The Agency for Healthcare Research & Quality (AHRQ) estimates that more than 2.5 million people develop pressure sores annually. Pressure sores, also known as bedsores, pressure ulcers, or decubitus ulcers, are an injury to the skin and underlying tissue. They are caused by unrelieved pressure built up on an area of the skin for a …
Nursing Home Cited After COVID-19 Observation
A COVID-19 survey was conducted at Apollo Health and Rehabilitation. Following the observation, the facility was cited for failing to maintain a “prevention and control program related to not properly maintaining and implementing best practices for COVID-19.” The investigator listed the following reasons for the citation: a screening device used for staff and persons from …
Nursing Home Fails to Provide Nursing Services in Timely Manner
Rehabilitation and Healthcare Center of Tampa was cited after failing to “provide nursing and related services to enable residents to attain and maintain their highest practicable physical, mental and psychosocial well-being.” During an observation and interview with a resident, long wait times for call lights were reported. The resident’s son was also present. He told …
Palm Garden of Pinellas Fails to Comply with Infection Prevention Requirements
After a COVID-19 visit for Palm Garden of Pinellas, the nursing home facility was cited for failing to comply with infection prevention and control requirements. This facility was also discussed in a past blog post, which you can read here. Based on observation, interview, policy and procedure, standard precautions, and the Centers for Disease Control …
Excel Care Center Fails to Implement Appropriate Infection Practices
Excel Care Center was cited after the facility failed to ensure “appropriate infection practices were implemented” on multiple occasions. Appropriate infection practices were not taken in relation to glucometer disinfection; personal protective equipment (PPE) and proper hand washing for two residents on contact isolation; and proper eye drop administration for one resident. Failure to conduct …
Golfport Rehabilitation Center Fails to Protect Resident at High Risk for Falls
Golfport Rehabilitation Center was cited after the facility failed to ensure a resident was “provided with interventions and supervision after a fall that resulted in a fracture.” The resident was known to be at “high risk” for falls. The right side of her body was particularly weak, as she had suffered a stroke. The surveyor …
Carrington Place of St. Pete Fails to Provide Proper Education for Staff
Carrington Place of St. Pete was cited after the facility “failed to ensure nurse’s aides demonstrated competencies” and did not “provide the resources and orientation necessary to provide care and services to vulnerable residents.” The lack of training resulted in two residents soiling their pants because the staff did not assist them to the restroom. …
Nursing Homes Leaves Resident Unsupervised, Results in Heatstroke and Skin Blisters
Valencia Hills Health and Rehabilitation Center was cited by the Florida Agency for Healthcare Administration because “the facility allowed a resident who was at risk for dehydration related to diuretic use, hypertension, and diabetes and at risk for skin breakdown remain outside on a day with a temperature of 93 degrees Fahrenheit.” The lack of …
West Bay of Tampa Fails to Care for Resident After a Fall
West Bay of Tampa has been cited by the Florida Agency for Healthcare Administration because “the facility failed to ensure interventions were implemented for one… [resident] after a fall with a major injury.” This resident had three recent falls by the time the state investigative team was able to visit the facility. After the resident’s …
Southern Pines Healthcare Center cited for “Infection Control Issues”
Southern Pines Healthcare Center was cited after an investigator found that the facility “failed to perform hand hygiene during the task of medication administration… and failed to ensure the indwelling catheter tubing and bag were appropriately maintained.” The investigator of this citation visited the facility in order to verify the nursing home was following protocols …
Resident Elopes, Crosses Highway, and Returns Before Nursing Home Notices
West Melbourne Health & Rehabilitation Center has been cited for failing “to provide a secure environment and adequate supervision” for a resident. “These failures contributed to the elopement of [the resident] and placed him at risk for serious injury/impairment/death. While [the resident] was out of the facility unsupervised, there was high likelihood he could have …
Nursing Home Fails to Complete X-Ray for Resident, Results in Delay of Treatment
Wedgewood Healthcare Center was cited when the facility “failed to ensure a physician’s order for a left hip x-ray due to pain was completed in a timely manner.” This resulted in a delay of treatment for a resident. The resident in this citation complained of pain in her left hip while in the common area …
Nursing Home Sits on Lab Results, Resident Sent to Hospital
Abbey Rehabilitation and Nursing Center was cited after failing to “identify and notify the physician of elevated laboratory results.” The resident’s physician noted the resident’s white blood cell count was high, so he ordered another test to be taken. The second test revealed an even higher white blood cell count, but these results were not …
Resident Suffers Pain, Bleeding After Nurse Replaces Catheter
Tampa Lakes Health and Rehabilitation Center has been cited after a resident was sent to the emergency room with blood in his catheter bag and tubing. The facility was cited because it failed to “provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary …
Nursing Home Fails to Supervise Resident with Pattern of Inappropriate Behavior
Lakeland Nursing Home and Rehabilitation was cited after the facility failed to provide supervision for a resident who was known for being sexually inappropriate with other residents. According to the citation, the male resident committed “unsafe and sexually inappropriate behaviors” toward other female residents. Additionally, the facility was cited because it failed to ensure “behavioral …
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