Tag 0558 · Severity D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-04-11For-profit
West Delray Nursing & Rehab Center
16200 S Jog Road, Delray Beach, FL 33446
(561) 638-0000 · Excelsior Care Group
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 92.0% | Latest inspection | 2025-03-12 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 1 of 5
Health-inspection score
Facility: 97.5 points
Total nurse staffing
Facility: 3.46 hours/day
RN staffing
Facility: 0.87 hours/day
Staff turnover
Facility: 39.3%
Latest health deficiencies
Facility: 17 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 1 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 97.5 points | 41.5 points | 38.5 points |
| Total nurse staffing | 3.46 hours/day | 3.63 hours/day | 3.63 hours/day |
| RN staffing | 0.87 hours/day | 0.82 hours/day | 0.62 hours/day |
| Staff turnover | 39.3% | 27.9% | 41.8% |
| Latest health deficiencies | 17 deficiencies | 8.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-03-12
17 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0578 · Severity D
Honor 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 2025-04-11Tag 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 2025-04-11Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-04-11Tag 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 2025-04-11Tag 0690 · Severity D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-04-11Tag 0692 · Severity D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-04-11Tag 0712 · Severity D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2025-04-11Tag 0725 · Severity D
Provide 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 2025-04-11Tag 0732 · Severity D
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2025-04-11Tag 0758 · Severity D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-04-11Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2025-05-16Tag 0761 · Severity D
Ensure 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 2025-04-11Tag 0812 · Severity D
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 2025-04-11Tag 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 2025-04-11Tag 0867 · Severity D
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 2025-05-16Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-04-112023-11-30
13 deficiencies
Highest severity: G
Immediate-jeopardy citations: 0
Tag 0686 · Severity G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-12-30Tag 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 2023-12-30Tag 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 2023-12-30Tag 0567 · Severity D
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-12-30Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-12-30Tag 0677 · Severity D
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 2023-12-30Tag 0690 · Severity D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-12-30Tag 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 2023-12-30Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-12-30Tag 0805 · Severity D
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 2023-12-30Tag 0883 · Severity D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-12-302022-07-28
10 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
Tag 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 2022-08-27Tag 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 2022-08-27Tag 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 2022-08-27Tag 0676 · Severity D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-08-27Tag 0677 · Severity D
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 2022-08-27Tag 0688 · Severity D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-08-27Tag 0690 · Severity D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-08-27Tag 0698 · Severity D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-08-27Tag 0755 · Severity D
Provide 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 2022-08-27Tag 0761 · Severity D
Ensure 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 2022-08-27Staffing composition
2.15 hours/dayNurse aide
0.44 hours/dayLPN
0.87 hours/dayRN
- Total staffing
- 3.46 hours/day
- County median
- 3.63 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.26 hours/day
- Staff turnover
- 39.3%
- RN turnover
- 60.5%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
2.4 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 2.2 per 1,000 days20250101-20251231
Emergency-department visits
1.0 per 1,000 dayssimilarFlorida: 1.0 per 1,000 days · County: 0.9 per 1,000 days20250101-20251231
Falls with major injury
2.8%worseFlorida: 2.2% · County: 1.8%2025Q2-2026Q1
Pressure ulcers
4.3%similarFlorida: 4.2% · County: 4.9%2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
11.2%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
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 useWhat operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Palm Beach County
- Certified beds
- 120
- Average daily residents
- 110.4
- Ownership
- For profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1999-02-19
- CCN
- 106005
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.15136 |
| Lpn hours | 0.43991 |
| Rn hours | 0.87204 |
| Reported total hours | 3.4633 |
| Weekend total hours | 3.2603 |
| Weekend rn hours | 0.79385 |
| Adjusted total hours | 3.57344 |
| Total turnover percent | 39.3 |
| Rn turnover percent | 60.5 |
| Administrators left | 2 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$39,841.00Total fines
3Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2025-03-12 | Fine | $4,147.00 |
| 2025-03-12 | Fine | $4,979.00 |
| 2023-11-30 | Fine | $30,715.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
17Health 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
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| WEST DELRAY INTERMEDIATE OPOC HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| FLNHO CAPITAL GROUP LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| PALM BEACH HEALTH PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| FISCHEL, MAYER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| MERCHANT, DENESHA | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| LANDA, BENJAMIN | CORPORATE OFFICER | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology