Tag 0645 · Severity E
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-07-066630 Kentucky Ave, New Port Richey, FL 34653
(727) 849-6939 · Health Services Management
| Ownership | Non profit - Other | Certified beds | 105 |
|---|---|---|---|
| Estimated occupancy | 86.5% | Latest inspection | 2024-06-06 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 76.5 points | 54.5 points | 38.5 points |
| Total nurse staffing | 3.44 hours/day | 3.58 hours/day | 3.63 hours/day |
| RN staffing | 0.57 hours/day | 0.57 hours/day | 0.62 hours/day |
| Staff turnover | 38.2% | 44.3% | 41.8% |
| Latest health deficiencies | 10 deficiencies | 8.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-07-06Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-07-06Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2024-07-06Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Deficient, Provider has date of correction 2024-07-06Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-07-06Honor 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 2024-07-06Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-07-06Coordinate 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 2024-07-06Develop 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 2024-07-06Immediate-jeopardy citations: 0
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Deficient, Provider has date of correction 2022-06-07Honor 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 2022-04-16Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-04-16Develop 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 2022-06-07Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-04-16Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-04-16Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-06-07Implement 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 2022-06-07Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-04-16Ensure 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 2022-06-07Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Deficient, Provider has date of correction 2022-06-07Immediate-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 2021-02-09Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2021-02-09Provide 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 2021-02-09Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What changes were made after inspectors reported actual harm during the 2026-05-20 inspection?
Suggested because of: latest actual harmHow 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 | 2.13098 |
| Lpn hours | 0.74139 |
| Rn hours | 0.5682 |
| Reported total hours | 3.44056 |
| Weekend total hours | 3.22805 |
| Weekend rn hours | 0.22053 |
| Adjusted total hours | 3.72119 |
| Total turnover percent | 38.2 |
| Rn turnover percent | 33.3 |
| Administrators left | 0 |
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.
1
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Name | Role | Share |
|---|---|---|
| HEALTH SERVICES MANAGEMENT, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| NATIONAL HEALTH INVESTORS, INC. | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| NHI-REIT OF FLORIDA, LLC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| BAXTER, KEVIN | CORPORATE OFFICER | NOT APPLICABLE |
| FISHER, SCOTT | CORPORATE OFFICER | NOT APPLICABLE |
| JACKSON, BRIAN | CORPORATE OFFICER | NOT APPLICABLE |
| SHATZ, JIM | CORPORATE OFFICER | NOT APPLICABLE |
| WHITE, JOSHUA | CORPORATE OFFICER | NOT APPLICABLE |
| HEALTH SERVICES MANAGEMENT, INC. | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BAXTER, KEVIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DILELLA, VINCENT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FISHER, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FLORES-DEJESUS, LISA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JACKSON, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SHATZ, JIM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WHITE, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NATIONAL HEALTH INVESTORS, INC. | ADP OF THE SNF | NOT APPLICABLE |
| NHI-REIT OF FLORIDA, LLC | ADP OF THE SNF | NOT APPLICABLE |
| DILELLA, VINCENT | ADP OF THE SNF | NOT APPLICABLE |
| FLORES-DEJESUS, LISA | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology