Hawthorne Center for Rehab & Healing of Sarasota

In the surveyor’s words

From the most serious findings on record at Hawthorne Center for Rehab & Healing of Sarasota, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 28, 2024

  Based on resident and staff interview and facility policy and medical record review the facility failed to implement adequate individualized interventions to prevent falls, including fall with major injury for 1 (Resident #43) of 4 residents reviewed for falls. The findings included: Review of the facility Policy titled Incident Management (no initiation date) stated, An incident is any occurrence which is not consistent with the routine operation of the facility or the routine care of a particular resident. It may involve an injury or damage to property. […]

• No harm, potential for more than minimal, patternF684Apr 11, 2023

  Based on record review and staff and resident interview, the facility failed to continue to assess after a change in condition and failed to ensure prescribed medications were available for administration for 3 (Resident #1, #3 and #6) of 5 residents reviewed. The findings included: 1. Resident #1 was admitted to the facility on [DATE] with diagnoses not limited to personal history of transient ischemic attack (mini stroke) and cerebral infarction (stroke) with no residual effects. Record review revealed on 4/4/23 at approximately 5 p.m., Resident #1 complained of numbness to the bottom lip and unintentional biting her inner cheek to Licensed Practical Nurse (LPN) Staff C. LPN Staff C noted there was no facial droop, smile even and speech clear. […]

• No harm, potential for more than minimal, patternF688May 12, 2022

  Based on review of the clinical record, resident and staff interviews, the facility failed to provide the necessary care and services to maintain ambulation status for 1(Resident #16) of 1 resident reviewed with a restorative ambulation program. Review of Resident #16's clinical record showed an admitted [DATE]. The Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented Resident #16 required limited physical assistance of one person for transfers, walking in room and corridor. The Certified Nursing Assistant Kardex (form used to communicate resident's care needs) documented Resident #16 required assistance with ambulation. A fall risk evaluation dated 3/8/22 documented Resident #16 scored an 11 indicating a high risk for falls. […]

• No harm, potential for more than minimal, patternF761May 12, 2022

  Based on observation, record review and staff interview, the facility failed to ensure medications remained locked and inaccessible to unauthorized personnel when out of sight on 3 (Independence Place, Liberty Lane, Bounce Back Lane) of 4 units. The facility failed to discard expired medication in 1 (Bounce Back Lane) of 4 medication carts reviewed, and failed to ensure safe storage of medications at the bedside for 2 (Resident #24 and #44) of 2 residents observed with unsecured medications at the bedside. […]

• No harm, potential for more than minimal, patternF908May 12, 2022

  Based on record review and interviews, the facility failed to ensure nebulizer machines used for residents are maintained under safe operating conditions according with the manufacturer's recommendations. The findings included: The compressor nebulizer (Machines that create a mist out of liquid medication for easier absorption into the lungs) manufacturer's manual for the nebulizers used at the facility noted, Filter change: . Do not wash or clean the filter. Only use filters supplied by your distributor. And do not operate without a filter. Change the filter every 30 days or when the filter turns gray . On 5/10/22 at 10:37 a. […]