Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-04-26| Ownership | For profit - Limited Liability company | Certified beds | 99 |
|---|---|---|---|
| Estimated occupancy | 90.0% | Latest inspection | 2025-03-26 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 5 of 5 | 3 of 5 |
| Health-inspection score | 41.0 points | 24.0 points | 38.5 points |
| Total nurse staffing | 4.22 hours/day | 3.73 hours/day | 3.63 hours/day |
| RN staffing | 1.30 hours/day | 1.20 hours/day | 0.62 hours/day |
| Staff turnover | 28.1% | 28.1% | 41.8% |
| Latest health deficiencies | 10 deficiencies | 4 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 2025-04-26Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-04-26PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-04-26Develop 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 2025-04-26Ensure 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 2025-04-26Provide 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 2025-04-26Ensure 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 2025-04-26Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-04-26Safeguard 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 2025-04-26Set 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 2025-04-26Immediate-jeopardy citations: 0
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-11-19Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2023-11-19Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2023-11-19Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-11-19Immediate-jeopardy citations: 0
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-12-04Provide 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 2022-12-04Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-12-04Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-12-04Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-12-04Ensure 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 2022-12-04Reported 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 are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.61658 |
| Lpn hours | 0.30521 |
| Rn hours | 1.2991 |
| Reported total hours | 4.22089 |
| Weekend total hours | 3.82454 |
| Weekend rn hours | 1.14681 |
| Adjusted total hours | 4.28986 |
| Total turnover percent | 28.1 |
| Rn turnover percent | 46.4 |
| 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.
0
| Name | Role | Share |
|---|---|---|
| HERNANDO, GLADYS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| ANTONACCI, NICK | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| HERNANDO, JORGE | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| ANTONACCI, NICK | CORPORATE DIRECTOR | NOT APPLICABLE |
| HERNANDO, GLADYS | CORPORATE DIRECTOR | NOT APPLICABLE |
| HERNANDO, JORGE | CORPORATE DIRECTOR | NOT APPLICABLE |
| CARRASCO, MARCO | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HERNANDO, JORGE | GENERAL PARTNERSHIP INTEREST | NOT APPLICABLE |
| ANTONACCI, NICK | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE |
| HERNANDO, JORGE | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE |
| CARRASCO, MARCO | ADP OF THE SNF | NOT APPLICABLE |
| MOGHADDAM, HAMIDREZA | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology