Largo Nursing and Rehabiliation Center

In the surveyor’s words

From the most serious findings on record at Largo Nursing and Rehabiliation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 6, 2024

  Based on observation, record review, and interview of facility staff, it was determined the facility failed to: 1) ensure medications and hazardous items were safely and securely stored and limit access to authorized personnel only. This was evident for two of three units observed; 2) investigate the root cause of the falls and initiate nursing interventions to prevent further falls, and 3) assess resident's fall risk regularly before actual fall incidents. This was evident for two (Resident #38 and # 323) of five residents reviewed for falls during the annual survey. As a result of the findings of unsecured medications and hazardous items, a state of immediate jeopardy was declared on 1/12/24 at 4:45 PM and communicated to the facility Administrator at 4:48PM. […]

• Actual harm, isolatedF600Feb 6, 2024

  Based on record review, and interview with the resident and staff it was determined the facility staff failed to ensure all residents were free from abuse and mistreatment. As a result of this deficient practice, Resident #18 experienced actual harm as evidenced by a laceration requiring 6 sutures to the forehead. This was evident for 1 (#18) of 28 residents reviewed for abuse. The findings include: During an interview on 1/09/24 at 11:04 AM Resident #18 stated that he/she was hit by a receptionist with a phone and had to go to the hospital to get stitches in his/her head. […]

• Actual harm, isolatedF689Mar 8, 2022

  Based on record review and interview, it was determined that the facility failed to prevent an avoidable accident with injury to Resident #9 during a transfer from the wheelchair to the bed. The facility failed to implement interventions, including adequate supervision that was consistent with the resident's needs, care plan and current professional standards of practice in order to reduce the risk of an accident. As a result, Resident #9 suffered a fall with harm (injury to the face resulting in sutures). […]

• No harm, potential for more than minimal, widespreadF565Feb 6, 2024

  Based on review of administrative documents, and interviews of residents and staff, it was determined that the facility failed to ensure that grievances and concerns from the resident group were documented, reviewed, and responses provided to the group in writing. This was evident in review of 7 of 7 resident council meeting minutes. The findings include: An introduction interview was held with the resident council president (resident #272) on 1/18/24 at 1:00 PM. They revealed that they had lived at the facility for [AGE] years and had been the president of the resident council for a long time. A follow up interview was held with the resident council president on 1/25/24 at 8:55 AM. She/he was asked for permission by the survey team to review the resident council minutes. […]

• No harm, potential for more than minimal, widespreadF584Feb 6, 2024

  Based on surveyor observation and staff interview, it was determined the facility staff failed to keep the building clean, neat, attractive and in good repair. This was evident for 3 of 3 nursing units on both floors of the facility. The findings include: An interview was conducted with the maintenance director (staff #10) on 1/18/24 at 11:25 AM. He revealed that he had been the maintenance director for 3 months beginning mid-October 2023. The maintenance department was comprised of the maintenance director and two assistants. He indicated that a renovation/remodel of the first floor was initiated the first week of his hiring. The mass project was to include all the floors, new lights, painting the hallways and the resident bedrooms, nurse station rehab gym, and lobby areas. […]