WEST DELRAY NURSING & REHAB CENTER

CCN 106005 · WEST DELRAY OPCO LLC · For profit - Corporation · EXCELSIOR CARE GROUP chain · 120 certified beds · Palm Beach · FL


WEST DELRAY NURSING & REHAB CENTER is a 120-bed nursing home in DELRAY BEACH, Florida. CMS has certified it for Medicare and Medicaid since 1999-02-19. It averages 110.4 residents a day.

What harm was found in the violations cited at WEST DELRAY NURSING & REHAB CENTER?

CMS lists 40 health-inspection deficiencies for WEST DELRAY NURSING & REHAB CENTER since 2022-07-28, 30 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-06-16.

Survey dateTagDeficiencySeverity
2025-06-16F0565, F0635Honor the resident's right to organize and participate in resident/family groups in the facility. / Provide doctor's orders for the resident's immediate care at the time the resident was admitted.D
2025-03-12F0558, F0578, F0609, F0684, F0689, F0690, F0692, F0712, F0725, F0732, F0758, F0759, F0761, F0812, F0842, F0867, F0880Reasonably accommodate the needs and preferences of each resident. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Post nurse staffing information every day. / 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. / Ensure medication error rates are not 5 percent or greater. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program.D
2023-11-30F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2023-11-30F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-11-30F0584Honor 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.E
2023-11-30F0567, F0641, F0677, F0690, F0694, F0759, F0805, F0883Honor the resident's right to manage his or her financial affairs. / Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Ensure medication error rates are not 5 percent or greater. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2022-07-28F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2022-07-28F0584, F0803Honor 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. / 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.E
2022-07-28F0676, F0677, F0688, F0690, F0698, F0755, F0761Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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.D

Why was WEST DELRAY NURSING & REHAB CENTER fined 3 times?

DateTypeAmount
2025-03-12Fine$4,979
2025-03-12Fine$4,147
2023-11-30Fine$30,715

How is WEST DELRAY NURSING & REHAB CENTER staffed relative to the FL average?

MeasureThis facilityFL average
Total nurse staffing hours per resident per day3.463303.82350
Total nursing staff turnover (%)39.341.4
Average number of residents per day110.4108.9

Who owns WEST DELRAY NURSING & REHAB CENTER, and what chain is it in?

WEST DELRAY NURSING & REHAB CENTER is registered with CMS as For profit - Corporation, operates under the legal business name WEST DELRAY OPCO LLC and belongs to the EXCELSIOR CARE GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTWEST DELRAY INTERMEDIATE OPOC HOLDCO LLCsince 04/01/2023
5% OR GREATER INDIRECT OWNERSHIP INTERESTFLNHO CAPITAL GROUP LLC, PALM BEACH HEALTH PARTNERS LLC, FISCHEL, MAYERsince 04/01/2023
W-2 MANAGING EMPLOYEEMERCHANT, DENESHAsince 04/01/2023
CORPORATE OFFICERLANDA, BENJAMINsince 04/01/2023

Were you or a family member harmed at WEST DELRAY NURSING & REHAB CENTER?