Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-10-143825 Countryside Blvd N, Palm Harbor, FL 34684
(727) 784-2848 · Aviata Health Group
| Ownership | For profit - Individual | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 95.4% | Latest inspection | 2024-09-19 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 28.0 points | 74.0 points | 38.5 points |
| Total nurse staffing | 3.47 hours/day | 3.51 hours/day | 3.63 hours/day |
| RN staffing | 0.91 hours/day | 0.56 hours/day | 0.62 hours/day |
| Staff turnover | 37.1% | 50.7% | 41.8% |
| Latest health deficiencies | 5 deficiencies | 11 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-10-14Honor 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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-10-14Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-10-14Ensure 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 2024-10-14Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-10-14Immediate-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 2022-10-22Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-10-22Develop 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 2022-10-22Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-10-22Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-10-22Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-10-22Ensure 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 2022-10-22Report COVID19 data to residents and families.
Infection Control Deficiencies · Deficient, Provider has date of correction 2022-10-22Immediate-jeopardy citations: 0
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-04-08Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
How does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.10289 |
| Lpn hours | 0.45668 |
| Rn hours | 0.91178 |
| Reported total hours | 3.47135 |
| Weekend total hours | 3.15426 |
| Weekend rn hours | 0.74848 |
| Adjusted total hours | 3.65937 |
| Total turnover percent | 37.1 |
| Rn turnover percent | 45.5 |
| 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 |
|---|---|---|
| COUNTRYSIDE PARENT LLC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| PALM HARBOR HOLDCO LLC | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| FREUND, NOCHUM | CORPORATE OFFICER | NOT APPLICABLE |
| BAILEY, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| COMANDINI, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FREUND, NOCHUM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DAGAN, AMITAI | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE |
| GOLDBERGER, ABRAHAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE |
| GOLDBERGER, FAIGY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE |
| HERSKOWITZ, ELIEZER | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE |
| HERSKOWITZ, YAAKOV | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE |
| TRAVITSKY, AARON | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE |
| ASPIRE MGT LLC | ADP OF THE SNF | NOT APPLICABLE |
| BAILEY, TIMOTHY | ADP OF THE SNF | NOT APPLICABLE |
| COMANDINI, JEFFREY | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology