Vero Beach Care Center

In the surveyor’s words

From the most serious findings on record at Vero Beach Care Center, in the surveyor’s own words.

• Actual harm, isolatedF677Jul 13, 2023

  Based on observations, interviews and record reviews, the facility failed to provide ADL (Activities of Daily Living) care related to incontinence care, oral and personal hygiene, and personal grooming for 5 of 9 sampled residents, Residents #228, #6, #106, #16, #111. This failure in ADL assistance resulted in psychosocial harm for Resident #228. The findings included: 1. Review of clinical record revealed Resident #228 had been a previous resident who had been discharged home on 06/12/23 but had been readmitted to the facility on [DATE] due to the inability to care for himself at home. […]

• Actual harm, isolatedF725Jul 13, 2023

  Based on observation, interview, and record review, the facility failed to ensure sufficient staffing to ensure care and services to meet the needs of bathing and showering for 2 of 5 sampled residents (Resident #22 and #100); to provide incontinence care, oral and personal hygiene, and grooming for 5 of 32 sampled residents (Residents #6, #16, #106, #111, and #228); and to follow dietary recommendations and orders for obtaining weights for 3 of 5 sampled residents (Residents #111, #120, and #123). Interviews from random residents, families, and staff revealed voiced concerns of a lack of staff. Review of current residents with skin impairments revealed 7 of 9 current pressure injuries were facility acquired (Residents #33, #72, #51, #20, #64, #10, and #76). […]

• Actual harm, isolatedF692Mar 5, 2021

  Based on record review, interview, and policy review, the facility failed to ensure timely weights to assess for weight loss for 2 of 7 sampled residents reviewed for nutritional concerns, resulting in a significant weight loss (Resident #75 and #41). The findings included: 1) Review of the record revealed Resident #75 was admitted to the facility on [DATE], was briefly hosptalized on [DATE] and returned to the facility on [DATE]. Review of the transfer form dated 11/30/20 documented the resident's weight at 133 pounds. Review of the orders revealed on both 11/30/20 and upon re-admission on 02/05/21, orders were written to obtain weekly weights for four weeks, then monthly unless otherwise indicated. […]

• No harm, potential for more than minimal, widespreadF812Mar 10, 2022

  Based on observation and interview the facilty failed to serve food in a sanitary manner, according to the food service safety. The Findings Included: On 03/07/22 at 9:28 AM, Conducted an intial brief kitchen tour,accompanied by the Certified Dietary Manager. The following was observed. (1) During the inspection of the walk in refrigerator there was eighteen half pint container of 2% milk, dated 3/2/22. (2) The janitor closet had the broom sitting on the floor sink that was very dirty, and had not been cleaned for a number of weeks. (3) The dry storage room had disposable cups that was not wrapped or place in a bag. (4) The stove drip pan, under the stove burner, was dirty with dried up food. (5) The wall of the oven need cleaning there was black specks all over it. […]

• No harm, potential for more than minimal, widespreadF812Mar 5, 2021

  Based on observation and interview, the facility failed to store, process, and handle foods in a manner to prevent foodborne illness. The findings included: A). During the initial tour of the main kitchen, on 03/02/21, accompanied by the Food Service Manager, the following were observed: 1). Cleaned and sanitized water pitchers were stored on a shelf that was encrusted with residue and debris. 2). A box containing single use and disposable plates and a box of single use and disposable cups were found uncovered and exposed to possible physical contamination. 3). The door to the walk in cooler was noted to be rusted on the outside and encrusted with residue and debris on the inside. 4). The convection oven was noted to be encrusted with residue and debris. 5). […]