Inspection Reports for
Health Center at Sinai Residences
21044 95TH AVE S, BOCA RATON, FL, 33428
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Inspection Report — Sep 29, 2025
Date: Sep 29, 2025
Visit Reason
The page covers the entire inspection history of Health Center at Sinai Residences, including all visits and deficiencies cited.
Findings
The facility was inspected 17 times between November 3, 2016 and September 29, 2025. There were 8 deficiencies recorded, none in the two most serious classes, and 1 legal action taken.
Citations (8)
Training - Core & Competency Test — cited June 22, 2023, corrected October 20, 2023
ECC - Policies — cited June 22, 2023, corrected October 20, 2023
ECC - Health Assessment — cited June 22, 2023, corrected October 20, 2023
Lns - Resident Care Standards — cited June 22, 2023, corrected October 20, 2023
Admissions - Health Assessment — cited October 9, 2018, corrected December 12, 2018
Medication - Storage and Disposal — cited October 9, 2018, corrected December 12, 2018
Medication - Labeling and Orders — cited October 9, 2018, corrected December 12, 2018
Background Screening Clearinghouse — cited October 9, 2018, corrected December 12, 2018
Report Facts
Inspections: 17
Visits with deficiencies: 2
Clean visits: 13
Deficiencies: 8
Serious deficiencies: 0
Legal actions: 1
Total fines: 0
Inspection Report — May 21, 2025
Annual Inspection
Date: May 21, 2025
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at the facility.
Findings
No health deficiencies were found during the inspection.
Inspection Report — Feb 15, 2024
Routine
Date: Feb 15, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident care, nutrition, and food safety at Health Center at Sinai Residences.
Findings
The facility failed to honor resident bathing preferences due to inadequate hot water temperature, delayed nutritional intervention for significant weight loss in a resident, and improper food storage temperatures along with inadequate hand hygiene practices during meal service.
Citations (3)
F 0561: The facility failed to honor resident choices for showers for Resident #219 due to hot water in the sink and shower being cold, preventing the resident from receiving showers as preferred.
F 0692: The facility failed to provide timely nutritional intervention for Resident #48 who experienced severe weight loss without appropriate orders for nutritional supplements.
F 0812: The facility failed to store and prepare food at proper temperatures and did not ensure hand hygiene for residents during meal service.
Report Facts
Weight loss percentage: 11.3
Weight loss percentage: 5.1
Freezer temperature: 20
Food temperature: 53.9
Food temperature: 50.7
Food temperature: 53.2
Food temperature: 51
Food temperature: 54.9
Hot water temperature increase time: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff H | Registered Dietitian | Named in relation to delayed nutritional intervention and weight monitoring for Resident #48. |
| Staff D | Certified Nursing Assistant | Named in relation to meal service and hand hygiene practices. |
| Staff G | Cook | Named in relation to food storage and temperature issues in the kitchen. |
| Staff I | Culinary Liaison | Named in relation to food temperature monitoring and meal preparation. |
Inspection Report — Oct 10, 2022
Complaint Investigation
Date: Oct 10, 2022
Visit Reason
The inspection was conducted due to complaints regarding failure to provide adequate activities of daily living (ADL) care, including fingernail grooming, nutritional assessment and supplementation for wound healing, proper posting of nurse staffing information, and proper storage and labeling of medications.
Complaint Details
The investigation was complaint-driven, focusing on allegations of inadequate ADL care, nutritional deficiencies, staffing posting issues, and medication storage violations. The complaints were substantiated based on observations, interviews, and record reviews.
Findings
The facility failed to provide adequate ADL care for Resident #22, including fingernail grooming. Resident #5 did not receive appropriate nutritional assessment and supplementation for a stage 4 pressure ulcer. The facility failed to update posted nurse staffing information daily. Medications were improperly stored and left unattended in residents' rooms, posing safety risks.
Citations (4)
F 0677: The facility failed to provide ADL care including fingernail grooming for Resident #22, who was observed with long, dirty, sharp, unkempt fingernails over multiple days until after surveyor intervention.
F 0692: The facility failed to ensure accurate nutritional assessment and failed to order additional nutritional supplements for Resident #5 with a stage 4 pressure ulcer, despite documented need for increased nutrition to promote wound healing.
F 0732: The facility failed to update posted nurse staffing information daily, with postings observed to be outdated over multiple days until corrected after surveyor notification.
F 0761: The facility failed to ensure proper storage of medications, with prescription and OTC creams left unattended and accessible in Resident #10's room, and medications left unattended in Resident #301's room, including a capsule found on the floor.
Report Facts
Observation dates: 5
Meals intake documented: 64
Medication administration times: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Certified Nursing Assistant (CNA) | Acknowledged responsibility for Resident #22's fingernail care and failure to provide it |
| Staff D | Licensed Practical Nurse (LPN) | Acknowledged Resident #22's fingernails were unkempt and medication storage issues |
| Staff E | Registered Nurse (RN), Daytime Supervisor | Acknowledged responsibility for Resident #22's fingernail care and medication storage issues |
| Director of Nursing (DON) | Director of Nursing | Acknowledged responsibility for Resident #22's fingernail care and staffing posting issues |
| Activities Director | Activities Director | Stated activities staff only polish and file nails and do not cut nails; acknowledged no nail care provided to Resident #22 |
| Clinical Dietitian | Clinical Dietitian | Acknowledged lack of documentation of stage 4 pressure ulcer and nutritional supplementation issues for Resident #5 |
| Corporate Dietitian | Corporate Dietitian | Informed of findings regarding Resident #5's nutritional care |
| Staff F | Private Duty Aide | Acknowledged presence of OTC cream medication in Resident #10's bathroom |
| Staff A | Observed leaving medications unattended in Resident #301's room and placing medication capsule found on floor back into medication bottle | |
| Facility Administrator | Facility Administrator | Observed changing posted nurse staffing dates and acknowledged issue |
3 CMS Surveys
CMS Survey — Oct 13, 2022
Oct 13, 2022
CMS Survey — Feb 15, 2024
Feb 15, 2024
CMS Survey — May 21, 2025
May 21, 2025
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