Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-11-05315 S Flagler Dr, West Palm Beach, FL 33401
(561) 655-8544 · Carmelite Sisters for the Aged & Infirm
| Ownership | Non profit - Corporation | Certified beds | 132 |
|---|---|---|---|
| Estimated occupancy | 95.5% | Latest inspection | 2025-09-05 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 48.0 points | 41.5 points | 38.5 points |
| Total nurse staffing | 3.98 hours/day | 3.63 hours/day | 3.63 hours/day |
| RN staffing | 1.08 hours/day | 0.82 hours/day | 0.62 hours/day |
| Staff turnover | 28.8% | 27.9% | 41.8% |
| Latest health deficiencies | 14 deficiencies | 8.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-11-05Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-11-05Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-11-05Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-11-05Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-11-05Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-11-05Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-11-05Ensure 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.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-11-05Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-11-05Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-11-05Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-11-05Ensure 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-11-05Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-11-05Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-11-05Immediate-jeopardy citations: 0
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-06-09Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-06-09Ensure 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-06-09Immediate-jeopardy citations: 0
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-03-16Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-03-16Ensure 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.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-03-16Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2023-03-16Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-03-16Ensure 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-03-16Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-03-16Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-03-16Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-03-16Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-03-16Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-03-16Report COVID19 data to residents and families.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-03-16Perform COVID19 testing on residents and staff.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-03-16Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.41831 |
| Lpn hours | 0.48221 |
| Rn hours | 1.08246 |
| Reported total hours | 3.98299 |
| Weekend total hours | 3.61595 |
| Weekend rn hours | 0.84948 |
| Adjusted total hours | 4.10492 |
| Total turnover percent | 28.8 |
| Rn turnover percent | 13.3 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
0
| Name | Role | Share |
|---|---|---|
| CLARKE, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| CODY, MARY | CORPORATE DIRECTOR | NOT APPLICABLE |
| DALY, BETH | CORPORATE DIRECTOR | NOT APPLICABLE |
| FLYNN, KATHLEEN | CORPORATE DIRECTOR | NOT APPLICABLE |
| HEERY, MARY | CORPORATE DIRECTOR | NOT APPLICABLE |
| LYNCH, PATRICIA | CORPORATE DIRECTOR | NOT APPLICABLE |
| MCDONOUGH, MAUREEN | CORPORATE DIRECTOR | NOT APPLICABLE |
| MCMAHON, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| PEREIRA, MARY | CORPORATE DIRECTOR | NOT APPLICABLE |
| RANDALL, DIANE | CORPORATE DIRECTOR | NOT APPLICABLE |
| ROGERS, MARY | CORPORATE DIRECTOR | NOT APPLICABLE |
| SCHNEIDER, THOMAS | CORPORATE DIRECTOR | NOT APPLICABLE |
| DIMARIA, LILLIAN | CORPORATE OFFICER | NOT APPLICABLE |
| GATHERS, PATRICIA | CORPORATE OFFICER | NOT APPLICABLE |
| THE CARMELITE SYSTEM INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MACK, DIANE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| THE CARMELITE SYSTEM INC | ADP OF THE SNF | NOT APPLICABLE |
| FORTIER, DANIEL | ADP OF THE SNF | NOT APPLICABLE |
| MACK, DIANE | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology