Advanced Health Care of Paradise

In the surveyor’s words

From the most serious findings on record at Advanced Health Care of Paradise, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF655Nov 19, 2021

  Based on observation, interview, record review and document review, the facility failed to ensure care plans were person-centered and corrected for proper interventions for 12 of 15 sampled residents (Resident #24, #219, #29, #222, #218, #37, #59, #164, #169, #168, #165, #167). Findings include: The facility policy titled Baseline and Temporary Care Plans dated 06/13/2021, indicated the baseline care plan was developed from a nursing assessment of the patient's needs. The care plan was written to include care to be given. On 11/19/202 at 10:00 AM, the Minimum Data Set (MDS) Coordinator confirmed all residents being admitted would generate a general non-specific care plan for falls and indicated a specific resident centered care plan should have been implemented. […]

• No harm, potential for more than minimal, widespreadF880Nov 19, 2021

  Based on observation, interview, record review, and document review, the facility failed to ensure 1) an appropriate disinfectant was used to clean the glucometers (a portable blood glucose device used to measure blood glucose levels) and Prothrombin Time/International Normalized Ratio (PT/INR) machines (a portable device used to monitor a person's response to [MEDICATION(S)], a blood thinner medication) per manufacturer's instructions; 2) staff members used the required Personal Protective Equipment (PPE) inside quarantine rooms; and 3) a provider discarded a contaminated gown appropriately. Findings include: 1) Equipment disinfection The Blood Glucose Monitoring System (glucometer) User's Guide (undated), documented to avoid using [MEDICATION(S)] to clean the meter or lancing device. […]

• No harm, potential for more than minimal, patternF698May 23, 2024

  Based on observations, interviews, record reviews, and document reviews, the facility failed to ensure: 1) dialysis intercommunication or post-dialysis treatment information was obtained or maintained for 2 of 2 sampled residents (Residents 28 and 27), 2) the resident's infection status was communicated to transportation staff or to the dialysis center for 1 of 2 sampled residents (Resident 28), and 3) the resident's arteriovenous fistula (AVF) was identified, care orders, and management were obtained, transcribed, and implemented for 1 of 2 sampled residents (Resident 27). […]

• No harm, potential for more than minimal, patternF684Nov 19, 2021

  Based on observation, interview, record review, and document review, the facility failed to ensure 1) the correct dose of medication was administered to a resident for 1 of 15 sampled residents (Resident #170), 2) a physician order for [MEDICAL RECORD OR PHYSICIAN ORDER] #167). Findings include: 1) Correct medication dose Resident #170 (R170) R170 was admitted on [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A Physician Order dated 11/17/2021, documented to administer [MEDICATION(S)] (Vitamin B12) 1,000 micrograms (mcg), one tablet per oral route once a day. On 11/18/2021 at 8:20 AM, a Licensed Practical Nurse (LPN) was observed administering medications to R170. The LPN administered one tablet of Vitamin B12, 100 micrograms per oral route. […]

• No harm, potential for more than minimal, isolatedF684Apr 17, 2026

  Based on observation, interview, record review and document review, the facility failed to ensure a resident received the medication as ordered for 1 of 4 sampled residents for medication pass observation (Resident 51); and a resident's follow-up appointment in one to two weeks with Neurology, per the hospital discharge instructions, was facilitated for 1 of 12 sampled residents (Resident 16). The deficient practice had the potential for the resident not to receive the maximum therapeutic effect of the medication and identify neurological issues.Findings include:Resident 51 (R51) was admitted on [DATE], with diagnoses including encephalopathy, anemia, and long term use of oral hypoglycemic drugs. […]