Tag 0645 · Severity F
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-04-21| Ownership | Non profit - Other | Certified beds | 180 |
|---|---|---|---|
| Estimated occupancy | 93.2% | Latest inspection | 2024-03-21 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | 2 of 5 | 3 of 5 |
| Health-inspection score | 79.0 points | 74.0 points | 38.5 points |
| Total nurse staffing | 3.91 hours/day | 3.51 hours/day | 3.63 hours/day |
| RN staffing | 0.75 hours/day | 0.56 hours/day | 0.62 hours/day |
| Staff turnover | 47.4% | 50.7% | 41.8% |
| Latest health deficiencies | 13 deficiencies | 11 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 2024-04-21Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2024-04-21Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-04-21Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-04-21Ensure 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 2024-04-21Procure 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 2024-04-21Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-04-21Honor 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 2024-04-21Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-04-21Provide 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 2024-04-21Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-04-21Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-04-21Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-04-21Immediate-jeopardy citations: 0
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-01-14Immediate-jeopardy citations: 0
Develop 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 2020-11-09Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2020-11-09Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow 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 | 2.09854 |
| Lpn hours | 1.06442 |
| Rn hours | 0.74579 |
| Reported total hours | 3.90876 |
| Weekend total hours | 3.27021 |
| Weekend rn hours | 0.43628 |
| Adjusted total hours | 4.23018 |
| Total turnover percent | 47.4 |
| Rn turnover percent | 34.4 |
| Administrators left | Not reported by CMS |
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 |
|---|---|---|
| PERRYMAN, DONNA | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| WEISBERG, ROBERT | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE |
| PERRYMAN, DONNA | CORPORATE DIRECTOR | NOT APPLICABLE |
| PERRYMAN, DONNA | CORPORATE OFFICER | NOT APPLICABLE |
| LEVINE, DAVID | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PERRYMAN, DONNA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MENORAH MANOR INC | TRUSTEE OF THE SNF | NOT APPLICABLE |
| WEISBERG, ROBERT | TRUSTEE OF THE SNF | NOT APPLICABLE |
| LEVINE, DAVID | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology