Tag 0655 · Severity D
Create 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 2024-06-16| Ownership | For profit - Limited Liability company | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 82.9% | Latest inspection | 2024-05-23 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 4.5 of 5 | 3 of 5 |
| Health-inspection score | 21.0 points | 22.5 points | 38.5 points |
| Total nurse staffing | 3.69 hours/day | 3.69 hours/day | 3.63 hours/day |
| RN staffing | 1.00 hours/day | 0.78 hours/day | 0.62 hours/day |
| Staff turnover | 27.8% | 25.2% | 41.8% |
| Latest health deficiencies | 8 deficiencies | 6.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Create 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 2024-06-16Develop 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 2024-06-16Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-06-16Ensure 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 2024-06-16Safeguard 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 2024-06-16Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-06-16Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-06-16Immediate-jeopardy citations: 0
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-04-07Provide 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 2023-04-07Immediate-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 2022-01-02Provide 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 2022-01-02Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-01-02Provide 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 2022-01-02Reported 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 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 | 2.21652 |
| Lpn hours | 0.46654 |
| Rn hours | 1.0037 |
| Reported total hours | 3.68675 |
| Weekend total hours | 3.32821 |
| Weekend rn hours | 0.67155 |
| Adjusted total hours | 3.7972 |
| Total turnover percent | 27.8 |
| Rn turnover percent | 20 |
| 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 |
|---|---|---|
| STROHLI, ELI | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| BEITER, JANALLE | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| MEDICAL CONSULTING LLC, PATEL | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE |
| BEITER, JANALLE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| STROHLI, ELI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BEITER, JANALLE | ADP OF THE SNF | NOT APPLICABLE |
| MEDICAL CONSULTING LLC, PATEL | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology