Life Care Center of Winter Haven

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF644Jan 26, 2023

  Based on record review, staff interviews, and review of the facility's policy, the facility failed to complete the Preadmission Screening and Resident Review (PASARR) Level II upon a new qualifying mental health diagnosis for six (Residents #40, #78, #95, #55, #63 and #94) of seven residents sampled for PASARR Level II. Findings included: 1. A review of the electronic medical record (EMR) revealed Resident #40 was admitted to the facility on [DATE]. A Minimum Data Set (MDS) dated [DATE], showed in section I, Resident #40 was admitted with diagnoses of Depression and Schizophrenia. […]

• No harm, potential for more than minimal, patternF550Feb 20, 2025

  Based on observation, record review, and interview, the facility failed to ensure residents were provided dining services and resident care with dignity for four residents (#63, #2, #26, and #72 ) out of eight sampled residents. Findings Include: 1. During an observation made on 02/17/25 at 1:03 pm., Resident #63 was sitting up in bed with her lunch tray placed in front of her. She was observed having a hard time picking up her food using a specialized spoon. At 1:42 p.m., Staff D, Certified Nursing Assistance, CNA was observed standing over Resident #63 assisting her with her meal. During an observation made on 02/19/2025 at 1:29 pm, Resident #63 was observed sitting up in her bed with her lunch tray in front of her. […]

• No harm, potential for more than minimal, patternF687Feb 20, 2025

  Based on observation, record review, and interview, the facility failed to provide proper foot care and treatment to maintain good foot health according to professional standards of practice for three residents ( #134, #141, and #140) out of fifty-three residents sampled. Findings Include: 1. During an observation on 02/17/2025 at 9:20 a.m., Resident #134 was observed lying down in bed dressed in his night clothes. Resident #134's great toe was observed with the toe nail sticking out of a hole on his left sock. Resident #134 stated he really needed his toenails cut because they were causing his feet to hurt. He stated he had asked staff repeatedly to cut his toenails, but no one would listen to him. Resident # 134 gave consent to take a picture of his toenails. […]

• No harm, potential for more than minimal, patternF759Feb 20, 2025

  Based on observation, review, and interview, the facility failed to ensure the medication error rate was less than 5.00%. Thirty-three medication administration opportunities were observed, and fourteen errors were identified for six (#143, #37, #218, #117, #120, and #106) of eight residents observed. These errors constituted a 42.42% medication error rate. Findings included: 1. On 2/18/25 at 9:54 a.m. Staff B, Licensed Practical Nurse (LPN) obtained a blood pressure of 115/49 from Resident #143 and informed the resident that the blood pressure medication Hydralazine was going to be held for a while. […]

• No harm, potential for more than minimal, patternF695Jan 26, 2023

  Based on observations, interviews, and record review, the facility did not ensure respiratory equipment was stored in a sanitary manner for six (Resident #40, #118, #14, #51, #49 and #103) of eight residents reviewed for respiratory care. Findings included: 1. During facility tours on 01/23/23 at 9:35 a.m., 01/24/23 at 11:15 a.m. and 01/25/23 at 8:22 a.m., Resident #40 was observed in her room in bed. An oxygen concentrator was noted at the head of her bed. The tubing and cannula were tucked on the handle and hung down to the floor. The tubing and cannula were not bagged. Resident #40 did not respond to the interview. Resident # 40 was admitted to the facility on [DATE]. Review of current physician orders dated 01/25/23 showed the resident did not have orders to administer oxygen. 2. […]