Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Palmetto Subacute Care Center during CMS and state inspections, most recent first.
A resident with dementia and psychiatric conditions exited the facility undetected by following visitors through the front door while staff were occupied, despite having expressed a desire to leave earlier in the evening. The resident was not identified as at risk for elopement, and his care plan lacked interventions for wandering prevention. Staff only realized the resident was missing after being notified by his family, resulting in a delayed response and a failure to provide adequate supervision.
Expired disinfectant wipes were found on two floors of the facility, with one container on the second floor and two on the third floor having expired dates, and two others with illegible dates. The Housekeeping Director admitted to refilling old containers without updating expiration dates, causing confusion among staff. CNAs reported checking expiration dates and notifying maintenance of expired wipes. The facility's policy emphasizes the need for proper infection control oversight.
The facility failed to properly label and store medications, discard expired supplies, and reconcile controlled substances. An antibiotic ointment lacked an open date, expired tubing was found in an emergency cart, and saline was improperly stored at a resident's bedside. Additionally, a controlled substance was not logged at the time of administration.
A facility failed to notify the hospice provider of a significant change in a resident's condition when the resident, diagnosed with end-stage Alzheimer's, was transferred to the hospital. Despite standard procedures requiring immediate notification of the hospice, there was no documentation of such communication. The DON confirmed the family was informed via voicemail, but the hospice was not notified, violating the facility's policy and hospice contract.
The facility failed to correct a repeated deficiency related to F761, involving improper labeling and storage of drugs. A nurse did not sign the narcotic log during medication administration, and an antibiotic eye ointment lacked proper labeling. Despite the facility's QAPI plan and monitoring efforts, the deficiency persisted.
Resident Elopement Due to Inadequate Supervision and Failure to Identify Elopement Risk
Penalty
Summary
A deficiency occurred when a resident with multiple medical and psychiatric diagnoses, including dementia, major depressive disorder, and an indwelling urinary catheter, was able to leave the facility undetected. The resident, who was admitted recently and had expressed a desire to go home, exited the building by following a group of visitors through the front door. The facility's video footage confirmed that the resident left his room, used the elevator to reach the ground floor, and exited alongside visitors while talking on the phone. At the time, the receptionist was occupied assisting other guests, and the electronic door system was used to allow the group to leave, enabling the resident to exit without staff intervention. The facility's policies required identification and care planning for residents at risk of wandering or elopement, as well as regular checks and documentation for those with elopement risk. However, the resident was not identified as exit-seeking or at risk for elopement upon admission, and his care plan did not include specific interventions for wandering or elopement prevention. Staff interviews revealed that the resident had been agitated and expressed a desire to leave earlier in the evening, and his wife had communicated this to the assigned LPN. Despite this, the resident was not under increased supervision, and staff only became aware of his absence after his wife reported that he had called her from outside the facility. Following the discovery of the resident's absence, staff initiated a Code Silver alert and conducted a search of the building and surrounding area. The resident's daughter arrived at the facility shortly after, reporting that he had safely arrived home, which was several blocks away. The incident was documented in the facility's records, and interviews with staff confirmed the timeline and circumstances of the resident's elopement. The event demonstrated a failure to provide adequate supervision and to ensure the area was free from accident hazards, as required by facility policy and regulatory standards.
Expired Disinfectant Wipes Found on Two Floors
Penalty
Summary
The facility failed to implement proper infection control protocols regarding the use of disinfectant wipes on two out of three floors. During a facility tour, surveyors observed expired disinfectant wipes on the second and third floors, with one container on the second floor and two containers on the third floor having expired dates. Additionally, two containers had illegible expiration dates. The Minimum Data Set (MDS) Coordinator confirmed the expiration of the wipes and indicated that the Housekeeping Director would be notified to replace them. Interviews with the Housekeeping/Maintenance Director revealed that he was responsible for replacing the disinfectant wipes and checked them weekly. However, he admitted to refilling old containers with new wipes without updating the expiration dates, leading to confusion among staff. Certified Nursing Assistants (CNAs) on the second floor stated they checked expiration dates before using the wipes and reported expired wipes to maintenance. The Nursing Supervisor and the Facility's Infection Preventionist emphasized that staff should not use expired wipes and that Environmental Services personnel were responsible for replacing expired or finished Personal Protective Equipment (PPE). The facility's policy on infection prevention and control was reviewed, highlighting the need for coordination and oversight by an infection prevention specialist.
Deficiencies in Drug Labeling, Storage, and Controlled Substance Reconciliation
Penalty
Summary
The facility failed to ensure proper labeling and storage of drugs and biologicals, as well as the disposal of expired medical supplies. During an inspection, an antibiotic eye ointment prescribed for a resident was found without an open or expiration date on the medication cart. The staff member responsible for the cart could not provide the necessary information and deferred to a supervisor. Additionally, expired tubing was found in the emergency cart, which was acknowledged by the staff as being the first tubing used in an emergency, despite the supervisor's claim that the cart is checked daily. Another deficiency was observed when two bottles of saline were found on a resident's bedside, which is against the facility's policy. The staff member responsible for the resident's care admitted to not noticing the saline during morning rounds and explained that it was used for cleaning the resident's colostomy. The saline was subsequently discarded by the staff member. Furthermore, there was a failure to properly reconcile controlled substances. A resident who complained of knee pain was administered Tramadol, but the administration was not recorded in the controlled substance log at the time of administration. The staff member admitted to not signing the log immediately due to attending to the resident. The Director of Nursing confirmed that narcotics should be signed out at the time of administration, highlighting a lapse in protocol adherence.
Failure to Notify Hospice of Resident's Hospital Transfer
Penalty
Summary
The facility failed to notify the hospice provider of a significant change in condition for a resident receiving hospice care. The resident, who had been diagnosed with end-stage Alzheimer's disease, was transferred to the hospital via emergency services. However, there was no documentation indicating that the hospice provider was informed of this transfer. The resident's care plan, which was revised shortly before the incident, emphasized the importance of comfort and palliative care, and the facility had a contractual obligation to notify the hospice of any significant changes in the resident's condition, including transfers to other facilities. Interviews and record reviews revealed that the nursing supervisor stated that it is standard procedure to notify the doctor, family, and hospice nurse immediately when a hospice resident is sent to the hospital. However, the hospice nurse did not recall being notified of the resident's hospital transfer. The Director of Nursing confirmed that the family was informed via voicemail, but the hospice was not notified as required. The facility's policy and hospice contract both mandated immediate communication with the hospice provider regarding significant changes in a resident's condition, which was not adhered to in this case.
Repeated Deficiency in Drug Labeling and Storage
Penalty
Summary
The facility failed to effectively implement corrective actions for a repeated deficiency related to F761, which involves the labeling and storage of drugs and biologicals. Specifically, a nurse did not sign the narcotic log at the time of medication administration, and an antibiotic eye ointment was not labeled with its expiration and opened date. This deficiency was previously cited during a recertification survey, where the facility was found to have failed in securing a controlled medication. The facility's Quality Assurance and Performance Improvement (QAPI) plan outlines procedures for monitoring performance and establishing improvement goals. However, despite these procedures, the facility did not demonstrate effective corrective actions for the identified deficiency. The QAPI committee, which includes various department heads and meets monthly, is responsible for addressing performance improvements. Despite audits and monitoring efforts, the deficiency related to drug labeling and storage persisted, indicating a lapse in the facility's adherence to its own policies and procedures.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 213 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Miami
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Coral Gables Nursing And Rehabilitation Center | 0.6 mi | — | 1 | 0 |
| West Gables Health Care Center | 1.1 mi | — | 3 | 0 |
| Floridean Health & Rehabilitation Center | 4.4 mi | — | 4 | 0 |
| Miami Springs Nursing And Rehabilitation Center | 4.5 mi | — | 0 | 0 |
| Riviera Health Resort | 4.5 mi | — | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Palmetto Subacute Care Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.