Ocoee Transitional Care Center LLC

In the surveyor’s words

From the most serious findings on record at Ocoee Transitional Care Center LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 17, 2023

  45837 Based on facility policy review, observations, and interview, the facility failed to maintain a sanitary kitchen environment by failing to ensure 2 of 3 kitchen staff wore protective beard coverings while preparing food and by storing expired food items that were observed in 1 of 1 dry storage room and 1 of 1 walk in refrigerator with the potential to affect 68 of 72 residents. The findings include: Review of the facility's policy titled, Food Preparation Area, dated [DATE], showed .Our facility maintains a clean, sanitary and safe food preparation area .food service tray line .assure that a sanitary environment is maintained . Review of the facility's policy titled, Food Storage, dated [DATE], showed .Food storage areas .maintained in a clean, safe and sanitary manner . […]

• No harm, potential for more than minimal, patternF578Aug 17, 2023

  40639 45837 Based on facility policy review, record review and interview, the facility failed to document evidence the residents or their representatives had received information to formulate an advance directive for 24 residents (Residents #2, #8, #12, #16, #20, #21, #27, #30, #38, #40, #47, #48, #51, #58, #59, #163, #164, #165, #167, #213, #214, #313, #314 and #316) of 25 residents reviewed for advance directives. The findings include: Review of the facility's policy titled, Advance Directives, dated 6/22/2023, showed .Upon admission .the business office will provide .information .resident's right to prepare an advance directive . Resident #2 was admitted to the facility on [DATE] with diagnoses including Chronic Kidney Disease and Congestive Heart Failure. […]

• No harm, potential for more than minimal, isolatedF657Jul 15, 2026

  Based on facility policy review, medical record review, and interviews, the facility failed to revise a care plan for 2 residents (Resident #7 for fall interventions and Resident #5 for diet interventions) of 16 care plans reviewed. The findings include: Review of the facility policy titled, Care Plans, Comprehensive Person-Centered, revised 12/2016, revealed .person centered care plan .includes .objectives .to meet the resident's physical .functional needs .implemented for each resident .Assessments of residents are ongoing .care plans are revised as .information about the residents .conditions change . […]

• No harm, potential for more than minimal, isolatedF658Jul 15, 2026

  Based on facility policy review, medical record review, observation, and interview, the facility failed to ensure accurate accountability of controlled substances for 2 residents (Resident #28 and #72) on 1 of 3 medication carts observed. The findings include: Review of the facility policy titled, Controlled Substances, dated January 2019, revealed .Accurate accountability of the inventory of all controlled drugs is maintained at all times .the licensed nurse administering the medication immediately enters the following information on the accountability record and the medication administration record [MAR] .Date and time of administration .Amount administered .Remaining quantity .Initials of the nurse administering the dose, completed after the medication is actually administered . […]

• No harm, potential for more than minimal, isolatedF684Jan 22, 2026

  Based on facility policy review, medical record review, and interview, the facility failed to follow physician's orders related to Intravenous (IV) medications for 1 resident (Residents #1) of 3 residents reviewed for IV medications. The findings include: Review of the facility's policy titled, Medication Orders, revised 11/2014, revealed .Each resident must be under the care of a Licensed Physician . Review of the facility's policy titled, Administering Medications, revised on 4/2019, revealed .Medications are administered in a safe and timely manner, and as prescribed .Medications are administered in accordance with prescriber orders, including any required time frame . […]