Life Care Center of Orange Park

In the surveyor’s words

From the most serious findings on record at Life Care Center of Orange Park, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Jul 29, 2021

  Based on observations, clinical record review, staff interviews and facility policy and procedure review, the facility failed to maintain a clean living environment for six (#42, #18, #5, #14, #33 and #91) of six residents receiving enteral feedings through a gastrostomy tube (g-tube), from a total of 36 sampled residents. Failure to provide a clean living environment can present the potential for infection and illness for the residents. The findings include: On 07/26/2021 at 2:56 PM, Resident #42's room was observed to have enteral food product splattered on the wall, intravenous (IV) pole and pump. (Photographic evidence obtained) On 07/27/2021 at 12:14 PM, Resident #18's room was observed to have enteral food product splattered on the pump, wall, floor and IV pole. […]

• No harm, potential for more than minimal, isolatedF644Feb 6, 2025

  Based on observations, interviews, and record review, the facility failed to coordinate assessments with the pre-admission screening and resident review (PASRR) program under Medicaid, to the maximum extent practicable, to avoid duplicative testing and effort for two (Resident #40 and #80) of four residents whose PASRRs were reviewed, from a total survey sample of 41 residents. Resident #40's diagnoses were updated upon readmission indicating a need for a Level II, but no Level II was provided for review by the facility. Resident #80's Level I PASRR indicated that a Level II was required; however, no Level II was provided for review by the facility. The findings include: 1. A review of Resident #40's medical record revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, isolatedF686Feb 6, 2025

  Based on observations, resident and staff interviews, and a review of resident records, the facility failed to ensure residents with pressure ulcers received necessary treatment and services consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing for one (Resident #144) of three residents reviewed for pressure ulcers. The findings include: On 2/03/2025 at 12:17 p.m., Resident #114 was seated in her wheelchair with both feet (red socks in place) dangling down towards the floor. A white gauze bandage was observed protruding from her sock around her right ankle area. When asked what happened, Resident #114 reported she had a sore from a tight shoe strap that cut into her skin a couple of months ago. […]

• No harm, potential for more than minimal, isolatedF695Feb 6, 2025

  Based on observations, interviews, and record review, the facility failed to ensure that residents requiring respiratory care received such care, consistent with professional standards of practice and the comprehensive person-centered care plan for one (Resident #226) of two residents reviewed for respiratory care, from a total of 21 residents receiving oxygen therapy, who was not receiving oxygen at the flow rate the physician ordered. The findings include: On 02/04/25 at 9:59 AM, Resident #226 was observed resting in bed with her eyes closed. She was wearing a nasal cannula attached to an oxygen concentrator and was receiving oxygen at a flow rate of 4 liters per minute (4L/min). (photographic evidence obtained) On 02/04/25 at 1:29 PM, Resident #226 was observed resting in her room. […]

• No harm, potential for more than minimal, isolatedF695Mar 23, 2023

  Based on observations, interviews, medical record review, and a review of the facility's policies and procedures, the facility failed to ensure residents who required respiratory care received care consistent with professional standards of practice and their comprehensive care plans, for two (Residents #87 and #76) of three residents reviewed for respiratory care, from a total of 36 residents in the sample. The findings include: 1. An observation of Resident #87 was made on 03/20/23 at 11:59 AM in her room. An oxygen concentrator was in the room and the flow rate (gauge) was set between the 1 and 2 measurement, indicating oxygen was flowing at a rate of 1.5 liters per minute (lpm). (Photographic evidence obtained) Resident #87's nasal cannula was lying on the bed. […]