Vivo Healthcare Orange Park

In the surveyor’s words

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

• Actual harm, isolatedF686May 27, 2021

  Based on observations, resident/staff interviews, clinical record review, and facility policy and procedure review, the facility failed to ensure that a resident with a pressure ulcer, received necessary care and services, consistent with professional standards of practice, to promote healing and prevent worsening of the pressure ulcer for one (Resident #75) of four residents reviewed for pressure ulcer development, from a total of 35 residents in the sample. The facility failed to reposition the resident to reduce the pressure on her coccyx/sacral area, and failed to provide the resident with a pressure-reducing mattress when the wound was discovered on 05/12/2021. This contributed to worsening of the pressure area from a Stage II to an unstageable wound. […]

• No harm, potential for more than minimal, widespreadF804Jan 6, 2023

  Based on observations, staff interview, and policy and procedure review, the facility failed to ensure food was prepared by methods that conserved nutritive value, flavor, and appearance. The facility failed to ensure food was served at a safe and appetizing temperature. Failure to provide palatable, attractive, and appetizing food in accordance with professional standards for food service, can decrease the amount of food all residents eat and drink. Residents at nutritional and hydration risk could be impacted as well as those recovering from illness or injury. The findings include: On 1/4/2023 at 11:11 am, a follow-up visit of the kitchen was conducted with Certified Dietary Manager (CDM) L. […]

• No harm, potential for more than minimal, widespreadF812Jan 6, 2023

  Based on the kitchen food service observations, staff interviews, facility document review, and facility policy and procedure review, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness with the potential to affect all the residents who consumed foods in the facility. The facility failed to ensure that the dietary staff was trained and knowledgeable about the proper procedures for food storage and proper sanitation practices in the kitchen. Specific instruction on food handling and sanitation is important in health care settings serving nursing home residents. […]

• No harm, potential for more than minimal, widespreadF908Jan 6, 2023

  Based on kitchen food service observations, staff interviews, facility document review, and facility policy and procedure review, the facility failed to maintain the kitchen freezer in a safe operating condition with the potential to place the health of all the residents who consumed foods in the facility at risk. The facility failed to ensure that the dietary staff was trained and knowledgeable about the proper procedures for maintaining essential equipment in the kitchen. Specific instruction on kitchen equipment is important in health care settings serving nursing home residents. […]

• No harm, potential for more than minimal, patternF758May 27, 2021

  Based on record reviews and interview, the facility failed to monitor targeted behaviors for residents who were receiving [CONDITION(S)] medications, and/or failed to monitor for drug-related side effects for four (Residents #25, #72, #330 and #381) of five residents reviewed for the use of [CONDITION(S)] medications, from a total of 35 residents in the sample. The findings include: 1. A review of Resident #25's medical record revealed an admitted [DATE]. Her primary medical diagnosis was [CONDITION(S)]. Her cognition was intact, and she required total assistance from staff with activities of daily living (ADLs). […]