| Abbey Delray South | |
| 1717 Homewood Blvd, Delray Beach, Florida 33445 | |
| (561) 454-5200 | |
| Name | Abbey Delray South |
|---|---|
| Location | 1717 Homewood Blvd, Delray Beach, Florida |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 90 |
| Occupancy Rate | 79.44% |
| Medicare ID (CCN) | 105411 |
| Legal Business Name | Lifespace Communities Inc |
| Ownership Type | Non Profit - Corporation |
| Chain | Lifespace Communities (15 nursing homes) |
| Chain Average Overall Rating | 4.4 out of 5 |
| NPI Number | 1073551412 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Lifespace Communities Inc |
| Doing Business As | Abbey Delray South |
| Address | 1717 Homewood Blvd, Delray Beach, FL 33445 |
| Phone Number | 561-454-5200 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.16 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.36 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.41 | 0.86 |
| Nurse aide hours per resident per day | 2.38 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.77 | 3.42 |
| RN hours per resident per day on the weekend | 1.1 | 0.48 |
| Physical therapist hours per resident per day | 0.12 | 0.07 |
| Total nursing staff turnover | 14.5% | 45.8% |
| Registered nurse turnover | 9.5% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $4,963 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 20, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Mar 20, 2025 |
| Feb 20, 2025 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, pattern | Corrected by Mar 20, 2025 |
| Feb 20, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 20, 2025 |
| Feb 20, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 20, 2025 |
| Feb 20, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 20, 2025 |
| Feb 20, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 20, 2025 |
| Feb 20, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 20, 2025 |
| Feb 20, 2025 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 20, 2025 |
| Feb 20, 2025 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 20, 2025 |
| Feb 20, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 20, 2025 |
| Feb 20, 2025 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. F0807, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Mar 20, 2025 |
| Feb 20, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Mar 20, 2025 |
| Feb 20, 2025 | 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. F0584, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by Mar 20, 2025 |
| Jul 11, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Aug 11, 2024 |
| Oct 12, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2023 |
| Oct 12, 2023 | Give residents a notice of rights, rules, services and charges. F0572, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2023 |
| Oct 12, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Nov 11, 2023 |
| Oct 12, 2023 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2023 |
| Oct 12, 2023 | Plan the resident's discharge to meet the resident's goals and needs. F0660, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Nov 11, 2023 |
| Oct 12, 2023 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2023 |
| Oct 12, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2023 |
| Oct 12, 2023 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2023 |
| Oct 12, 2023 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2023 |
| Oct 12, 2023 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 11, 2023 |
| Jun 9, 2022 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jul 9, 2022 |
| Jun 9, 2022 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 9, 2022 |
| Jun 9, 2022 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. F0807, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jul 9, 2022 |
| Jun 9, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jul 9, 2022 |
| Jun 9, 2022 | Provide or get specialized rehabilitative services as required for a resident. F0825, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 9, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.52 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.27 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 6.35 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.03 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.37 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.45 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 2.87 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.26 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.27 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 0 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.99 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 8.82 | 15.38 |
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