Citrus Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Citrus Health and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF578Feb 7, 2023

  Based on record review and interview, the facility failed to ensure resident rights for advanced directives were honored by failing to follow physician's order to Do Not Resuscitate (DNR) when the resident was found unresponsive and absent of vital signs for 1 of 3 residents, Resident #1. The facility failed to ensure resident rights were honored when the resident was found unresponsive and absent of vital signs by initiating CPR (Cardiopulmonary Resuscitation) for a resident with a Do Not Resuscitate Order. The facility failure to honor Resident #1's advanced directives resulted in likely serious harm to Resident #1. This resulted in Immediate Jeopardy. […]

• Immediate jeopardy, isolatedF580Sep 16, 2022

  Based on observation, interview, and record review the facility failed to immediately consult with the resident's physician and notify the residents' representatives when there was a change of condition for 2 of 2 residents reviewed for changes in condition, Resident #29 and #42, resulting in the residents having to be treated by IV (intravenous) antibiotic therapy due to infection. Delay in notifying the physician of a wound, critical labs, and resident change in condition due to infection can result in the spread of the infection into the deeper tissues of the body, the infection can travel through the blood to other parts of the body and could become life threatening. Findings include: 1. […]

• Immediate jeopardy, isolatedF600Sep 16, 2022

  Based on observation, interview, and record review, the facility failed to ensure residents were free from medical neglect when they did not immediately consult with the resident's physician and notify the residents' representatives when there was a change of condition for 2 of 2 residents, Residents #29 and #42, resulting in a delay of care. Delay in notifying the physician of a wound, critical labs, or resident change in condition can result in the spread of infection into the deeper tissues of the body, the infection can travel through the blood to other parts of the body and could become life threatening. Findings include: 1. […]

• Immediate jeopardy, isolatedF835Sep 16, 2022

  Based on observation, interview, and record review the facility administration failed to administer the facility in a manner that enables it to attain and maintain the highest practicable physical well-being of each resident and to prevent medical neglect when the facility failed to notify the physician of critical laboratory results, wound culture results and wound care needs resulting in a delay in care and treatment for 2 of 2 residents, Residents #29 and #42. Delay in wound care treatment can result in the spread of infection into the deeper tissues of the body, the infection can travel through the blood to other parts of the body and could become life threatening. […]

• Immediate jeopardy, isolatedF867Sep 16, 2022

  Based on observation, interview, and record review the facility failed to utilize the Quality Assessment and Process Improvement (QAPI) process when the administrative staff failed to investigate, develop, and implement appropriate plans of correction to identify and correct quality deficiencies of the facility failing to notify the physician of critical laboratory results, wound culture results and wound care needs resulting in a delay in care and treatment for 2 of 2 residents, Residents #29 and #42. Delay in wound care treatment can result in the spread of infection into the deeper tissues of the body, the infection can travel through the blood to other parts of the body and could become life threatening. Findings Include: 1. […]