North Port Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at North Port Rehabilitation and Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Jul 18, 2024

  Based on Observation, interview, and record review the facility failed to provide maintenance services to ensure a clean, safe, and comfortable environment in the residents' designated smoking area and 1 (Rosebud unit) of 1 unit observed with stained ceiling tiles, and 2 (Rooms #134 and #176) of 60 rooms observed. The findings included: On 7/14/24 at 9:26 a.m., a nursing staff member was observed wiping condensation from the air conditioner vent near the Rosebud Nursing station. Eleven of the ceiling tiles around the vent showed signs of leaking from the ceiling. An area of black growth was observed on the wall near the ceiling next to the rosebud nursing station. On 7/15/24 at 11:00 a.m., in an interview the Regional Manager of Operations said the roof was leaking. […]

• No harm, potential for more than minimal, patternF677Jul 18, 2024

  Based on observation, interview and record review the facility failed to provide the necessary care and services to maintain personal hygiene for 3 (Residents #20, #33, and #167) of 8 sampled residents dependent on staff for activities of daily living, including showers, incontinent care and nail care. The findings included: 1. Record review revealed Resident #20 was admitted to the facility on [DATE]. Diagnoses included history of Bipolar Disorder, Anxiety, Major Depressive Disorder, Unspecified Mood Disorder, Dementia with behavioral disturbance, Confusional Arousal, Congestive Heart Failure, Chronic Kidney Disease, Anemia, and Hypertension. […]

• No harm, potential for more than minimal, patternF698Jul 18, 2024

  Based on interview and record review, the facility failed to provide the necessary care and services to attain or maintain the highest practicable physical well-being for 1 (Resident #418) of 1 sampled resident receiving dialysis. The findings included: 1. The facility policy and procedure titled, Standards and Guidelines: Dialysis Care, with an effective date of 10/2014 and a revision date of 1/2024, stated the facility will implement individualized plans of care to include the interdisciplinary team as well as the dialysis care team in coordination with the attending physician. […]

• No harm, potential for more than minimal, patternF725Jul 18, 2024

  Based on observation, interview and record review the facility failed to provide sufficient staffing to ensure 6 residents of 40 residents surveyed (#3, #14, #20 #33, #58, and #65) received appropriate ADL care and ensured call lights were answered in a timely manner. The findings included: On 7/15/24 at 11:47 a.m. Resident #3 said she waits an hour for staff to respond to her call light. Last night I was up all night because any time I had to urinate I would have to wait an hour to get back to bed. The aide came in and said what do you want I explained I needed wiped and assisted back to bed by lifting my legs. The aide wiped me and left the room. I put my light back on and she came back and said what do you want I explained I needed someone to lift my legs in the bed. […]

• No harm, potential for more than minimal, patternF760Jul 18, 2024

  Based on observation, review of facility's policies and procedures, and staff interviews the facility failed to ensure 4 (Residents #4, #63, #67 and #418) of 5 sampled residents were free from significant medication errors. The findings included: The facility policy Medication Administration (Revised 1/2024) documented Medications are administered in accordance with prescriber orders, including any required time frame . Only persons licensed or permitted by this state to prepare, administer, and document the administration of medications may do so . Medications errors are documented, reported, and reviewed by the QAPI [Quality Assurance and Performance Improvement] committee to inform process changes and the need for additional training . […]