Tag 0689 · Severity G
Ensure 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 2025-01-31For-profit
Pine Trail Nursing and Rehab Center
4445 Pine Forest Dr, Lake Worth, FL 33463
(561) 965-5954 · Eliyahu Mirlis
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 52 |
|---|---|---|---|
| Estimated occupancy | 111.0% | Latest inspection | 2024-12-20 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 102.0 points
Total nurse staffing
Facility: 3.28 hours/day
RN staffing
Facility: 0.58 hours/day
Staff turnover
Facility: 56.4%
Latest health deficiencies
Facility: 18 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 102.0 points | 41.5 points | 38.5 points |
| Total nurse staffing | 3.28 hours/day | 3.63 hours/day | 3.63 hours/day |
| RN staffing | 0.58 hours/day | 0.82 hours/day | 0.62 hours/day |
| Staff turnover | 56.4% | 27.9% | 41.8% |
| Latest health deficiencies | 18 deficiencies | 8.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-12-20
18 deficiencies
Highest severity: G
Immediate-jeopardy citations: 0
Tag 0584 · Severity E
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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-01-31Tag 0803 · Severity E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-01-31Tag 0812 · Severity E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-01-31Tag 0835 · Severity E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Deficient, Provider has date of correction 2025-01-31Tag 0867 · Severity E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Deficient, Provider has date of correction 2025-01-31Tag 0908 · Severity E
Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2025-01-31Tag 0925 · Severity E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Deficient, Provider has date of correction 2025-01-31Tag 0550 · Severity D
Honor 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 2025-01-31Tag 0558 · Severity D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-01-31Tag 0609 · Severity D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2025-01-31Tag 0638 · Severity D
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-01-31Tag 0658 · Severity D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-01-31Tag 0694 · Severity D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-01-31Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-01-31Tag 0757 · Severity D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-01-31Tag 0760 · Severity D
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-01-31Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-01-312023-09-28
6 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
Tag 0803 · Severity F
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-10-28Tag 0812 · Severity F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-10-28Tag 0925 · Severity F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Deficient, Provider has date of correction 2023-10-28Tag 0805 · Severity E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-10-28Tag 0806 · Severity D
Ensure 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 2023-10-282022-05-26
3 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0689 · Severity D
Ensure 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 2022-06-27Tag 0842 · Severity D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-06-27Tag 0657 · Severity B
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-06-27Staffing composition
2.13 hours/dayNurse aide
0.58 hours/dayLPN
0.58 hours/dayRN
- Total staffing
- 3.28 hours/day
- County median
- 3.63 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.30 hours/day
- Staff turnover
- 56.4%
- RN turnover
- 75.0%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.0 per 1,000 dayssimilarFlorida: 2.1 per 1,000 days · County: 2.2 per 1,000 days20250101-20251231
Emergency-department visits
1.2 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
1.9%betterFlorida: 2.2% · County: 1.8%2025Q2-2026Q1
Pressure ulcers
9.9%worseFlorida: 4.2% · County: 4.9%2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
7.7%worseFlorida: 7.0% · County: 11.0%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
How many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useWhat operational changes followed the facility's most recent penalty?
Suggested because of: penalties
Facility Details
- County
- Palm Beach County
- Certified beds
- 52
- Average daily residents
- 57.7
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1993-05-21
- CCN
- 105835
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.12575 |
| Lpn hours | 0.57756 |
| Rn hours | 0.57864 |
| Reported total hours | 3.28195 |
| Weekend total hours | 3.29621 |
| Weekend rn hours | 0.4565 |
| Adjusted total hours | 4.01387 |
| Total turnover percent | 56.4 |
| Rn turnover percent | 75 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$16,800.00Total fines
2Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2024-12-20 | Fine | $5,346.00 |
| 2024-12-20 | Fine | $11,454.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
18Health citations
4Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
1
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| 4445 PINE FOREST DR LAKE HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| MIRLIS, ELIYAHU | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 99% |
| VRD 10 HLDCO LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| BECHER, SARAH | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| COLMAN, RUBEN | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| OLAZABAL, JUSTINA | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| OLAZABAL, JUSTINA | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| MIRLIS, ELIYAHU | CORPORATE OFFICER | NOT APPLICABLE |
| COLMAN, RUBEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| OLAZABAL, JUSTINA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| COLMAN, RUBEN | ADP OF THE SNF | NOT APPLICABLE |
| OLAZABAL, JUSTINA | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology