Solaris Healthcare Plant City

In the surveyor’s words

From the most serious findings on record at Solaris Healthcare Plant City, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Mar 27, 2023

  Based on observation, record review, and interview, the facility failed to ensure sufficient staffing was available on one (C-wing) of three wings as evidenced by call lights not answered in a timely manner, failed to ensure residents received timely care and services in accordance with preferences and professional standards for six (Resident #3, #4, #5, #6, #7 and #8) of seven residents, and failed to address call light grievances presented in six of six resident council meetings held on 02/22/23, 01/25/23, 01/09/23, 12/28/22, 11/30/22, and 10/28/22, affecting three (A,B,C) of three wings Findings included: During a facility tour on 03/27/23 at 10:00 a.m., Resident #3 was observed in her room. She stated she had been waiting for 30 minutes to be toileted. […]

• No harm, potential for more than minimal, isolatedF641Feb 29, 2024

  Based on record review and interview, the facility failed to ensure one (Resident #165) of three residents reviewed for hospitalization was coded correctly on the minimum data set (MDS) at discharge. Findings included: A review of Resident #165's Face Sheet revealed she was admitted to the facility on [DATE] with diagnoses included but not limited to Unspecified dementia, unspecified severity, with psychotic disturbance, muscle weakness (generalized), Unspecified lack of coordination, chronic kidney disease, stage 3b, bipolar disorder, unspecified, Major depressive disorder, recurrent, moderate and generalized anxiety disorder. A review of the Discharge - Return Not Anticipated Minimum Data Set (MDS) dated [DATE] revealed under Section A- Identification Information A. […]

• No harm, potential for more than minimal, isolatedF657Feb 29, 2024

  Based on observation, interviews, and record review, the facility failed to revise a care plan to reflect a resident's condition for one (Resident #151) of 33 sampled residents. Findings included: Review of Resident #151's Face Sheet revealed he was admitted to the facility on [DATE] from an acute care hospital. His medical diagnoses included dementia, psychosis, anxiety disorder, encephalopathy, major depressive disorder, and insomnia. An observation conducted on 02/26/24 at 10:08 a.m. revealed Resident #151 sitting in a chair in the C-wing hallway with his eyes closed. An interview was conducted on 02/26/24 at 10:33 a.m. with Staff B, Licensed Practical Nurse (LPN). She said Resident #151 was pleasantly confused but redirectable. […]

• No harm, potential for more than minimal, isolatedF585Nov 18, 2021

  Based on interviews, record reviews, and review of facility policy, the facility failed to properly document and address a resident grievance for one (Resident #21) of one resident sampled for grievances out of a total sample of 43 residents. Findings included: An interview was conducted on 11/16/2021 at 2:07 PM with Resident #21 in her room. Resident #21 stated that she had several personal items that had gone missing since her admission to the facility on [DATE], including a pink blanket that a family member had made for her and some personal clothing items. […]

• No harm, potential for more than minimal, isolatedF700Nov 18, 2021

  Based on observations, record reviews, and interviews, the facility failed to ensure assessment, consent, and proper fitting of bed rails for one (#115) of four residents sampled for accidents out of a total resident sample of 43. Findings included: According to the Food and Drug Administration (FDA), accessed at https://www.fda.gov/medical-devices/consumer-products/bed-rail-safety, indicated that Bed rails are used by many people to help create a supportive and assistive sleeping environment in homes, assisted living facilities and residential care facilities. […]