Deficiency Records for Solaris Healthcare Zephyrhills
Updated as of March 01, 2022
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? |
|---|---|---|---|---|
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-17 | 2021-07-17 | Y |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
