A list of the most recent deficiencies for Florida Hospital North Pinellas. 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 staff are vaccinated for COVID-19 | Health | 2022-07-12 | 2022-08-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-05-18 | 2022-06-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-05-18 | 2022-06-20 | N |
| 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 | 2022-05-18 | 2022-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-18 | 2022-06-20 | N |
| Provide activities to meet all resident's needs. | Health | 2022-05-18 | 2022-06-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-18 | 2022-06-20 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-05-18 | 2022-06-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-18 | 2022-06-20 | 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 | 2022-05-18 | 2022-06-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-18 | 2022-06-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-17 | 2022-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-17 | 2022-06-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-17 | 2022-06-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-12 | 2021-04-12 | N |
| Provide activities to meet all resident's needs. | Health | 2021-03-12 | 2021-04-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-12 | 2021-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-12 | 2021-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-12 | 2021-04-12 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-03-10 | 2021-04-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-10 | 2021-04-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-03-10 | 2021-04-12 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-03-10 | 2021-04-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-09-04 | 2019-10-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-04 | 2019-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-04 | 2019-10-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-04 | 2019-10-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-06 | 2019-10-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-06 | 2019-10-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-06 | 2019-10-06 | 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 | 2019-09-06 | 2019-10-06 | N |
