A list of the most recent deficiencies for Palm Garden of Winter Haven. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-10 | 2022-04-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-10 | 2022-04-04 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-03-10 | 2022-04-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-12-18 | 2021-03-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-12-18 | 2021-03-18 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-12-18 | 2021-01-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-12-18 | 2021-01-14 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-12-18 | 2021-01-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-12-18 | 2021-01-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-12-18 | 2021-01-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-12-18 | 2021-01-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-12-17 | 2021-01-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-12-17 | 2021-01-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-12-17 | 2021-01-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-02-12 | 2019-03-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-02-12 | 2019-03-11 | N |
| Develop a communication plan. | Fire Safety | 2019-02-12 | 2019-03-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-12 | 2019-03-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-12 | 2019-03-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-14 | 2019-03-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-14 | 2019-03-10 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-02-14 | 2019-03-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-14 | 2019-03-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-14 | 2019-03-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-14 | 2019-03-10 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-02-14 | 2019-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-14 | 2019-03-10 | N |
