Tag 0550 · Severity D
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 2025-03-282511 John Young Parkway North, Kissimmee, FL 34741
(407) 931-3336 · Harborview Health Systems
| Ownership | For profit - Limited Liability company | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 93.7% | Latest inspection | 2025-02-28 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 3.5 of 5 | 3 of 5 |
| Health-inspection score | 50.0 points | 40.5 points | 38.5 points |
| Total nurse staffing | 3.61 hours/day | 3.51 hours/day | 3.63 hours/day |
| RN staffing | 0.95 hours/day | 0.80 hours/day | 0.62 hours/day |
| Staff turnover | 31.0% | 35.4% | 41.8% |
| Latest health deficiencies | 13 deficiencies | 6 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-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 2025-03-28Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-03-28Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-03-28Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2025-03-28Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-03-28Develop 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 2025-03-28Develop 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 2025-03-28Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-03-28Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-03-28Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-03-28Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · Deficient, Provider has date of correction 2025-03-28Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-03-28Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-03-28Immediate-jeopardy citations: 0
Procure 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 2023-09-15Provide 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 2023-09-15Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-09-15Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-09-15Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-09-15Provide 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 2023-09-15Ensure 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 2023-09-15Immediate-jeopardy citations: 0
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-11-14Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2021-11-14Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.13379 |
| Lpn hours | 0.53132 |
| Rn hours | 0.94778 |
| Reported total hours | 3.6129 |
| Weekend total hours | 3.26097 |
| Weekend rn hours | 0.81248 |
| Adjusted total hours | 3.89178 |
| Total turnover percent | 31 |
| Rn turnover percent | 35.5 |
| 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
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
| Name | Role | Share |
|---|---|---|
| HARBORVIEW KISSIMMEE HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| CHAPPEL, CHRISTOPHER | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| VAUGHAN, CHRISTA | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| CHAPPEL, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LEIBOWITZ, CHAIM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VAUGHAN, CHRISTA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DAHAN, MICHELLE | TRUSTEE OF THE SNF | NOT APPLICABLE |
| ENGLANDER, SHMUEL | TRUSTEE OF THE SNF | NOT APPLICABLE |
| KLEIN, JOSEPH | TRUSTEE OF THE SNF | NOT APPLICABLE |
| LEIBOWITZ, ELIYAHU | TRUSTEE OF THE SNF | NOT APPLICABLE |
| SOKOLOFF, RIVKA | TRUSTEE OF THE SNF | NOT APPLICABLE |
| CL 2022 IRRV TR | ADP OF THE SNF | NOT APPLICABLE |
| DE 2021 IRRV TR | ADP OF THE SNF | NOT APPLICABLE |
| FL 7 NURSING AND REHAB HOLDINGS LLC | ADP OF THE SNF | NOT APPLICABLE |
| HARBORVIEW KISSIMMEE HOLDINGS LLC | ADP OF THE SNF | NOT APPLICABLE |
| CHAPPEL, CHRISTOPHER | ADP OF THE SNF | NOT APPLICABLE |
| LEIBOWITZ, CHAIM | ADP OF THE SNF | NOT APPLICABLE |
| VAUGHAN, CHRISTA | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology