Rehabilitation and Healthcare Center of Tampa

In the surveyor’s words

From the most serious findings on record at Rehabilitation and Healthcare Center of Tampa, in the surveyor’s own words.

• Immediate jeopardy, widespreadF801Dec 14, 2023

  Based on observations and interview, the facility failed to ensure sufficient staff with the appropriate competencies and skills-sets to perform the functions of the food and nutrition service, taking into consideration resident assessments and individual plans of care related to dietary staff not properly implementing adequate kitchen hygiene, proper sanitation practices, proper food labeling and storage, and appropriate serving of meals affecting 158 out of 168 residents in the facility. The likelihood of serious injury and/or death to 158 residents as a result of the facility's failure to prepare, store and serve food in accordance with professional standards for food service safety resulted in the determination of Immediate Jeopardy on [DATE]. […]

• Immediate jeopardy, widespreadF812Dec 14, 2023

  Based on observations, interviews, record review and policy review, the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety in one of one kitchens observed, and three of three nutrition rooms observed, as evidenced by improper dish washing, unsanitary kitchen area, undated food, expired food, inappropriate food temperatures, unlabeled food, unsanitary preparation of food, food with evidence of bio-growth, and residents not being served according to their prescribed diet orders. This failure created a situation that resulted in the likelihood of serious injury and/or death to 158 residents and resulted in the determination of Immediate Jeopardy on [DATE]. […]

• Immediate jeopardy, widespreadF867Dec 14, 2023

  Based on observations, interviews, and record review, the facility failed to utilize the Quality Assurance and Performance Improvement (QAPI) process to investigate, develop, and implement an effective Performance Improvement Plan (PIP) to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety in one of one kitchen observed, and three of three nutrition rooms observed. The facility failed to ensure the safety of 158 residents in the facility as a result of the failure. […]

• Immediate jeopardy, isolatedF609Nov 15, 2022

  Based on interviews with the Administrator, Director of Nurses (DON), Medical Director, facility nurses and aides, Resident #206, a family member of Resident #206, and a Deputy with the local police department; review of facility documents, including policies and procedures on Abuse/Neglect/Exploitation, and training documents, admission documents and hospital records for Resident #206; and observation of the facility including the location of the resident's room and the elevators, and the potential route Resident #206 might have taken during his 5.1 mile walk away from the facility; it was determined the facility failed to identify incidents as reportable to the State Agency for two (#206, #68) of 8 residents sampled for abuse. […]

• Immediate jeopardy, isolatedF610Nov 15, 2022

  Based on a review of facility's investigation of an event that occurred on 10/26/2022 when Resident #206 was able to enter a coded elevator that stood open, ride the elevator to the first floor, exit the elevator and walk out the front door of the building unescorted and not questioned by staff, a review of hospital records including admission records to the facility; interview with Resident #206, a family member of Resident #206, the Medical Director, the Administrator, Director of Nurses (DON), and facility staff; and observation of the facility, the resident's room and location of the elevators and the potential route that Resident #206 walked, it was determined that the facility failed to fully investigate the reason why one (Resident #206) of 8 residents sampled for abuse was able to… […]