR, PALM BCH GDNS, FL, 33418-7106
Back to Facility ProfileDeficiencies (last 12 years)
Deficiencies (over 12 years)
2.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% better than Florida average
Florida average: 4.6 deficiencies/year
Deficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 1
Date: Oct 7, 2025
Visit Reason
No deficiencies reported during this inspection.
Findings
No deficiencies reported during this inspection.
Deficiencies (1)
None
Inspection Report
Deficiencies: 0
Date: Oct 7, 2025
Visit Reason
State-compiled facility profile showing 20 inspections from 2012-2025 with deficiency history.
Findings
Across multiple inspections from 2012 to 2025, the facility had periods with no deficiencies, cited deficiencies, and corrected deficiencies, with the most recent inspection showing no deficiencies.
Report Facts
Inspections on page: 20
Inspection Report
Deficiencies: 1
Date: Apr 17, 2025
Visit Reason
The inspection was conducted to evaluate the facility's compliance with nutritional care standards, specifically regarding the maintenance of acceptable nutritional status and timely nutritional interventions for residents.
Findings
The facility failed to maintain acceptable nutritional parameters and did not provide timely nutritional interventions for Resident #23, who experienced significant weight loss. The dietitian missed reviewing the full weight history and did not order appropriate interventions despite the resident's significant weight loss and underweight status.
Deficiencies (1)
F 0692: The facility failed to provide enough food and fluids to maintain Resident #23's health, resulting in a 10.3 percent weight loss over six months without timely nutritional interventions.
Report Facts
Weight loss percentage: 10.3
Weight loss in pounds: 13.9
Weight measurements: 134.9
Weight measurements: 127
Weight measurements: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Licensed Practical Nurse (LPN) | Interviewed regarding weight monitoring and reporting procedures. |
| General Manager for Dining | Interviewed about food preferences and meal ticket documentation. | |
| Clinical Dietitian | Interviewed about nutritional assessments, weight loss monitoring, and interventions. | |
| Assisting Director of Nursing (ADON) | Interviewed about care plan updates and high-risk rounds. | |
| Director of Nursing (DON) | Interviewed about care plan updates and acknowledged findings. |
Inspection Report
Routine
Deficiencies: 2
Date: Apr 9, 2024
Visit Reason
Two Class 3 deficiencies related to medication storage and ECC training.
Findings
Two Class 3 deficiencies related to medication storage and ECC training.
Deficiencies (2)
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Tag AE210 — ECC - TRAINING
Inspection Report
Routine
Deficiencies: 2
Date: Jan 19, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights and care, including honoring resident preferences and providing appropriate catheter care to prevent urinary tract infections.
Findings
The facility failed to honor the preferred name of one resident, Resident #10, despite documentation and family requests. Additionally, the facility failed to provide appropriate care for residents with indwelling urinary catheters, including improper catheter tubing positioning and lack of education on catheter risks for three residents.
Deficiencies (2)
F 0561: The facility failed to honor Resident #10's preferred name as documented and requested by the resident's representative, with multiple staff using the resident's legal name instead.
F 0690: The facility failed to ensure proper care and securing of indwelling urinary catheters for Residents #24 and #45, and failed to educate Resident #38 on the risks of prolonged catheter use and follow-up with urology.
Report Facts
Residents affected: 1
Residents affected: 3
BIMS score: 1
BIMS score: 15
Date of catheter order: 2023
Date of urology consult order: 2023
Date of urology appointment: 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Certified Nursing Assistant (CNA) | Named in preferred name and catheter care findings |
| Staff C | Certified Nursing Assistant (CNA) | Named in preferred name and catheter care findings |
| Staff D | Certified Occupational Therapy Assistant (COTA) | Named in preferred name findings |
| Staff E | Activity Assistant | Named in preferred name findings |
| Staff F | Registered Nurse (RN) | Named in preferred name and catheter care findings |
| Staff G | Physical Therapy Assistant (PTA) | Named in preferred name findings |
| Director of Nursing | Director of Nursing (DON) | Named in preferred name and catheter care findings |
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Named in catheter care findings |
| Scheduler | Licensed Practical Nurse (LPN) | Named in catheter care findings related to urology appointments |
| Infection Preventionist | Infection Preventionist (IP) | Named in catheter care findings |
| Clinical Manager | Clinical Manager | Named in catheter care findings |
Inspection Report
Deficiencies: 2
Date: Sep 8, 2022
Visit Reason
The inspection was conducted to review the facility's compliance with documentation standards related to resident medical records and medication orders, focusing on the accuracy of diagnoses linked to medications and discharge documentation.
Findings
The facility failed to ensure accurate documentation for 4 of 22 sampled residents. Multiple medication orders for Residents #18, #20, and #36 documented incorrect diagnoses, and Resident #51's discharge location was incorrectly documented in the Minimum Data Set Discharge Report.
Deficiencies (2)
F 0842: The facility failed to safeguard resident-identifiable information and maintain accurate medical records. Medication physician orders for Residents #18, #20, and #36 documented improper or mismatched diagnoses for multiple medications.
F 0842: Resident #51's Minimum Data Set Discharge Report documented an incorrect discharge location, listing hospital instead of hospice, triggering a review for hospitalization during the survey process.
Report Facts
Residents sampled: 22
Residents with documentation errors: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Licensed Practical Nurse (LPN) | Interviewed regarding diagnosis listing for medications on physician's orders |
| Director of Nursing | Director of Nursing (DON) | Interviewed about use of diagnoses in electronic medication ordering and documentation errors |
| MDS Coordinator | MDS Coordinator | Interviewed about admission diagnosis assignment and medication order review process |
| Risk Manager/Staff Developer | Risk Manager/Staff Developer | Interviewed about use of electronic medical record system and diagnosis entry process |
Inspection Report
Routine
Deficiencies: 1
Date: Jul 8, 2021
Visit Reason
No deficiencies reported during this inspection.
Findings
No deficiencies reported during this inspection.
Deficiencies (1)
None
Inspection Report
Routine
Deficiencies: 3
Date: May 7, 2019
Visit Reason
Three Class 3 deficiencies related to resident care, staffing, and training.
Findings
Three Class 3 deficiencies related to resident care, staffing, and training.
Deficiencies (3)
Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0084 — TRAINING - ASSIS SELF-ADMIN MEDS & MED MGMT
Inspection Report
Follow-Up
Deficiencies: 1
Date: Jun 12, 2018
Visit Reason
No deficiencies reported during this inspection.
Findings
No deficiencies reported during this inspection.
Deficiencies (1)
None
Inspection Report
Routine
Deficiencies: 6
Date: Apr 21, 2017
Visit Reason
Multiple Class 3 deficiencies related to resident care, medication, staffing, training, and food service.
Findings
Multiple Class 3 deficiencies related to resident care, medication, staffing, training, and food service.
Deficiencies (6)
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS
Inspection Report
Follow-Up
Deficiencies: 1
Date: May 25, 2016
Visit Reason
No deficiencies reported during this inspection.
Findings
No deficiencies reported during this inspection.
Deficiencies (1)
None
Inspection Report
Routine
Deficiencies: 2
Date: Apr 2, 2015
Visit Reason
Two Class 3 deficiencies related to medication records and storage.
Findings
Two Class 3 deficiencies related to medication records and storage.
Deficiencies (2)
Tag A0054 — MEDICATION - RECORDS
Tag A0055 — MEDICATION - STORAGE AND DISPOSAL
Inspection Report
Follow-Up
Deficiencies: 1
Date: Feb 9, 2015
Visit Reason
No deficiencies reported during this inspection.
Findings
No deficiencies reported during this inspection.
Deficiencies (1)
None
Inspection Report
Follow-Up
Deficiencies: 1
Date: Oct 6, 2014
Visit Reason
No deficiencies reported during this inspection.
Findings
No deficiencies reported during this inspection.
Deficiencies (1)
None
Inspection Report
Follow-Up
Deficiencies: 1
Date: May 19, 2014
Visit Reason
No deficiencies reported during this inspection.
Findings
No deficiencies reported during this inspection.
Deficiencies (1)
None
Inspection Report
Routine
Deficiencies: 4
Date: May 6, 2013
Visit Reason
Four Class 3 deficiencies related to training and ECC services.
Findings
Four Class 3 deficiencies related to training and ECC services.
Deficiencies (4)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag AE206 — ECC - SERVICE PLANS
Tag AE207 — ECC - SERVICES
Inspection Report
Follow-Up
Deficiencies: 1
Date: Sep 7, 2012
Visit Reason
No deficiencies reported during this inspection.
Findings
No deficiencies reported during this inspection.
Deficiencies (1)
None
Inspection Report
Follow-Up
Deficiencies: 1
Date: Aug 23, 2012
Visit Reason
No deficiencies reported during this inspection.
Findings
No deficiencies reported during this inspection.
Deficiencies (1)
None
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