Inspection Reports for Life Care Center at Inverrary
4300 Rock Island Rd, Lauderhill, FL 33319, United States, FL, 33319
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
52% worse than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 8
Date: Aug 14, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for nursing home care, including resident rights, respiratory care, dialysis care, medication management, dietary services, infection control, and other aspects of facility operations.
Findings
The facility was found deficient in multiple areas including failure to provide weekly menus to a resident on contact precautions, improper respiratory care and equipment disinfection, failure to follow dialysis care orders, inadequate monitoring of psychotropic medication, failure to provide double portions and fortified foods as ordered, incorrect diet consistencies for pureed diets, failure to accommodate resident food preferences, and lapses in infection prevention practices including meal tray handling and equipment disinfection.
Deficiencies (8)
Failed to provide a weekly menu to a resident on contact precautions for Clostridium Difficile (Resident #6).
Failed to follow physician orders for oxygen therapy care and management for multiple residents and failed to properly disinfect and store nebulizing masks.
Failed to follow professional standards and doctor's orders regarding dialysis care for Resident #5, including taking blood pressure on dialysis access site.
Failed to ensure psychotropic medication was monitored appropriately for Resident #3 due to lack of written behavior monitoring documentation.
Failed to provide double portions and fortified foods as ordered for multiple residents, including Resident #6 and Resident #107.
Failed to provide correct diet consistency for pureed diets for 5 sampled residents; foods were lumpy, grainy, or not smooth as required.
Failed to provide food that meets residents' preferences, including serving disliked vegetables and incorrect meal portions for Residents #21, #55, and #62.
Failed to follow facility policy for Clostridium Difficile infection regarding meal tray removal and failed to disinfect equipment properly after resident use.
Report Facts
Weight loss percentage: -11.35
BIMS score: 11
BIMS score: 5
BIMS score: 13
BIMS score: 7
BIMS score: 4
BIMS score: 3
BIMS score: 14
BIMS score: 15
BIMS score: 15
BIMS score: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Licensed Practical Nurse (LPN) | Named in oxygen therapy and nebulizing mask care findings |
| Staff N | Registered Nurse (RN) | Named in dialysis care and medication monitoring findings |
| Staff K | Licensed Practical Nurse (LPN) | Named in medication monitoring and dietary findings |
| Staff I | Certified Nursing Assistant (CNA) | Named in dietary and infection control findings |
| Staff F | Certified Nursing Assistant (CNA) | Named in infection control and equipment disinfection findings |
| Staff A | Cook | Named in dietary findings regarding double portions and pureed food preparation |
| Certified Dietary Director | Named in dietary findings regarding double portions and fortified foods | |
| Registered Dietitian (RD) | Named in dietary findings regarding double portions, pureed food, and resident preferences | |
| Assistant Director of Nursing (ADON) | Named in dietary and medication monitoring findings | |
| Infection Preventionist Registered Nurse (IPRN) | Named in infection control findings | |
| Staff E | Licensed Practical Nurse (LPN) | Named in tracheostomy care findings |
| Staff G | Registered Nurse (RN) Unit Manager | Named in oxygen therapy and infection control findings |
| Staff L | Certified Nursing Assistant (CNA) | Named in infection control findings |
Inspection Report
Routine
Deficiencies: 5
Date: Apr 15, 2024
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to medication administration, use of bed rails, infection control, and other care practices at Life Care Center at Inverrary.
Findings
The facility failed to follow physician's medication orders for Resident #51, improperly used bed rails without proper assessment or care plans for multiple residents, failed to timely act on pharmacist recommendations for psychotropic medication reduction for Resident #42, left medications unsecured for Resident #51, failed proper hand hygiene and glucometer disinfection, and did not implement proper signage for Contact Precautions for Resident #311.
Deficiencies (5)
Failed to follow physician's orders for medication parameters for an antihypertensive medication and vitamin supplement for Resident #51.
Failed to initiate care plans, assess risks, obtain consent, and honor refusal related to bed rails for multiple residents (#25, #46, #89, #258, #259).
Failed to ensure Resident #42 was free from unnecessary psychotropic medications by not timely relaying pharmacist's recommendation for dose reduction.
Failed to secure over-the-counter and prescription medications and nebulizer treatment for Resident #51, leaving them unattended and accessible.
Failed to clean and disinfect glucometer per manufacturer's instructions for residents #29, #70, #80, and #93; failed proper hand hygiene during medication administration for residents #52, #76, #77, and #78; and failed to implement proper signage for Contact Precautions for Resident #311.
Report Facts
Number of residents reviewed for bed rails: 5
Number of medications left unattended: 11
Number of residents observed for glucometer cleaning: 4
Number of residents observed for hand hygiene failure: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Licensed Practical Nurse (LPN) | Named in medication administration and medication security deficiencies related to Resident #51 |
| Staff D | Registered Nurse (RN) / Assisted Director of Nursing (ADON) / Charge Nurse | Acknowledged medication administration and security deficiencies related to Resident #51 |
| Staff A | Licensed Practical Nurse (LPN) | Observed failing to properly disinfect glucometer and hand hygiene during medication administration |
| Staff B | Registered Nurse (RN) | Observed failing to perform hand hygiene after medication administration |
| Staff F | Licensed Practical Nurse (LPN) / Unit Manager | Provided information on Enhanced Barrier Precautions for Resident #311 |
| Director of Nursing | Director of Nursing (DON) | Acknowledged medication administration and security deficiencies, hand hygiene, glucometer cleaning, and signage issues |
| Primary Care Physician | Discussed psychotropic medication dose reduction for Resident #42 | |
| Resident #42's Guardian | Discussed psychotropic medication dose reduction for Resident #42 | |
| Director of Rehabilitation | Provided information on bed rail use for multiple residents |
Inspection Report
Annual Inspection
Deficiencies: 8
Date: Jan 27, 2023
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements related to resident dignity, nutrition, respiratory care, medication storage, dental services, food safety, and other care standards.
Findings
The facility was found deficient in multiple areas including failure to treat residents with dignity during dining, failure to provide timely nutritional interventions for weight loss, improper tube feeding administration, failure to use sterile technique for tracheostomy care, unsecured medication storage, delayed dental care, failure to follow approved menus for special diets, and food safety violations including improper dish machine sanitization and unsanitary kitchen conditions.
Deficiencies (8)
Failed to treat residents with dignity during dining and used inappropriate labels such as 'feeders' for residents needing feeding assistance.
Failed to provide timely nutritional interventions for weight loss in 3 residents, including failure to follow physician orders and dietitian recommendations.
Failed to follow physician's tube feeding orders for Resident #4, with incorrect feeding rates and times observed.
Failed to provide tracheostomy care using sterile technique; non-sterile gloves were used to insert the cannula.
Failed to secure medication storage including unlocked non-controlled substance e-kit and treatment cart; expired medical supplies found in medication storage.
Failed to ensure timely dental care for Resident #48 despite resident's complaints and requests; dental services delayed since August 2022.
Failed to follow approved menus for pureed, mechanically altered, and easy to chew diets; several menu items were not prepared as required.
Failed to maintain food safety standards including dish machine not sanitizing at required temperature, unsanitary kitchen ceiling tiles, soiled food storage containers, damaged refrigerator gaskets, and mold in dish room.
Report Facts
Weight loss: 19
Weight loss: 8.5
Weight loss: 14
Residents on special diets: 31
Residents on Pureed Diet: 15
Residents on Easy to Chew Diet: 8
Residents on Mechanically Altered Diet: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff H | Certified Nursing Assistant | Yelled out loud labeling Resident #96 as a feeder during breakfast tray delivery. |
| Staff I | Registered Nurse | Called Resident #352 a feeder and acknowledged the inappropriate label. |
| Director of Nursing | Director of Nursing | Repeatedly referred to residents as feeders during tray delivery and acknowledged the inappropriate labeling. |
| Staff D | Certified Nursing Assistant | Used the term 'feeders' when referring to residents needing feeding assistance. |
| Staff F | Licensed Practical Nurse | Performed tracheostomy care using non-sterile gloves to insert cannula. |
| Staff M | Registered Nurse | Assisted Staff F during tracheostomy care and confirmed improper glove use. |
| Staff B | Dietary Technician Registered | Responsible for nutritional assessments and follow-up; unaware of some physician orders and delayed implementation. |
| Staff A | Clinical Dietitian | Consultant dietitian providing oversight and nutritional assessments once weekly. |
| Staff J | Restorative Aide | Responsible for weighing residents and reporting significant weight changes. |
| Staff K | Restorative Aide | Sanitized resident's hands and commented on feeding ability. |
| Staff L | Certified Nursing Assistant | Assisted residents with feeding and acknowledged feeding needs. |
| Staff O | Registered Nurse | Removed expired medical supplies from medication storage. |
| Staff I | Registered Nurse | Acknowledged unlocked treatment cart and medication storage issues. |
| Staff F | Licensed Practical Nurse | Removed medication from e-kit and forgot to lock it afterward. |
| Director of Nursing | Director of Nursing | Oversaw medication storage and acknowledged deficiencies. |
| Director of Social Services | Director of Social Services | Managed dental service requests but failed to ensure timely dental care. |
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