Titusville Nursing and Rehab

In the surveyor’s words

From the most serious findings on record at Titusville Nursing and Rehab, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 26, 2026

  Based on review of facility policy, review of facility documentation and clinical records, and staff interviews, it was determined that the facility failed to ensure appropriate safety measures were implemented regarding the service of hot coffee to a resident that resulted in an accident and actual harm of a second degree skin burn (a burn that damages the top layer of skin and damages the second layer of skin) for one of 20 residents reviewed (Resident R28). This deficiency is cited as past non-compliance. […]

• No harm, potential for more than minimal, patternF812Jun 26, 2026

  Based on review of facility policy, observations, and staff interview, it was determined that the facility failed to ensure that food was stored in accordance with standards for food safety and serve food in a safe and sanitary manner during tray line in the main kitchen.Findings include: Review of facility policy entitled Food Safety Requirements dated 4/23/26, indicated Staff shall adhere to safe hygienic practices to prevent contamination of food from hands or physical objects. Review of facility policy entitled Date Marking for Food Safety dated 4/23/26, indicated The food shall be clearly marked to indicate the date or day by which the food shall be consumed or discarded. […]

• No harm, potential for more than minimal, patternF761Jun 6, 2025

  Based on review of facility policies, observations and staff interviews, it was determined that the facility failed to appropriately discard outdated medications for two of two medication rooms reviewed (first floor and ground floor medication rooms) and failed to prevent the opportunity for potential unauthorized access of medications on one of three medication carts observed (B wing medication cart). Findings include: Review of a facility policy entitled Labeling of Medications and Biologicals dated 12/11/24, revealed that labels for multi-use vials must include the date the vial was initially opened . and all opened or accessed vials should be discarded within 28 days unless the manufacturer specifies a different . […]

• No harm, potential for more than minimal, patternF657Aug 4, 2023

  Based on review of facility policy and clinical records and staff interview, it was determined that the facility failed to invite residents and/or representatives to care plan meetings and failed to review and revise comprehensive care plans to reflect the current necessary care and services for four of 17 residents reviewed (Residents R18, R28, R32, and R59). Findings include: Review of a facility policy entitled, Goals and Objectives, Care Plans dated 5/25/2023, indicated that goals and objectives are reviewed and/or revised when the desired outcome has not been achieved. […]

• No harm, potential for more than minimal, isolatedF690Jun 26, 2026

  Based on review of facility policy and clinical records, observations, and staff interviews, it was determined that the facility failed to receive instructions for removal of a urinary catheter (a soft plastic tubing inserted into the bladder to drain urine into a bag) in a timely manner for one of one residents reviewed for catheters (Resident R30).Findings include: Review of facility policy entitled Appropriate Use of Indwelling Catheters dated 4/23/26, indicated Indwelling urinary catheters will be used on a short-term basis., The interdisciplinary team, with the support and guidance from the physician, will assure the ongoing review, evaluation, and decision making regarding the insertion, continuation, or removal of an indwelling urinary catheter. […]