Vivo Healthcare Clewiston

In the surveyor’s words

From the most serious findings on record at Vivo Healthcare Clewiston, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 7, 2025

  Based on record review and staff interviews the facility failed to protect the residents' right to be free from neglect for 1 (Resident #999) of 4 sampled residents by failing to ensure staff follow safety precautions while providing care to prevent avoidable falls and fall related major injury. The findings included: Review of the facility's neglect investigations revealed on 4/1/25 at approximately 6:40 p.m., Certified Nursing Assistant (CNA) Staff A was providing care to Resident #999. The CNA turned the resident on his left side to remove his brief. The resident moved more off the bed as she placed her hand on his side to hold him he went falling. […]

• Actual harm, isolatedF689Apr 7, 2025

  Based on record review and interviews, the facility failed to ensure the safety interventions were documented in the care plan and failed to ensure staff used safe repositioning technique to prevent avoidable fall and fall related serious injury for 1 (Resident #999) of 4 dependent residents reviewed. The findings included: Review of the clinical record revealed Resident #999 was a [AGE] year-old male with an admitted [DATE]. Diagnoses included right side hemiparesis (weakness on one side of the body) and hemiplegia (paralysis of one side of the body) related to Cerebral Vascular Accident, Osteoporosis, and a history of falls. Review of the New Admission Evaluation form dated 2/14/25 revealed Resident #999 required the physical assistance of two persons for bed mobility. […]

• Actual harm, isolatedF600Mar 21, 2023

  Based on record review, review of the facility's abuse and neglect policy and procedure, resident and staff interviews, the facility failed to protect residents' rights to be free abuse for 1 (Resident #900) of 3 sampled residents. The facility also failed to implement adequate supervision to prevent resident to resident physical abuse of 2 (Resident #850 and #700) of 3 sampled residents from Resident #900 with known aggressive behaviors. The findings included: The facility policy Abuse, Neglect and Exploitation, documented It is our facility policy to prohibit the mistreatment of residents. All residents have the right to be free from verbal, sexual, physical, and mental abuse. […]

• No harm, potential for more than minimal, patternF638Apr 11, 2024

  Based on record review and staff interview, the facility failed to ensure completion of the quarterly minimum data set (MDS) within 92 days from the assessment reference date of the last completed assessment for 14 (Resident #7, #17, #41, #45, #62, #66, #67, #72, #73, #79, #82, #84, #88, and #91} of 14 residents sampled. This had the potential to delay assessment and revision of the plan of care. Quarterly assessments are used to track a resident's status between comprehensive assessments to ensure critical indicators of gradual change in a resident's status are monitored. […]

• No harm, potential for more than minimal, patternF677Apr 11, 2024

  Based on observation, review of the clinical record, and resident and staff interviews, the facility failed to provide the necessary care and services to maintain personal hygiene for 2 (Residents #81 and #303) of 3 residents reviewed for activities of daily living (ADLs). The findings included: The facility policy Activities of Daily Living (ADL), Supporting documented Residents will be provided with care, treatment and services as appropriate to maintain or improve their ability to carry out ADL's . Appropriate care and services will be provided for residents who are unable to carry out ADL's independently, with the consent of the resident and in accordance with the plan of care. 1. […]