A list of the most recent deficiencies for Solaris Healthcare Zephyrhills. 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 feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-02-22 | 2024-03-23 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-06 | 2023-05-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-06 | 2023-05-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-06 | 2023-05-06 | 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 | 2023-04-06 | 2023-05-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-06 | 2023-05-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-06 | 2023-05-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-06 | 2023-05-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-06 | 2023-05-06 | 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 | 2023-04-06 | 2023-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-06 | 2023-05-06 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2023-04-05 | 2023-05-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-05 | 2023-05-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-05 | 2023-05-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-05 | 2023-05-06 | 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 | 2021-06-17 | 2021-07-17 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-06-17 | 2021-07-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-17 | 2021-07-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-17 | 2021-07-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-17 | 2021-07-17 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-16 | 2021-06-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-16 | 2021-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-19 | 2019-12-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-09-19 | 2019-10-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-19 | 2019-10-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-19 | 2019-10-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-19 | 2019-10-19 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
