Inn at Sarasota Bay Club

In the surveyor’s words

From the most serious findings on record at Inn at Sarasota Bay Club, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 4, 2023

  Based on observation and staff interview, the facility failed to ensure proper cleaning and sanitizing of equipment in the kitchen. The findings included: On 5/1/2023 at 9:15 a.m., during a tour of the kitchen conducted with the Certified Dietary Manager (CDM), the following observations were made: Ceiling vents with dust build-up. Photographic evidence obtained. Ice machine with dust build up on vent. Photographic evidence obtained. Stove area and flat cooktop were covered in grease and grime build up. Photographic evidence obtained. There was a container of melted butter sitting on flat cook top that was also covered in grease and grime. Photographic evidence obtained. At the time of the observation, the CDM said the melted butter gets changed before each meal. […]

• No harm, potential for more than minimal, patternF684Aug 15, 2024

  Based on observation, interview and record review, the facility failed to ensure 3 (Residents #21, #25, and #180) of 5 residents reviewed received care in accordance with professional standards of practice. The findings included: 1. Review of the clinical record for Resident #21 revealed an admitted [DATE]. The physician's orders dated 7/27/24 included to weigh Resident #21 weekly on Tuesdays starting on 8/1/24 for a diagnosis of malnutrition. The physician's orders dated 7/27/24 also included to obtain the resident's vital signs (Temperature, pulse, respiration, blood pressure) and weight monthly. The clinical record lacked documentation the facility clarified the physician's orders related to the frequency of monitoring the resident's weight. […]

• No harm, potential for more than minimal, patternF847Aug 15, 2024

  Based on record review and resident and staff interview, the facility failed to ensure the facilities binding arbitration agreement explicitly informed the residents of their rights to have it explained to them in a manner that was understood, that the agreement could be rescinded within 30 calendar days of signing, that the agreement did not have to be signed or that it was not a condition of admission or continued care in the facility, and that the resident would be allowed to communicate with federal, state or local ombudsman for 3 (Resident #10, #12 and #330) of 13 resident reviewed who had signed the facility binding arbitration agreement. […]

• No harm, potential for more than minimal, patternF848Aug 15, 2024

  Based on record review and resident and staff interview, the facility failed to ensure the facility's binding arbitration agreement signed by 3 (Residents #10, #12 and #330) of 13 resident reviewed explicitly informed residents of their rights to select a neutral arbitrator and participate in the select of venue for dispute resolution that both parties agreed upon. The findings included: Review of the clinical record for Residents #10, #12, and #330 revealed the residents signed the facility's binding agreement upon admission. On review of Facilities binding arbitration agreement, it did not indicate the following: 1. That the resident has a right to be included in selecting a neutral arbitrator agreed upon by both parties 2. […]

• No harm, potential for more than minimal, patternF700May 4, 2023

  Based on observation, staff and resident interviews, and record review, the facility failed to attempt alternatives prior to the use of bed rails for 4 (Resident #4, #12, #142, and #192) of 6 residents reviewed for bed rails. The findings included: 1. On 5/1/2023 at 10:25 a.m., observation revealed Resident #4 asleep in the bed with bilateral upper bed rails in the up position. On 5/4/2023 at 11:30 a.m., observation revealed Resident #4 sitting up in bedside chair. Both bed rails were in the up position. Record review for Resident #4 revealed no evidence alternatives were attempted prior to use of bed rails on the bed of Resident #4. 2. On 5/4/2023 at 11:40 a.m., observation revealed Resident #12 in her bed sleeping with bilateral upper bed rails in the up position. […]