Deficiency Records for Winter Haven Fl Opco LLC
Updated as of November 01, 2019
This is not the most recent data for Winter Haven Fl Opco LLC. For the most recent information, click here.
A list of the most recent deficiencies for Winter Haven Fl Opco 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? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-24 | 2019-10-11 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-09-27 | 2019-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-27 | 2019-10-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-09-27 | 2019-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-27 | 2019-10-11 | 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 | 2019-09-27 | 2019-10-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-27 | 2019-10-11 | 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 | 2019-09-27 | 2019-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-27 | 2019-10-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-09-27 | 2019-10-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-12 | 2019-08-23 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-08-12 | 2019-08-23 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-08-12 | 2019-08-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-13 | 2019-08-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-09 | 2019-08-02 | 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 | 2019-07-09 | 2019-08-02 | Y |
| Post nurse staffing information every day. | Health | 2019-07-09 | 2019-08-02 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-09 | 2019-08-02 | 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 | 2019-07-09 | 2019-08-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-07-09 | 2019-08-02 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-05-13 | 2019-08-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-13 | 2019-06-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-13 | 2019-06-13 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-01-09 | 2019-02-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-09 | 2019-02-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-09 | 2019-02-11 | N |
| Be properly staffed | Fire Safety | 2019-01-09 | 2019-02-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-09 | 2019-02-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-11 | 2019-02-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-11 | 2019-02-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-11 | 2019-02-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-11 | 2019-02-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-01-11 | 2019-02-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-11 | 2019-02-11 | 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 | 2019-01-11 | 2019-02-11 | 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 | 2019-01-11 | 2019-02-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-11 | 2019-02-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-11 | 2019-02-11 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2019-01-11 | 2019-02-11 | N |
| Respond appropriately to all alleged violations. | Health | 2018-06-04 | 2018-06-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-20 | 2018-05-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-20 | 2018-05-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2017-12-28 | 2018-01-24 | Y |
| Keep all essential equipment working safely. | Health | 2017-12-28 | 2018-01-24 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-11-06 | 2017-12-01 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-11-06 | 2017-12-01 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-09-22 | 2017-12-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-22 | 2017-12-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-09-22 | 2017-12-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-09-21 | 2017-10-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-09-21 | 2017-10-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-09-21 | 2017-10-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-09-21 | 2017-10-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-09-21 | 2017-10-22 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-09-21 | 2017-10-22 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-09-21 | 2017-10-22 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-09-22 | 2017-10-21 | Y |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-09-22 | 2017-10-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-09-22 | 2017-10-21 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-09-22 | 2017-10-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-22 | 2017-10-21 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-09-22 | 2017-10-21 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-03-08 | 2017-04-07 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-03-08 | 2017-04-07 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-03-08 | 2017-04-07 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-03-08 | 2017-04-07 | Y |
