Amaya Springs Health Care Center

In the surveyor’s words

From the most serious findings on record at Amaya Springs Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761Jan 29, 2026

  Based on observation, interview, and record review, the facility failed to ensure medications had proper storage and labeling when:1. An injectable medication (heparin, anticoagulant) comingled with oral medications.2. Discontinued medications of residents were not disposed of accordingly.3. A resident's medication was left at bedside (Resident 38). These failures had the potential for medications to be incorrectly administered, decrease medication potency (medication strength) that could compromise the therapeutic effectiveness of stored medications and prevent misappropriation of the medications. Findings: 1.A medication cart storage observation was conducted on [DATE] at 9:06 A.M. with Licensed Nurse (LN) 11. […]

• No harm, potential for more than minimal, patternF887Feb 18, 2022

  Based on interview and record review, the facility failed to properly prevent COVID-19 (a respiratory infection) when three sampled residents (10, 13, 24) and six unsampled residents (161, 17, 31, 37, 42, 49) were not offered vaccines when they were due. Findings: On 2/16/22 at 2:40 P.M., an interview with resident 13's Responsible Party (RP 13) was conducted. RP 13 stated, My mom was in the Covid unit last week. She just moved to a regular room this week. RP 13 further stated, I was wondering why they didn't offer her the COVID-19 booster vaccine. On 2/17/22 at 9 A.M., a document titled, Respiratory Illness Case Log for Residents and Staff dated, 2/4/2022 was reviewed with the Infection Control Preventionist (ICP). […]

• No harm, potential for more than minimal, isolatedF610Aug 11, 2026

  Based on observation, interview and record review the facility failed to ensure appropriate corrective action of an abuse allegation when the alleged victim's (Resident 1) room was in close proximity from the alleged perpetrator (offender) (Resident 2). This failure had the potential to affect Resident1's safety and well-being with the potential to have another altercation with Resident 2.Findings: Resident 1 was readmitted to the facility on [DATE] with diagnoses including post-traumatic stress disorder (PTSD, a mental and behavioral disorder that can develop because of exposure to a traumatic event) and anxiety disorder (a mental health disorder characterized by worry or fear that interferes with daily functioning) according to the facility's admission Record. […]

• No harm, potential for more than minimal, isolatedF655Jun 22, 2026

  Based on observation, interview, and record review, the facility failed to develop a baseline care plan (detailed plan with information about a resident's treatment, goal, and interventions) related to a resident's nail care for one of two residents (Resident 2), reviewed for care plan. As a result, the lack of a resident centered care plan with specific interventions had the potential to result in delayed care, miscommunication among caregivers, and a decreased physical well-being of the residents. Cross Reference: F 677 Findings: Resident 2 was admitted to the facility on [DATE], with diagnoses which included osteoarthritis (a degenerative joint disease) and needed assistance for personal care, per the facility's admission Record. […]

• No harm, potential for more than minimal, isolatedF677Jun 22, 2026

  Based on observation, interview, and record review, the facility failed to provide routine nail care to one of two residents (Resident 2), reviewed for Activities of Daily Living (ADL, activities related to personal care/ hygiene) for dependent residents. As a result, Resident 2's toenails were long and curved and Resident 2 was at risk for skin injury and infection. Cross Reference: F 655 Findings: Resident 2 was admitted to the facility on [DATE], with diagnoses which included osteoarthritis (a degenerative joint disease) and needed assistance for personal care, per the facility's admission Record. […]