Tampa Lakes Health and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 13, 2024

  Based on observations, interviews, and record review the facility failed to ensure kitchen equipment was maintained in a clean manner for 1 of 1 ice machines located in the kitchen and related to ice/water dispensers located on 6 of 6 (Cabana Bay, Anchor Bay, Blueray Bay, Dolphin Bay, Emerald Bay, Florida Bay) living units. Findings included: An interview with the Dietary Manager (DM) on 3/13/24 at 8:59 AM revealed the main kitchen housed a large ice machine. She reported that there were ice/water dispensers in each of the 6 Chef Kitchens. A tour of the facilities kitchen and 6 Chef Kitchens revealed a large ice machine in the kitchen. Inspection of the ice machine revealed a white substance lining the inner left side of the ice machine walls. […]

• No harm, potential for more than minimal, widespreadF812May 7, 2021

  Based on observations, staff interview and facility record review, the facility failed to ensure kitchen equipment was operating to meet manufacturer specifications regarding one of one mechanical dish washing machine on one of four days observed (5/4/2021). It was determined the facility had a High Temperature dish machine and the wash and rinse temperatures were below the minimum requirements. Findings included: On 5/4/2021 at 9:15 a.m. a tour of the kitchen was conducted with the Certified Dietary Manager (CDM). In the dish machine room the CDM and employee A revealed that they operated a High temperature Dish Cleaning Machine. During the time of the observation, employee A was operating the machine and there were several crates of clean dishes that had run through. […]

• No harm, potential for more than minimal, patternF645Jan 9, 2025

  Based on record reviews and interviews, the facility failed to ensure the Preadmission Screening and Resident Review (PASRR) Level II were completed to ensure recommended services were provided for residents with mental illness (MI) or suspected MI for four residents (Resident #49, Resident #111, Resident #131, and Resident #40) of sixty-seven sampled residents. Findings included: Review of Resident #49's Admission Record showed Resident #49 was admitted to the facility on [DATE] with a primary diagnosis of senile degeneration of the brain. Other diagnoses include major depressive disorder, visual hallucinations, and delusional disorders. […]

• No harm, potential for more than minimal, patternF812Jan 9, 2025

  Based on observations, interviews, and record review, the facility failed to follow professional standards for food service safety in the facility kitchen, three of six dining areas, and two of six nourishment rooms. Findings included: On [DATE] at 9:23 a.m., a tour of the facility's kitchen was conducted with the Assistant Food Service Director. Observations revealed a white foam cup with a straw and lunchbox on the drying rack, where clean kitchenware and other items were stored. The Assistant Food Service Director stated the cup and lunchbox belonged to a staff member. She motioned to the staff member and stated, it's her breakfast. On [DATE] at 9:47 a.m., three staff members were observed in the dish machine area. […]

• No harm, potential for more than minimal, patternF880Jan 9, 2025

  Based on observations, interviews, and record review, the facility did not ensure proper infection control practices related to 1.) failing to ensure proper hand hygiene was conducted after exiting the room of one resident (Resident #578) of one resident on contact precautions for clostridium difficile (C. diff), 2.) failing to ensure proper storage of respiratory masks on one unit (AB/100 unit) of six units, and 3.) failing to ensure appropriate hand hygiene was performed by staff and offered to residents on two units (AB/100 unit and BB/200 unit) of six units during meal service. Findings included: 1. An observation was conducted on 1/6/25 at 12:23 p.m. of Resident #578's room, which had a contact precaution sign posted on the door. […]