Royal Palm Beach, FL

Royal Palm Beach Health And Rehabilitation Center

3-star overall rating with 3-star inspections with $4,156 in total fines with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

600 Business Park Way, Royal Palm Beach, FL

(561) 798-3700

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

104

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Simcha Hyman & Naftali Zanziper

Operator or chain grouping

Approved since

1985-02-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

94 facilities

Chain averages 2 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.67

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.60

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.07

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.34

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.27

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.15

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.57

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.70

CMS adjusted RN staffing hours

Adjusted total hours

3.50

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

35%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,597

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

35.61

Composite VBP score used to determine payment impact.

Payment multiplier

0.9892

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.57

Baseline 25.43% · Performance 24.54% · Measure score 0.57 · Achievement 0 · Improvement 0.57

Healthcare-associated infections

5.59

Baseline 10.67% · Performance 7.21% · Measure score 5.59 · Achievement 2.08 · Improvement 5.59

Total nurse turnover

6.82

Baseline 60.40% · Performance 35.79% · Measure score 6.82 · Achievement 6.82 · Improvement 6.42

Adjusted total nurse staffing

1.26

Baseline 3.59 hours · Performance 3.44 hours · Measure score 1.26 · Achievement 1.26 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.75%	10.72% 1 pts worse	No Different than the National Rate · Eligible stays 107 · Observed rate 15.89% · Lower 95% interval 8.46%
Discharge to community	43.8%	50.57% 6.8 pts worse	No Different than the National Rate · Eligible stays 79 · Observed rate 35.44% · Lower 95% interval 33.89%
Medicare spending per beneficiary	1.21	1.02 0.2 pts worse
Drug regimen review with follow-up	96.25%	95.27% 1 pts better	Numerator 77 · Denominator 80
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 80
Discharge self-care score	52.83%	53.69% 0.9 pts worse	Numerator 28 · Denominator 53
Discharge mobility score	45.28%	50.94% 5.7 pts worse	Numerator 24 · Denominator 53
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 80 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.21%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 74 · Observed rate 8.11% · Lower 95% interval 4.46%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 100
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	52.83%	56.45% 3.6 pts worse	Numerator 28 · Denominator 53
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 53 · Denominator 53
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	6.38%	25.2% 18.8 pts worse	Numerator 3 · Denominator 47

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.8	2.1 0.7 pts worse	1.9 0.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 3.4 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.8	1.2 0.4 pts better	1.8 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.8 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	97.8% 1.5 pts better	93.4% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 98.7% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	99.2% 0.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.3%	2.6% 2.3 pts better	3.3% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	3.7% 3.7 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	8.0%	5.9% 2.1 pts worse	5.4% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 9.5% · Q3 5.1% · Q4 8.9% · 4Q avg 8.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	11.2%	15.7% 4.5 pts better	19.6% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 10.8% · Q3 14.3% · Q4 10.5% · 4Q avg 11.2%
Percentage of long-stay residents who received an antipsychotic medication	17.3%	9.8% 7.5 pts worse	16.7% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 13.7% · Q3 18.4% · Q4 19.6% · 4Q avg 17.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	1.5%	11.7% 10.2 pts better	16.3% 14.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.0% · Q4 3.3% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.7%	9.8% 5.1 pts better	14.9% 10.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 0.0% · Q3 14.0% · Q4 0.0% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.4% 0.4 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.4%	0.8% 0.6 pts worse	1.7% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 0.0% · Q4 2.9% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	11.0%	12.5% 1.5 pts better	19.8% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 1.5% · Q3 17.7% · Q4 21.3% · 4Q avg 11.0%
Percentage of long-stay residents with pressure ulcers	5.9%	5.1% 0.8 pts worse	5.1% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.9% · Q3 6.7% · Q4 10.6% · 4Q avg 5.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	94.3% 5 pts better	81.7% 17.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 98.7% · Q3 99.6% · Q4 100.0% · 4Q avg 99.3%
Percentage of short-stay residents who had an outpatient emergency department visit	7.0%	9.3% 2.3 pts better	12.0% 5 pts better	Short Stay · 20240701-20250630 · Adjusted 7.0% · Observed 7.7% · Expected 12.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	1.5% 0.5 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 1.6% · Q4 1.6% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	97.9%	94.7% 3.2 pts better	79.7% 18.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 97.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.3%	26.2% 4.1 pts worse	23.9% 6.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.3% · Observed 36.3% · Expected 28.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-22 · Fire 2025-05-22

9 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-02-08 · Fire 2024-02-08

7 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2022-09-23 · Fire 2022-09-23

12 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-22

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-06-25

F · Potential for more than minimal harm 2025-05-22

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-06-25

F · Potential for more than minimal harm 2025-05-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-06-25

D · Potential for more than minimal harm 2025-05-22

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-06-25

D · Potential for more than minimal harm 2024-02-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-03-22

D · Potential for more than minimal harm 2022-09-23

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-10-19

D · Potential for more than minimal harm 2022-09-23

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-12-22

D · Potential for more than minimal harm 2022-09-23

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-10-19

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-05-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-05-22

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-05-22

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-05-22

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-05-22

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-05-22

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-05-22

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-05-22

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-05-22

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-06-20

E · Potential for more than minimal harm 2024-02-08

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-08

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-08

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-08

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-08

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-08

F917 · Environmental Deficiencies

Health

Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

Corrected 2024-03-01

E · Potential for more than minimal harm 2022-09-23

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2022-10-23

D · Potential for more than minimal harm 2022-09-23

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2022-10-23

D · Potential for more than minimal harm 2022-09-23

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2022-10-23

D · Potential for more than minimal harm 2022-09-23

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2022-10-23

D · Potential for more than minimal harm 2022-09-23

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-10-23

D · Potential for more than minimal harm 2022-09-23

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-10-23

D · Potential for more than minimal harm 2022-09-23

F700 · Quality of Life and Care Deficiencies

Health

Corrected 2022-10-23

D · Potential for more than minimal harm 2022-09-23

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2022-10-23

D · Potential for more than minimal harm 2022-09-23

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2022-10-23

D · Potential for more than minimal harm 2022-09-23

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-10-23

D · Potential for more than minimal harm 2022-09-23

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2022-10-23

C · Minimal harm 2022-09-23

F885 · Infection Control Deficiencies

Health

Report COVID19 data to residents and families.

Corrected 2022-10-23

Penalties and ownership

What sits behind the stars

$4,156 2024-02-08

Fine

Fine · fine $4,156

Fine

Ownership

Hyman, Simcha

5% Or Greater Direct Ownership Interest · Individual

50% 25 facilities 2020-11-03

Zanziper, Naftali

5% Or Greater Direct Ownership Interest · Individual

50% 31 facilities 2020-11-03

Achille, Dieudegrace

W-2 Managing Employee · Individual

0% 1 facilities 2020-11-03

Gorelick, Batya

Corporate Officer · Individual

0% 37 facilities 2021-05-01

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