Sarasota Memorial Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Sarasota Memorial Nursing & Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF624May 13, 2021

  Based on record review, review of facility policy and procedure, resident and staff interview, the facility failed to follow the physician's discharge orders and ensure 1 (Resident #340) of 2 residents received home health services as ordered resulting in rehospitalization . The findings included: The facility policy, Resident Transfer and Discharge (revised 4/21/21) specified, Social Services will collaborate with the resident/ resident representative the Physician and the Interdisciplinary Team (IDT) to assist in planning the discharge care and services for the resident. Review of the clinical record showed Resident #340 was admitted to the facility on [DATE] after a hospitalization for acute [CONDITION(S)] and discharged home on 2/13/21, where he lived independently. […]

• No harm, potential for more than minimal, patternF677Mar 13, 2025

  Based on observations, review of clinical records, review of policy and procedure, resident and staff interviews, the facility failed to provide the necessary care and services to maintain personal hygiene for 3 (Resident #18, #26 and #53) of 3 residents reviewed for activities of daily living (ADL's). The findings included: Review of the facility policy Bath/Shower effective 1/24/21 (revised 1/6/25) revealed, Patients will be showered twice weekly on the shift they request. If patients decline a shower, they will be offered one at another time as per their request. Patients may always have additional showers per request. 1. Review of the clinical record for Resident #18 revealed an Annual Minimum Data Set (MDS) assessment with an assessment reference date of 1/21/25. […]

• No harm, potential for more than minimal, isolatedF761Mar 13, 2025

  Based on observation, review of facility policy and procedure and resident and staff interviews, the facility failed to ensure medications were safely stored at the bedside for 1 (Resident #52) of 8 residents observed during medication administration. The facility failed to ensure medications were secured when unattended and properly labeled in 1 (North Unit Medication Cart B) of 2 medication carts observed. This had the potential for residents and others to have access to medications that could create hazardous health consequences for residents in the facility. The findings included: The facility policy Administration of Medications documented Facility staff should avoid touching the medication with bare hands when opening unit dose package. […]

• No harm, potential for more than minimal, isolatedF550Dec 8, 2022

  Based on observation, staff and residents' interview, the facility failed to promote the resident's rights to make choices related to dining location for 3 (#44, #6, #11) of 10 residents reviewed for choices. The findings included: 1. On 12/5/22 at 12:51 p.m., during observation of the lunch service, residents were noted to have trays being delivered to their rooms and eating at the bedside table in their rooms. No residents were in the dining room. The same observation was made for the lunch meal of 12/6/22, 12/7/22, and 12/8/22. On 12/5/22 at 12:47 p.m., the Certified Dietary Manager (CDM) said communal dining never resumed since the COVID pandemic. She said residents had been dining in their rooms for the past 2-3 years. […]

• No harm, potential for more than minimal, isolatedF554Dec 8, 2022

  Based on observation, staff and resident interview and record review, the facility failed to ensure an assessment for clinically appropriate self-administration of medications and a care plan was completed for 3 (Residents #301, #303 and #11) of 20 residents reviewed for medications left at the bedside. The findings included: The Self-administration policy provided by facility revised 5/9/22 indicated, Residents have the right to self-administer medications if the interdisciplinary has determined that it is clinically appropriate and safe for the resident to do so. As part of their overall evaluation .2-The Nursing Assessment of Self-Medication tool is completed which identifies the resident's ability to read and understand medication labels . 1. […]