Deficiency Records for First Coast Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for First Coast Health and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-29 | 2024-03-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-29 | 2024-03-29 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-02-29 | 2024-03-29 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-02-29 | 2024-03-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-27 | 2024-03-29 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-02-27 | 2024-03-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-27 | 2024-03-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-27 | 2024-03-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-27 | 2024-03-29 | N |
| Meet fire sprinkler requirement for tall buildings. | Fire Safety | 2024-02-27 | 2024-03-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-02-27 | 2024-03-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-27 | 2024-03-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-27 | 2024-03-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-27 | 2024-03-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-27 | 2024-03-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-04 | 2024-01-04 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-01-27 | 2023-02-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-17 | 2022-04-17 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-03-17 | 2022-04-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-17 | 2022-04-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-17 | 2022-04-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-02 | 2022-03-11 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-09-28 | 2021-11-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-12 | 2020-04-12 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-03-10 | 2020-04-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-10 | 2020-04-12 | N |
