701 Overlook Dr Se, Winter Haven, FL 33884
(863) 318-5000 · Tlc Management
| Ownership | For profit - Corporation | Certified beds | 132 |
|---|---|---|---|
| Estimated occupancy | 95.4% | Latest inspection | 2024-03-26 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 61.0 points | 74.0 points | 38.5 points |
| Total nurse staffing | 4.20 hours/day | 3.52 hours/day | 3.63 hours/day |
| RN staffing | 0.57 hours/day | 0.52 hours/day | 0.62 hours/day |
| Staff turnover | 40.6% | 45.5% | 41.8% |
| Latest health deficiencies | 10 deficiencies | 10 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-04-28Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-04-28Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-04-28Ensure 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-04-28Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-04-28PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-04-28Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-04-28Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-04-28Implement 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-04-28Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-04-28Immediate-jeopardy citations: 0
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-03-04Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-03-04Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-03-04Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-03-04Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-03-04Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-03-04Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-03-04Immediate-jeopardy citations: 0
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2020-12-03Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2020-12-03Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2020-12-03Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2020-12-03Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2020-12-03Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2020-12-03Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2020-12-03Ensure 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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2020-12-03Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Deficient, Provider has date of correction 2020-12-03Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
How many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.48919 |
| Lpn hours | 1.14003 |
| Rn hours | 0.57446 |
| Reported total hours | 4.20368 |
| Weekend total hours | 3.85599 |
| Weekend rn hours | 0.3446 |
| Adjusted total hours | 3.9608 |
| Total turnover percent | 40.6 |
| Rn turnover percent | 40 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
0
| Name | Role | Share |
|---|---|---|
| LANHAM, STEVEN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| GIBSON, CULLEN | CORPORATE OFFICER | NOT APPLICABLE |
| OTT, DWIGHT | CORPORATE OFFICER | NOT APPLICABLE |
| OTT, GARY | CORPORATE OFFICER | NOT APPLICABLE |
| TENDER LOVING CARE MANAGEMENT INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BLACKWELL, CORY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VIEGAS, ALEIXO | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| TENDER LOVING CARE MANAGEMENT INC | ADP OF THE SNF | NOT APPLICABLE |
| BLACKWELL, CORY | ADP OF THE SNF | NOT APPLICABLE |
| GIBSON, CULLEN | ADP OF THE SNF | NOT APPLICABLE |
| LANHAM, STEVEN | ADP OF THE SNF | NOT APPLICABLE |
| OTT, DWIGHT | ADP OF THE SNF | NOT APPLICABLE |
| OTT, GARY | ADP OF THE SNF | NOT APPLICABLE |
| VIEGAS, ALEIXO | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology