Emerald Coast Center

In the surveyor’s words

From the most serious findings on record at Emerald Coast Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jan 20, 2022

  Based on record reviews, staff interviews, family interview, law enforcement interview, and policy review, the facility failed to protect Resident #1 from neglect and intimidation by contacting law enforcement after the resident had been non-compliant with the facility smoking policy on two undocumented occasions: 12/29/21 and 12/30/21. Facility staff failed to intervene when law enforcement issued a Trespass Warning and directed the resident to leave facility property on 12/30/21. This failure allowed the resident, who wore an electronic wander monitoring device, had a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] #1). This situation resulted in a finding of Immediate Jeopardy at a scope and severity of isolated (J). […]

• Immediate jeopardy, isolatedF622Jan 20, 2022

  Based on record reviews, staff interviews, family interview, law enforcement interviews, and facility policy review, the facility failed to ensure immediate facility-initiated discharges only occurred to meet the health, safety or welfare needs of residents for 1 of 1 resident reviewed for facility-initiated discharge (Resident #1). The facility failed to permit a resident with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility discharged Resident #1 on 12/30/21 by bypassing the electronic bracelet function in order to allow the exit doors to open and permitted the resident to leave the facility alone and on foot. The resident traveled on foot approximately 3 blocks away from the facility without supervision and no planned, receiving destination. […]

• Immediate jeopardy, isolatedF623Jan 20, 2022

  Based on record reviews, staff interviews, family interview, Ombudsman interview, law enforcement interviews, and facility policy review, the facility failed to provide the resident, the resident's representative and the Ombudsman, a written discharge notice outlining the reason for the discharge, the effective date of the discharge, the discharge location, the resident's appeal rights, and the Office of the State Long-Term Care Ombudsman's contact information for 1 of 1 resident reviewed for facility-initiated discharge (Resident #1). The failure to discharge a resident without notice resulted in a finding of Immediate Jeopardy at a scope and severity of isolated (J). […]

• Immediate jeopardy, isolatedF624Jan 20, 2022

  Based on record reviews, staff interviews, family interview, law enforcement interview, and policy review, the facility failed to provide and document sufficient preparation and orientation for residents to ensure a safe and orderly discharge from the facility for 1 of 1 resident reviewed for facility-initiated discharge (Resident #1). The facility authorized law enforcement to issue a Trespass Warning for Resident #1, who had a documented diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The situation resulted in a finding of Immediate Jeopardy at a scope and severity of isolated (J). The facility's Administrator and Director of Nursing were notified of the findings of Immediate Jeopardy on 1/19/22 at approximately 6:40 PM. Cross reference F600, F622, F623, and F835. […]

• Immediate jeopardy, isolatedF835Jan 20, 2022

  Based on record reviews, staff interviews, resident representative interview, law enforcement interviews, and Administrator job description review, the facility failed to use its resources effectively and efficiently to maintain the highest practicable physical, mental, and psychosocial well-being for 1 of 1 resident reviewed for facility-initiated discharge (Resident #1). The facility Administrator contacted law enforcement regarding Resident #1 who had been non-compliant with the facility smoking policy on two undocumented occasions: 12/29/21 and 12/30/21. Facility administrative staff failed to intervene when law enforcement issued a Trespass Warning and directed the resident to leave the facility property on 12/30/21. […]