Harborview Health Center West Altamonte

In the surveyor’s words

From the most serious findings on record at Harborview Health Center West Altamonte, in the surveyor’s own words.

• Actual harm, isolatedF684Oct 17, 2024

  Based on observation, interview, and record review, the facility failed to provide immediate and thorough nursing assessment and treatment services related to burns for 1 of 2 residents, (#27), and failed to obtain an order for treatment and date a treatment dressing for 1 of 2 residents reviewed for pressure wounds, (#84), of a total sample of 37 residents. The facility's failure to ensure a complete and timely assessment including accurate identification of burns resulted in actual harm. Resident #27 was transferred to a higher level of care initially for treatment and was transferred again to another hospital with a specialized burn unit. Resident #27 was admitted to the stepdown trauma unit with second degree burns to her left arm, left hand, abdomen and left thigh. […]

• Actual harm, isolatedF689Oct 17, 2024

  Based on interview and record review the facility failed to prevent an avoidable accident for a resident by not checking the temperature of microwaved noodles provided by staff for 1 of 2 residents reviewed for accidents, of a total sample of 37 residents, (#27). The facility's failure to provide a policy and ensure all staff were educated regarding the heating and reheating of resident food resulted in actual harm. Resident #27 was transferred to a higher level of care, then transferred again to another hospital with a specialized burn unit. Resident #27 was admitted to the stepdown trauma unit with second degree burns to her left arm, left hand, abdomen and left thigh. […]

• Actual harm, isolatedF689Mar 9, 2023

  Based on interview and record review, the facility failed to develop and implement appropriate interventions to include provision of adequate supervision to prevent a fall with major injury for 1 of 1 resident reviewed for accidents, of a total sample of 31 residents, (#11). The facility's failure to increase supervision for a resident with a history of repeated falls resulted in actual harm for resident #11. Findings: Review of the medical record revealed resident #11 was admitted to the facility on [DATE] with diagnoses including seizures, dementia, anxiety, and hypertension. […]

• Actual harm, isolatedF622Aug 16, 2022

  Based on interview and record review, the facility failed to permit a resident to remain in the facility while her Medicaid application was pending, and failed to provide rationale as to why the resident's needs could not be met at the facility for 1 of 3 residents reviewed for discharge of a total sample of 4 residents, (#1). Findings: Resident #1 was admitted to the facility on [DATE] for short term rehabilitation post hospitalization for Coronavirus Disease, pneumonia due to Coronavirus Disease, pulmonary emboli and difficulty walking. Additional diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF626Aug 16, 2022

  Based on interview and record review, the facility failed to permit a resident to return to the facility after she was transferred to the emergency roiagnom on the same day the facility gave her a 30 day discharge notice for 1 of 3 residents reviewed for discharge of a total sample of 4 residents, (#1). Findings: Resident #1 was admitted to the facility on [DATE] for short term rehabilitation post hospitalization for Coronavirus Disease, pneumonia due to Coronavirus Disease, pulmonary emboli, muscle weakness, and difficulty walking. Additional diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]