Cypress Garden Center for Nursing and Rehabilitati

In the surveyor’s words

From the most serious findings on record at Cypress Garden Center for Nursing and Rehabilitati, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Sep 23, 2024

  Based on observations and staff interviews during the re-certification survey, the facility did not ensure that the residents' environment was maintained in a safe, sanitary, and comfortable manner. Specifically multiple observations were made of resident equipment layered with dirt and dust, room furniture heavily worn and torn seat cushion, room walls with streaks and stains, ice machines covered with rust stains, floor corners embedded with grime and dirt, base of dining room tables heavily worn and rust stains, nurse station area floor and walls layered with dirt and dust and entangled loose wires, torn or stained privacy curtains. This was evident for 3 of 7 units. (Units: 3, 4 and 6). […]

• No harm, potential for more than minimal, patternF921Sep 23, 2024

  Based on observation and interview, during the re-certification survey, the facility did not ensure the resident and staff physical environment was kept safe and clean. Specifically, 1.) Nurse Station 2.) Lobby Restrooms and Floor Tiles 3.) Staff Bathroom. This was evident in the Lobby area including 3 of 7 units. ( Units 3, 4 and 6). The findings are: The facility policy and procedure titled, Homelike Environment, dated 06/18/24 documented, The facility respectfully acknowledges that all residents are entitled to living in an environment that is like a homelike setting. Upon the initial entrance to the facility on [DATE] at approximately 9:00 AM and subsequent observations during the recertification survey the following environmental issues were observed: A) Lobby Area: 1. […]

• No harm, potential for more than minimal, isolatedF600Apr 1, 2025

  Based on observation, record review, and interviews during the abbreviated survey (NY00375573), the facility failed to ensure a resident was protected from abuse of any kind by anyone. This was evident for one (1) out of five (5) residents (Resident #1). Specifically, on 3/19/2025 Licensed Practical Nurse (#1) pulled Resident #1 on to and off the elevator. This was witnessed by Certified Nursing Assistants # 1, #2, Security Guard #1, and Registered Nurse Supervisor #1. The findings are: The facility's Policy and Procedure titled, Abuse, Mistreatment, Neglect, Exploitation and Misappropriation of Resident's Property, dated 03/20/2025, documented the purpose of the policy is to ensure a resident was protected from abuse of any kind by anyone. […]

• No harm, potential for more than minimal, isolatedF550Sep 23, 2024

  Based on observation, interviews, and record review conducted during the recertification survey from 09/16/2024 to 09/23/2024, the facility did not ensure a resident right to self-determination was honored. This was evident for 1 of 3 Residents (Resident #69) investigated for Abuse out of a total sample of 35 Residents. Specifically, Certified Nursing Assistant repeatedly attempted to render care to Resident #69 despite Resident #69 refusing care. The findings are: The facility's policy titled, Resident Rights Policy and Procedures last reviewed 6/11/2024 documented this facility is committed to assuring the rights and protection of its residents as stipulated under Federal and State Laws. […]

• No harm, potential for more than minimal, isolatedF657Sep 23, 2024

  Based on observation, record review and staff interviews conducted during the Recertification survey from 9/16/2024 to 9/23/2024, the facility did not ensure that a Comprehensive Care Plan was reviewed and revised by the interdisciplinary team after each assessment. Specifically, the care plan related to Communication: vision/hearing, was not revised based on a resident's need for a hearing aid. This was evident for 1 (Resident #207) of 3 residents reviewed for Communication' vision/hearing, out of 38 total sampled residents. […]