Deficiency Records for Solaris Healthcare Zephyrhills
Updated as of April 01, 2021
This is not the most recent data for Solaris Healthcare Zephyrhills. For the most recent information, click here.
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? |
---|---|---|---|---|
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-06-19 | 2020-07-19 | Y |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-06-19 | 2020-07-19 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-06-19 | 2020-07-19 | Y |
Provide and implement an infection prevention and control program. | Health | 2019-09-19 | 2019-12-08 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-08 | 2019-12-08 | Y |
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 | 2019-11-08 | 2019-12-08 | Y |
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 | 2019-11-08 | 2019-12-08 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-11-08 | 2019-12-08 | Y |
Ensure that residents are free from significant medication errors. | Health | 2019-11-08 | 2019-12-08 | Y |
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 |
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 |
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 | 2019-05-20 | 2019-06-20 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-20 | 2019-06-20 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-05-20 | 2019-06-20 | Y |
Post nurse staffing information every day. | Health | 2019-05-20 | 2019-06-20 | Y |
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 | 2019-05-20 | 2019-06-20 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-06-08 | 2018-08-10 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-06-08 | 2018-08-10 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-08 | 2018-07-16 | N |
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2018-06-08 | 2018-07-16 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-08 | 2018-07-16 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2018-06-08 | 2018-07-16 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-06-08 | 2018-07-16 | 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 | 2018-06-08 | 2018-07-16 | 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 | 2018-06-08 | 2018-07-16 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-06-08 | 2018-07-16 | N |
Provide and implement an infection prevention and control program. | Health | 2018-06-08 | 2018-07-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-11 | 2018-07-08 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-06-11 | 2018-07-08 | N |
Meet other general requirements. | Fire Safety | 2017-07-14 | 2017-08-13 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-07-14 | 2017-08-13 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-07-14 | 2017-08-13 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-07-14 | 2017-08-13 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-14 | 2017-08-13 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-07-14 | 2017-08-13 | N |
Provide housekeeping and maintenance services. | Health | 2017-07-14 | 2017-08-13 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-07-14 | 2017-08-13 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-14 | 2017-08-13 | N |