Daytona Beach Health and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Apr 13, 2023

  Based on staff interviews, resident and facility record reviews, and a review of the facility's policy titled Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation, the facility failed to provide vulnerable residents protection from sexual abuse. This resulted in unwanted sexual contact for one (Resident #1) of three residents reviewed for abuse. The facility failed to develop and implement interventions necessary to protect Resident #1 from unwanted sexual contact by Resident #2, who had a diagnosis of dementia, a history of physical aggression toward other residents, and was independently ambulatory. […]

• Immediate jeopardy, isolatedF610Apr 13, 2023

  Based on staff interviews, resident and facility record reviews, and a review of the facility's policy titled Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation, the facility failed to thoroughly investigate sexual abuse for one (Resident #1) of three residents reviewed for abuse. Failure to investigate sexual abuse thoroughly, contributed to the facility's female residents' risk of suffering the same sexual abuse resulting in serious psychosocial harm, which would diminish self-worth and self-respect. On 2/18/23 at approximately 6:15 p.m., Residents #1 and #2 were observed in the West Wing TV room by Certified Nursing Assistant (CNA) A. Resident #1's blouse was unbuttoned down to her sternum and her breast was exposed. […]

• Immediate jeopardy, isolatedF835Apr 13, 2023

  Based on staff interviews, resident and facility record reviews, and a review of the facility's policy titled Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation, the facility's administration failed to provide appropriate supervision to ensure the protection of vulnerable residents from sexual abuse for one (Resident #1) of three residents in the sample. The facility failed to develop and implement interventions necessary to protect Resident #1 from unwanted sexual contact by Resident #2, who had a diagnosis of dementia, a history of physical aggression toward other residents, and was independently ambulatory. […]

• Immediate jeopardy, isolatedF867Apr 13, 2023

  Based on interviews, record reviews, a review of the facility's policy and procedure for Abuse, Neglect, Misappropriation of Resident/Guest Property, Suspicious Injuries of Unknown Source, Exploitation, and the facility's policy and procedure for Quality Assurance/Quality Assurance Performance Improvement, the facility failed to develop and implement appropriate plans of action to correct identified quality deficiencies, particularly those that cause adverse outcomes. This resulted in a lack of improvement of their systems and processes. This failure contributed to the sexual abuse of one (Resident #1) out of three residents reviewed for abuse. It also placed all other vulnerable female residents at risk for serious adverse outcomes related to potential sexual abuse from Resident #2. […]

• No harm, potential for more than minimal, widespreadF812Mar 25, 2021

  Based on observations and staff interviews, the facility failed to maintain food service equipment used for residents in a safe and sanitary manner. The facility failed to label and date food items in accordance with professional standards for food service. This practice placed all residents who consumed foods prepared in the facility's kitchen at risk for foodborne illness. The findings include: An initial tour of the kitchen was conducted with the Dietary Manager (DM) on 3/22/21 at 10:03 a.m. During the tour, the handwashing sink was soiled/stained with gray matter embedded in the porcelain and behind the spicket. The floor underneath the [MEDICATION(S)] station was covered with a buildup of dust and dirt. […]