Deficiency Records for Carrollwood Care Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Carrollwood Care 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-02-23 2023-03-23 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-02-23 2023-03-23 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-02-23 2023-03-23 Y
Ensure medication error rates are not 5 percent or greater. Health 2022-09-14 2022-12-17 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-09-14 2022-12-17 N
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2022-11-17 2022-12-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-14 2022-10-14 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-09-14 2022-10-14 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2022-09-14 2022-10-14 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-10-11 2021-11-11 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2021-02-24 2021-03-24 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-02-24 2021-03-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-02-24 2021-03-24 N
Provide and implement an infection prevention and control program. Health 2021-02-24 2021-03-24 N
Keep all essential equipment working safely. Health 2021-02-24 2021-03-24 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2021-02-22 2021-03-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-02-22 2021-03-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-02-22 2021-03-24 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-02-22 2021-03-24 N
Have proper medical gas storage and administration areas. Fire Safety 2021-02-22 2021-03-24 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2019-04-18 2019-05-16 N
Provide enough food/fluids to maintain a resident's health. Health 2019-04-18 2019-05-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-04-18 2019-05-16 N