Vivo Healthcare Gandy

In the surveyor’s words

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

• Immediate jeopardy, isolatedF578Mar 27, 2026

  Based on observations, interviews, and record review, the facility failed to ensure resident rights were honored, related to advance directives and code status, for one resident (#1) out of three residents sampled.On [DATE], facility staff initiated cardiac compressions (use of hands to push down hard and fast to manually pump blood through the heart. The pressure from cardiac compressions commonly causes physical damage including fractured ribs or sternum, bruising, and internal organ injury), on Resident #1 when the resident was found unresponsive for approximately twelve minutes. […]

• Immediate jeopardy, isolatedF689Nov 15, 2021

  Based on observation, facility staff interviews, medical record review, and policy and procedure review, the facility failed to provide evaluation of risk and supervision for one (Resident #1) of three sampled residents to prevent and identify an unwitnessed exit from the facility. Resident #1 was transferred to the facility from a local hospital where he had a psychiatric assessment that concluded he was not capable of leaving against medical advice and an internal medicine final note of questionable dementia with formal testing needed to make the determination. On admission to the nursing home on 10/8/2021, he was assessed by a nurse and was determined to not be at risk for elopement. […]

• No harm, potential for more than minimal, widespreadF835Jan 30, 2026

  Based on interviews with the facility's nursing and administrative staff, record review and review of the facility policies, the facility administration failed to utilize their resources effectively to ensure allegations of abuse and neglect were thoroughly investigated and reported in a timely manner for five residents (#3, #4, #5, #6 and #8) out of five residents sampled for abuse and neglect, putting all the residents of the facility at risk for ongoing abuse and neglect. [Cross reference F609 and F610].Findings included: Review of a job description signed by the Nursing Home Administrator on [DATE] revealed - the primary purpose of your position is to direct the day-to-day functions of the Facility in accordance with current federal, state and local standards guidelines, and… […]

• No harm, potential for more than minimal, widespreadF880Jan 30, 2026

  Based on observations, interviews, and record review, the facility failed to ensure infection control practices were consistently followed to notify visitors of an influenza outbreak and/or offer personal protective equipment (PPE) such as masks prior to entering the resident care area and in nebulizer masks were not stored in a manner to prevent infection in two of four units (100 and 300).Findings Include: On 1/28/26 at 9:10 a.m. during the initial tour of the facility, all staff members observed in the resident care area were wearing masks. When asked, staff stated that mask use was required due to an influenza (flu) outbreak. […]

• No harm, potential for more than minimal, patternF585Jan 30, 2026

  Based on observations, interviews, and record reviews, the facility failed to provide staff with adequate training on issues regarding language barriers reported through grievances via the resident council and residents in seven of seven grievances sampled for review.Findings include: On 1/28/26 at 2:20 pm, an interview with Resident #7 revealed language is still a big barrier at the facility. Resident #7 stated Resident Council has been discussing this issue for months, and no resolution has been made. Resident #7 stated staff will just shove their phone in the resident's faces and try to make them use a translator application. Resident #7 refuses to use the translator for communication. Resident #7 believes they should be able to communicate with staff without having to use a translator. […]