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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-07-13 | 2023-08-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-13 | 2023-08-13 | 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 | 2023-07-13 | 2023-08-13 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-07-13 | 2023-08-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-07-13 | 2023-08-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-13 | 2023-08-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-13 | 2023-08-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-13 | 2023-08-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-13 | 2023-08-13 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-13 | 2023-08-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-13 | 2023-08-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-13 | 2023-08-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-13 | 2023-08-13 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-13 | 2023-08-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-01 | 2023-01-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-01 | 2023-01-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-21 | 2022-07-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-21 | 2022-07-21 | 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 | 2021-07-01 | 2021-09-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-07-01 | 2021-09-30 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2021-06-30 | 2021-09-30 | 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 | 2021-07-01 | 2021-08-01 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-07-01 | 2021-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-01 | 2021-08-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-07-01 | 2021-08-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-01 | 2021-08-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-01 | 2021-08-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-01 | 2021-08-01 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-30 | 2021-08-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-06-30 | 2021-08-01 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-06-30 | 2021-08-01 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-06-30 | 2021-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-30 | 2021-08-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-30 | 2021-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-30 | 2021-08-01 | 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 |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-24 | 2019-10-11 | N |
