Oak Hammock at the University of Florida Inc

In the surveyor’s words

From the most serious findings on record at Oak Hammock at the University of Florida Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 13, 2025

  Based on observation, interview, and record review, the facility failed to ensure food items were stored according to professional standard of practice, failed to serve foods at safe temperatures, and failed to ensure staff prepared food in accordance with professional standards to prevent the possible spread of food borne illness. (Photographic evidence obtained). Findings include: During an observation on 3/10/2025 at 9:15 AM with the Culinary Services Manager in the Main Dining Room, there were two packages of a food item that were not in the original packaging in the freezer with no identifying label. In refrigerator 1 there was a bag containing a white liquid with no identifying label or date. […]

• No harm, potential for more than minimal, patternF582Mar 13, 2025

  Based on record review and interview the facility failed to provide Advance Beneficiary notice of non-coverage in a timely manner for 2 of 3 residents reviewed for beneficiary notification, Resident #36 and #172. Findings include: Review of Resident #36's Notice of Medicare non-coverage showed Medicare coverage of current skilled nursing services would end on 3/01/2025. Review of Resident #36's Advance Beneficiary Notice of Non-coverage (ABN) was signed by Resident #36 on 3/07/2025. Review of Resident #172's Notice of Medicare non-coverage showed Medicare coverage of current skilled nursing services would end on 12/24/2024 Review of Resident #172's Advance Beneficiary Notice of Non-coverage (ABN) was signed by Resident #36 on 12/30/2024. […]

• No harm, potential for more than minimal, patternF761Nov 30, 2023

  Based on observation, interview, and record review, the facility failed to ensure that all drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional standards and included expirations dates when applicable in 2 of 4 medication carts reviewed. Findings include: During an observation of Medication Cart 1 on 11/27/2023 at 9:15 AM with Staff A, Licensed Practical Nurse (LPN), there were one 30-milliliter medication cup with chocolate pudding and crushed pieces of medications with no label identifying the medication or any resident identifier, one opened bottle of Brimonidine/ timolol ophthalmic solution with no opened or expiration dates, and one opened Basaglar insulin pen with no opened or expiration dates. […]

• No harm, potential for more than minimal, patternF880Nov 30, 2023

  Based on observation, interview, and record review, the facility failed to ensure staff performed hand hygiene during intravenous medication administration. Findings include: During an observation of medication administration on 11/27/2023 at 10:45 AM, Staff C, Licensed Practical Nurse (LPN), prepared medications for Resident #167 without performing hand hygiene, entered the resident's room and administered the medications. Staff C exited the room and went to the medication cart to prepare medications for another resident. During an observation of medication administration on 11/27/2023 at 11:00 AM, Staff C, LPN, prepared medications for Resident #52 without performing hand hygiene, entered the resident's room and administered the oral medications without performing hand hygiene. […]

• No harm, potential for more than minimal, isolatedF684Jul 1, 2026

  Based on observation, interview, and record review, the facility failed to obtain the medication dosage prior to administration for 1 of 3 residents reviewed for pain management (Resident #86).Findings include:During an observation on 6/29/2026 at 12:16 PM, Resident #86 was sitting upright in the bed with family members at the bedside. The resident was rubbing her left leg, grimacing. During an interview on 6/29/2026 at 12:16 PM, Resident #86 stated, My leg hurts all over sometimes on the top, then the pain moves to the side. Right now, it's hurting right here [points to inner calf left leg]. I want my oxycodone on time. […]