Gulfside Health and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF908Jun 11, 2026

  Based on observation, staff interviews, and record review, the facility failed to ensure the kitchen's low temperature dishwashing machine operated per manufacturer specifications. The machine did not reach the required wash and rinse temperatures of at least 120 F (Fahrenheit) in one of one dish machines in the facility.Findings included: During a kitchen tour on 06/08/2026 at 9:50 a.m., the Dietary Manager (Staff F) stated the kitchen uses a low temperature dishwashing machine requiring a wash cycle of at least 120 F, a rinse cycle of at least 120 F, and a chemical sanitizer reading between 50-100 ppm (parts per million). Staff F said the facility's maintenance department normally maintains the machine and denied any temperature issues within the past three months. […]

• No harm, potential for more than minimal, patternF565Jun 11, 2026

  Based on interview and record review, the facility failed to ensure concerns voiced during resident council meetings were documented and processed as grievances in accordance with facility policy in four of five resident council meetings reviewed (12/5/25, 1/19/26, 3/24/26, and 4/20/26).Findings included:On 6/8/26 at 1:02 p.m., a resident council meeting was held with four regular participants (Resident #15, #17, #23 and #34), all of whom had intact cognition/brief interview for mental status (BIMS) scores of 15. The residents reported ongoing, unresolved concerns, including: Lack of grievance follow through - The residents stated the facility does not act promptly and does not provide resolutions. […]

• No harm, potential for more than minimal, patternF584Jun 11, 2026

  Based on observations, interviews, and record review the facility failed to maintain a clean, safe, and homelike environment and did not ensure equipment was properly maintained and functional in multiple areas of the building. Deficient environmental conditions were identified on the smoking patio, in the north unit shower room, and in ten of the seventeen resident rooms on the north unit (Rooms 120, 121, 122, 124, 126, 129, 130, 131, 134, and 135). Findings included: On 6/8/26 at 9:33 a.m., the north unit shower room was observed with multiple areas of black bio-growth in the crevices and on the caulking around the shower floor. On 6/8/26 at 9:36 a.m., room [ROOM NUMBER] was observed with a standing fan between the residents' beds containing heavy dust and visible trapped particles. […]

• No harm, potential for more than minimal, patternF880Jun 11, 2026

  Based on observations, interviews, and record review, the facility did not ensure infection control standards were followed related to a urinary catheter drainage bag for one resident (#71) out of two residents with an indwelling urinary catheter. Findings included:On 6/8/26 at 9:40 a.m., an observation of Resident #71 was conducted. He was laying down in bed, and the urinary catheter drainage bag and tubing was touching the floor. On 6/9/26 at 10:09 a.m., an observation of Resident #71 was conducted with Staff K, Certified Nursing Assistant (CNA) present. Resident #71 was laying down in bed, and the catheter drainage bag and tubing was touching the floor. […]

• No harm, potential for more than minimal, patternF925Jun 11, 2026

  Based on observations, interviews, and record reviews, the facility failed to maintain an environment free of pests in one unit (South) of two units observed.Findings Included: On 06/09/2026 at 11:43 a.m., a medium sized brown roach was observed crawling on the floor in room [ROOM NUMBER].On 06/09/2026 at 9:44 a.m., multiple flies were observed in room [ROOM NUMBER], including a fly landing on a resident's face. Staff were observed fanning at the insect; no additional interventions were implemented at the time.On 06/11/2026 at 2:04 p.m., Staff T, Licensed Practical Nurse (LPN) stated she had seen roaches in the facility, especially palmetto bugs.On 06/11/2026 at 2:07 p.m., Staff U (Housekeeper) reported seeing roaches sporadically in the facility.On 06/11/2026 at 2:08 p.m., Resident #10… […]