Live Oak Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Live Oak Healthcare and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF600May 19, 2023

  Based on record review and interview, the facility failed to ensure individuals employed at the facility were licensed in accordance with applicable state laws to prevent medical neglect, when the facility failed to verify the identity, credentials, and licensure of an individual prior to employment as a licensed practical nurse providing care and services for 17 shifts for 77 residents using a sample of 5 of 5 residents of the total 77 residents, Residents #39, #10, #7, #29, and #66. The failure of ensuring an individual is licensed as a practical nurse could result in the likelihood of harm and/or death to residents due to the lack of knowledge and education of medications and medication side effects. […]

• Immediate jeopardy, patternF607May 19, 2023

  Based on record review and interview, the facility failed to ensure policies and procedure were implemented to prohibit and prevent medical neglect when failing to ensure individuals employed at the facility were licensed in accordance with applicable state laws, when the facility failed to verify the identity, credentials, and licensure of an individual prior to employment as a licensed practical nurse providing care and services for 17 shifts for 77 residents using a sample of 5 of 5 residents of the total 77 residents, Residents #39, #10, #7, #29, and #66. Findings include: Review of the policy and procedure titled, Abuse: Florida dated 4/1/2022 read, Definitions Of Abuse and Neglect: f. […]

• Immediate jeopardy, patternF835May 19, 2023

  Based on interview and record review, the facility administration failed to administer the facility in a manner to effectively and efficiently attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident when the facility administration failed to implement policies and procedures to verify the identity, credentials and licensure of an individual prior to employment as a licensed practical nurse providing care and services for 17 shifts for 77 residents using a sample of 5 of 5 residents of the total 77 residents, Residents #39, #10, #7, #29, and #66. Findings include: Review of Staff A's personnel file documented an application for employment dated [DATE]. The application had two social security numbers and two dates of birth documented. […]

• Immediate jeopardy, isolatedF600Jul 7, 2022

  Based on interview and record review the facility failed to ensure all residents the right to be free from neglect for 1 of 3 residents reviewed for elopement, Resident #1 eloped and was found 0.7 miles from the facility involved in a motor vehicle accident. Resident #1 did not survive. Findings include: Review of the nursing progress note dated [DATE] midnight written by the Director of Nursing (DON) read, Resident noted to be absent from facility at appox [SIC] with wander guard alarm sounding. Elopement policy and procedure implemented including interior/exterior search. Resident location identified. Authorities involved at this time. MD [Medical Doctor] family notified. Review of the Exception Report documented, Effective Date [DATE]. 1. […]

• No harm, potential for more than minimal, widespreadF732Feb 7, 2025

  Based on observation and interview, the facility failed to ensure the nurse staffing data was posted on a daily basis. Findings include: During an observation upon entrance to the facility on [DATE] at 9:00 AM, the nurse staffing information in the reception area was dated Friday 1/31/2025. During an interview on 2/3/2025 at 9:05 AM, the Administrator confirmed the nurse staffing data posted was for 1/31/2025 and not 2/3/2025. During an interview on 2/5/2025 at 2:00 PM, when a policy on posting of nurse staffing information was requested, the Administrator stated the facility did not have a policy and he expected it to be posted accurately daily.