Vivo Healthcare Lakeland

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Apr 30, 2025

  Based on observations, interviews, and record review, the facility failed to protect the resident's right to be free from neglect for two residents (#1 and #2) out of five residents identified by the facility at risk for elopement, to prevent elopement. Serious harm occurred on 4/19/25, when Resident #1 was allowed to walk away from the facility unnoticed, walk along high traffic streets for eight miles, and end up on an Interstate Highway where he was found by the [State Highway Patrol]. Resident #1 was taken to a higher level of care for evaluation and treatment of dehydration. On 3/25/25 Resident #2 exited the facility through an emergency exit door and was found 10 -15 feet from the door walking away from the facility. […]

• Immediate jeopardy, isolatedF689Feb 28, 2025

  Cross Reference F921 Based on observations, interviews, and record review, the facility failed to provide supervision and failed to prevent accident hazards to prevent a fall with injury for one resident (#6) of 19 ambulatory residents in the memory care unit. The facility failed to replace a clean-out drain located in a high traffic area of the facility's memory care unit and failed to promptly and effectively address flooring issues, resulting in an unsafe walkway, where Resident #6 tripped and fell . On 1/20/2025, Resident #6 was ambulating in the hallway outside her room and suffered a fall significantly impairing the ability to walk independently and complete Activities of Daily Living (ADLs) at her prior functional level. […]

• Immediate jeopardy, isolatedF921Feb 28, 2025

  Cross Reference F689 Based on observations, interviews and record reviews, the facility failed to provide a safe environment, free from flooring hazards for staff, the public, and 19 ambulatory residents in the facility's secure memory care unit. One (Resident #6) of the 19 ambulatory residents fell on [DATE], sustained a fracture to the right femoral head (top of thigh bone), required a transfer to a higher level of care, and surgical intervention due to a floor repair that was not completed by the facility. The injuries to Resident #6 caused a significant decline in her ability to ambulate and complete activities of daily living (ADLs) at her prior functional level. […]

• No harm, potential for more than minimal, widespreadF583Feb 28, 2025

  Based on observation of videos posted on social media platforms without consent, review of resident records, policy and procedures review, and staff, family and resident interviews, the facility did not ensure personal privacy and confidentiality for ten of sixteen sampled residents (#7, #8, #9, #10, #11, #12, #13, #14, #15, and #16). Findings Included: Review and observation of videos posted on social media platforms on 8/8/24, 10/2/24, 10/8/24, 12/2/24, and additional dates that could not be determined showed Resident #7, #8, #9, #10, #11, #12, #13, #14, #15, and #16 dancing or in the background of the videos, which also contained various staff members. […]

• No harm, potential for more than minimal, widespreadF644Mar 2, 2023

  Based on record review, staff interviews, and review of the facility's policy, the facility failed to 1.) complete the Preadmission Screening and Resident Review (PASRR) Level II upon a new qualifying mental health diagnosis for four (Residents #22, #67, #64, and#126); and 2.) ensure the accuracy of a PASRR Level I for six residents (#68, #130, #74, #98, #114, and #115) admitted with mental health diagnoses of fifty-four sampled residents. Findings included: 1. A review of Resident #22's medical record revealed Resident #22 was admitted to the facility on [DATE] with diagnoses of dementia, schizoaffective disorder, and major depressive disorder. A diagnosis of epilepsy was added to Resident #22's medical record on 9/26/2020. […]