Orange City Nursing and Rehab Center

In the surveyor’s words

From the most serious findings on record at Orange City Nursing and Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF578Mar 19, 2024

  Based on a review of resident records, the facility's policy and procedure for Advance Directives, facility reports, and interviews with staff, the facility failed to act in accordance with the resident's Advance Directives in accordance with her Do Not Resuscitate (DNR) status (the desire have cardiopulmonary resuscitation (CPR) withheld in the event that her heart or breathing stopped) after finding her unresponsive with no respirations. This affected one (Resident #1) of nine residents reviewed for Advance Directives. The facility's failure to review and honor Resident #1's DNR status deprived her of a natural death and likely caused unnecessary pain and bodily damage. […]

• Immediate jeopardy, isolatedF678Mar 19, 2024

  Based on a review of resident records, the facility's policy and procedure for CPR; Cardiopulmonary Resuscitation, facility reports, and interviews with staff, the facility failed to act in accordance with the resident's Advance Directives and her Do Not Resuscitate (DNR) status (the desire have CPR withheld in the event her heart or breathing stopped) by providing CPR upon finding her unresponsive with no respirations. This affected one (Resident #1) of nine residents reviewed for Advance Directives. The facility's failure to review and honor Resident #1's DNR deprived her of a natural death and likely caused unnecessary pain and bodily damage. Resident #1 expired in the hospital after prolonged life-sustaining efforts had been made and after family discontinued her from life support. […]

• No harm, potential for more than minimal, widespreadF802May 11, 2023

  Based on observations, record review, and staff interviews, the facility failed provide sufficient kitchen staff with the appropriate competencies and skills sets to carry out the functions of food and nutrition service. Failure to ensure that dietary staff were trained and knowledgeable about the proper procedures for food safety and sanitation had the potential to negatively impact all residents who received meals from the kitchen. The findings include: A kitchen tour was conducted on 05/10/23 at 10:40 a.m. During the tour, Cook D was asked to explain the appropriate method of calibrating a food thermometer. She stated, A glass of water in ice starting at 40 F and up to 165 F. It should be below 40 F for cold food. […]

• No harm, potential for more than minimal, widespreadF812May 11, 2023

  Based on kitchen food service observations, staff interviews, facility document review, and facility policy and procedure review, the facility failed to store food in accordance with professional standards for food service safety, by failing to follow proper food handling practices to prevent the outbreak of foodborne illness with the potential to affect all residents who consumed foods from the facility's kitchen. Unsafe food handling practices represent a potential source of pathogen exposure. The findings include: An initial tour of the kitchen was conducted on 05/07/23 at 11:11 a.m. […]

• No harm, potential for more than minimal, isolatedF656Mar 27, 2025

  Based on record review, interviews, and facility policy and procedure review, the facility failed to develop and implement a care plan for anticoagulant use for one (Resident #68) of five residents reviewed for medication use, from a total survey sample of 34 residents. The findings include: A record review revealed that Resident #68 was admitted to the facility on [DATE] with diagnoses including chronic ischemic heart disease, diabetes mellitus - type 2 due to underlying condition with diabetic kidney disease, and unspecified displaced fracture of the surgical neck of the right humerus. A review of Resident #68's physician's orders revealed an order for Apixaban (anticoagulant) 5 mg (milligrams) by mouth twice daily (order dated 7/12/24). […]