Seminole Care and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF686Feb 9, 2022

  Based on observation, interview, and record review, the facility failed to assess, notify the physician, and provide treatment after pressure ulcers were observed for one (#3) of three residents reviewed for pressure ulcers. Res #3 was admitted with two stage II pressure ulcers on 01/11/22 at 12:30 a.m. Two days and 21 hours later the pressure ulcers were assessed as two unstageable ulcers and the physician was notified for treatment orders. Three days and 20 hours after admit the pressure ulcers were treated for [MEDICAL RECORD OR PHYSICIAN ORDER] The Resident Census and Conditions of Residents report documented two residents had pressure ulcers who resided in the facility. Findings: 1. […]

• No harm, potential for more than minimal, widespreadF585Jul 16, 2026

  Based on interview, record review, facility document review, and facility policy review, the facility failed to maintain grievances for 16 of 22 months reviewed for grievances. Additionally, the facility failed to ensure a grievance form was initiated for a resident's missing personal property for 1 (Resident #3) of 2 residents reviewed for personal property.Findings included: 1. A facility policy titled, Grievance, revised 01/28/2026, revealed, If requested, a copy of the grievance form will be provided to the person who reported the grievance. During an interview on 07/16/2026 at 8:46 AM, Social Services Director (SSD) stated she started in January of 2026 as the SSD. She stated she was responsible for grievances. She stated residents would come to her and express their concern. […]

• No harm, potential for more than minimal, widespreadF578Aug 25, 2022

  Based on record review and interview the facility failed to provide residents with an advance directive acknowledgement for four (#48, 35, 41, and #22) of seven residents reviewed for advance directives. The Resident Census and Conditions of Residents dated, 08/22/22, documented 84 residents resided in the facility. Findings: The Advance Directive policy dated, 04/28/21, read in parts, .Upon admission the Facility will provide each resident medically deemed competent .with written information and instruction regarding the right to make Advance Directives prior to the initiation of care or at any requested time. […]

• No harm, potential for more than minimal, widespreadF761Aug 25, 2022

  Based on observation, record review, and interview the facility failed to ensure outdated medications were not available for administration to residents. The Resident Census and Conditions of Residents, dated 08/22/22, documented 84 residents resided in the facility. Findings: The policy, Expired Medications and Medications with Shortened Expiration Dates dated 2019, read in parts, .Ensure that all medications in the facility are rotated and/or reviewed on a consistent basis to prevent having expired medications in the facility .ensuring that all 'out dated' or 'expired' medications .are removed from the medication cart or other area that medication may be stored in . On 08/23/22 at 11:20 p.m., three expired medications were located in the back medication room refrigerator: 1. […]

• No harm, potential for more than minimal, widespreadF804Aug 25, 2022

  Based on observation, record review, and interview, the facility failed to ensure residents received meals at a safe and appetizing temperature. The Resident Census and Conditions of Residents dated 08/22/22, documented 67 residents received meals from the kitchen. Findings: A document identified by the Corporate Administrator as the policy for food services, dated 03/21, read in parts, .hot foods maintained at 140 degrees (F) or above .when served from tray line . Resident Council Minutes, dated 03/23/22 read in part, .meals are too cold . Resident Council Minutes, dated 04/29/22, read in part, .some meals are cold . Resident Council Minutes, dated 06/22/22, read in part, .food too cold . Resident Council Minutes, dated 07/27/22, read in part, .food has been cold. […]