At the Floridean Nursing and Rehabilitation Center in Miami, a man developed a pressure sore on the bridge of his nose that medical staff left untreated for weeks. In Hollywood, nurses at Hillcrest Nursing and Rehabilitation Center failed to provide medication to a resident who suffered intermittent pain in her chest, shoulders and thigh.
FloridaBulldog.org researched an online database administered by the U.S. Department of Health and Human Services to determine, by HHS’ scale, the most troubled nursing homes in South Florida.
FloridaBulldog.org focused on facilities within a 100-mile radius of Miami. Medicare.gov graded each nursing home on a scale of five stars to one star, the lowest score a facility can receive. A nursing home with a one-star overall rating is considered “much below average.”
Of the 145 nursing homes rated in South Florida, only 10 got just one star. In alphabetical order, they are:
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Coral Bay Health Care and Rehabilitation
120-bed facility at 2939 South Haverhill Road in West Palm Beach
Health deficiencies: 19
2013-2015 federal fines: 0
According to 2015 inspection reports, some of the deficiencies at Coral Bay include failure to provide daily showers per an incontinent resident’s request; failure to provide housekeeping services in order to maintain a sanitary environment; and failure to provide evidence that a patient with a catheter was getting appropriate care.
While observing a nurse’s aide bathe a resident, investigators determined the shower room “was dirty and had a strong foul smell. Brown color material was observed on the shower floor.” the report states.
Jennifer Trapp, the spokeswoman for Orlando-based Consulate Health Care, the company that owns Coral Bay, did not return two emails and a phone message.
Coral Reef Nursing and Rehabilitation Center
180-bed facility at 9869 SW 152nd Street in south Miami-Dade
Health deficiencies: 10
2013-2015 federal fines: 0
According to 2014 and 2015 inspection reports, some of the deficiencies at Coral Reef included failing to report to Florida’s Department of Health allegations by a patient who had been mistreated by a nursing assistant; failing to develop a pain relief care plan for a patient with bad teeth; failing to provide emergency dental care to another patient and providing only 48 hours notice of discharge to short-term residents instead of the 30-day notice required by state and federal law.
Coral Reef administrator Ingrid Perdomo did not return three phone messages seeking comment.
Fair Havens Center
269-bed facility at 201 Curtiss Parkway in Miami Springs
Health deficiencies: 13
2013-2015 federal fines: $6,955
According to 2015 inspection reports, some of the deficiencies at Fair Havens include failing to prevent a patient from assaulting his roommate; failing to report what happened to the alleged victim’s spouse; failing to implement abuse prevention measures; and not having a program in place to prevent infections from spreading.
During an Aug. 25 inspection, investigators watched a nursing aide clean up a patient who had soiled himself without changing her gloves. “After cleaning the buttocks, [the nursing aide] did not remove her gloves,” the report states. “[She] was touching the resident’s arm and face with the same gloves.”
Fair Havens Administrator Jose Andres Suarez did not return three phone messages seeking comment.
Floridean Nursing and Rehabilitation Center
90-bed facility at 47 NW 32nd Place in Miami
Health deficiencies: 23
2013-2015 federal fines: $16,100
2015 inspection reports show that Floridean’s health deficiencies included giving the wrong medications to residents; allowing unqualified personnel to assess residents’ wounds; failing to prevent the hospitalization of some resident; and letting patients’ sores fester.
Inspectors identified eight Floridean residents with pressure ulcers. Floridean Executive Director Susan Murray Prado did not return three phone messages seeking comment.
Franco Nursing Home and Rehabilitation Center
120-bed facility at 800 NW 95th St. in Miami Shores
Health deficiencies: 16
2013-2015 federal fines: 0
According to 2015 inspection reports, some of the deficiencies at Franco include failing to provide residents with their requested food items; failing to provide residents medical and dental services; storing food in unsanitary conditions; and improper disposal of garbage, including soiled adult diapers.
On March 31, 2015, investigators found both of Franco’s dumpsters overflowing with trash, according to an inspection report. The surrounding area was littered with several empty trash bags and two rubber gloves on the ground.
Consulate Health Care owns Franco. A spokeswoman did not respond to a list of emailed questions.
Golden Glades Nursing and Rehabilitation Center
180-bed facility at 220 Sierra Dr. in Miami
Health deficiencies: 12
2013-2015 federal fines: $138,841
According to health inspection reports, some of the deficiencies at Golden Glades include entering residents’ rooms without asking permission; risking injury to patients by not securing their bed rails properly; not regulating hot water temperatures in their bathrooms; and bug infestations.
During a Feb. 2, 2015 inspection, investigators observed seven small winged insects on a sandwich next to a bedside. “There were other small winged insects observed on the straw and tray next to the sandwich and flying around the sandwich,” the report states. “The resident entered the room during the observation and picked up the sandwich with his bare hand. He then threw it away.” Two days later, investigators noted small-winged insects flying around the third-floor nursing station and in another resident’s room.
Golden Glades administrator Marc Douglas Grant did not return three phone messages seeking comment.
Heartland Healthcare Center Kendall
120-bed facility at 9400 SW 137th Ave. in south Miami-Dade
Health deficiencies: 11
2013-2015 federal fines: $2,015
Deficiencies at Heartland include failing to take precautions to prevent infections from spreading; and allowing a resident to fall and fracture her hip, according to 2015 inspection reports.
On April 28, investigators noted that Heartland staff had failed to provide personal protective equipment and a biohazard waste container inside the room of a resident with a MRSA infection, which is highly contagious.
Julie Beckert, a spokeswoman for Ohio-based HCR Manorcare, the company that owns Heartland, said Medicare’s star rating system does not reflect the quality of care provided to its residents on a yearly basis. “Our employees are committed to providing quality care to the patients they serve and the well-being of our patients and residents is of utmost concern to us,” Beckert said. “Whenever we identify a patient care issue or if state surveyors have a concern, we aggressively address the matter in a plan of correction, training or other measures to ensure patient comfort and safety.”
Hillcrest Health Care and Rehabilitation Center
240-bed facility at 4200 Washington St. in Hollywood
Health deficiencies: 8
2013-2015 federal fines: $6,500
According to 2015 inspection reports, some of the deficiencies at Hillcrest (another nursing home owned by Consulate Health Care, which did not respond to a request for comment) include failing to monitor a resident complaining of pain; failing to administer medications accurately and correctly to three residents; disposing of garbage improperly; and failing to take preventative measures against falls.
During an inspection on April 7, 2015, investigators observed a patient who was supposed to be wearing a splint on her left hand until bedtime. From 10:45 a.m. to 4:30 p.m., the resident never wore the splint, the inspection report states.
The Nursing Center at Mercy
120-bed facility at 3671 South Miami Ave. in Miami
Health deficiencies: 15
2013-2015 federal fines: $9,300
2015 health inspection reports list deficiencies at The Nursing Center that include failing to notify a resident’s daughter when her father suffered medical complications and injuries; logging the wrong number of pills prescribed to a resident; failing to document when medication was administered to residents; allowing infections to spread; and not using proper hygiene controls.
On April 21, 2015, investigators observed a nursing assistant don gloves and clean up a resident who had defecated on himself. The assistant did not remove the gloves or wash hands after cleansing the resident’s back side and continued to apply ointment to his buttock, investigators noted.
Edwin Ortiz, the head administrator at The Nursing Center, did not respond to two phone messages seeking comment.
South Dade Nursing and Rehabilitation Center, also known as Gramercy Park Nursing Center
180-bed facility at 17475 South Dixie Highway
Health deficiencies: 11
2013-2015 federal fines: $177,873
According to 2015 inspection reports, some of the deficiencies at South Dade included failing to prevent residents from being abused and mistreated by staff; failing to report an employee who stole money from a resident; not following procedures to prevent the resident from getting scammed; and not providing an environment where a resident can have dignity and self-respect.
On March 12, investigators interviewed a resident who complained that a former South Dade nursing assistant borrowed $400 from him in November 2014 and did not pay some of the money back.
South Dade administrator George Hernandez did not return phone messages seeking comment.
Florida Bulldog is a not-for-profit news organization created to provide investigative reporting in the public interest. Contributions are tax-deductible. www.floridabul