Florida Presbyterian Homes Inc

In the surveyor’s words

From the most serious findings on record at Florida Presbyterian Homes Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF882Mar 3, 2022

  Based on interviews and record review, the facility failed to ensure the Infection Control Preventionist (ICP) had specialized training in Infection Control and Prevention. Findings included: An interview was conducted on 03/03/2022 at 12:47 p.m. with the facility's Director of Nursing (DON). The DON stated she was acting as the facility's ICP but did not have any specialized training related to infection control and prevention. The DON also stated she was not aware of any staff in the facility having specialized training related to infection control and prevention. An interview was conducted on 03/03/2022 at 1:29 p.m. with the facility's Nursing Home Administrator (NHA). […]

• No harm, potential for more than minimal, patternF761Jul 30, 2026

  Based on observations, record reviews, and interviews the facility failed to ensure medications, including controlled substances, were properly secured and inaccessible to residents, visitors, and unauthorized individuals, in one medication cart (B cart) of four medication carts on the second floor; and failed to ensure an opened vial of insulin had an expiration date in one medication cart (A cart) of four medication carts on the second floor. Findings included: On 7/28/26 at 8:56 a.m., an observation showed Staff C, Licensed Practical Nurse (LPN) exiting Resident #50's room holding a wrist blood pressure cuff. The medication cart (B-cart) assigned to that area was parked around the corner from the resident's doorway. […]

• No harm, potential for more than minimal, patternF812Jul 30, 2026

  Based on observations, interviews and facility record review, the facility failed to ensure food items and food service areas were maintained in a sanitary manner, related to food stored in the walk in refrigerator and freezer not labeled with contents or dates and rotten ready to eat produce stored with fresh food items; staff not performing required hand hygiene between soiled and clean dishwashing tasks; and dishwashing machines in two kitchenettes were used before reaching required sanitation temperatures and one of one walk in freezer unit with ice accumulation in one of one kitchen observed. […]

• No harm, potential for more than minimal, patternF880Jul 30, 2026

  Based on record reviews and interviews, the facility failed to maintain an accurate, consistent, and complete infection surveillance system as required by its Infection Prevention and Control Program; the facility did not accurately document, track, trend, or map resident infections or antibiotic use; inconsistently recorded infection types and numbers; failed to document organisms, symptoms, and confirmations of infection; and did not ensure both designated Infection Preventionists participated in surveillance processes for three months (April, May and June 2026) of three months reviewed.Findings included:Review of the April 2026 Infection Surveillance Report revealed the facility listed a total of 11 infections, including three community acquired and three healthcare acquired: one… […]

• No harm, potential for more than minimal, patternF644Feb 26, 2024

  Based in interview and record review, the facility failed to ensure the accuracy of the Level I Pre-Admission Screening and Resident Review (PASSAR) for four (#9, #40, #14 and #198) of five residents reviewed. Findings Included: 1. Record review revealed Resident #9 was admitted to the facility on [DATE] with diagnoses that included but not limited to Unspecified Mental Disorder due to known Physiological Disorder, Anxiety, Schizophrenia and Unspecified Dementia according to the Face Sheet. Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed: -Section C: Brief Interview for Mental Status (BIMS) score 00, indicating severe cognitive impairment. -Section I: Active Diagnosis - none checked. -Section N: Medications administered - Antipsychotic and Antianxiety. […]