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Palmetto Care Center

Palmetto Care Center is a for-profit Florida nursing home with 90 certified beds. This home participates in Medicare and Medicaid and is not in a hospital and not in a Continuing Care Retirement Community (CCRC). This nursing home is equipped with automatic sprinkler systems and has a resident and family council. Palmetto Care Center offers internal case management, orthopedic care, home safety evaluations, activity programs, 24 hour nursing services, physical therapy, meal services, neurological care, occupational therapy, speech and language pathology, respiratory therapy, and patient education.

Palmetto Care Center is located at 6750 West 22nd Court in Hialeah, Florida, in Miami-Dade County. The nursing home is across the street from Palmetto General Hospital and is situated close to the Palmetto Expressway. The facility can be reached by calling (305) 512-4688 or their website.

Inspections of Palmetto Care Center

Overall, Palmetto Care Center gets a below average rating from Medicare Nursing Home Compare. Between 2015 and 2018, the facility received one complaint leading to a citation. As of summer 2018, the last health inspection of this nursing home was on 11/28/2017. The inspection report listed 9 citations, higher than the Florida average of 4.5.

Health inspectors inspecting the facility on 11/28/2017 found the nursing home did not provide quarterly statements to one resident, even though the facility should help residents hold, manage and secure the money deposited with the nursing home. Inspectors also found that the facility failed to provide assistance for at least one resident during bathing and failed to implement policies which would help prevent theft as well as abuse and neglect of residents. Inspectors observed residents with discoloration on their skin and through interviews determined some multiple incidents had occurred. These incidents resulted in injury to residents.

The inspection report of 11/28/2017 also concluded that Palmetto Care Center “failed to develop a care plan related to contractures and range of motion (ROM)” and did not provide the care indicated on each patient’s written care plan. Inspectors found residents with limited mobility did not always get the services and treatment needed to reduce further decreases in motion. In addition, residents were not always given the right support, according to inspectors, to prevent accidents and dangers during bathing. The inspection report also revealed reservations about how food was prepared and how ovens were maintained. Inspectors concluded that the double ovens had worn walls with rust-like substances, and the oven knobs and handles had similar discoloration. Inspectors also noted in their report that this nursing home failed to provide the correct level of Hospice Services and support for at least one resident.

A fire safety inspection was conducted at Palmetto Care Center on 10/27/2017 and one citation was noted, which is lower than the two citations which are average for Florida nursing homes.

Staffing

Palmetto Care Center received an above average rating for staffing. This nursing home gets about 87.4 residents per day, which is less than the 107.7 residents per day which is the Florida average. The nursing home averages 1 hour and 39 minutes of licensed nursing home staff hours per resident daily, which is on par with the Florida average of 1 hour and 36 minutes and higher than the national average of 1 hour and 33 minutes. In addition, residents at this facility get about 2 hours and 36 minutes of nurse aide house per day, which is lower than the state average of 2 hours and 41 minutes but higher than the national average of 2 hours and 18 minutes. Residents at Palmetto Care Center get an average of 14 minutes of staff hours with a physical therapist per day, which is higher than the state and national averages of 8 and 7 minutes, respectively.

Quality of Resident Care

Palmetto Care Center received a below average rating for quality of resident care. In this facility, 37.7% of short-term stay residents improved in terms of independent movement. In comparison, 70.2% of Florida short-term stay residents and 67.9% of national short-term stay residents showed improved ability to move around independently.

In addition, 29% of Palmetto Care Center short-term stay residents were re-admitted to hospital, compared to 22.4% of US and 24.4% of Florida short-term stay residents. However, 69.3% of this nursing home’s short-term stay residents were discharged home or into the community, compared to only 56.4% nationally and 55.6% across the state.

A higher-than-average number of Palmetto Care Center short-term stay residents reported at least moderate pain. About 15.3% of residents reported this level of pain, compared to 9.5% of Florida residents and 13.1% of U.S. short-term stay residents. This nursing home also saw higher averages of pressure ulcers. 1.3% of Palmetto Care Center short-term stay residents had new or worsened pressure ulcers, compared to 0.9% of national short-term stay residents and 0.5% of short-term stay residents across the state. In addition, 12.1% of Palmetto Care Center long-term stay residents had pressure ulcers which were new or worsened, compared to the state and national averages of 6% and 5.6%, respectively.

3.4% of long-term residents at this nursing home experienced at least one fall resulting in serious injury. This is higher than the state average of 2.8% and the same as the national average. In addition, 2.8% of Palmetto Care Center long-term stay residents experienced a UTI (urinary tract infection), which is better than the national and state average of 3.2%. More Palmetto Care Center long-term stay residents reported moderate or severe pain (6.2%) when compared with Florida long-term residents (3.5%) or national averages (5.6%).

More Palmetto Care Center long-term stay residents (71.6%) experienced incontinence when compared with Florida averages (54.2%) or national averages (48%). Residents of this facility were also more likely to have a catheter inserted and left in. About 3.4% of Palmetto Care Center long-term stay residents experienced this, compared with 1.4% of Florida residents and 1.8% of long-term care residents across the country. On the other hand, no Palmetto Care Center long-term stay residents were physically retrained, while 0.3% of Florida and 0.4% of U.S. nursing home long-term patients were restrained. About 12.8% of Palmetto Care Center long-term stay residents lost excessive weight, compared with 7.2% of Florida and 7% of U.S. long-term residents.

1 Vital Statistics
Number of Beds: 90 certified bedsinformation

Beds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.

Accepts: Medicare and Medicaidinformation

Shows if the nursing home participates in the Medicare, Medicaid, or both.

2 Key Ratings
Star Rating Summary
Overall Rating information

A rating of 1 to 5 stars based on the health inspection, staffing, and quality measures ratings combined into one. More stars are better.

Two StarsBelow Average
Health Inspection information

A rating of 1 to 5 stars based on the nursing home’s health inspection results. More stars are better.

One StarMuch Below Average
Staffing information

A rating of 1 to 5 stars based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practical Nurses (LPNs), Licensed Vocational Nurses (LVNs), and Certified Nursing Assistants (CNAs). More stars are better.

Four StarsAbove Average
RN Staffing information

A rating of 1 to 5 stars based on the amount of time Registered Nurses (RNs) spend with residents as reported by the nursing home. More stars are better.

Five StarsMuch Above Average
Quality Measures information

A rating of 1 to 5 stars based on resident assessment data that show how well the nursing home cares for residents’ needs. More stars are better.

Two StarsBelow Average
3 Key Short Stay Statistics
DescriptionPalmetto Care CenterFlorida
Average
Percent of short-stay residents who self-report moderate to severe pain.
Lower percentages are better.
15.3%9.5%
Percent of short-stay residents with pressure ulcers that are new or worsened.
Lower percentages are better.
1.3%0.5%
Percentage of short-stay residents who needed and got a flu shot for the current flu season.
Higher percentages are better.
84.2%86.9%
Percentage of short-stay residents who needed and got a vaccine to prevent pneumonia.
Higher percentages are better .
91.3%90.2%
Percentage of short-stay residents who got antipsychotic medication for the first time.
Lower percentages are better.
4.4%2.1%
4 Key Long Stay Statistics
DescriptionPalmetto Care CenterFlorida
Average
Percentage of long-stay residents experiencing one or more falls with major injury.
Lower percentages are better.
3.4%2.8%
Percentage of long-stay residents with a urinary tract infection.
Lower percentages are better.
2.8%3.4%
Percentage of long-stay residents who self-report moderate to severe pain.
Lower percentages are better.
6.2%3.5%
Percentage of long-stay high-risk residents with pressure ulcers.
Lower percentages are better.
12.1%6.0%
Percentage of long-stay low-risk residents who lose control of their bowels or bladder.
Lower percentages are better.
71.6%54.2%
Percentage of long-stay residents who have/had a catheter inserted and left in their bladder.
Lower percentages are better.
3.4%1.4%
Percentage of long-stay residents who were physically restrained.
Lower percentages are better.
0.0%0.3%
Percentage of long-stay residents whose ability to move independently worsened.
Lower percentages are better.
15.5%17.0%
Percentage of long-stay residents whose need for help with daily activities has increased.
Lower percentages are better.
13.4%13.3%
Percentage of long-stay residents who lose too much weight.
Lower percentages are better.
12.8%7.2%
Percentage of long-stay residents who have depressive symptoms.
Lower percentages are better.
0.0%1.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication.
Lower percentages are better.
44.1%26.0%
Percentage of long-stay residents who needed and got a flu shot for the current flu season.
Higher percentages are better.
97.0%94.1%
Percentage of long-stay residents who needed and got a vaccine to prevent pneumonia.
Higher percentages are better.
97.4%96.2%
Percentage of long-stay residents who got an antipsychotic medication.
Lower percentages are better.
26.9%14.7%
5 Inspection Summary

Date of standard health inspection: 07/28/2016
Total number of health deficiencies: 3
Average number of health deficiencies in Florida: Not Available