A list of the most recent deficiencies for Minneola District Hospital Ltcu. 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? |
|---|---|---|---|---|
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-03-02 | 2023-04-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-03-02 | 2023-04-13 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-03-02 | 2023-04-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-02 | 2023-04-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-02 | 2023-04-13 | 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 | 2023-03-02 | 2023-04-13 | 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 | 2023-03-02 | 2023-04-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-02 | 2023-04-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-02 | 2023-04-13 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-03-21 | 2023-03-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-21 | 2023-03-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-21 | 2023-03-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-21 | 2023-03-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-15 | 2021-08-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-15 | 2021-08-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-27 | 2021-07-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-27 | 2021-07-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-10 | 2019-10-31 | 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 | 2019-10-10 | 2019-10-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-10 | 2019-10-31 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
