A list of the most recent deficiencies for Coral Reef Subacute Care Center LLC. 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? |
|---|---|---|---|---|
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-01-19 | 2024-02-18 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-01-19 | 2024-02-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-19 | 2024-02-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-19 | 2024-02-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-19 | 2024-02-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-19 | 2024-02-18 | 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 | 2024-01-19 | 2024-02-18 | 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 | 2024-01-19 | 2024-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-19 | 2024-02-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-19 | 2024-02-18 | N |
| Keep all essential equipment working safely. | Health | 2024-01-19 | 2024-02-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-17 | 2023-01-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-17 | 2023-01-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-17 | 2023-01-06 | N |
| Post nurse staffing information every day. | Health | 2022-11-17 | 2023-01-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-17 | 2023-01-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-17 | 2023-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-17 | 2023-01-06 | 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 | 2022-11-17 | 2023-01-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-11-17 | 2023-01-06 | 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 | 2022-11-22 | 2023-01-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-22 | 2023-01-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-22 | 2023-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-22 | 2023-01-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-22 | 2021-11-12 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-22 | 2021-11-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-22 | 2021-11-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-22 | 2021-11-12 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-10-22 | 2021-11-12 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-10-22 | 2021-11-12 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-10-22 | 2021-11-12 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-10-22 | 2021-11-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-11-21 | 2020-12-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-11-21 | 2020-12-31 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-11-21 | 2020-12-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-11-21 | 2020-12-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-11-21 | 2020-12-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-11-21 | 2020-12-31 | N |
| Respond appropriately to all alleged violations. | Health | 2020-11-21 | 2020-12-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-11-21 | 2020-12-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-11-21 | 2020-12-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-11-21 | 2020-12-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-11-21 | 2020-12-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-11-21 | 2020-12-31 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-11-21 | 2020-12-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-11-21 | 2020-12-31 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-11-21 | 2020-12-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-11-21 | 2020-12-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-11-21 | 2020-12-31 | 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 | 2020-11-21 | 2020-12-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-11-21 | 2020-12-31 | 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 | 2020-11-21 | 2020-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-11-21 | 2020-12-31 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-11-21 | 2020-12-31 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2020-11-21 | 2020-12-31 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2020-11-21 | 2020-12-31 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-11-21 | 2020-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-21 | 2020-12-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-11-21 | 2020-12-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-11-24 | 2020-12-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-11-24 | 2020-12-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-11-24 | 2020-12-31 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2020-11-24 | 2020-12-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-11-24 | 2020-12-31 | N |
