Gainesville Health and Rehab Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF656Mar 1, 2023

  Based on observations, staff interview, clinical record review, it was determined that the facility staff failed to develop and/or implement the comprehensive care plan for four of 46 residents in the survey sample, Resident #15, Resident #11, Resident #80 and Resident #67. The findings include: 1. For Resident #15 (R15), facility staff failed to implement the comprehensive care plan for the use of fall mats and positioning the bed in a low position. (R15) was admitted to the facility with a diagnosis that included but was not limited to epilepsy (1). […]

• No harm, potential for more than minimal, patternF698Mar 1, 2023

  Based on staff interview, resident interview, clinical record review and facility document review, it was determined the facility staff failed to provide complete dialysis care and services per the comprehensive plan of care for two of 46 residents in the survey sample, Resident #67 and Resident #71. The findings include: 1. For Resident #67, the facility failed to provide communication to the dialysis facility for one of 13 visits in November 2022, 4 of 13, visits in December 2022, 5 of 13, visits in January 2023 and 2 of 12 visits in February 2023. Resident #67 was admitted to the facility on [DATE] with diagnoses that included but were not limited to: end stage renal disease. […]

• No harm, potential for more than minimal, patternF825Mar 1, 2023

  Based on staff interview and clinical record review, it was determined that the facility staff failed to provide rehabilitation services for one of 46 residents in the survey sample, Resident #261. The findings include: For Resident #261 (R261), the facility staff failed to provide physical and occupational therapy services from 03/18/2022 through 03/23/2022. (R261) was admitted to the facility with diagnoses that included but were not limited to muscle weakness. On the most recent MDS (minimum data set), an admission assessment with an ARD (assessment reference date) of 03/11/2022, (R261) scored 15 out of 15 on the BIMS (brief interview for mental status), indicating (R261) was cognitively intact for making daily decisions. […]

• No harm, potential for more than minimal, patternF840Mar 1, 2023

  Based on staff interview and facility document review, it was determined the facility staff failed to have a written dialysis agreement for the facility for two of two residents who utilized the dialysis center, Resident #67 and Resident #71. The findings include: The facility failed to evidence a written dialysis agreement for one dialysis center that Resident #67 and Resident #71 received dialysis at. During the entrance conference to the facility on [DATE], a request was made for the dialysis contracts or agreements. […]

• No harm, potential for more than minimal, patternF842Mar 1, 2023

  Based on staff interview, facility document review and clinical record review it was determined the facility staff failed to maintain an complete and accurate clinical record for three of 46 residents in the survey sample, Residents #105, #162, and #261. The findings include: 1. For Resident #105 (R105) the facility staff failed complete the Social Services Admission Assessment upon admission to the facility. R105 was admitted to the facility on [DATE]. The Admission MDS (minimum data set) assessment, with an ARD (assessment reference date) of 2/5/2023 was completed. Review of the clinical record failed to evidence any Social Services Assessments for R105. A request was made for any social services notes or assessments completed for R105. The following documentation was provided. […]