Elder Care Record

Florida › Palm Beach County › Delray Beach

West Delray Nursing & Rehab Center

16200 S Jog Road, Delray Beach, FL 33446

CCN 106005 · For-profit, corporation · 120 certified beds · chain Excelsior Care Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

West Delray Nursing & Rehab Center is a For-profit, corporation nursing home in Delray Beach, Florida, certified for 120 beds and caring for about 110 residents a day.

CMS gives it 1 of 5 stars overall, below the Florida median of 3; the health inspection rating is 1, staffing 3 and quality measures 4.

Inspectors recorded 40 health deficiencies across the three most recent survey cycles (17, 13, 10 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 33.3 per 100 beds, more than the state median of 15.8.

CMS lists 3 penalties in the period covered: fines totalling $40K.

Reported nurse staffing is 3.5 hours per resident per day (0.9 RN), close to the Florida median of 3.6; nursing staff turnover is 39.3%.

40health deficiencies, 3 survey cycles1 at actual harm or worse
$40Kfines listed by CMS3 penalties in period
3.5nurse hours per resident per daystate median 3.6
92%occupancy (residents ÷ beds)110 residents a day

Compared with county, state and nation

MeasureThis facilityPalm Beach Co. medianFlorida medianUS average
Overall star rating1333.0
Health citations, 3 cycles40261828.7
Citations per 100 beds33.322.515.826.8
Total nurse hours per resident day3.53.63.63.9
RN hours per resident day0.90.80.60.7
Nursing staff turnover39.3%28.0%41.8%45.8%
Fines listed$39,841$0$0—

County and state figures are medians across facilities (54 in the county, 694 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)17
Cycle 213
Cycle 310

Dark bar: this facility. Grey bar: Florida average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Mar 2025, 30 Nov 2023.

Severity mix: G ×1 D ×34 E ×3 F ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
16 Jun 2025F0565Honor the resident's right to organize and participate in resident/family groups in the facility.DComplaint investigation16 Jul 2025
16 Jun 2025F0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.DComplaint investigation16 Jul 2025
12 Mar 2025F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey11 Apr 2025
12 Mar 2025F0578Honor 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.DStandard survey11 Apr 2025
12 Mar 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey11 Apr 2025
12 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey11 Apr 2025
12 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey11 Apr 2025
12 Mar 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey11 Apr 2025
12 Mar 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey11 Apr 2025
12 Mar 2025F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DStandard survey11 Apr 2025
12 Mar 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard survey11 Apr 2025
12 Mar 2025F0732Post nurse staffing information every day.DStandard survey11 Apr 2025
12 Mar 2025F0758Implement 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.DStandard survey11 Apr 2025
12 Mar 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey16 May 2025
12 Mar 2025F0761Ensure 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.DStandard survey11 Apr 2025
12 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey11 Apr 2025
12 Mar 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey11 Apr 2025
12 Mar 2025F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard survey16 May 2025
12 Mar 2025F0880Provide and implement an infection prevention and control program.DStandard survey11 Apr 2025
30 Nov 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation30 Dec 2023
30 Nov 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey30 Dec 2023
30 Nov 2023F0584Honor 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.EStandard survey30 Dec 2023
30 Nov 2023F0567Honor the resident's right to manage his or her financial affairs.DComplaint investigation30 Dec 2023
30 Nov 2023F0641Ensure each resident receives an accurate assessment.DStandard survey30 Dec 2023
30 Nov 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey30 Dec 2023
30 Nov 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey30 Dec 2023
30 Nov 2023F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey30 Dec 2023
30 Nov 2023F0759Ensure medication error rates are not 5 percent or greater.DStandard survey30 Dec 2023
30 Nov 2023F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard survey30 Dec 2023
30 Nov 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey30 Dec 2023
28 Jul 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey27 Aug 2022
28 Jul 2022F0584Honor 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.EStandard survey27 Aug 2022
28 Jul 2022F0803Ensure 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.EStandard survey27 Aug 2022
28 Jul 2022F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey27 Aug 2022
28 Jul 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey27 Aug 2022
28 Jul 2022F0688Provide 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.DStandard survey27 Aug 2022
28 Jul 2022F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey27 Aug 2022
28 Jul 2022F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey27 Aug 2022
28 Jul 2022F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey27 Aug 2022
28 Jul 2022F0761Ensure 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.DStandard survey27 Aug 2022

Penalties

DateTypeAmountDetail
12 Mar 2025Fine$4,979
12 Mar 2025Fine$4,147
30 Nov 2023Fine$30,715

Staffing

Total nursing3.46 h
Nurse aides2.15 h
LPN0.44 h
RN0.87 h
Weekend total3.26 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Florida average. Turnover: nursing staff 39.3%, RNs 60.5%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityFlorida medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay6.2%7.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.8%2.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.6%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay13.0%7.7%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.3%4.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.2%7.0%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: West Delray Opco Llc. Chain: Excelsior Care Group (33 facilities).

OrganisationRole in the CMS recordInterestSince
West Delray Intermediate Opoc Holdco LLC5% or greater direct ownership interest100%04/01/2023
Flnho Capital Group LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED04/01/2023
Palm Beach Health Partners LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED04/01/2023

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Palm Beach County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Boynton Beach Rehabilitation CenterBoynton Beach1685441710.1—26 Mar 2026
Chatsworth At Pga NationalPalm Beach Gardens6255546.5—17 Apr 2025
Edward J Healey Rehabilitation and Nursing CenterRiviera Beach12054554.2—21 May 2026
Finnish-American VillageLake Worth455451124.4$9K6 Mar 2025
Gardens CourtPalm Beach Gardens12055443.3—8 Jan 2026
Health Center At Sinai ResidencesBoca Raton60555711.7—15 Feb 2024
Joseph L Morse Health Center Inc TheWest Palm Beach23055510.4—14 Apr 2022
Stratford Court of Boca RatonBoca Raton605352033.3—26 Sep 2024

All 54 facilities in Palm Beach County

Questions and answers

How many deficiencies has West Delray Nursing & Rehab Center been cited for?

40 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Florida median is 18 per facility.

Has West Delray Nursing & Rehab Center been fined?

Yes. CMS lists fines totalling $40K in the period covered.

How does staffing at West Delray Nursing & Rehab Center compare?

Reported total nurse staffing is 3.5 hours per resident per day against a Florida median of 3.6 and a national average of 3.9.

Who operates West Delray Nursing & Rehab Center?

It is part of the Excelsior Care Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include West Delray Intermediate Opoc Holdco LLC, Flnho Capital Group LLC and Palm Beach Health Partners LLC. Individual owners and managers are not listed on this site.

When was West Delray Nursing & Rehab Center last inspected?

The most recent survey or investigation in the CMS record is dated 16 Jun 2025; the most recent standard health survey was 12 Mar 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.