Deficiency Records for Citrus Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Citrus 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? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-02-22 | 2024-04-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-22 | 2024-04-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-22 | 2024-04-01 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-02-22 | 2024-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-22 | 2024-04-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-22 | 2024-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-22 | 2024-04-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-22 | 2024-04-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-22 | 2024-04-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-22 | 2024-04-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-02-22 | 2024-04-01 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-02-07 | 2023-02-01 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-09-16 | 2022-10-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-16 | 2022-10-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-09-16 | 2022-10-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-16 | 2022-10-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-16 | 2022-10-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-16 | 2022-10-18 | N |
| Dispose of garbage and refuse properly. | Health | 2022-09-16 | 2022-10-18 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-09-16 | 2022-10-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-16 | 2022-10-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-09-16 | 2022-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-16 | 2022-10-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-13 | 2022-10-18 | 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 | 2022-09-13 | 2022-10-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-09-13 | 2022-10-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-13 | 2022-10-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-13 | 2022-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-13 | 2022-10-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-03-25 | 2021-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-25 | 2021-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-25 | 2021-05-03 | N |
