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 2025-03-10| Ownership | Non profit - Corporation | Certified beds | 181 |
|---|---|---|---|
| Estimated occupancy | 90.9% | Latest inspection | 2025-01-16 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 63.0 points | 38.0 points | 38.5 points |
| Total nurse staffing | 4.05 hours/day | 3.75 hours/day | 3.63 hours/day |
| RN staffing | 0.83 hours/day | 0.86 hours/day | 0.62 hours/day |
| Staff turnover | 14.4% | 27.2% | 41.8% |
| Latest health deficiencies | 14 deficiencies | 8 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 2025-03-10Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-03-10Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-03-10Provide 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 2025-03-10Provide 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 2025-03-10Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-03-10Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-03-10Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-03-10Ensure 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 2025-03-10Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-03-10Procure 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 2025-03-10Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-03-10Immediate-jeopardy citations: 0
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-10-21Ensure 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 2023-10-21Provide 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 2023-10-21Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-10-21Immediate-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 2022-06-24Honor 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 2022-06-24Create 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 2022-06-24Provide 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 2022-06-24Provide 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 2022-06-24Provide 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 2022-06-24Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-06-24Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-06-24Ensure 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 2022-06-24Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-06-24Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.52988 |
| Lpn hours | 0.68904 |
| Rn hours | 0.82707 |
| Reported total hours | 4.04599 |
| Weekend total hours | 3.70885 |
| Weekend rn hours | 0.5517 |
| Adjusted total hours | 4.33556 |
| Total turnover percent | 14.4 |
| Rn turnover percent | 23.1 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2023-09-21 | Fine | $25,155.00 |
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.
2
Provide enough food/fluids to maintain a resident's health.
Ensure 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.
| Name | Role | Share |
|---|---|---|
| ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| ARCHDIOCESE OF MIAMI INC | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| ARCHDIOCESE OF MIAMI INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| FRICK, MARY | CORPORATE OFFICER | NOT APPLICABLE |
| CATHOLIC HEALTH SERVICES INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BAILEY, ROSEMARIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JULES, CLINTON | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WILSON, LAURA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ARCHDIOCESE OF MIAMI INC | TRUSTEE OF THE SNF | NOT APPLICABLE |
| CATHOLIC HEALTH SERVICES INC | ADP OF THE SNF | NOT APPLICABLE |
| ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC | ADP OF THE SNF | NOT APPLICABLE |
| BAILEY, ROSEMARIE | ADP OF THE SNF | NOT APPLICABLE |
| JULES, CLINTON | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology