Ocala Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Ocala Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 16, 2023

  Based on observation, interview, and record review, the facility failed to ensure all foods were stored, covered, labeled, and discarded in accordance with professional standards for food service safety in the main kitchen and 2 of 3 nourishment rooms and failed to ensure sanitary standards were maintained in the walk-in cooler, walk-in freezer, and the stock/storage room. Findings include: During an initial tour of the kitchen on [DATE] at 09:10 AM with the Certified Dietary Manager (CDM) and the Administrator, the walk-in cooler had a large container labeled Pureed Meat dated ,d+[DATE], three unlabeled clear containers of food, one half gallon container of milk with approximately 16 ounces remaining that did not have an opened date on the container. […]

• No harm, potential for more than minimal, widespreadF812Aug 12, 2021

  Based on observations, interviews, and record review, the facility failed to ensure food is stored, prepared, distributed and served in accordance with professional standards for food service safety in the areas of the facility's kitchen, nourishment rooms, and hallways. Findings: 1) On 8/9/2021 at 9:06 AM, a walk-through tour of the kitchen was conducted with the Certified Dietary Manager (CDM.) The walk-in cooler had a large container labeled Baked Chicken & Gravy and was displaying a date of 8/4/2021. There were pans of food that were unlabeled and showed pureed without identifying the name of the food on the label. A tour of the stock room located in the kitchen was conducted on 8/9/2021 at 9:15 AM with the CDM. […]

• No harm, potential for more than minimal, patternF880Sep 18, 2025

  Based on observation, interview, record review, and policy and procedure review, the facility failed to ensure staff used appropriate Personal Protective Equipment (PPE) while providing care to residents on enhanced barrier precautions for 6 (Resident #11, #8, #175, #18, #36, and #16) of 12 residents reviewed for infection control and failed to ensure cleansing the needleless connector of a peripherally inserted central catheter and midline catheter according to professional standards of practice and policy and procedure during medication administration for 2 of 3 (Resident #175 and #27) resident observations of intravenous medication administration to prevent the possible spread of infection and communicable diseases.Findings include: 1. […]

• No harm, potential for more than minimal, patternF695Feb 16, 2023

  Based on observation, interview, and record review the facility failed to ensure respiratory care services were provided consistent with professional standards of practice for oxygen administration for 4 out of 7 residents reviewed for respiratory care. (Resident #15, Resident #129, Resident #156, Resident #9) Findings Include: 1.) During an observation on 2/13/23 at 11:53 AM Resident #15 was observed sitting in bed receiving oxygen through a nasal cannula. The oxygen concentrator was observed set on 2.5 liters of oxygen. Review of the physician orders for Resident #15 dated 8/30/22 read Oxygen @ 2 L/Min [at 2 liters per minute] per nasal cannula PRN (as needed) for short of breath and low oxygen saturations. […]

• No harm, potential for more than minimal, patternF761Feb 16, 2023

  Based on observation, interview, and record review, the facility failed to ensure that drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional principles in 4 of 6 medication carts (south hall, north back hall, north hall, east hall) and failed to ensure medications were secured (photographic evidence obtained). Findings include: 1.) During an observation of south hall medication cart on [DATE] at 9:15 AM with Staff A, Licensed Practical Nurse (LPN), there was an opened bottle of Latanoprost ophthalmic solution with no open or expiration date and one expired bottle of Dorzolamide HCI ophthalmic solution with open dates [DATE] and [DATE] noted on the same bottle. […]