Vivo Healthcare Wauchula

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jun 27, 2024

  Based on observation and interview, it was determined that the facility failed to store, prepare, distribute and serve food, in accordance with professional standards for food service safety. The findings included: 1) During the initial kitchen/food service observation tour conducted on 06/24/24 at 9 AM and accompanied with the facility's Certified Dietary Manager (CDM), the following were noted: a) The entire surface of the storeroom floor (10' X 20') was noted to be in disrepair with large areas of the concrete broken, rust, and peeling paint. It was discussed with the CDM that there were areas of standing water in pockets of the missing concrete surface which house bacteria that staff transfer into the main kitchen area. Also peeling paint is also transferred in the kitchen area. […]

• No harm, potential for more than minimal, patternF812Nov 15, 2022

  Based on observations, record reviews, and interviews, the facility failed 1) to maintain the ceiling in a safe and sanitary manner in one of one kitchen observed and, 2) failed to store food in accordance with professional standards, related to storing opened food without a date, in the kitchen and in one of two nourishment refrigerators. Findings included: An initial tour of the kitchen was conducted with the Certified Dietary Manager (CDM) on 11/07/22 at 10:30 a.m. A hole was observed in the ceiling near the dish washing area with exposed wires. The CDM stated that's where they removed the ceiling fan from. An opened bag of grits was observed next to the stove without an opened date. This was confirmed by the CDM, and she immediately labeled the opened bag of grits. […]

• No harm, potential for more than minimal, patternF867Nov 15, 2022

  Based on observations, interviews, record reviews, and the Plan of Correction (POC) review, the facility failed to ensure it had a functioning Quality Assurance (QA) Committee. The facility was actively involved in the effective creation, implementation, and monitoring of the POC for deficient practice identified during a recertification survey conducted on 11/15/2022, and a comparative survey conducted on 12/15/2022. The facility was cited during the recertification survey for F656, and F684. The facility was cited during the comparative survey for F644, F656, F658, F842, and F880. On 2/02/2022 a revisit survey was conducted and the facility was recited at F644, F656, F658, F684, F842, and F880. The facility had developed a Plan of Correction with a completion date by 01/15/2023. […]

• No harm, potential for more than minimal, patternF867Nov 15, 2022

  3) A review of Resident #4's medical record revealed Resident #4 was admitted to the facility on [DATE] with diagnoses of dementia, anxiety disorder, and major depressive disorder. Resident #4's medical record also revealed a diagnosis of impulse disorder added on 9/26/2022 and a diagnosis of unspecified mood disorder added on 10/20/2022. A review of Resident #4's Quarterly Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 12/6/2022 revealed, under Section I - Active Diagnoses, Resident #4 had diagnoses of Non-Alzheimer's dementia, anxiety disorder, depression, unspecified mood disorder, and impulse disorder. A review of Resident #4's PASARR assessment, dated 8/25/2022 revealed, under the section titled A. […]

• No harm, potential for more than minimal, patternF679Mar 26, 2021

  Based on observations, record reviews, and interviews the facility failed to provide an activity program based on the assessment and care planned preferences for three (#40, #7, and #42) of three residents reviewed for activities out of a total sample of 29 residents. Findings included: 1. Review of Resident #40's Admission record revealed an original admitted in 2016. Review of the annual Minimum Data Set (MDS) assessment, dated 2/4/21, revealed that the resident was rarely/never understood therefore the Brief Interview for Mental Status (BIMS) was not conducted. Continued review of the MDS revealed the resident had short and long term memory impairment and was unable to participate in the activity preference interview. […]