Royal Palm Beach Health and Rehabilitation Center
600 Business Park Way, Royal Palm Beach, FL 33411 · Palm Beach County · 120 certified beds · avg 107 residents/day · certified since Feb 7, 1985
Part of chain: SIMCHA HYMAN & NAFTALI ZANZIPER (79 facilities, chain avg rating 2.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (28)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 22, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| May 22, 2025 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Feb 8, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Feb 8, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 8, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Feb 8, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Feb 8, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Feb 8, 2024 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Feb 8, 2024 | D · Potential for harm, one-off | The facility did not provide bedrooms with required basics: a window to the outside, a room at or above ground level, adequate bedding, furniture that fits the resident's needs, or enough closet space. |
| Sep 23, 2022 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Sep 23, 2022 | D · Potential for harm, one-off | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Sep 23, 2022 | C · Minimal risk, facility-wide | The facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 12 | 0 | E |
| 2024 | 7 | 0 | E |
| 2025 | 9 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $4,156.
| Date | Type | Amount / length |
|---|---|---|
| Feb 8, 2024 | Fine | $4,156 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.57 | 4.03 | 3.95 | bottom 21% in Florida; bottom 40% in the U.S. |
| Registered Nurse hours | 0.76 | 0.76 | 0.69 | top 38% in Florida; top 30% in the U.S. |
| Weekend total nurse staffing | 3.34 | 3.68 | 3.50 | bottom 26% in Florida; bottom 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.57 | 0.53 | 0.48 | top 34% in Florida; top 25% in the U.S. |
| Total nursing staff turnover (%) | 35.1 | 41.4 | 45.8 | top 33% in Florida; top 24% in the U.S. |
| RN turnover (%) | 29.4 | 46.0 | 42.9 | top 20% in Florida; top 28% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.38, RN 0.72, weekend 3.16. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Achille, Dieudegrace | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/03/2020 |
| Gorelick, Batya | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "What adaptive eating equipment do you provide, and how do you decide who needs help at meals?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Luxe at Wellington Rehabilitation Center the | 4.0 mi | Wellington, FL | ★★☆☆☆ | 2/5 | |
| Aviata at Greenacres | 4.8 mi | Green Acres, FL | ★★☆☆☆ | 2/5 | |
| Aviata at West Palm Beach | 5.5 mi | West Palm Beach, FL | ★★☆☆☆ | 1/5 | abuse |
| Joseph L Morse Health Center INC the | 6.7 mi | West Palm Beach, FL | ★★★★★ | 5/5 | |
| Aviata at Coral Bay | 7.0 mi | West Palm Beach, FL | ★★★☆☆ | 2/5 | |
| Darcy Hall of Life Care | 7.1 mi | West Palm Beach, FL | ★★☆☆☆ | 1/5 | abuse |
| Westgate Health and Rehabilitation Center | 7.4 mi | West Palm Beach, FL | ★★★☆☆ | 3/5 | |
| Beach Breeze Rehab and Care Center | 7.6 mi | West Palm Beach, FL | ★★☆☆☆ | 2/5 | |
| Colonial Skilled Nursing Facility LLC | 7.7 mi | West Palm Beach, FL | ★★★☆☆ | 3/5 | |
| Palm Beach Nursing Center | 8.0 mi | Lake Worth, FL | ★★★☆☆ | 2/5 | |
| Palm Garden of West Palm Beach | 8.0 mi | West Palm Beach, FL | ★★★☆☆ | 3/5 | |
| Pine Trail Nursing and Rehab Center | 8.3 mi | Lake Worth, FL | ★★☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 105494.