Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

MEMORIAL MANOR

PEMBROKE PINES, FL · 120 certified beds · Last Life Safety survey October 14, 2024

CMS Certification Number 105668 · first certified July 1989

Ownership

Independently operated (no chain recorded by CMS) · Government - Hospital district

No change of ownership on CMS record since January 1, 2016, when the records begin.

7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within FL

7 citations — more than 50% of the 694 certified nursing homes in FL. Compared within FL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (January 2026 to August 2026). Most FL facilities have been surveyed by December 2026. This facility’s last Life Safety survey was October 2024. Facilities in FL are typically surveyed 15–23 months after the last one (median 17), measured over 729 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 7 Life Safety citations above. The Physical Environment Index

  • F-0584 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.

How that compares

Citations on file over three years

Compared with the median facility in FL, and nationally. Surveyors differ markedly between states, so the FL figure is the meaningful one.

This facility7FL median7National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in FL7
Median facility nationally11

Survey history

Citations at each Life Safety survey
12022-0322023-0742024-10
Citations at each Life Safety survey
Survey dateCitations
March 24, 20221
July 27, 20232
October 14, 20244

Most-cited tags

Most-cited tags at this facility
K-09201K-03251K-07611K-02221K-03551K-07811K-03531
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.12022-03-24
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.12023-07-27
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-07-27
K-0222Add 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.12024-10-14
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12024-10-14
K-0781Have restrictions on the use of portable space heaters.12024-10-14
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-10-14

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Egress Deficiencies 1
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Miscellaneous Deficiencies2
Egress Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

October 14, 2024 — 4 citations

Citations issued on October 14, 2024
TagWhat the surveyor checksStatus
K-0222Add 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.Deficient, Provider has date of correction (November 13, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 13, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (November 13, 2024)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (November 13, 2024)

July 27, 2023 — 2 citations

Citations issued on July 27, 2023
TagWhat the surveyor checksStatus
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (August 27, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 27, 2023)

March 24, 2022 — 1 citation

Citations issued on March 24, 2022
TagWhat the surveyor checksStatus
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 4, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.