Full text of "Medicare/Medicaid nursing home information, 1987-1988"

See other formats

mEDICARE /fTlEDICAID
NUR/ING HOfDE INFORfTlATION

MEDICARE/MEDICAID
NURSING HOME INFORMATION

1987-1988
FLORIDA

Part 1

ALTAMONTE SPRINGS TO MIAMI

Otis R. Bowen, M.D.
Secretary

U.S. Department of Health & Human Services

William L. Roper, M.D.
Administrator
Health Care Financing Administration

For sale by the Superintendent of Documents, U.S. Government Printing Office
Washington, DC 20402

The Health Care Financing Administration (HCFA) was established on March 9, 1977, to combine
health financing and quality assurance programs into a single agency. KCFA is responsible for the
Medicare program, Federal participation in the Medicaid program, the Peer Review Organization pro-
gram, the survey and certification program, and a variety of other health care quality assurance programs.

The mission of HCFA is to ensure the effective administration of its programs in order to promote
the timely delivery of appropriate, quality health care to over 56 million of the nation's aged, disabled
and poor. The agency must also ensure that beneficiaries are aware of the services for which they
are eligible, that those services are accessible and of high quality and that agency policies and actions
promote efficiency and quality within the total health care delivery system.

Table of Contents

Page

Introduction I

Uses and Limitations II

Description of the Survey and Certification Process IV

Sources of Information V

Further Considerations XVI

Glossary of Terms XIX

How to Read the Information XXI

Nursing Home Profiles 1

DEPARTMENT OF HEALTH & HUMAN SERVICES

Health Care Financing Administration

Ttie Administrator
Washington, D.C. 20201

INTRODUCTION

This publication is another significant step in the efforts of the Heahh Care Financing
Administration to provide information to the pubUc in an understandable and usable form. We
believe we have an obligation as the federal agency responsible for the Medicare and Medicaid
programs to provide a broad range of information about the health care paid for through these
programs. Furthermore, we believe that this information is helpful to consumers, health care
professionals, researchers, and the health care industry, and we intend to continue our efforts
to expand and improve the information we release.

This publication focuses on nursing homes. This is clearly an area of critical concern to
many Medicare and Medicaid beneficiaries, their families, and the public in general. As such,
I can think of no more important area where we need to provide information to help
consumers make informed decisions and to supply the nation's nursing homes information on
their performance.

This information is the product of extensive consultation with many individuals, including
recognized experts in long term care, consumer advocates, representatives of the nursing home
industry, state governments, physicians and nursing home residents and their families. We are
grateful for their assistance with this publication. We have made a great effort to make it as
clear and useful as possible.

The primary purpose of this information is to provide a solid basis for further, informal
inquiry. It is neither the final, definitive word on nursing home performance, nor a guide to
answer all questions on selection of a nursing home. Rather, it provides a rich source of
background materials on federal and state enforcement programs and considerable information
on individual nursing homes.

When properly understood and used, this information is quite useful; it can also be
misleading if interpreted incorrectly. To use this information properly, you should read
carefully the introductory material, the sections on uses and limitations, how to read the
profiles, and the glossary. These sections will assist you in correctly interpreting and making
the best use of the information.

Because we realize the limitations of the information, especially in making individual
judgments on specific nursing homes, we have included a section entitled, "Further
Considerations." This section is designed to help individuals find additional sources of
information and ask the kinds of questions that will provide the best information to help make
personal decisions on nursing homes. We think individuals who use this information as a
source document will be better informed about health care issues they or their family may
face. We trust that as a result, they will make more informed and thus better decisions.

William L. Roper, M.D.

Administrator

USES AND LIMITATIONS

Uses

The primary purpose of this report is to provide a ready source of understandable information about
the population and performance of nursing homes. The information is most useful as a basis of in-
quiry, to assist in asking questions about individual facilities, trends and the enforcement process.

The information presented in this report is taken from the survey reports State surveyors fill out
during their annual inspections of each nursing home that participates in Medicare and/or Medicaid.
Copies of the full reports are available through the individual State survey agencies. The information
describes what conditions were observed in the nursing home at the time of its most recent survey
and it includes both:

• general information about a nursing home's population and the characteristics and care needs of
its residents; and

• specific information about a nursing home's performance in terms of whether it was found to meet
certain Federal requirements that provide some insight as to what kind of care the residents receive.

Making this information more accessible and understandable will benefit both the general public
and the nursing home community. This type of information can help potential consumers first to ask
knowledgeable questions of their physicians, nursing home representatives and long-term care om-
budsmen and then to make informed decisions in the selection of a nursing home.

For example, the information will allow comparisons to be made among facilities as to the propor-
tion of residents with severe skin problems, such as bed sores or other skin breakdowns. It is impor-
tant to note, however, that while a high proportion of such residents might be indicative of poor quality
care, it could also mean that the facility has special expertise in handling such problems and doctors
refer their patients there. The consumer could then check related performance indicators (i.e., each
resident receives care necessary to prevent skin breakdown; and each resident with a bed sore receives
care necessary to promote the healing of the bed sore) to determine whether surveyors had identified
any problems in this area and ask nursing home staff why so many residents were in need of special
skin care. A subsequent section of this report (see "Further Considerations") provides an illustrative
list of the types of questions that potential consumers might ask in the course of selecting a nursing home.

We expect that nursing homes, individually and as an industry, will find the information useful.
It will provide information which will allow each facility to determine the health status of its residents
in relation to other facilities in the State and the nation. It will also allow each facility to compare
its compliance at the time of survey with the compliance of other nursing homes in the State and the
nation. The information will also provide a valuable insight into the consistency of standards enforce-
ment within a State and across the country.

Limitations

When properly understood and used, this information can be of significant value. However, respon-
sible use of the information depends on a thorough understanding of its limitations.

First, any valid interpretation of this information must take into account the fact that the information
comprises the individual judgments of more than 3,000 surveyors in 53 separate State survey agen-
cies. Variations in the deficiency information may in part retlect differences among States and in-
dividual surveyors in how requirements are interpreted and applied, rather than genuine differences
in facility performance. Similarly, care practices in the field may vary from area to area and differences
in the information may reflect these variations as well.

Second, the deficiency findings are not a complete picture of the quality of care in a nursing home.
Deficiency findings are a measure of compliance or non-compliance with a particular requirement,
and the requirements are minimum standards that nursing homes must meet to participate in
Medicare and/or Medicaid. Moreover, the information in each profile describes deficiency findings
for only 32 out of more than 500 Federal regulatory requirements that are evaluated during a survey.
The absence of a deficiency means that the home met the minimum standard at the time of survey,
but the information cannot identify nursing homes that are providing outstanding quality care.

A third limitation stems from the periodic nature of a deficiency-based survey process. Findings
are recorded in the course of the survey and thus reflect a "snapshot" of the conditions in the nursing
home at that time. The information does not describe the home's success or failure in taking prompt
corrective action to remedy problems. Similarly, there is no guarantee that those items in compliance
with Federal requirements at the time of survey have remained in compliance.

Finally, the information reflects neither the duration nor the severity of identified deficiencies. A
problem may represent a one-time failure of a single staff person, or it may represent an ongoing
failure of the facility to provide acceptable quality care.

Ill

DESCRIPTION OF THE SURVEY AND CERTIFICATION PROCESS

The process of qualifying nursing homes for participation in the Medicare and/or Medicaid pro-
grams is known as the survey and certification process. Nursing homes that are approved to take part
in Medicare and/or Medicaid and therefore qualified to receive Federal and State funds are required
to meet standards set by Federal regulations. These standards are the way the Federal and State govern-
ments make sure that nursing homes that receive public monies provide quality care to residents. The
standards are developed by the Health Care Financing Administration (HCFA), Department of Health
and Human Services (DHHS). The State survey agency in each State inspects (surveys) homes to make
sure they meet health, safety, and quality standards. The surveyors are State employees who use Federal
forms and standards. HCFA pays States for this survey activity. Information from these surveys is
stored in a centralized computer system in Baltimore, Meiryland, which is the headquarters of HCFA.
The information published in this report was obtained from this system.

The State survey agencies are required to inspect nursing homes at least once a year and report
their findings to State and Federal officials. During a survey, a team of surveyors tours a nursing
home and looks at all areas of the nursing home that affect the quality of care that residents receive.
The size and composition of survey teams, as well as the duration of surveys, vary in different States
and in facilities of different sizes.

Surveyors observe how care is actually given to residents . Surveyors interview a sample of the residents
and review their medical records. They evaluate the preparation of meals and eating assistance techni-
ques. They check whether residents get prescribed medications in the proper dosage at the correct
times. Surveyors also review the records of nursing homes, interview nursing home staff, and observe
the home for cleanliness, comfort and safety. These are some examples of what surveyors do when
they inspect a nursing home.

The surveyors record their findings on Federal forms. When the survey is completed, they meet
with the nursing home officials to discuss their findings. If problems were found by the surveyors,
the nursing home has to submit a written plan of correction telling how it plans to correct the pro-
blems. If a nursing home is found to have problems, it is given a reasonable amount of time to correct
them. State survey agencies use various methods of follow-up review, including revisiting the home
to assure that the needed correction has taken place.

If the problems are serious enough to threaten the health and safety of the residents and/or a nursing
home fails to correct the problems, the home will not be allowed to continue to participate in the Medicare
and/or Medicaid programs. Short of this action, HCFA and the States can also employ an array of
other enforcement actions to bring about compliance with State and Federal requirements. Examples
of possible actions include monetary fines, bans on new admissions, transfer of residents to other
facilities, or placement of the facility in a receivership (i.e., temporary government-ordered manage-
ment). A description of the certification and licensure program specific to this State is provided in
the following section of this report.

SOURCES OF INFORMATION

There are many sources you can go to in order to find out about a particular nursing home or about
nursing homes in general. The best sources of information will likely be the State Health Department,
the local or State long-term care ombudsman program or agency on aging. The ombudsman programs
were established under the Older Americans Act to assist nursing home residents and those who repre-
sent them. See the "State Government" section below for information on how to contact the State
ombudsman program.

Many other agencies and organizations have information on homes in order to make referrals to
the public. It may be necessary to obtain information from several organizations before you find the
information that you need or want.

Public and General Sources

There are many public and general sources of information on nursing homes. Some of these are:

• Social services departments in local hospitals;

• Nursing home provider associations like the American Health Care Association or the American
Association of Homes for the Aging;

• State nursing home associations;

• City or county welfare departments;

• Religious groups; and

• Better Business Bureaus, local consumer protection offices, and other consumer information groups.

Others who can offer valuable advice include physicians, social workers, clergymen and friends
or relatives who have placed someone in a nursing home.

State Government

The following pages give a description of the State licensure and enforcement programs. They also
contain information about State government offices that you can contact to obtain information about
nursing homes and about the State long-term care ombudsman program.

STATE OF FLORIDA

DEPARTMENT OF HEALTH AND REHABIUTATIVE SERVICES

Overview of Nursing Home Licensure Program

The Office of Licensure and Certification (OLC) of the State of
Florida, Department of Health and Rehabilitative Services (DHRS)
uniformly administers statewide programs under applicable laws,
rules, standards, and codes by licensing, certifying, registering
or permitting of facilities, persons, or enterprises providing
health care, personal care, public usage, or for consumer
protection toward protecting the health and safety of individuals
and their families.

As adjuncts to the nursing home licensure process, OLC also
performs requisite licensure surveys; oversees plans review and
construction requirements; maintains a nursing home rating
system; prepares administrative complaints; imposes sanctions,
responds to complaints from the general public, and all other
activities ancillary to licensure requirements.

For all facilities applying for original licensure, the Office of
Licensure and Certification conducts on-site surveys of
compliance with both Federal and State guidelines. For those
facilities wishing to participate in the Medicare and Medicaid
programs, these surveys encompass the progrean certification
requirements .

For those facilities wishing to renew their annual operating
license and recertif ication, unannounced annual on-site surveys
are performed toward the end of the licensure and certification
year (usually 90 days prior) for which a license has been
granted .

Nursing home licensure requirements for both initial and renewal
licenses are found in Chapter 400, F.S. and Chapter lOD-29,
F.A.C. In addition to information concerning ownership and
fiscal matters'; staffing and consultants; activities program; and
patient care and life-safety code requirements, these
requirements also cover: patient's personal funds and property;
patient's rights and personal affairs; prohibition against bribes
and kickbacks; administration and management; maintenance and
availability of records; and various punitive sanctions.

2727 MAM AN DRIN'E • TALLAHASSEE. FLORIDA 32308

BOB MARTINEZ. GOVERNOR

GREGORY L COLER. SECRETARY

OLC functions are performed out of four Area Offices located as
follows :

Jacksonville Area Office
P. 0. Box 210
Jacksonville, FL 32231
904/359-6046

Winter Park Area Office
1350 Orange Avenue, Suite III
Winter Park, FL 32789
407/647-7010

Tampa Area Office
7827 N. Dale Mabry Highway-
Tampa, FL 33614
813/272-3440

Miami Area Office

401 N.W. 2nd Ave,,, North Tower, Rm 526

Miami, FL 33128

305/377-7100

The Director and support staff are located in the Central Office
Director, Office of Licensure & Certification, 2727 Mahan Drive,
Tallahassee, FL 32309, (904) 487-2527 and maintain line
authority over the four Area Office Supervisors. Central Office
serves in a supervisory and consultative roles to the Area
Offices, whose staff performs the actual site visits to license
and certify Nursing Homes. Staff performs surveys; follow-ups;
rating evaluations; consultative and educational visits; and
complaint investigations; their findings and recommendations are
sent through their Supervisor to the Director for approval and
appropriate action.

VII

Overview of Enforcement System

The Office of Licensure & Certification has punitive powers for
noncompliance with statutes, rules and regulations in the form of
sanctions as follows:

1. Denial of License-Chapter 400.121, Florida Statutes

2. Suspension of License-Chapter 400.121, Florida Statutes

3. Revocation of License-Chapter 400.121, Florida Statutes

4. Moratorium on Admissions -Chapter 400.121, Florida Statutes

5. Administrative Fines-Chapter 400.121, Florida Statutes

6. Injunctive Proceedings-Chapter 400.125, Florida Statutes

7. Receivership Proceedings-Chapter 400.126, Florida Statutes
Note: The Application of administrative sanctions is subject

to Chapter 120, Florida Statutes (Administrative Procedures
Act), whereby each licensee must receive reasonable notice, and
be given an adequate opportunity to request a fair hearing.

Facilities found not in compliance during inspections are issued
deficiency statements and such deficiencies are classified in
accordance with Florida Statutes. Class I Deficiencies, those
which are an immediate threat to life and/or safety of residents,
are the most serious and require immediate action. Class II
Deficiencies are those which pose a clear and imminent danger to
safety and well-being; these require correction within a short
time frame, usually to a maximum of two weeks. Class III
Deficiencies are those v/hich pose no clear or imminent danger to
safety and well-being, either direct of potential; these require
correction usually within a maximum of 30 days.

As a result of the licensure inspections and during the pre-exit
"JLnterview and exit interviews , the State directs that the problem
be corrected within the stated time freime. The actual
methodology of correction is left to the provider. The emphasis
is on the outcome of the correction effort; i.e., the correction
of the problem.

At the follow-up visit, only those cited items are reexamined to
determine compliance. An exit interview is held during which the

VIII

facility is told whether it has achieved compliance or not and is
advised of the consequences of any noncompliance. Any
uncorrected State deficiencies are then recommended for
sanctions . The civil penalty that is imposed may vary from a
minimum of $100.00 to a maximum of $5/000.00.

At this time, the rating (Superior, Standard, Conditional) will
be adjusted to reflect the findings of the follow-up survey, and
a rating recommendation will be sent to Central Office for
processing. The facility will be notified whether their rating
will remain the same or be changed. Any change will result in
the issuance of a changed license. Full appeal rights for any
rating change or licensure follow-up visits are available to the
facility upon request.

Class I deficiencies, those posing an imminent danger to
residents or guests of the Nursing Home, shall be reported to the
Administrator immediately upon discovery and must be abated
immediately. A fixed time frame for correction may be granted
(dependent upon the severity and threat to health, safety, and
welfare) by the Department. Civil penalties of not less than
$1,000.00 nor more than $5,000.00 for each deficiency may be
levied, even though the deficiencies are corrected.

Class II deficiencies, those having a direct or immediate
relationship to the health, safety, or security of the residents
and are not Class I, shall be reported to the Administrator
during or upon completion of the survey and must be corrected
within a mandated time frame. If corrected within the mandated
time, no civil penalty is imposed (unless a repeat offense;) if
uncorrected, a civil penalty of not less than $500.00 nor more
than $1,000.00 (for each deficiency) may be levied.

Class III deficiencies, those having an indirect or potential
relationship to the health, safety, or security of the residents
and are not Class I or II, shall be reported to the Administrator
during or upon completion of the survey and must be corrected
within a mandated time frame. If corrected within the mandated
time, no civil penalty is imposed (unless a repeat offense); if
uncorrected, a civil penalty of not less than $100.00 nor more
than $500.00 (for each deficiency) may be levied.

Resources Available Consumers

State survey offices in Jacksonville, Winter Park, Tampa
and Miami, previously listed. State Health Department
located in each of Florida's 67 counties may be located by
contacting the HRS Deputy Assistant Secretary for Health,
1317 Winewood Blvd., Bldg. 1, Tallahassee, FL 32399,
(904) 487-2705.

Resident advocate council. State Long-Term Care Oitibudsman
Counsel, 1317 Winewood Blvd., Room 308, Tallahassee, FL
32399, (904) 488-6190.

Nursing Home Complaint "hot line" number 1-800-342-9152
(24 hr. toll free for Abuse of the Elderly).

Medicaid Fraud & Abuse (Program Integrity), state office
(904) 487-2355, routinely monitor providers through
utilization and peer review process as well as
surveillance. Initiates investigations based on outcomes
of program monitoring and/or complaints received.

Nursing home survey results may be obtained from OLC
licensure offices in Jacksonville, Winter Park, Tampa and
Miami as previously listed.

Aging & Adult Services, state office (904) 488-8922,
Intake offices are located throughout the state in each
HRS District and Sub-District. Clients are screened for
eligibility (medical & financial), through the Adult
Payments Office or CARES unit, and are placed with
appropriate community social programs inclusive of skilled
nursing facilities.

Other state programs related to nursing home quality of
care include Medicaid Inspection of Care (IOC) Program,
Deputy Assistant Secretary for Medicaid, 1317 Winewood
Blvd., Bldg. 6, Room 242, Tallahassee, FL 32399, (904)
488-9990.

For nursing home cost related problems, Hospital Cost
Containment Board, 325 John Knox Road, Bldg. L, Suite 101,
Tallahassee, FL 32305, (904) 488-1295.

Federal Government

Some agencies of the Department of Health and Human Services (DHHS) also have information
about nursing homes. These agencies are:

Office of the Inspector General (OIG)

The mission of the OIG is to maintain the integrity of DHHS' programs by investigating any reports
of fraud, waste or abuse by doctors, hospitals or other providers of health care services such as nurs-
ing homes.

If you have reason to believe that a health care service provider is performing unnecessary or inap-
propriate services or is billing Medicare for services you did not receive, a toll-free Hot Line has
been installed by the Department of Health and Human Services' Inspector General.

Toll Free Numbers

Outside Maryland: l-(800) 368-5779

Inside Maryland: l-(800) 638-3986
Note: Medicaid issues should first be referred to the appropriate State agency before contacting the
OIG Hot Line. In most States, the State fraud and abuse units can be located through the State Office
of the Attorney General.

Administration on Aging (AoA)

The mission of the AoA is to administer the programs and related provisions of the Older Americans
Act in a manner which:

1) creates and supports a national network on aging;

2) develops and oversees a responsive system of services and opportunities to meet the needs of
the elderly; and

3) serves as a visible advocate on behalf of the elderly in the entire nation.

The Regional AoA Offices listed below can help to put you in touch with the appropriate State or
local authorities, depending on the nature of your inquiry or concern.

AoA Regional Offices

Regional Program Director, AoA

DHHS Region I

Room 2011

JFK Federal Building

Boston, MA 02203

(617) 565-1158

Regional Program Director, AoA
DHHS Region III
3535 Market Street
P.O. Box 13716
Philadelphia, PA 19101
(215) 596-0334

Regional Program Director, AoA
DHHS Region V
13th Floor

300 South Wacker Drive
Chicago, IL 60606
(312) 353-3141

Regional Program Director, AoA

DHHS Region VII

Room 384

601 East 12th Street

Kansas City, MO 64106

(816) 426-2955

Regional Program Director, AoA
DHHS Region IX
Room 480

Federal Office Building
50 United Nations Plaza
San Francisco, CA 94102
(415) 556-6003

Regional Program Director, AoA

DHHS Region II

Room 4149

26 Federal Plaza

New York, NY 10278

(212) 264-3472

Regional Program Director, AoA
DHHS Region IV
Suite 903

101 Marietta Tower
Atlanta, GA 30323
(404) 331-5900

Regional Program Director, AoA
DHHS Region VI
Room 1000

1200 Main Tower Building
Dallas, TX 75202
(214) 767-2971

Regional Program Director, AoA
DHHS Region VIII
Room 1185

Federal Office Building
1961 Stout Street
Denver, CO 80294
(303) 844-2951

Regional Program Director, AoA
DHHS Region X
The Third and Broad Building
2901 Third Avenue
' Seattle, WA 98121
(206) 442-5341

XII

Office for Civil Rights (OCR)

The mission of OCR is to enforce civil rights statutes that prohibit discrimination in DHHS' programs
and to generate voluntary compliance. You may wish to contact an OCR office to report incidents
of discrimination by a nursing home or to check on a facility's previous record in this regard.

OCR Regional Offices

Director, OCR
DHHS Region I
Room 2403
JFK Federal Building
Boston, MA 02203
(617) 565-1340

Director, OCR
DHHS Region III
Room 6300
3535 Market Street
P.O. Box 13716
Philadelphia, PA 19101
(215) 596-1262

Director, OCR
DHHS Region V
33rd Floor

300 South Wacker Drive
Chicago, IL 60606
(312) 353-2520

Director, OCR
DHHS Region VII
Room 248
601 East 12th Street
Kansas City, MO 64106
(816) 426-7277

Director, OCR
DHHS Region IX
Room 322

Federal Office Building
50 United Nations Plaza
San Francisco, CA 94102
(415) 556-8586

Director, OCR
DHHS Region II
Room 3312
26 Federal Plaza
New York, NY 10278
(212) 264-3313

Director, OCR
DHHS Region IV
Room 1502
101 Marietta Tower
Atlanta, GA 30323
(404) 331-2779

Director, OCR
DHHS Region VI
Room 1360

1200 Main Tower Building
Dallas, TX 75202
(214) 767-4056

Director, OCR
DHHS Region VIII
Room 844

Federal Office Building
1961 Stout Street
Denver, CO 80294
(303) 844-2024

Director, OCR

DHHS Region X

The Third and Broad Building

2901 Third Avenue

Seattle, W A 98121

(206) 442-0473

XIII

Health Care Financing Administration (HCFA)

The mission of HCFA is to administer the Medicare and Medicaid programs in a manner which
promotes:

1) quality health care to eligible beneficiaries;

2) awareness of the services for which beneficiaries are eligible; and

3) efficiency and quality within the total health care delivery system.

Listed below are the HCFA offices responsible for overseeing the State survey and certification
programs:

HCFA Regional Offices

Associate Regional Administrator

DHHS Region I, HCFA

Division of Health Standards and Quality

Room 1309

JFK Federal Building

Boston, MA 02203

(617) 565-1331

Associate Regional Administrator

DHHS Region III, HCFA

Division of Health Standards and Quality

3535 Market Street

P.O. Box 7760

Philadelphia, PA 19101

(215) 596-0997

Associate Regional Administrator
DHHS Region V, HCFA
Division of Health Standards and Quality
Room 941

175 West Jackson Boulevard
Chicago, IL 60604
(312) 353-9804

Associate Regional Administrator

DHHS Region VII, HCFA

Division of Health Standards and Quality

Room 284

601 East 12th Street

Kansas City, MO 64106

(816) 374-2408

Associate Regional Administrator

DHHS Region IX, HCFA

Division of Health Standards and Quality

100 Van Ness Avenue

San Francisco, CA 94102

(415) 556-0041

Associate Regional Administrator

DHHS Region II, HCFA

Division of Health Standards and Quality

Room 3821

26 Federal Plaza

New York, NY 10278

(212) 264-3219

Associate Regional Administrator
DHHS Region IV, HCFA
Division of Health Standards and Quality
Suite 601

101 Marietta Tower
Atlanta, GA 30323
(404) 331-2488

Associate Regional Administrator
DHHS Region VI, HCFA
Division of Health Standards and Quality
Room 2000

1200 Main Tower Building
Dallas, TX 75202
(214) 767-6301

Associate Regional Administrator
DHHS Region VIII, HCFA
Division of Health Standards and Quality
Room 1194

Federal Office Building
1961 Stout Street
Denver, CO 80294
(303) 844-4721

Associate Regional Administrator

DHHS Region X, HCFA

Division of Health Standards and Quality

2901 Third Avenue

Seattle, WA 98121

(206) 442-0511

XIV

If you wish to contact any of the DHHS agencies, the following list outlines which DHHS regional
office has responsibility for your State.

Region I/Boston

Connecticut, Maine, Massachusetts,
New Hampshire, Rhode Island, and
Vermont

Region Ill/Philadelphia

Delaware, District of Columbia,
Maryland, Pennsylvania, Virginia,
and West Virginia

Region V/Chicago

Illinois, Indiana, Michigan,
Minnesota, Ohio, and Wisconsin

Region VII/Kansas City

Iowa, Kansas, Missouri, and
Nebraska

Region IX/San Francisco

Arizona, California, Hawaii,
Nevada, American Samoa, and Guam

Region II/New York

New Jersey, New York,
Puerto Rico, and
Virgin Islands

Region IV/Atlanta

Alabama, Florida, Georgia,
Kentucky, Mississippi,
North Carolina, South Carolina,
and Tennessee

Region VI/Dallas

Arkansas, Louisiana,

New Mexico, Oklahoma, and

Texas

Region VII/Denver

Colorado, Montana,

North Dakota, South Dakota,

Utah, and Wyoming

Region X/Seattle

Alaska, Idaho, Oregon,
and Washington

FURTHER CONSIDERATIONS

The information presented in this report can be an important source for potential nursing home con-
sumers and their families to consult during the process of selecting a nursing home. It is also important
that potential consumers and their families ask questions of their physicians, nursing home personnel
and consumer representatives (such as local long-term care ombudsmen) to help guide them in selec-
ting the best possible facility to meet their needs. The best way to find out about a nursing home is
to take the time to visit the home in person, if possible, before you make your choice.

Listed below are some examples of the kinds of questions that potential nursing home consumers
should ask before selecting a home and some things you should do to fmd out about the home during
your visit. These questions are intended to augment the information contained in this report. Keep
in mind that they are not a comprehensive list but an illustrative list of suggested issues that should
be considered in choosing a nursing home.

General

• Find out who owns the home and whether it is approved for participation in the Medicare or
Medicaid programs.

• Make an appointment to visit the home. Meet with the administrator, the director of nursing and
the director of social services and ask them about the history of the home and the services it offers.

• Ask about the home's last survey, what problems were found and if and how they have been cor-
rected. Ask whether the facility has been surveyed since the survey described in this report. You
can ask to see the survey results.

• Ask whether the State has initiated any punitive actions against the home in the last 2 years, and
if so, what actions were taken and how they were resolved. You may want to verify this informa-
tion through other sources such as the State nursing home ombudsman.

• Ask about the home's admission policies and ask for a copy of any admission agreement that
is required.

• Ask to see a copy of the home's residents' rights policy. Does the facility have any special pro-
grams/procedures to help educate residents and staff about their rights? You can observe for yourself
during your visit how well the home is honoring these rights.

• Ask about the home's basic daily rate and what is included in the charges. Also ask how the home
handles residents' personal funds, if such assistance is necessary.

• Find out about the home's visiting hours and what choices residents have as to the time they can
get up, eat and go to bed.

• See if residents look well cared for and properly groomed. Do staff treat the residents with courtesy
and respect? If the opportunity arises, chat with a resident or two to get their impressions.

• Find out if the home has an organized resident council or other type of resident group. How often
does it meet and what are some of its activities and accomplishments? Also, is there an organized
family council that family members can participate in?

XVI

Physical Environment

• Ask for a tour of the facility and try to see all the major areas of the home, including dining
areas and some residents' rooms.

• Note whether the home is an attractive, clean and comfortable place to be. Is it well-lit and ven-
tilated and free of potential health hazards such as obstacles in hallways or underfoot? Is it free
from insects and rodents?

• Look at the residents' lounge and other common areas and see if they look comfortable and whether
they are used by residents. Do residents have the opportunity to sit outdoors in comfortable, safe
surroundings?

• Check toilet and bathing facilities and note whether they are clean, sanitary and reasonably free
of odors. Are they easily accessible to handicapped residents?

• Note whether residents' rooms have windows and access to the corridor. Does each resident have
a reading light, comfortable chair, sufficient closet space? How many people are in each room
and are there privacy curtains?

Medical and Nursing Services

• Find out how medical care and direction is provided in the facility. Who is the medical director?
Will a resident's personal physician be able to visit as needed, and cooperate with the medical
director? What happens if hospital or emergency care is needed?

• Ask if the home specializes in providing any particular type of medical care. Be sure to inquire
about how the home cares for residents who share your particular medical problems or care needs.

• Ask about the availability of specialized care to restore physical abilities lost due to illness or
injury. Physical therapy, speech therapy and occupational therapy are examples of this type of
specialized care.

• Ask how many registered nurses and licensed practical nurses are employed by the home and
how many of each are on duty during days, evenings, nights and weekends. How many residents
are under the care of each type of nurse?

• Ask how often a resident's medication schedule is reviewed for possible dosage reductions, adverse
interactions or reactions, or expirations. Who is accountable for pharmaceutical services?

• Ask how the home provides dental care to its residents.

Food

• Ask at what times meals are served and whether snacks are available. Ask to see the menus for
a week. Are substitutions readily available?

• Observe how food is served. Does it look appetizing? Do residents appear to be enjoying their meals?

XVII

Social Services and Activities

• Ask to see the schedule of activities for a week. Does the facility have a varied activities program
suitable for residents with different interests and capabilities?

• Ask if there is an activities coordinator and see if there is suitable space available for activities.

• Find out whether the facility has a full-time social services director and ask what social services
and mental health and other counseling services are available to residents and their families. Does
the facility have specialized services/programs available for residents with special disorders and
disabilities, including Alzheimer's Disease?

XVIII

GLOSSARY OF TERMS

Resident Characteristics and Facility Performance Indicators

This glossary contains terms used to describe certain common features or characteristics of people
who enter nursing facilities and common features or indicators of how well the facility provides
quality care.

Bed Sore. A bed sore is an open sore that occurs more often to a resident with little muscle tissue
or fat and who remains in one position for a long period of time. A bed sore may form on bony areas,
such as at the base of the spine, heels, and ankles. Other names for a bed sore are "pressure sore"
or "decubitus."

Catheter. See Urinary Catheter.

Colostomy or Ileostomy. A resident who has serious intestinal difficulties may have surgery which
creates an artificial opening at the abdomen for bowel movements. Colostomy or ileostomy care in-
volves keeping the skin around the colostomy or ileostomy clean and free from sores. For a resident
who wears a bag to collect bowel movements, care also involves emptying the bag regularly and keep-
ing the bag free of odor.

Fluids Supplied Through Tubes. A resident who cannot eat enough food to stay healthy may receive
nourishment in the form of fluids prescribed by a physician. These fluids are usually given by inser-
ting a needle or a tube into a vein. Care involves making sure that the needle or tube stays free of
germs and that it stays in the vein.

Incompetent. A resident who cannot make decisions because of impairments in mental ability may
be called incompetent. This is often a legal term meaning a court has decided that the person cannot
make decisions, but it is also used as a descriptive term.

Injections. Medicine given by inserting a needle into muscle or tissue.

Isolation Techniques. These are methods to ensure that infection does not spread from one part of
a resident's body to another, or from one resident to another.

Rehabilitative Bowel and Bladder Training. A resident with difficulty controlling bowel or bladder
may participate in a program to learn to control these functions.

Respiratory Care. A resident who has trouble breathing may need assistance which may be given
by breathing in extra oxygen or receiving medication. Respiratory care involves giving the amount
of oxygen or medication in the way and in the amount that the doctor has ordered.

Restraints. Residents who need to be protected from hurting themselves or others may need to be
restrained. One type of restraint is physical. For example, to keep a resident from falling out of a
wheelchair a physician may prescribe a cloth protective device or a vest. Drugs (medications) may
also be provided to treat and modify a resident's physically aggressive behavior. However, medica-
tions must be prescribed in doses and for a length of time necessary to treat symptoms.

XIX

Skin Breakdown. When a resident remains in one position for a long period of time, his or her skin
may be damaged. One of the first signals that this is happening is that reddened areas appear on the
places where the resident has placed pressure from sitting in a chair or lying in bed. These reddened
areas do not go away even after the positioning of the resident has been changed. If special care is
not given, bed sores may develop. See Bed Sore.

Suctioning. A resident who is unable to cough up fluids or mucus in the air passages may have a
tube inserted into the air passages to suck the fluids out. Care involves making sure that the fluids
are removed as often as necessary and that the tube used is always free of germs.

Tracheotomy Care. A resident who has difficulty breathing may have an operation which makes a
breathing passage from the base of the neck into the lungs. This opening is called a tracheotomy. Care
involves keeping the breathing passage clean and free from congestion.

Transferring. This term has two meanings. First, it is used to describe the extent to which a resident
is dependent on others to move from bed to chair, bed to toilet, chair to bath, etc. Transferring is
also used to describe moving from one section of a facility to another or from one facility to another.

Urinary Catheter. A tube inserted into the bladder to remove urine.

-J

HOW TO READ THE INFORMATION

Before reading the individual nursing home profiles that make up this report, it would be helpful to understand the
format and presentation of the information in each profile.

I EXAMPLE 1

NURSING HOME PROFILE
Happy Valley Nursing Home

street Address:

City and State:

Participation:

# of Beds:

Type of Ownership:

Survey Date:

The first 3 lines of the profile contain basic information about each nursing home. Following is an explanation of the
items included:

Name: Self-explanatory
Street Address: Self-explanatory
City and State: Self-explanatory

Participation: The information in this block indicates whether the nursing home participates in the Medicare program,
the Medicaid program, or both programs. In addition, this block identifies the level of care that the nursing home pro-
vides. These include:

Skilled Nursing Facility (SNF) — A nursing home which provides the level of care that comes closest to hospital
care with 24-hour nursing services. Regular medical supervision and rehabilitation therapy are also provided.
Generally, a skilled nursing facility cares for convalescent patients and those with long-term illnesses.

Intermediate Care Facility (ICF) — A nursing home which provides less extensive health related care and services.
It has regular nursing service, but not around the clock. Most intermediate care facilities carry on rehabilitation
programs, with an emphasis on personal care and social sen/ices. Mainly, these homes serve people who are
not fully capable of living by themselves, yet are not necessarily ill enough to need 24-hour nursing care.

Many nursing homes participate in both the Medicare and Medicaid programs, and qualify as both skilled nursing facilities
and intermediate care facilities.

Number of Beds: This is the total number of beds in the nursing home, including those that are approved for Medicare
and Medicaid and those that are not. Many nursing homes have beds that are "private;" these are included in the number
even though the facility does not receive Medicare or Medicaid money for them.

Type of Ownership: This block describes the type of organization that operates the nursing home. These include:

Non-profit-religious — A nursing home affiliated with a religious organization, governed by a board of directors and
financed largely by contributions.

Non-profit-private — A nursing home not affiliated with a religious or a community based organization and financed
largely by contributions.

Non-profit-other — A nursing home which is generally governed by a community based board of directors and financed
largely by contributions.

Proprietary — A nursing home operated for profit.

Government — A nursing home primarily administered by the Federal government, the State, or the county, city
or other local unit of government.

Survey Date: The day on which the nursing home inspection described in this report was completed. All of the informa-
tion contained in the nursing home profile reflects the conditions on this date. Note that surveys are being conducted on an
ongoing basis, and thus, more recent survey results may become available subsequent to publication of this report.

XXI

EXAMPLE

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

IVIedicaid Residents:

Caution: A large number of residents with these characteristics does not indicate whether those residents are receiving
appropriate or inappropriate care. It may reflect the facility's ability to provide highly specialized care and services.

FAC

LITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

83.0

81.0

The "Selected Resident Characteristics" section of the profile contains important information describing the popula-
tion of the nursing home. Surveyors obtain this information from the facility at the time of sun/ey. The first line
of this section shows the total number of residents living in the home and indicates how many of the home's residents
are Medicare or Medicaid recipients. Next, the profile tells how many of the nursing home's residents fall into
each of 13 selected care categories. These categories reflect common characteristics of nursing home residents
that relate to the amount and types of care that they need. They describe the degree of assistance required by
residents in carrying out the basic activities of daily living (e.g., bathing, dressing, eating) as well as other
characteristics that provide information on the health care needs of residents (e.g., residents who are unable to
get out of bed without assistance, residents with special skin care needs, residents on bowel and bladder retrain-
ing programs.)

The example above shows the first care category included in each nursing home profile, "Bathing." Following is
an explanation of information provided in the profile:

Column 1 — Facility, #: Indicates that 78 residents of the nursing home require some or total assistance in bathing.

Column 2 — Facility, %: Indicates that the 78 residents who require assistance in bathing represent 83% of the
nursing home's total population.

Column 3 — State, %: Indicates that, in the State where the nursing home is located, 81% of all skilled nursing
facility residents require assistance in bathing.

Column 4 — Nation, %: Indicates that, for the nation as a whole, 81% of all skilled nursing facility residents require
assistance in bathing.

The profile then provides similar information for each of the remaining care categories. Note that many residents
will be included in more than one of the care categories.

XXII

EXAMPLE

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct
deficiencies immediately or to submit a plan indicating deficiencies will be corrected within a reasonable period of time. "State"
and "Nation" columns indicate number and percentage of occurrence of deficiencies in other facilities in the State and Nation.
"Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility was deficient in the
indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements
a facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency.
A deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCENT OF FACILITIES
NOT MEETING REQUIREMENTS

STATE

NATION

The facility ensures that its written procedures regarding the rights
and responsibilities of residents are followed.

MET

5.0

489

5.0

The last section of the profile "Selected Performance Indicators," tells about the nursing home's performance in meeting
Federal quality of care requirements. The profile includes 32 performance indicators selected for their usefulness
in describing important aspects of a nursing home's performance. Each indicator is based on a specific regulatory
requirement that nursing homes must meet to participate in Medicare or Medicaid.

As shown in the example above, the profile indicates for each performance indicator whether the nursing home met
or did not meet minimum Federal requirements on the date of its most recent inspection by State surveyors. Follow-
ing is an explanation of the information provided in the sample profile for the first performance indicator, "The facility
ensures that its written procedures regarding the rights and responsibilities of residents are followed."

Column 1 — Facility Met/Not Met: Shows either "Met" or "Not Met." "Met" means that the nursing home performed
satisfactorily in this area. "Not Met" would mean that the home did not perform satisfactorily in this area.

Column 2 — State, #: Indicates that there were 6 skilled nursing facilities in the State that did not perform satis-
factorily in this area.

Column 3 — State, %: Indicates that the 6 facilities that did not perform satisfactorily represent 5% of the skilled
nursing facilities in the State.

Column 4 — Nation, #: Indicates that there were 489 skilled nursing facilities in the nation that did not perform satis-
factorily in this area.

Column 5 — Nation, %: Indicates that the 489 facilities that did not perform satisfactorily represent 5% of all skilled
nursing facilities in the nation.

XXIII

ALTAMONTE SPRINGS FL

NURSING HOME PROFILE
LIFE CARE CENTER OF ALTAMONTE SPRINGS

street Address:

City and State:

989 ORIENTA AV

ALTAMONTE SPRINGS FL 32701

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

240

PROPRIETARY

07/16/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

227

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

173

76.2

81.5

Dressing

Residents requiring sonne or total assistance in dressing.

185

81.5

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

159

70.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

175

77.1

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

167

73.6

70.0

68.2

Residents on individually written bowel and bladder retraining program.

5.3

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

41.9

36.9

37.7

Completely bedfast residents.

5.7

3.0

3.4

Residents confined to chairs.

106

46.7

49.3

50.8

Residents requiring restraints.

125

55.1

40.4

41.3

Confused or disoriented residents.

159

70.0

61.2

58.4

Residents with bed sores.

6.6

7.0

7.1

Residents receiving special skin care.

43.6

31.2

Medicaid Residents:

152

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

Except in a medical emergency, a resident is not transferred or discharged, nor is
treatment changed radically, without consultation with the resident or, if the resident
is incompetent, without prior notification of next of kin or sponsor.

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

Each resident receives daily personal hygiene as needed to assure cleanliness, good
skin care, good grooming, and oral hygiene taking into account individual
preferences. Residents are encouraged to take care of their own self care needs.

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical

funptlnninn to nrpvpnt Ioqq nf shilitv to w^lk nr mnvp frppl\/ HpfnrmitipQ anH naralv/cic
1 ui iivyi III 1^ i\j ^i^vdii 11.^00 \ji cluiiiiy wciiiv v^i iiiv^vc ii^^iy, vjcii.'i 1 1 iiiiCrO ctiiu k/cii diyoio.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
thp rpmmmpnripH Hiptarv flllnwanrp^ nf thp FnnH unci Niitritinn Rnarri nf thp

il 1^ 1 ^^Wl 1 11 1 1^1 iU^U Ulwldl y Cll IW well l^wO \Jt 1117 1 WvVJ Cll lU l ^lUil l I.J\./CIIVJ \Jt 11

National Research Council, National Academy of Sciences.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal pursuits, including religious activities of the resident's choice, if any.

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
accordina to the instructions of the attendina ohvsician

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

NOT MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition

^^^yi i^iivi^yi I*

MET

6.4

1413

A A

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

1 0.£.

OA 7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

ALTOONA FL

NURSING HOME PROFILE

LAKEVIEW TERRACE CHRISTIAN RET COMM

street Address:

City and State:

110 LODGE TERRACE

ALTOONA FL 32702

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

PROPRIETARY

10/30/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

{Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

0/
70

Battling

nssiasnis recjuinny some or loiai assisiance in Daining.

64.7

o 1 .0

ft1 '^
O 1 .3

Dressing

nesiaenis recjuinny some or lOiai assisiance in uressing.

100

O't.O

Toileting

rtesioenis repuinng some or lOiai assisiance in loiieTing.

76.5

7fi R

7*^ ft

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

82.4

7*^ ft

77 2

Continence

nesiuGnis wiin catneiers or partial or total loss ot Dowei or Diaaaer coniroi.

64.7

70 0

68 2

Residents on individually written bowel and bladder retraining program.

0.0

4 Q

4 6

Eating

Residents receiving tube feedings or requiring assistance with eating.

41.2

36 9

37 7

0.0

3.0

3.4

Residents confined to chairs.

17.6

49.3

50.8

Residents requiring restraints.

29.4

40.4

41.3

Confused or disoriented residents.

23.5

61.2

58.4

Residents with bed sores.

0.0

7.0

7.1

Residents receiving special skin care.

17.6

31.2

■Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Me\" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
N/1ET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (sliots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21 9

2045

21 6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
National Research Council, National Academy of Sciences.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

APALACHICOLA FL

NURSING HOME PROFILE
APALACHICOLA HEALTH CARE CENTER

Street Address:

City and State:

150 10TH ST

APALACHICOLA FL 32320

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

PROPRIETARY

10/28/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not Indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

82.1

81.5

Dressing

Residents requiring some or total assistance in dressing.

76.8

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

66.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

76.8

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

85.7

70.0

68.2

Residents on individually written bowel and bladder retraining program.

0.0

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

33.9

36.9

37.7

Completely bedfast residents.

1.8

3.0

3.4

Residents confined to chairs.

50.0

49.3

50.8

Residents requiring restraints.

28.6

40.4

41.3

Confused or disoriented residents.

32.1

61.2

58.4

Residents with bed sores.

5.4

7.0

7.1

Residents receiving special skin care.

100

31.2

l\/ledicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Iwlet" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT

WlC. 1

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
ana luoe leeaing.

MET

7 ft
( .o

1 1 2Q

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

1 Uo

01 Q

d. \ .y

c. 1 .0

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22 1

2739

29 0

Mc 1

6 4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

(VIC 1

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

IVIC 1

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal oursuits includina rsliaious antivitie^ of thp rp^idpnt'^ rhnipp if anv

III 1 IWI 1 1 im I^UI wUll^, II l\/IUUII lU 1 ^IIUIV/UO QwiiVlllwO \Jl ii 1^ 1 ^OiU^i 11 O iwlV/^, M Cll 'V •

MFT

14 0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MnT KAPT
InU I Mt 1

10 7

1270

13 4

Toilet and bath facilities are clean, sanitary, and free of odors.

Mt 1

2 5

1216

12 9

All common resident areas are clean, sanitary and free of odors.

IVIC 1

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

NOT MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

APOPKA FL

NURSING HOME PROFILE
FL LIVING NURSING CENTER

street Address:

City and State:

3355 E SEMORAN BLVD

APOPKA FL 32703

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

104

NON-PROFIT RELIGIOUS

01/06/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

101

■Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

46.5

81.5

Dressing

Residents requiring some or total assistance in dressing.

76.2

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

68.3

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

64.4

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

54.5

70.0

68.2

Residents on individually written bowel and bladder retrainina oroaram.

2.0

4.9

4.6

Eating

Residents receivina tube feedinas or reauirina assistance with eatina

42.6

36.9

37.7

ComDietelv bedfast residents.

7.9

3.0

3.4

Residents confined to chairs.

53.5

49.3

50.8

Residents requiring restraints.

34.7

40.4

41.3

Confused or disoriented residents.

74.3

61.2

58.4

Residents with bed sores.

3.0

7.0

7.1

Residents receiving special skin care.

5.0

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan Indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities In the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the Indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING 1

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

NOT MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MFT

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning

MC 1

7 R

1 1 9*^

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MC 1

1 flft

1 UD

91 R
£. 1 .\3

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

Mb 1

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

ARCADIA FL

NURSING HOME PROFILE
DESOTO MANOR NH

street Address:

City and State:

1002 NORTH BREVARD

ARCADIA FL 33821

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

03/24/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

nc^olU^iUo lULjUiriiiy oUiilc^ or lOlal doolblariUc^ 111 UaUlliiy.

97.2

o 1 .0

O 1 .0

Dressing

nt^olUt/illo ic^LjUiMiiy oUilIc^ Ui lUldl aooloictllk/c? Ill Uit;ooliiy.

76.4

0*T.O

OO.^

Toileting

ncsiuciiio rct^uiriiiy ouiiic ur KJidi abbisicinoc in luiicuriy.

65.3

7R fi
1 o.o

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

68.1

77 9

Continence

nt?biat?rub wixn caineiers or parxiai or lOiai loss oi dow6I or DiaQQ6r coniroi.

73.6

70 0

68 2

nebiuenis on inaiviuuaMy wnuen Dowei ana oiauuer reiraining program.

5.6

4 9

4 6

Eating

nesiaenis receiving lUDe Teeoings or requiring flssisiance wiin eaiing.

34.7

36 9

37 7

1.4

3.0

3.4

Residents confined to chairs.

63.9

49.3

50.8

Residents requiring restraints.

58.3

40.4

41.3

Confused or disoriented residents.

58.3

61.2

58.4

Residents with bed sores.

6.9

7.0

7.1

Residents receiving special sidn care.

20.8

31.2

l\/ledicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "IVlet" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected pettormance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning

cti lU luuc icc^Ull ly.

Mb 1

7 ft

1 1 C.O

11 Q

1 1 .9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

Mt 1

1 UD

Oi Q

cA .y

d\ .D

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

Mb 1

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22 1

2739

29 0

NOT MET

6 4

1389

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

AUBURNDALE FL

NURSING HOME PROFILE

CENTRAL PARK LODGE NURSING CENTER

street Address:

City and State:

919 OLD WINTER HAVEN RD

AUBURNDALE FL 33823

Participation:

# of Beds:

Type of Ownerslilp:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

09/30/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

113

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

51.3

81.5

Dressing

Residents requiring some or total assistance in dressing.

83.2

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

■ IwwIVIwl llw I wVJUII II 1^ wwl 1 1^ wl IwhVil QwwIw^QI Iw^ II 1 fcwll^ill IVJ*

78.8

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
TUD or loiiet.

80.5

75 8

77.2

Continence

LJ AO 1 ^ Anto \A/ltn t n At AF ftl 4 1 Af t At'^ 1 1 AT r% Al At A 1 A f A 1 A A A A 1* A AAtfA 1

nesiuenis wiin cainexers or paniai or loiai loss ot Dowei or Diaooer coniroi.

71.7

70 0

68 2

Residents on individually written bowel and bladder retraining program.

5.3

4 Q

4 6

Eating

nesiaenis receiving luoe Teeoings or requiring assistance witn eaiing. i

45.1

36 9

37.7

3.5

3.0

3.4

Residents confined to chairs.

48.7

49.3

50.8

Residents requiring restraints.

46.9

40.4

41.3

Confused or disoriented residents.

65.5

61.2

58.4

Residents with bed sores.

10.6

7.0

7.1

Residents receiving special skin care.

27.4

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies Immediately or to submit a
plan indicating deficiencies will be corrected witfiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies In other facilities In the State and Nation. "Met" means that the facility Is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the sun/ey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

AVON PARK FL

NURSING HOME PROFILE

HILLCREST NH

street Address:

City and State:

1281 STRATFORD RD

AVON PARK FL 33825

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

PROPRIETARY

12/09/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

■Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
nipniy speciaiizeo care ana services.

FACILITY

STATE

NATION

Battling

Residents reauirlna some or total assistance in bathina

96.6

81.5

Dressing

Residents reauirlna some or total assistance in dressina

92.1

84.3

83.2

Toileting

Residents reauirino somp or total assistance in toiletina

1 IwOlVlwl llw 1 wUUII II lU wwl 1 Iv wl VWVdl ClwOlwmi Iww 11 1 iWllwfcll 1^*

92.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti iK or tnil^t

87.6

75.8

77.2

Continence

Rpsiripnts with oathptprs nr nartial or tntal loss nf hnwpl nr hIaHrlpr control

1 i^oivj^iiio Willi wdii 1 w 1^1 0 \ji k/cii iidi yji 11./IC11 iwoo wi lufwvvd iw/iciuuwi iii wi.

87.6

70.0

68.2

Rpsiripnts on inrHlviriiialiu writtpn howpl anH hIarlHpr rptraininn nronram

il^OI\JC?l 110 Ul 1 11 ILIIVILJUClliy VVI 1111711 UV^W^I Cll Ivl k^ldUvlOI I^IICIIIIIII^ |.^l ui 1 1.

4.5

4.9

4.6

Eating

RpQiHpntQ rpppix/inn tiihp fppHinriQ or rpniiirinn fiQQi^tPinpp with p^tinn

riC70lvlC?l Ho lUUv7 lv7C7UIIIUO SJt lOLfUlllllU ClOOIOLCll Iw^ Willi ^CILII 1^.

42.7

36.9

37.7

Completely bedfast residents.

1.1

3.0

3.4

Residents confined to chairs.

44.9

49.3

50.8

Residents requiring restraints.

29.2

40.4

41.3

Confused or disoriented residents.

64.0

61.2

58.4

Residents with bed sores.

10.1

7.0

7.1

Residents receiving special skin care.

4.5

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is In compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
uoiicioMcy iiicty ryproseni an ongoiny proDiem or a one-iime laiiure or a sinyie sian person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 Uo

1 DD<1

1 7 c

1 / .D

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

D.4

looy

i y| 7
14./

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 .y

00/

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

1 0.0

0.0

MET

Ci.fi
Do

1/0

1 nQQ

1 uyy

1 1 R
1 1 .D

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

107

1 970

1 4
1 O.H

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 0

0 ^
^.Q

1 91 R

\ C.\\J

19 Q

All common resident areas are clean, sanitary and free of odors.

NOT MET

7 4

1 041

1 1

1 1 n

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

O \

fi 4

14n

1 *T 1 W

14 9

Resident care equipment is clean and maintained in safe operating condition.

Mb 1

Q 7

1408

14 9

Isolation techniques to prevent the spread of infection are followed by all personnel.

IviC 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BARTOW FL

NURSING HOME PROFILE
BARTOW CONVALESCENT CENTER

street Address:

City and State:

2055 E GEORGIA ST

BARTOW FL 33830

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

04/21/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

119

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

1 Iwwivlwlllw 1 wVJUII II lu owl 1 Iw \Jt iWWdl vlOwlwim IVW III h^Mfcl III lU*

112

94.1

81.5

Dressing

Rpslripnts reniiirinn some or total assistanre in firessino

1 IwOlviwIliO 1 wvlUII II lU Owl 1 Iw wl IWivll OOOIO ICII 1 WW III wl wwwil IM*

102

85.7

84.3

83.2

Toileting

Rp^iHpnt^ rpniiirinn Qnmp or tntAl AQQi^t^nr^p in tnilptinn

il^OIVi^l HO 1 wUUII II IM Owl lie ^1 IV^ldi dOOIOlAI IwC? Ill Lwlldll IM*

79.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
lUD or lOiiex.

73.1

75.8

77.2

Continence

ncoiuciiio Willi udii itfitji o ui pcii iidi Ui lUicti lUoo Ui uuwci «ji uiduuci wuiiiiui.

70.6

70.0

68.2

r\cbiucrub un inuiviauaiiy wriuen uowei ana uiauQci reirainirig proyrain.

5.0

4.9

4.6

Eating

ne&iticriib receiviny iuu6 Tceuings or r6C]uinng assisiancc wiin caiing.

35.3

36.9

37.7

Comoletelv bedfast residents

5.0

3.0

3.4

Residents confined to chairs.

49.6

49.3

50.8

Residents requiring restraints.

42.0

40.4

41.3

Confused or disoriented residents.

67.2

61.2

58.4

Residents with bed sores.

9.2

7.0

7.1

Residents receiving special skin care.

10.9

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected withiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for Injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Matinnal Rocoari^h r**Aiin/^il Nlatirtnsil Ar'ijHomx/ r»f Qr^ion/^oc

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BARTOW FL

NURSING HOME PROFILE
THE ROHR HOME

street Address:

City and State:

2010 E GEORGIA ST

BARTOW FL 33830

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICAID SNF/ICF

LOCAL GOVERNMENT

08/17/87

SELECTED RESIDENT CHARACTERISTICS

Totai Residents on Day of Survey:
59

iVIedicare Residents:
0

Caution: A large number of residents with tliese characteristics does not indicate whether those
residents are receiving appropriate or Inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Battling

Residents requiring some or total assistance in bathing.

96.6

81.5

Dressing

Residents requiring some or total assistance in dressing.

96.6

84.3

83.2

Toiieting

Residents requiring some or total assistance in toileting.

84.7

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

79.7

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

74.6

70.0

68.2

Residents on individually written bowel and bladder retraining program.

3.4

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

40.7

36.9

37.7

Compieteiy bedfast residents.

0.0

3.0

Residents confined to chairs.

64.4

49.3

50.8

Residents requiring restraints.

25.4

40.4

41.3

Confused or disoriented residents.

84.7

61.2

58.4

Residents with bed sores.

5.1

7.0

7.1

Residents receiving special skin care.

27.1

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the sun/ey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 O
/ .O

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

IvJb

d. \ .b

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

IVIC 1

107

?? 1

?q 0

Mb 1

O 1

fi 4

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mb 1

1 q

587

6 2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

KACT

15 5

816

8 6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in normal niirQiiitQ inpliiHinn ri^linirtiiQ ar'tiv/itioc of tho rociHont'c ohoir^o if sn\/

VhKJ I Mt 1

14 0

1099

11 6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MC 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

iVItI 1

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BLOUNTSTOWN FL

NURSING HOME PROFILE
APALACHICOLA VALLEY NURSING CENTER

street Address:

City and State:

1510 CROZIER STREET

BLOUNTSTOWN FL 32424

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

02/04/88

SELECTED RESIDENT CHARACTERISTICS

Totai Residents on Day of Survey:

120

i\1edicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

117

97.5

81.5

Dressing

Residents reauirina some or total assistance in dressina

21.7

84.3

83.2

Toiieting

Residents reauirina some or total assistance in toiletina

1 I^WIUwl 11^ 1 ^UUII II lU OV/I 1 Iw wl iwldl dwOlwidl Iw^ II 1 LWII^lll IM>

75.8

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

lUU Ui lUll^l.

70.8

75.8

77.2

Continence

Residents with catheters or nnrtifl! nr tntai Inss nf hnwel nr bladder control

1 I^OIVJ^IIi^ Willi \/Clii Iwiwi O \Ji li/Cll iiCll \JI IwlCll i\^00 \Jl UwVV^I \JI In^ICIvIU^I wwllilvl*

64.2

70.0

68.2

Residents on indi\/iduall\/ written hnwel unci hlfldder retminina nrnnram

1 i^wiviwiiio wi 1 II i\ji V luuciiiy wiiii^ii U\jv9^i cii IVJ ikjiduu^i i^iiciiiiiiiu l/i wui cii 1 1>

0.0

4.9

4.6

Eating

Rp^iHpntQ rpppiv/inn tiihp fppHinnc nr rpniiirinn AQQiQtsnr^p with P^tinn

ri^OIU^I IIO 1 Vll 1^ lUUC; IC^wUII !Mw KJI I C?L|UII II lU ClOOlOlCll IwC? Will 1 OCllll 1^*

42.5

36.9

37.7

Compietely bedfast residents.

3.3

3.0

3.4

Residents confined to chairs.

63.3

49.3

50.8

Residents requiring restraints.

46.7

40.4

41.3

Confused or disoriented residents.

76.7

61.2

58.4

Residents with bed sores.

1.7

7.0

7.1

Residents receiving speciai sk\n care.

16.7

31.2

l\/ledicaid Residents:

103

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the seventy or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^REQUIREMENTS

NATION

Each resident receives proper care for injections (sliots), fluids supplied through
tubes, colostonny/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
aiiu luuc iccuing.

MET

7 ft
f .o

1 1 9*^

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to wall< or move freely, deformities and paralysis.

N(J 1 Mb 1

1 (JO

d. 1 .D

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22 1

2739

29 0

IVlt 1

6 4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MPT

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MFT

IVIC 1

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normfll Dur^iiit*; inpliirlinn rplininii«i artivitip^ nf thp rp^irlpnt'^ phnirp if anv

III 1 l\Ji llldl k/UIOLII to, IIIV^IUUIIIU i^llUlwUO Cl\.^ liVlll^O \jl lli^ I^OIU^iil O WIIUIV./W, II dliy.

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

NOT MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BOCA RATON FL

NURSING HOME PROFILE
BOCA RATON CONVALESCENT CENTER

street Address:

City and State:

755 MEADOWS RD

BOCA RATON FL 33432

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

01/27/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

117

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

76.9

81.5

Dressing

Residents requiring some or total assistance in dressing.

103

88.0

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

79.5

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

102

87.2

fO.O

I 1 .d

Continence

^ ^ - J _ . X — . *X L_ — _ X _ X _X "1 Bill ^1 1 lllft Jl

Residents with catheters or partial or total loss of bowel or bladder control.

79.5

70.0

DO. 2

Residents on individually wntten bowel and bladder retraining program.

0.9

4.y

4.b

Eating

Residents receiving tube feedings or requiring assistance with eating.

43.6

ob.y

J/.f

completely bedfast residents.

0.9

3 4

Wit

Residents confined to chairs.

37.6

49.3

50.8

Residents requiring restraints.

25.6

40.4

41.3

Confused or disoriented residents.

46.2

61.2

58.4

Residents with bed sores.

7.7

7.0

7.1

Residents receiving special skin care.

5.1

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=tEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 ft

1 1 d.O

1 1 Q

1 1 .a

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

10b

on A C

<i04o

OH C

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17 6

Drugs are administered according to the written orders of the attending physician.

MOT fJIFT

1 u /

90 1

Mb 1

O 1

6 4

O.H

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mb 1

1 Q

587

6 2

\J . Cm

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

Mb 1

15 5

816

8 6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in normal niir^iiitQ inf^liiHinn rplinir»iiQ aptiv/itipQ ni thp rpclHpnt'Q ^hoipp if fln\/

Ml IIVIIIICII ^UIOUIIO, IllOiUUIIIU I^IIUIVUO aV/ IIVIIICO \Jl It IKS lv70IVJCrlll O wllWIV/Cr, II diiy.

KA^T
mC 1

14 0

lOQQ

1 W\7\7

116

1 1 .o

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

Mb 1

10 7

1 570

19 4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 ^

1 £ 1 o

1 9 Q

All common resident areas are clean, sanitary and free of odors.

MOT d/lCT

7 4

1041

11 0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MFT

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MFT

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

NOT MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BOCA RATON FL

NURSING HOME PROFILE
EDGEWATER POINTE ESTATES MEDICAL FAC

street Address:

City and State:

23305 BLUE WATER CIRCLE

BOCA RATON FL 33433

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE SNF

NON-PROFIT PRIVATE

05/19/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

RGsidGnts reauirina soitig or total assistancG in bathina

88.1

81.5

Dressing

RGsldGnts rGauirina soitig or total assistancG in drGssina

88.1

84.3

83.2

Toileting

RGsidGnts rGqulring somG or total assistancG in toilGting.

88.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

50.8

75.8

77.2

Continence

ResidGnts with cathGtGrs or partial or total loss of bowel or bladdGr control.

52.5

70.0

68.2

RGsidGnts on individuallv writtGn bowel and bladdGr rGtrainina oroaram.

1 1 Wl ValN^ 1 I VW II 11 l\rf 1 V UWfcl IT VT 1 1 h^^^ 1 1 tt^\^ WW \^ 1 \JLt l\al 1 Vt\al VI 1 1 hi W*l 1 1 1 1 1 \A f^' ^'23 ' ' *

5.1

4.9

4.6

Eating

RGsidGnts rGCGivina tubG fGGdinas or rGouirina assistancG with Gatino

I 1 w vlU w 1 1 iw 1 w w wl VII 1 VJ w w 1 WW VI 1 1 1^ w w 1 1 wvlU 1 III lU vtwwl w km 1 WW TV 1 11 1 wvC hi I ' 23

33.9

36.9

37.7

Ccfnoletelv bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

13.6

49.3

50.8

Residents requiring restraints.

0.0

40.4

41.3

Confused or disoriented residents.

40.7

61.2

58.4

Residents with bed sores.

0.0

7.0

7.1

Residents receiving special skin care.

0.0

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "I^et" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a systenn that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiencv mav reoresent an onaoino oroblem or a one-time failure of a sinale <?taff Der<5on

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotonny care, suctioning
and tube feeding.

MET

no
OO

7 O

7.8

1 123

1 1 .9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 yjo

91 9

1 fifi9
1 oo^

17 fi

1 1 -O

Drugs are administered according to the written orders of the attending physician.

tylPT

W\C 1

1 U/

07QQ

OQ O

MET

'31
o 1

ft A

1 QQQ

1 A 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mb 1

1 Q

QO/

fi 9

O.^

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

Mb 1

/ o

O 1 o

ft p,
o.o

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
III iiuiiiioi puiouiio, iriuiuuiriy rciiyiuuo aLuviiic^o ui uic rcoiuc;iu o uiiuiuc^, ii diiy.

Mb 1

14 0

1 0\7%7

1 1 fi

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

Mt 1

10 7

1 0. 1

1970

13 4

Toilet and bath facilities are clean, sanitary, and free of odors.

MC 1

9 ^

1216

\ Cm 1\J

12 9

All common resident areas are clean, sanitary and free of odors.

IvIC 1

7 4

1041

11 0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MFT

IVIC 1

6 4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9 7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BOCA RATON FL

NURSING HOME PROFILE
MANOR CARE OF BOCA RATON

street Address:

City and State:

375 NW 51 ST ST

BOCA RATON FL 33431

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

05/12/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

111

■Medicare Residents:

Caution: A large number of residents with tfiese characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

o/
/o

Battling

nesiuenis rGquiring somG or loiai assistance in Daining.

100

90.1

O 1 .0

R1 <^
O 1 .U

Dressing

nesioents requiring some or total assistance in aressing.

87.4

Oh.O

Toileting

Residents requiring some or total assistance in toileting.

77.5

( D.D

7*^ ft

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

82.9

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

75.7

70 n

Residents on individually written bowel and bladder retraining program.

3.6

4 9

4 6

Eating

Residents receiving tube feedings or requiring assistance with eating.

62.2

36 9

37.7

Vi/Ornpieieiy Deuiasi resiuenis.

8.1

3.0

3.4

Residents confined to chairs.

25.2

49.3

50.8

Residents requiring restraints.

21.6

40.4

41.3

Confused or disoriented residents.

48.6

61.2

58.4

Residents with bed sores.

9.9

7.0

7.1

Residents receiving special skin care.

33.3

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The Information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=IEOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
dsficiencv mav rpnrp^pnt an nnnninn nrohlpm nr a nnp-timp f^iliirp nf a ciinnlp c:taff npr^inn

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (iDreathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 ft
1 .0

1 1 C.O

1 1 Q

1 1 .v7

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

lUb

OH n

d\ .y

<:U40

d.\ .D

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21 2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

1 U 1

00 1

07'^Q

C. 1 Ov7

OQ n

MET

O 1

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 9

587

6 2

W< Cm,

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15 5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal pursuiis, inciuaing religious aciiviiies ot ine resiaent s cnoice, it any.

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

Mt 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

ivit: 1

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MPT

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

Mb 1

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MOT K^CT

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MOT hAPT

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BOCA RATON FL

NURSING HOME PROFILE
MEADOWBROOK MANOR OF BOCA COVE

street Address:

City and State:

1130 NW 15TH ST

BOCA RATON FL 33486

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

08/26/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

112

Medicare Residents:

Caution: A large number of residents with tiiese characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Battling

Residents reauirina some or total assistance in bathina

1 1 WWIU wl 1 Lw IwUUIIIIIVJ wWlllw VI IW id I dw^l wfcvll Iww III k^MfclllllM*

80.4

81.5

Dressing

81.3

84 3

83 2

Toileting

nesiuenis recjuinng sorne or loiai assisiance in loiieiing.

75.0

7*^ fl

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

71.4

77 P

Continence

Hesiaents witn catneters or partial or total loss of bowel or Diadaer control.

69.6

70 n

RR 9

11 1 ^iJ >^ 1^4^^ I It mX % i ^k 1 1 1 ma i^iX^ 4k tfk Mk 4k « a j 4k 1 4k Mk 4M Lk 1 4k 4J 4J 4k M M 4k 4 m 4k ■ tfk ■ i*k 4M «k i^4k i^4k

nesioents on inoiviauaiiy wntten Dowei and Diadder retraining program.

3.6

d 9

4 6

Eating

nesiuenis receiving luue leeoings or recjuiring assistance wiin eaxing.

34.8

36.9

37.7

Completely bedfast residents.

7.1

3.0

3.4

Residents confined to chairs.

37.5

49.3

50.8

Residents requiring restraints.

24.1

40.4

41.3

Confused or disoriented residents.

30.4

61.2

58.4

Residents with bed sores.

8.9

7.0

7.1

Residents receiving special skin care.

5.4

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the lime of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

NOT MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
Individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

Except in a medical emergency, a resident is not transferred or discharged, nor is
treatment changed radically, without consultation with the resident or, if the resident
Is incompetent, without prior notification of next of kin or sponsor.

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

1 •! 1 1 1 II "111 1 III II J ' 1 1 -

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

ENT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BOCA RATON FL

NURSING HOME PROFILE

REGENTS PARK

street Address:

City and State:

6363 VERDE TRAIL

BOCA RATON FL 33433

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

06/10/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

109

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

o/
/o

Bathing

ncoiuciiio rcv.{Uiririy boriic or loiai aosibianc/c in udiriiny.

90.8

O 1 .0

ft1 f^
O 1 .O

Dressing

ric^oiuc^ruo ic^cjuiriiiy ounit; ur luioi aobibiariuc^ iii ur^bbiny.

102

93.6

ft/1 '5

ftT 9

Toileting

nesiuents requiring some or loiai assisiance in loiieiing.

87.2

/ O.D

7^ ft

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

84.4

yt; ft

77 9

Continence

nesiaenis witn catneters or partial or total loss ot bowel or Diaaaer control.

67.9

70 n

Rft P

Residents on individually written bowel and bladder retraining program.

9.2

4 Q

4 R

Eating

riesiaenis receiving xuce teeaings or requiring assistance witn eating.

30.3

37 7

Vxompiciciy ueuTasi resiuenis.

0.0

3.0

3.4

Residents confined to chairs.

32.1

49.3

50.8

Residents requiring restraints.

29.4

40.4

41.3

Confused or disoriented residents.

53.2

61.2

58.4

Residents with bed sores.

9.2

7.0

7.1

Residents receiving special skin care.

40.4

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies wilt be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected perfornnance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ne Taciiiiy uses a sysiem inai assures tuii ana compieie accounting ot resioents
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

dsficiGncv m?iV rPOrP^Pnt an nnnninn nrnhlpm or a nnA-timfi fAiliirp r»f a QinniA ctaff norQAn

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

NOT MET

"7 O

7.8

1 123

1 1 .9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

£. 1

17 fi

Drugs are administered according to the written orders of the attending physician.

tiACT
Mt 1

OO 1

OQ n

MET

O 1

D.4

1 QflQ

1/17

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 Q

1 .i7

OO /

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

1 o

R1R

R R

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

III 1 ivji M idi [juiouiio, iiiuiuuiiiy ic?iiyiuuo auiiviuc^o ui uic^ ic/oiuc;iuo L^iiuiuc^, ii any.

Mb 1

Rft

14 0

10QQ

11 6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

Mb 1

10 7

1 v. /

1270

13 4

Toilet and bath facilities are clean, sanitary, and free of odors.

Mb 1

1 ^

1216

12 9

All common resident areas are clean, sanitary and free of odors.

Mb t

7 4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MC 1

\J 1

6 4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

IVIC 1

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MFT

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BOCA RATON FL

NURSING HOME PROFILE
ST ANDREWS ESTATES MEDICAL CENTER

street Address:

City and State:

6152 NORTH VERDE TRAIL

BOCA RATON FL 33433

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

NON-PROFIT PRIVATE

02/04/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

117

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Rssidents rGouirina soms or total a<5<;i<?tancs in bathina

114

97.4

81.5

Dressing

Residsnts reauirina some or total assistancs in dressina

1 IwwiVlwl 1 1 ^VJUII II lU wwl 1 Iw IwiUl WW<JlwfcMl Ivx^ 11 1 VII wwwii lg>

112

95.7

84.3

83.2

Toileting

Rpsldpnts rpniiirinn somp or total assistanrp in toilptinn

1 l^OIU^I 1 lO 1 ^VJUII II lU owl 1 Iw \JI LWiQI dwOiOlCII I^W li 1 Lwllwlll IM<

103

88.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
luo or 101161.

78.6

75.8

77.2

Continence

riColUolllo Willi OCill It;lt7l o Ui jJdl Udl \J\ lUldl lUoo Ul UUWc!l \j\ UldUUt^l UUilllUI.

66.7

70.0

68.2

nc?oiuc?i iio Ul 1 II luiviuudiiy wiiiic^ii uuwci diiu uiduuoi ic;udiiiniy |jiuyidiii>

0.9

4.9

4.6

Eating

62.4

36.9

37.7

Comoletelv bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

60.7

49.3

50.8

Residents requiring restraints.

8.5

40.4

41.3

Confused or disoriented residents.

84.6

61.2

58.4

Residents with bed sores.

2.6

7.0

7.1

Residents receiving special skin care.

3.4

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

NOT MET

2.3

508

5.4

Each resident receives dally personal hygiene as needed to assure cleanliness, good
skin care, good grooming, and oral hygiene taking into account individual
preferences. Residents are encouraged to take care of their own self care needs.

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostonny/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

NOT MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BOCA RATON FL

NURSING HOME PROFILE

■f"LJ C 1

THE rOU

MTAINS

Street Address:

3800 N FEDERAL HIGHWAY

City and State:

BOCA RATON FL 33431

Participation:

MEDICARE/MEDICAID SNF/ICF

# of Beds:

Type of Ownership:

PROPRIETARY

Survey Date:

04/21/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

hiohlv ^nflPiflliypH parp anH ^prvipp^

FACILITY

STATE

NATION

Batiiing

Residents requiring some or total assistance in bathing.

89.5

81.5

Dressing

Residents requiring some or total assistance in dressing.

97.4

84.3

83.2

Toiieting

Residents requiring some or total assistance in toileting.

78.9

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih or tr^ilfit

73.7

75.8

77.2

Continence

nColUC^MlO Willi Udll O UI l^dl lldl Ul lUldl lUoo Ul UUVVC^I Ul UldUUwl L/UIIIIUI*

71.1

70.0

68.2

RpQlHontQ r\n InHlv/iHi ifillw \A/ritton Krtwol anH KlaHHor rotraininn nrnnrflm
ncoiuc^iiio II luiviuudiiy wiiiit^ii uuwc7i diiu uiduuc^i loLidiiiiiiy [Jiuyidiii.

10.5

4.9

4.6

Eating

nvolUoillo ic;Uc;iVlliy LUUc^ ic^c^Uiriyo Ui ic^L|Uliliiy doololdilOt^ Willi t^dlliiy.

31.6

36.9

37.7

ComDietelv bedfast residents.

0.0

3.0

3.4

Residents confined to ciiairs.

26.3

49.3

50.8

Residents requiring restraints.

63.2

40.4

41.3

Confused or disoriented residents.

71.1

61.2

58.4

Residents with bed sores.

5.3

7.0

7.1

Residents receiving special sl(in care.

13.2

31.2

IVIedicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

nfif lOlfinnv mflv rpnrp^pnt An onnninn nrr>hlfim nr 9 rino-timo f sili iro of a cinnio ctaff norcon

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1 123

1 1 .9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 Uo

1 DD^

1 7
1 / .0

Drugs are administered according to the written orders of the attending physician.

Mb 1

1U/

DO -1

on A

MET

R A
D.4

1 000

14./

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 Q
1 .y

oof

ft 0

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

1 0.0

0 1 D

A ft
O.D

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
III iiuiiMcti puiouiio, iiioiuuiiiy ic^iiyiuub duuviuc^o uf uit^ r^oiuc^ru o criuioc, ii any.

NU 1 Mh 1

1 /I n

1 4.U

1 nQQ

1 uyy

11ft
1 1 .0

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

Mt 1

10 7

1 97n

Id. / KJ

1 4

Toilet and bath facilities are clean, sanitary, and free of odors.

Mb 1

1 0

1 c.

£..0

1 9 Q

All common resident areas are clean, sanitary and free of odors.

Mb 1

7 4

1 041

1 1 n

All essential mechanical and electrical equipment is maintained in safe operating
condition.

Mtl 1

0 1

fi 4

141*^

1 *T 1 0

14 9

Resident care equipment is clean and maintained in safe operating condition.

MPT

q 7

1408

14 9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BOCA RATON FL

NURSING HOME PROFILE
WHITEHALL BOCA

street Address:

City and State:

7300 DEL PRADO SOUTH

BOCA RATON FL 33433

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE SNF

PROPRIETARY

08/27/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

■Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

100

81.5

Dressing

Residents requiring some or total assistance in dressing.

100

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

100

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

tiih or tnilpt

94.2

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control.

100

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

2.9

4.9

4.6

Eating

Residents receivina tube feedinas or reauirina assistance with eatina

46.4

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

30.4

49.3

50.8

Residents requiring restraints.

65.2

40.4

41.3

Confused or disoriented residents.

88.4

61.2

58.4

Residents with bed sores.

14.5

7.0

7.1

Residents receiving special skin care.

0.0

31.2

l\/ledicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at thie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not MeV means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=tEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=tEOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNaiionai nesearcn L/Ouncii, iNaiionai Mcaaemy ot ocicncea.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BONIFAY FL

NURSING HOME PROFILE
BONIFAY NH

street Address:

City and State:

306 W BROCK AV

BONIFAY FL 32425

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

120

PROPRIETARY

08/29/87

SELECTED RESIDENT CHARACTERISTICS

Totai Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

86.7

81.5

Dressing

Residents requiring some or total assistance in dressing.

91.7

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

80.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

86.7

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

86.7

70.0

68.2

Residents on individually written bowel and bladder retraining program.

1.7

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

83.3

36.9

37.7

Completely bedfast residents.

21.7

3,0

3.4

Residents confined to chairs.

45.0

49.3

50.8

Residents requiring restraints.

50.0

40.4

41.3

Confused or disoriented residents.

78.3

61.2

58.4

Residents with bed sores.

1.7

7.0

7.1

Residents receiving special skin care.

25.0

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT

Mb 1

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
anu luue Teeaing.

MET

7 ft

1 19^

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

1 UD

91 Q

c. 1 .0

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MFT

IVIC 1

107

22 1

2739

29.0

Mt: 1

6 4

1389

1 wUw

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

NIC. 1

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

wc. 1

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal oursuits includina reliainus activities of thp rpsidpnt's rhoirp if anv

III llWIIlim fi^Uly^UI iW, IIIWll.>l\.illlU I^IIUIVUO LiVlil^O \J 1 lii^ ICOiVJdii O ^1 1 ViV^^, 11 Ui iV •

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

IVIC 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

lUIFT

1 Cm

2 5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

M/~\T ^J1FT
INU 1 MC 1

7 4

1041

1 w" 1

11 0

1 1 aW

All essential mechanical and electrical equipment is maintained in safe operating
condition.

n/lC 1

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BOYNTON BEACH FL

NURSING HOME PROFILE
BOULEVARD MANOR NH

street Address:

City and State:

2839 S SEACREST BLVD

BOYNTON BEACH FL 33435

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

110

PROPRIETARY

12/10/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

103

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
rucjniy sp6ci3MZ6Q care ana services.

FACILITY

STATE

NATION

Battling

RGsidents rGouirina some or total assistance In bathina

76.7

81.5

Dressing

Residents reaulrlna some or total assistance In dresslna

1 IN^v^lVd^^l 1 1 \ii'\^\4ll II WV^I 1 IN^ V^l l^^hW4l b&WWlw^Vtl IWN^ II 1 VII ^^wwll 1 Vj ■

89.3

84.3

83.2

Toileting

Residents reoulrlna some or total assistance In toiletlna

88.3

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih nr tfiilAt

81.6

75.8

77.2

Continence

Residents with catheters or oartiai or total ln<5^ of hnwpl or hiadripr control

81.6

70.0

68.2

Residents on individuallv written hnwei and bladder retrainino orooram

4.9

4.6

Eating

Residents receivino tube feedinns or renuirinn assistance with eatina

47.6

36.9

37.7

ComDletelv bedfast residents.

6.8

3.0

3.4

Residents confined to chairs.

49.5

49.3

50.8

Residents requiring restraints.

58.3

40.4

41.3

Confused or disoriented residents.

66.0

61.2

58.4

Residents with bed sores.

7.8

7.0

7.1

Residents receiving special skin care.

18.4

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT

MFT

IVIC 1

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

44.

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning

snH ti iHo fAoHinn
Cll lU lUUc ict^uii ly.

mt 1

7 8

1 1?*?

11 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

Mt 1

1 rift

P1 fi

£. 1 .U

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal Dursuits includina reliaious activities of the resident's choice if anv

III 1 l\^l 1 1 lUI li^ VII w Wl «v} II 1 Wl WUI 1 l\J 1 Wl lUI WW w ^1 V 1 ll\i/ w V 1 hi tv I v^JI Vi Wl 1 i w Wl 1 w j II WAI ' T •

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BOYNTON BEACH FL

NURSING HOME PROFILE
MANOR CARE OF BOYNTON BEACH

street Address:

City and State:

3001 SOUTH CONGRESS BLVD

BOYNTON BEACH FL 33435

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

10/14/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

116

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

hiahlv ^npniflliypH rarp ?^nd ^prvipp^

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

62.1

81.5

Dressing

Residents requiring some or total assistance in dressing.

100

86.2

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

85.3

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

76.7

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

40.5

70.0

68.2

Residents on individually written bowel and bladder retraining program.

3.4

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

40.5

36.9

37.7

Completely bedfast residents.

1.7

3.0

3.4

Residents confined to chairs.

36.2

49.3

50.8

Residents requiring restraints.

39.7

40.4

41.3

Confused or disoriented residents.

40.5

61.2

58.4

Residents with bed sores.

4.3

7.0

7.1

Residents receiving special skin care.

41.4

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at thie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected vi^ithin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency mav recresent an onaoina oroblem or a one-time failure of a sinale staff oerson

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 Q

^ 1 OQ
1 1 d.O

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

lUb

d\ .9

d\ .D

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 \J\J

^ 1

1fi6?

17 6

Drugs are administered according to the written orders of the attending physician.

Mb 1

^ f Ov7

PQ n

Mb 1

O 1

1 OOC7

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mt 1

1 Q

587

6 2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

Mb 1

15 5

816

8 6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in nnrmal niirQiiitQ inpliiHinn r^lininiic a/^tiwitioQ r\i tho rociHont'c oh^ipo if an\/

III 1 Iwl 1 MCll [JUIOUIlOt IIIUlUUIII^ 1 diyiUUo CtOUVIllC^O \Ji lilt? ICOlUC^IIlo OMUIOs?, II Ctl ly.

Mb t

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

Mt: 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

IVIC 1

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BRADENTON FL

NURSING HOME PROFILE
BRADENTON CONVALESCENT CTR

street Address:

City and State:

105 15TH ST EAST

BRADENTON FL 33508

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

110

PROPRIETARY

02/17/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

103

{Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
niQniy speciaiizeu care ana services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance In bathlna

1 iwwIVIwl I i V I WUWII II lu vwi 1 iw v> iwVvti biWWiWiW&l ivw II 1 h^Vifcl HI ig*

84.5

81.5

Dressing

ItOolUvlllO iV^UIIIIiy OUMIC? \J\ lUldl dOOlOlClllwO III UIOOOIII^.

85.4

84 3

83 2

Toileting

nosiusnis recjuiriny some or loiai assisiance in xoiieiing.

79.6

76 6

73 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

62.1

75 8

77 2

Continence

nesiaenis witn caineiers or paniai or total loss ot oowei or DiauQer control.

60.2

70 0

68 2

nesioents on inaiviuuaiiy written uowei ano uiaoaer reiraining program.

0.0

4.9

4.6

Eating

nooiuenis loceiviny luue T@ouings or roC|Uiring assioiaiiV/o wiiii eetuiiy.

35.0

36.9

37.7

Comoletelv bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

62.1

49.3

50.8

Residents requiring restraints.

44.7

40.4

41.3

Confused or disoriented residents.

45.6

61.2

58.4

Residents with bed sores.

15.5

7.0

7.1

Residents receiving special skin care.

24.3

31.2

l\/ledicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirenfients a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1E0UIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotonny care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNmionai nesearcn oouncii, iNaiionai Acauemy oi ociences.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BRADENTON FL

NURSING HOME PROFILE
BRADENTON MANOR

street Address:

City and State:

1700 21 ST AV W

BRADENTON FL 33505

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

NON-PROFIT RELIGIOUS

07/21/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

77.8

O 1 .0

ol .O

Dressing

Residents requiring some or total assistance in dressing.

88.9

o4.o

Toileting

Residents requiring some or total assistance in toileting.

87.0

/D.D

/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

83.3

/ O.O

77 0

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

88.9

/ u.u

Residents on individually written bowel and bladder retraining program.

3.7

A Q

'f.D

Eating

Residents receiving tube feedings or requiring assistance with eating.

50.0

Of . /

v^ompieieiy Deuiasi resiaenis.

1.9

3.0

3.4

Residents confined to chairs.

27.8

49.3

50.8

Residents requiring restraints.

59.3

40.4

41.3

Confused or disoriented residents.

57.4

61.2

58.4

Residents with bed sores.

1.9

7.0

7.1

Residents receiving special skin care.

25.9

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ne Taciiiiy uses a sysiem inai assures tuii ana complete accounting ot residents
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning

di lu luuc? 1 ecu II ly .

MET

"7 O

7.8

1 123

1 1.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 m

1 uo

1 7 fi

Drugs are administered according to the written orders of the attending physician.

MET

1 Ul

DO ^

97*30

dMX)

O 1

1 '3AQ

A A 7
1 H . /

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

IWIFT

IVIC 1

1 Q

1 .\7

5ft7

R 9

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

1 O

15 5

R16

R 6

MET

14 0

10QQ

1 \J Z/ Z/

11 6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10 7

1270

13 4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BRADENTON FL

NURSING HOME PROFILE

FREEDOM CARE PAVILION

street Address:

1902 59TH ST W

City and State:

BRADENTON FL 33505

Participation:

MEDICARE/MEDICAID SNF/ICF

# of Beds:

240

Type of Ownership:

PROPRIETARY

Survey Date:

02/03/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

222

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

1 1 1 ^1 1 1 1 ^1 VI 1 1 1 1 1 111 1 1 1 WW%I 1 \^^^ III VC VI 111 1 \4 ■

135

60.8

81.5

Dressing

Residents reauirina some or total assistance in dressina

217

97.7

84.3

83.2

Toileting

Rpsidents renuirinn some or total as«!istancp in toiletina

1 IwwfU^I 1 1 ^UUII II lU owl 1 1^ \JI IWiUI dOOIOiCll Iw^ 11 1 iWll^lll IM>

204

91.9

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ik\ or toilet
lUU (Jl lUllcl.

184

82.9

75.8

77.2

Continence

RpQiripntQ with pflthpfprQ nr n^irtial nr tnt^il Ihqq nf hnwpl or hl^irlHpr pnntrni

riC70lvJC7l IIO Willi l_fClll ld\7l O \Ji L/dl lldl \J\ Iwldl IVJOO \Jl UUWC7I ^1 UICl\JLIC7l OUI III \./l*

180

81.1

70.0

68.2

RpQiHpntQ on inHix/iHiipllw writtpn hnwpl flnH hl^iHHpr rptraininn nrnnr?im
ricoiudiio \jt \ II luiviuudiiy wiiii^ii ukjwvk^i di iu uidULic^i i^iidiiiiiiM |«'i vUi di 1 1<

5.9

4.9

4.6

Eating

RpciHontc ro^oi\/inn ti iKo fooHinnc r\r roni lirinn Qccictsnr^p \A/ith PJitinn
nc;olUc;iilo ic^Oc^lVliiy LUUt? Ic^^Uiiiyo Ui ic^LjUlilliy doololdilu^ Willi C7dlli ly ■

25.7

36.9

37.7

CoiTiDletelv bedfast residents.

5.4

3.0

3.4

Residents confined to chairs.

167

75.2

49.3

50.8

Residents requiring restraints.

133

59.9

40.4

41.3

Confused or disoriented residents.

102

45.9

61.2

58.4

Residents with bed sores.

3.2

7.0

7.1

Residents receiving special sitin care.

18.5

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies In other facilities In the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the Indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1E0UIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

NOT MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BRADENTON FL

NURSING HOME PROFILE

street Address:

City and State:

210 21 TH AVE W

BRADENTON FL 33505

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

07/22/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

{Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those

rA^iHpnt^ atp rpppivinn flnnrnnri^^tp or injinnrnnrifltP patp It mav rpflppt thp faf^ilitv'^ Ahilitx/ tn nrnv/iHp

highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

70.2

81.5

Dressing

Residents requiring some or total assistance in dressing.

89.5

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

82.5

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

82.5

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

61.4

70.0

68.2

Residents on individually written bowel and bladder retraining program.

0.0

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

52.6

36.9

37.7

Completely bedfast residents.

5.3

o.U

Q A

0.4

Residents confined to chairs.

68.4

49.3

50.8

Residents requiring restraints.

36.8

40.4

41.3

Confused or disoriented residents.

49.1

61.2

58.4

Residents with bed sores.

7.0

7.1

Residents receiving special skin care.

29.8

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Iviet" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.8

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

deficienCV mav reoresent an onnninn nrnhlpm nr a onp-timp fflihirp of «;innlp <?taff npr<inn

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

"7 O
I.O

'inn

n .y

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 uo

91 9

1 \J\JC.

17 R
1 / .o

Drugs are administered according to the written orders of the attending physician.

Mb 1

\\Ji

£.1

OQ n

MET

O 1

R A
D.'f

1 QAQ

A A 7
1 *f . /

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 Q

□o /

R 9
o.^

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

/ o

1 O.U

R1R
O 1 o

ft 6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
III iiuiFiiai purbuiia, iriC/iu(jiny rciigioub acuviiics ox uic rcsiocni s ciioicc, it any.

Mb 1

14 0

11 fi

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

Mb 1

10 7

1 970

\ ^ 1 yj

13 4

Toilet and bath facilities are clean, sanitary, and free of odors.

Mb 1

1 9

1216

12 9

All common resident areas are clean, sanitary and free of odors.

Mb 1

7 4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

^JlPT

6 4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

INIu' 1 IVIC 1

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BRADENTON FL

NURSING HOME PROFILE
HERITAGE PARK OF BRADENTON

street Address:

City and State:

2302 59TH STREET WEST

BRADENTON FL 33529

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

09/16/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
niciniy speciaiizea care ana services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

87.2

81.5

Dressing

Residents reauirina some or total assistance in dressina.

98.9

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

91.5

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

lUU Ul lUlld.

90.4

75.8

77.2

Continence

Residents with nathpters or Dartifll or total loss of howpl or bladder control

81.9

70.0

68.2

Rp^iripnt^ on indix/irlijpillv writtpn hnwpl and hiarlripr rptraininn nroaram

1 iwwiu^ii iw wl 1 iiiuiviwumiy vv 1 1 iiwi i ww w wi m iw Im/icivj vj wi iwiidiiiiiiM MiwM'diii*

0.0

4.9

4.6

Eating

Rpsldpnts rpopivino tiihe> fppdinns or rpniiirina assistanoe with eatina

24.5

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

60.6

49.3

50.8

Residents requiring restraints.

33.0

40.4

41.3

Confused or disoriented residents.

59.6

61.2

58.4

Residents with bed sores.

19.1

7.0

7.1

Residents receiving special skin care.

23.4

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

o/
vo

Each resident receives proper care for injections (shots), fluids supplied through
tubes, coiostonny/ileostomy, respiratory (breathing) and tracheotomy care, suctioning

cii lu luut^ luouii ly.

IVlb 1

7 8

1 123

11 9

Each resident receives rehabilitative nursing care to pronnote nnaximunn physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MPiT KylPT
INvJ 1 IVtt 1

C 1 ,\J

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

1 1 IVI^ 1

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal oursuits includina reliaious activities of the resident's choice if anv

III II III I VCI V 1 W SJi 1 1 III 1 U III %J 1 1 1 1 U W W ^1 V 1 LI W 1 LI 1 1 W 1 ^1 1 1 L W 1 1^^ 1 N^V^ 1 1 1 VCI IT"

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BRADENTON FL

NURSING HOME PROFILE
MANATEE CONVALESCENT CENTER

street Address:

Citv and State-

302 MANATEE AVE

BRADENTON FL 33505

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

147

PROPRIETARY

06/04/87

SELECTED RESIDENT CHARACTERISTICS

Totai Residents on Day of Survey:

137

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
rssident^ srs rpopivino annrnnri^^tp nr inai^nrnnrifltp parp It mfiv rpflpf^t thp fflr^ilitv'^ Ahilitv tn nrnviHp

highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance In bathing.

101

73.7

81.5

Dressing

Residents requiring some or total assistance In dressing.

114

83.2

84.3

83.2

Toileting

Residents requiring some or total assistance In toileting.

65.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to cfiair or to
tub or toilet.

104

75.9

75.8

77.2

Continence

Residents witfi catheters or partial or total loss of bowel or bladder control.

68.6

70.0

68.2

Residents on Individually written bowel and bladder retraining program.

2.9

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

18.2

36.9

37.7

Completely bedfast residents.

3.6

3.0

3.4

Residents confined to chairs.

57.7

49.3

50.8

Residents requiring restraints.

40.9

40.4

41.3

Confused or disoriented residents.

58.4

61.2

58.4

Residents with bed sores.

5.1

7.0

7.1

Residents receiving special skin care.

15.3

31.2

Medicaid Residents:

111

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan Indicating deficiencies wlli be corrected within a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility Is In compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ne laciMiy uses a sysiern inai assures tum ana compiexe accouniing ot resiaenis
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three nnonths.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent ail the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

i^y may ctii uii^Uliiy ^iUUic7iil Ui o Oiiy'lliliy lallUio Ol cl olliyio olalT poibon.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

"7 O

7.8

1 123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 uo

c. 1

1 RR?

1 DO^

1 7 fi

1 1 .D

Drugs are administered according to the written orders of the attending physician.

MET

10/

ci..\

MET

D.4

1 ooy

•1/7

14./

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 .9

t;ft7
Oo /

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

1 o

1 vJ.Q

O 1 D

fl R

O.D

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal pursuits, inciuuing religious aciiviiies ot ine resiaenx s cnoice, it any.

MET

1 M-.U

1 uyy

1 1 R

1 1 .D

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

Oc.

1 u. /

1 970

1 4

1 O.H

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 9
\ c.

9 R

1 91 ft
1 ^ 1 D

1 9 Q

1 C..'J

All common resident areas are clean, sanitary and free of odors.

MET

1 r\A 1

1 1 o
1 1 .u

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

ft A

1 41 Q
14 10

1 4 Q

Resident care equipment is clean and maintained in safe operating condition.

NUI Mb 1

Q 7

14 9

Isolation techniques to prevent the spread of infection are followed by all personnel.

^>1PT
MC 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BRADENTON FL

NURSING HOME PROFILE
MEDIPLEX REHAB BRADENTON

street Address:

City and State:

5627 9TH ST E

BRADENTON FL 33507

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

03/24/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

■Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

nicjniy SPoClallZeu CcuB anO S6rVIC6S.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

93.2

81.5

Dressing

Residents reauirina some or total assistance in dressina

1 1 \^ %J 1 Nsi %X 1 1 1 %X \*i 1 1 1 1 1 \^ ^^^^ III ^X 1 ^ W% 1 1 ^X Vwl V 1 XX NX III ^1 1 NX ^X^XI ■ 1 N4 ■

93.2

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

1 INXNXfN^NXr 1 ^NX 1 NXNftX^II II 1^4 %XnXI I INX NX 1 \NX*v%l WtNXNXINX ^N*% 1 INXNX 11 1 XNXIINXVII 1 '

97.7

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

tiih nr tnilpt

93.2

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

93.2

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

■ 1 WwlU W 1 1 iw w 1 I II 1 w 1 V lU Ubll 1 y VV 1 1 Hw 1 1 W VV w 1 Ml lU 1^ 1 vtVl w wl 1 w 11 Ml 1 1 1 1 1 VJ laxi 1 Ml 11*

27.3

4.9

4.6

Eating

Residents receivina tuhp fppdinas or rpnuirinn assistannp with eatina

1 IWV^^IVIIIU iUk^^ I^WUIIIUO \JI I^UUIIIIIM dwwl wlCll Iww Willi ^dilllXJ*

88.6

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

90.9

49.3

50.8

Residents requiring restraints.

45.5

40.4

41.3

Confused or disoriented residents.

72.7

61.2

58.4

Residents with bed sores.

6.8

7.0

7.1

Residents receiving special skin care.

29.5

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities lo correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility

Reminder: These 32 selected performance indicators do not represent all the requirements a
iduiiiiy iiiubi iiicei. 1 nere are over ouu separate requirements, i ne information presenteci
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=tEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

iiic ictuiiiiy Uses a byoiciii iiidi aoouicb Tuii anci cumpicie accouniiny OT resiuenis
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostonny/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BRADENTON FL

NURSING HOME PROFILE
SUNCOAST MANOR NH

street Address:

City and State:

2010 MANATEE AVE E

BRADENTON FL 33508

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

208

PROPRIETARY

02/10/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

199

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

161

80.9

OH C
Ol .0

Q 1 C

Ol .0

Dressing

Residents requiring some or total assistance in dressing.

163

81.9

o4.o

OO.d

Toileting

Residents requiring some or total assistance in toileting.

142

71.4

/ D.D

7*3 ft
1 O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

146

73.4

71^ ft
/ O.O

77 0

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

154

77.4

1 yJ.\J

Rft 0

Residents on individually written bowel and bladder retraining program.

8.5

A Q

Eating

Residents receiving tube feedings or requiring assistance with eating.

24.6

"^7 7

i/OiTipieieiy DeuTasi resiaenis.

1.5

3.0

3.4

Residents confined to chairs.

136

68.3

49.3

50.8

Residents requiring restraints.

39.7

40.4

41.3

Confused or disoriented residents.

149

74.9

61.2

58.4

Residents with bed sores.

7.5

7.0

7.1

Residents receiving special skin care.

28.6

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=tEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
IVib 1

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
difU luuc iceaing.

MET

7 P

1 1 OQ
1 1 C.O

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21 .9

2045

21 .6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21 2

1662

17 6

Drugs are administered according to the written orders of the attending physician.

MET

1 u /

00 1

IvIC 1

6 4

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MPT

1 Q

587

6 2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

IVIC 1

15 5

816

8 6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal Dursuits inrliirlinfi rplininu^ artivitip^ of thp rf^irfpnt'^ rhnipp if anv

III iiv^iiiidi ^ui oui lo, iiiv^iuuiiiu i^iiuiwuo ciwii V 1 ii^o \ji iiic i^oivjwiii o wiiuiv.'^, II ally.

IVIC 1

14 0

10QQ

11 6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

IVIC 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

NOT MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BRANDON FL

NURSING HOME PROFILE
THE VILLAGE AT BRANDON NURSING CENTER

street Address:

City and State:

701 VICTORIA STREET

BRANDON FL 33511

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

11/25/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

110

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

101

91.8

81.5

Dressing

Residents requiring some or total assistance in dressing.

103

93.6

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

103

93.6

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
luu or IOII61.

78.2

75.8

77.2

Continence

nesiaenis wixn caxneiers or paniai or loiai loss ot oowei or oiaouer coniroi.

56.4

70 0

68 2

nesiaenis on inaiviauaiiy wrirten Dowei ana uiaaaer retraining program.

7.3

A 9

4 6

Eating

nesiaenis receiving luoe teeaings or requinng assistance witn eating.

29.1

36 9

37 7

4.5

3.0

3.4

Residents confined to chairs.

73.6

49.3

50.8

Residents requiring restraints.

50.0

40.4

41.3

Confused or disoriented residents.

42.7

61.2

58.4

Residents with bed sores.

4.5

7.0

7.1

Residents receiving special skin care.

11.8

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at ttie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of lime. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies in other facilities In the State and Nation. "Met" means that the facility Is in compliance with the specific requirement. "Not Ivlet" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ne laciiiiy uses a system tnat assures tun and complete accounting of residents
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinl<ing is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

Alt common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained In safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BROOKSVILLE FL

NURSING HOME PROFILE
BROOKSVILLE NURSING MANOR

street Address:

City and State:

1114 CHATMAN BLVD

BROOKSVILLE FL 33512

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

180

NON-PROFIT PRIVATE

01/08/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

154

IMedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

140

90.9

81.5

Dressing

Residents requiring sonne or total assistance in dressing.

124

80.5

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

108

70.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

119

77.3

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

53.9

70.0

68.2

Residents on individually written bowel and bladder retraining program.

4.5

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

42.9

36.9

37.7

Completely bedfast residents.

0.6

3.0

3.4

Residents confined to chairs.

109

70.8

49.3

50.8

Residents requiring restraints.

26.6

40.4

41.3

Confused or disoriented residents.

54.5

61.2

58.4

Residents with bed sores.

4.5

7.0

7.1

Residents receiving special skin care.

50.0

31.2

Medicaid Residents:

110

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirennents a
facility must meet. There are over 500 separate requirements. The Information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
Mh 1

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
anu luue leeuing.

NOT MET

7.8

1 123

A A f\

1 1.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

1 UO

51 0

17 R
1 1 .D

Drugs are administered according to the written orders of the attending physician.

NOT MFT

■\ n7

07QQ

OQ (\

CdM

Mt 1

R A

1 OQQ

1 ooy

1/17
14./

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Kyi FT
NIC 1

1 Q
1 .9

00 1

R 9

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

1 o

1 1^ (^
1 O.O

fli A

ft R
0.0

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal Dur^uits includina rpliainu^ artivitip^ nf thp rp^iripnt'^ chnifp if anv

III 1 l\Jt IIICII h^UIOUl iO, II IwlUUII lU 1 ^llUiwvIO ilVlll^O \JI illw 1 ^OIU^I 1 i O \jl IV^Iw^, 1 1 Cll 1 V •

MPT

^A(\

1 H.yj

lOQQ

1 V/\7v7

1 1 R

1 1 .w

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MFT

10 7

1970

\ Cm! \J

13 4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 p

1 ^

1916

12 9

All common resident areas are clean, sanitary and free of odors.

MET

7 4

1041

11 0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6 4

1413

14 9

Resident care equipment is clean and maintained in safe operating condition.

MET

9 7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BROOKSVILLE FL

NURSING HOME PROFILE
EASTBROOK HEALTH CARE CENTER

street Address:

City and State:

10295 N HOWELL AVENUE

BROOKSVILLE FL 33512

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

04/14/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

110

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Rp«5iHpnt<? rpfiiiirinn «>nmp nr total a«i<5istanf;p in hathino

90.0

81.5

Dressing

Rp«;iripnt<i rpniiirinn ^nmp nr tntal a9^i«;tanf;p in rirp^<%inn

1 I^OIU^IILO I^UUIIIIIU O^JIII^ \m/t Lw I.CII CiOOIOlCll Iw^ III VJI^OwlllU*

80.9

84.3

83.2

Toileting

Rp^iripntQ rpniiirinn Qnmp nr tnt^^l flQQiQtJinr^p in tnilptinn

69.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
lUD or loiiei.

76.4

75.8

77.2

Continence

r\^oiUt;iUo Willi Odu It7lc;i b Ui pdiUdl Ui lUldl lUbo Ul UUVVUI Ui UidUUc;i UUilliUI.

67.3

70.0

68.2

nc^oiu^iiio uii ii lUiviuudiiy wriuc;ri uuwc;i driu uiduuc^r rc^udiiiiriy piuyrdiii.

6.4

4.9

4.6

Eating

nesiuenis receiving luue leeaings or recjuinng aSSiSiance wiin eaiing.

27.3

36.9

37.7

f^nmnlptplv hpHffict rPQiHpntc

1.8

3.0

3.4

Residents confined to chairs.

52.7

49.3

50.8

Residents requiring restraints.

52.7

40.4

41.3

Confused or disoriented residents.

62.7

61.2

58.4

Residents with bed sores.

6.4

7.0

7.1

Residents receiving special skin care.

30.9

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
Individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNaiionai nesearcn uouncii, iNaiionai Mcauemy oi ocicncss.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BROOKSVILLE FL

NURSING HOME PROFILE
HEARTLAND OF BROOKSVILLE

street Address:

City and State:

575 LAMAR AVE P 0 BOX 1178

BROOKSVILLE FL 34605

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

03/22/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
niyniy sp6CiaiiZ6u care ana services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

100

81.5

Dressing

Rp^iHpntQ rpfiiiirinn Qninp r>r tntai fl^Qi^taripp in rirp^Qinn

1 iwOIU^I llO 1 ^v-JvJII II lu Owl 1 lO ^1 IV,/ICII ClOOIOlCll Iww III VJi^OOIIlM*

100

84.3

83.2

Toileting

noolUt^illo it'^UIIIiiy oUlllcj Ui lUlcll ctoololallOc^ III lUllc;Uiiy.

100

76 6

73 a

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

100

75 8

77 2

Continence

nesiaenis wiin caineiers or pamai or loiai loss ot Dowei or uiauuer coniroi.

75.0

70 0

68 2

nesiuenis on inuiviuuaiiy wriuen uowei anu uiauuer reiraining program.

25.0

4.9

4.6

Eating

RpQiHpntQ rpppi\/inn tiil^P fppHlnnc or rpniiirinn sQQiQtsrtcA witl^ Pfltinn

riCOIVJwl 119 I^^OIVIII^ lUUC? ICCfUlll^O Ul IC^^UIIIII^ ClOOIOlCll iocs Willi OCllll 1^.

75.0

36.9

37.7

Comoietelv bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

50.0

49.3

50.8

Residents requiring restraints.

25.0

40.4

41.3

Confused or disoriented residents.

50.0

61.2

58.4

Residents with bed sores.

0.0

7.0

7.1

Residents receiving special skin care.

50.0

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Thie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected witfiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in otfier facilities in tfie State and Nation. "Ivlet" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:NT of FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
Mb 1

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
ana lUue Teeuing.

MET

7 Q
/ .O

1 1 do

I 1 Q

I I .y

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21 .y

2U4o

oi a

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21 2

1662

17 6

Drugs are administered according to the written orders of the attending physician.

MET

1 KJ 1

Mt 1

fi 4

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

IVIC 1

1 Q

6 2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

Ivit 1

15 5

816

8 6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal Dursuits includina reliaious artivitip^ nf thp rp^iripnt'^ rhoirp if anv

III llV/IIIICtI UUIwUI iw, lll\./IUUIIIM 1 ^1 lUI WUO Clw IIVILIWO \Jl IIIU ICOIU^IIl O WiiUIV/C, II dllV*

14 0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10 7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MFT

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

BUNNELL FL

NURSING HOME PROFILE
MEADOWBROOK MANOR OF FLAGLER

street Address:

City and State:

300 SOUTH LEMON STREET

BUNNELL FL 32010

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

100

NON-PROFIT PRIVATE

07/10/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

{Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

77.3

81.5

Dressing

Residents reauirina some or total assistance in dressina

I 1 %^ \^ 1 1 1 Vtf' V« U 1 1 1 1 1^4 III \^ 1 kw4l wCw wl w hV4i 1 III Vii I %^ wwi 1 *

84.8

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletino

I 1 W Wl Vl W I 1 LW I ^\al U 1 1 1 1 lU WW I 1 I w wl iw&l Wwwl w 1 w w III I W ill ■

74.2

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

90.9

75.8

77.2

Continence

Rptiidpnt^ with pathptpr<? or nartiai nr tntfll in^Q nf hnwpl nr hladdpr rontrol

43.9

70.0

68.2

Rp^idpnt^ nn indiv/iriiiallv writtpn howpl and hladHpr rptrflininn nrnnram

1 I^OIUwIltO \Jt 1 II l\JI V 1 VIUCII 1 y VVIILIOII wWVV^I Cll lU UlClUvlwl I^IICIIIIIIIU Wl V./MI Cll l l.

0.0

4.9

4.6

Eating

RpQldpnt^ rpppix/inn tiihp fppHinriQ nr rpniiirinn AQQi^taripp with Pfltinn

riC70ILJC7i HO IC7L/OiVMiU lUUC i\7C7VJII lUO \Jt iC?ULIIIIIiM ClOOIOlCll Willi \7CILII IM>

63.6

36.9

37.7

Comoletelv bedfast residents.

3.0

3.4

Residents confined to chairs.

43.9

49.3

50.8

Residents requiring restraints.

15.2

40.4

41.3

Confused or disoriented residents.

62.1

61.2

58.4

Residents with bed sores.

12.1

7.0

7.1

Residents receiving special skin care.

54.5

31.2

Medicaid Residents:

100

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder. These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

101

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING 1

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

102

CAPE CORAL FL

NURSING HOME PROFILE
CAPE CORAL NURSING PAVILION

street Address:

City and State:

2629 DEL PRADO BLVD

CAPE CORAL FL 33904

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

11/05/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

112

ly/ledicare Residents:
8

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

108

96.4

81.5

Dressing

Residents requiring some or total assistance in dressing.

101

90.2

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

100

89.3

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

86.6

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

81.3

70.0

68.2

Residents on individually written bowel and bladder retraining program.

1.8

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

67.9

36.9

37.7

Completely bedfast residents.

0.9

3.0

3.4

Residents confined to chairs.

58.9

49.3

50.8

Residents requiring restraints.

56.3

40.4

41.3

Confused or disoriented residents.

56.3

61.2

58.4

Residents with bed sores.

8.9

7.0

7.1

Residents receiving special skin care.

31.3

31.2

Medicaid Residents:

103

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies Immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility

Reminder: These 32 selected performance indicators do not represent all the requirements a
TacMiiy must meet, i nere are over ouu separate requirements, i ne intormation presenteo
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING 1

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ne Taciiiiy uses a sysiem inai assures tuii ana compieie accouniing or resiuents
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

Except in a medical emergency, a resident is not transferred or discharged, nor is
treatment changed radically, without consultation with the resident or. If the resident
is incompetent, without prior notification of next of kin or sponsor.

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

Each resident receives daily personal hygiene as needed to assure cleanliness, good
skin care, good grooming, and oral hygiene taking into account Individual
preferences. Residents are encouraged to take care of their own self care needs.

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

104

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
ucnuici loy may ic^picocJiii dii uiiyuiiiy prouiom oi a Qne-iim© Taiiure oi a singiG siaiT pGrson.

FACILITY
MET/
NOT

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

MET

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

OH O

21 .2

-t ceo

1 f.O

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

■4 r\ f\

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

c o
6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

1 5.5

816

o c
O.D

An ongoing program of meaninaful activities is provided, based on identified needs
and interests of each resident, ft is designed to promote opportunities for engaging
in normal pursuits, including religious activities of the resident's choice, if any.

MET

14.0

1099

1 1 .0

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

1o.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

o c
2.5

l^lb

■1 O Q

All common resident areas are clean, sanitary and free of odors.

MET

/ .4

1 U4 1

1 1 .U

All essential mechanical and electrical equipment is maintained in safe operating
condition.

Mb 1

O 1

1 1 o

14 Q

Resident care equipment is clean and maintained in safe operating condition.

WIC 1

Q 7

1408

14 9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MFT

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

105

CAPE CORAL FL

NURSING HOME PROFILE
CORAL TRACE MANOR

street Address:

City and State:

216 SANTA BARBARA BLVD

CAPE CORAL FL 33991

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

01/27/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

{Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reouirino some or total assistance in hathina

1 I^VJUIIIIIU Owl 1 Iw \JI IwlCll Ciw<0lwlCll III l.^dllllllM>

64.3

81.5

Dressing

Residents reouirina some or total assistance in dressina

96.4

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

96.4

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

tiih or toilpf

78.6

75.8

77.2

Continence

Residents with catheters or r)artial or total loss of howel or hladrier control

1 i^wiu^iiiw vv 1 ii 1 wdiiiwi^iw wi la/cii iicii wi iv/icii iVi/oo \ji k^wvv^i wi umvjvj^i owiitiv^i*

71.4

70.0

68.2

Residents on indi\/iHiiall\/ written l^owel and liladHer retraininn nronram

10.7

4.9

4.6

Eating

14.3

36.9

37.7

ComDletelv bedfast residents

7.1

3.0

3.4

Residents confined to chairs.

78.6

49.3

50.8

Residents requiring restraints.

28.6

40.4

41.3

Confused or disoriented residents.

53.6

61.2

58.4

Residents with bed sores.

0.0

7.0

7.1

Residents receiving special skin care.

100

31.2

Medicaid Residents:

106

SELECTED PERFORMANCE INDICATORS

Facility column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
=IEOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

107

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

NOT MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

108

CHATTAHOOCHEE FL

NURSING HOME PROFILE

street Address:

City and State:

BUILDING 247

CHATTAHOOCHEE FL 32324

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

303

STATE GOVERNMENT

03/25/88

SELECTED RESIDENT CHARACTERISTICS

Totai Residents on Day of Survey:

135

i\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

125

92.6

81.5

Dressing

Residents requiring some or total assistance in dressing.

133

98.5

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

109

80.7

76.6

70 0
10.0

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

116

85.9

/ 0.0

77 0

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

121

89.6

/U.U

00. C.

Residents on individually written bowel and bladder retraining program.

16.3

A Q

A R
't.D

Eating

Residents receiving tube feedings or requiring assistance with eating.

61.5

^7 7
C 1 .1

v^ompieieiy Deuiasi resiuenis.

11.1

3.0

3.4

Residents confined to chairs.

54.8

49.3

50.8

Residents requiring restraints.

100

74.1

40.4

41.3

Confused or disoriented residents.

134

99.3

61.2

58.4

Residents with bed sores.

3.7

7.0

7.1

Residents receiving special skin care.

37.8

31.2

Medicaid Residents:

109

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. Thie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected withiin a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility Is In compliance with the specific requirement. "Not Met" means the facility
was deficient In the Indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING I

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

110

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

QdflC 3nCV m3V rSOrSSfint nnnninn nrnhlom nr a r»no timo foilura r\f o c^■rt/1lA r\r^re>^r^
vioii^'i\^i ivjr may lojji^odii ai i ui i^uiM^ [Jiuuitjiii \j\ a urio-umo laMUiB QT a SlnylQ SlaiT pGrSOn.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 d

1 O Q

All common resident areas are clean, sanitary and free of odors.

MC 1

7 A

1 i n
1 1 .u

All essential mechanical and electrical equipment is maintained in safe operating
condition.

Mb 1

0.4

i y| -1 O

1 4.y

Resident care equipment is clean and maintained in safe operating condition.

Mt 1

y./

1 /inQ
i4Uo

1 /I Q

Isolation techniques to prevent the spread of infection are followed by all personnel.

MPT

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

111

CHIPLEY FL

NURSING HOME PROFILE
WASHINGTON CO CONVALESCENT CENTER

street Address:

City and State:

805 USERY RD

CHIPLEY FL 32428

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

180

PROPRIETARY

02/05/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

159

■Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
hiflhly specialized care and services.

FACILITY

STATE

NATION

Battling

Residents reouirina some or total assistance in bathina

142

89.3

81.5

Dressing

Residents reauirina some or total assistance in dressina

137

86.2

84.3

83.2

Toileting

Residents reouirina some or total assistance in toiletina

1 1 w wl VI ^ 1 1 1 w VI U till lU WW 1 1 1^ wl iUl CCwwl W LMl 1 WW III IWIi w ill 1^ •

123

77.4

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti i(^ t^il^t

lUD or lOiiei.

119

74.8

75.8

77.2

Continence

nesiaents wiin caineiers or paniai or loiai loss oi Dowei or oiauuer coniroi.

122

76.7

70 0

68 2

nesiaenis on inaiviauaiiy wrinen oowei ana Diaaoer reiraining program.

3.1

4 9

T • W

4.6

Eating

nesiaents receiving tuue teeaings or recjuiring assistance wiin eating.

58.5

36 9

37.7

1.3

3.0

3.4

Residents confined to chairs.

49.7

49.3

50.8

Residents requiring restraints.

106

66.7

40.4

41.3

Confused or disoriented residents.

104

65.4

61.2

58.4

Residents with bed sores.

8.2

7.0

7.1

Residents receiving special skin care.

58.5

31.2

Medicaid Residents:

144

112

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility

Reminder: These 32 selected performance indicators do not represent all the requirements a
luoimy nius>i riieei. i nere are over ouu separate requirements. 1 he information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

iiic idoiiiiy useo a syoiciTi iiiai assures Tuii ana compieie accouniing oi resioenxs
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

NOT MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

bacn resident wno nas proDiems wiin oowei ana uiaaaer ouiuiui lo piuviucu wim
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

113

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

NOT MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinl<ing is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

114

CLEARWATER FL

NURSING HOME PROFILE

BELLEAIR EAST HEALTH CARE CENTER

street Address:

1150 PONCE DE LEON BLVD

City and State:

CLEARWATER FL 33516

Participation:

MEDICAID SNF/ICF

# of Beds:

120

Type of Ownership:

PROPRIETARY

Survey Date:

05/06/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

112

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

nesiaenis requiring some or total assistance in bathing.

112

100

81 .5

81.5

Dressing

Residents requiring some or total assistance in dressing.

110

98.2

O >l o

QO O
OO.d

Toileting

Residents requiring some or total assistance in toileting.

106

94.6

/D.D

70 Q
/O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

85.7

/ O.O

77 O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

58.9

/ u.u

Residents on individually written bowel and bladder retraining program.

0.0

A Q

Eating

Residents receiving tube feedings or requiring assistance with eating.

32.1

'\1 7

oompieieiy Deuiasi resiaenis.

0.0

3.0

3.4

Residents confined to chairs.

44.6

49.3

50.8

Residents requiring restraints.

40.2

40.4

41.3

Confused or disoriented residents.

53.6

61.2

58.4

Residents with bed sores.

12.5

7.0

7.1

Residents receiving special sidn care.

57.1

31.2

IVIedicaid Residents:

115

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities In the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a sl^illed nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

116

SELECTED PERFORMANCE INDICATORS

Reminder These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functionino to orevent loss of abilitv to walk or move freelv defnrmitip^ anrl naralv^i^

■ ivkiw* *v iv/v^tj \jt uwi II 1 jr wi II i\j iiwviy, viwiuiiiiiiico ciiiu L/cii cii y oio.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

NOT MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7 A

1041

n.o

All essential mechanical and electrical equipment is maintained in safe operating
condition.

NOT MET

D.4

•i A "A n

14. y

Resident care equipment is clean and maintained in safe operating condition.

MET

A "7

y. /

1 4Uo

1 4.y

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and sen/ed under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

117

CLEARWATER FL

NURSING HOME PROFILE
BETHAMY GARDENS

street Address:

City and State:

2055 PALMETTO STREET

CLEARWATER FL 33575

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

08/19/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

112

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

ni Anil / 1 i^i^^ ^ ^ i*A ^<nn ^ An ii A Aft

ni(i]niy speciaiizeu care ana services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

110

98.2

81.5

Dressing

Residents reouirina some or total assistance in dressina

1 1 \^ wl^l 1 1 >^ V| Vli III IV4 i ■ l\^ l>b%l blW>^l V l^ll 1 III VI 1 wwl 1 Ijg ■

82.1

84.3

83.2

Toileting

Residents renuirina some or total assistanre in toiietina

1 lwwl\J^llfcw 1 wUUII II lU wwl 1 Iw wl IwfcCII Clwwlwldl Iww III L^llwlillU*

102

91.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to ciiair or to

102

91.1

75.8

77.2

Continence

RpQirlpntQ with f*sithPtPrQ or rortiAl nr tntsil IncQ r\i hnwp! nt hlflHHpr r*nntrnl

riwOIU^IIlO Willi VirClll IC7lv7l O \Jl |.^CII lldl \Jl kKJkCLI IKJO^ \Jl U^WC^I Ul UIOUvJwl owl III wl*

77.7

70.0

68.2

RpQirlpntc nn InHiwiHi lallw uirittpn Hnu/pl stnH KisiHHpr rptrfaininn nrr^nram
riwoiuwiiio Kjti II luiviuudiiy wiiiidi uuwd diiu uictuuwi it^iiciii iii ly piL/yiciiiL

4.5

4.9

4.6

Eating

RpQirlpntc rp^piv/inn tiiKp fppHinnQ or rpniiirinn accictftnpp with pstinn

riv70l\JC7l HO 1 C7V/s7IVIi IM lUUC 1 VC^UII iUO KJl i C^UII IliU dOOlOldl lUv? Will 1 C7dlll 1^ •

40.2

36.9

37.7

CoiTiDletelv bedfast residents

0.0

3.0

3.4

Residents confined to chairs.

81.3

49.3

50.8

Residents requiring restraints.

0.0

40.4

41.3

Confused or disoriented residents.

107

95.5

61.2

58.4

Residents with bed sores.

2.7

7.0

7.1

Residents receiving special skin care.

107

95.5

31.2

Medicaid Residents:

118

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Mel" means the facility

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the seventy or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^EOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

119

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
^REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

N;4tir)nfll Rp^pflrrh nniinpil Nfltinna! Arflripmv nf Scipnrp^

NOT MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

120

CLEARWATER FL

NURSING HOME PROFILE

street Address:

City and State:

1270 TURNER ST

CLEARWATER FL 33516

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

11/18/87

SELECTED RESIDENT CHARACTERISTICS

Totai Residents on Day of Survey:

115

iVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

111

96.5

OH C

ol .0

0 1 .0

Dressing

Residents requiring some or total assistance in dressing.

106

92.2

o4.o

Toileting

Residents requiring some or total assistance in toileting.

105

91.3

fO.O

f o.o

Transferring

Residents requiring some or totai assistance moving from bed to chair or to
tub or toilet.

53.9

7C Q

77 O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

105

91.3

70.0

CO o

68.2

Residents on individually written bowel and bladder retraining program.

1.7

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

40.0

Q7 7

uompieieiy Deaiasi resiaenis.

7.0

3.0

3.4

Residents confined to chairs.

50.4

49.3

50.8

Residents requiring restraints.

47.8

40.4

41.3

Confused or disoriented residents.

80.0

61.2

58.4

Residents with bed sores.

11.3

7.0

7.1

Residents receiving special sl(in care.

5.2

31.2

Medicaid Residents:

121

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of sun/ey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected perfornfiance indicators do not represent all the requirennents a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING 1

STATE

NT OF FACILITIES
=)EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

122

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
umiumiii^y riidy represent an ongoing proDiem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^lEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 .9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

A r\r\r\

1099

A A C

1 1 .6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

H OTA

1 0.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

d.O

All common resident areas are clean, sanitary and free of odors.

MET

1 A

1 U4 1

1 1 n

1 \ .U

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

O 1

1 'f 1 o

1 'f.O

Resident care equipment is clean and maintained in safe operating condition.

Mb 1

Q 7

1 HUO

14 Q

Isolation techniques to prevent the spread of infection are followed by all personnel.

Mt 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

123

CLEARWATER FL

NURSING HOME PROFILE
DREW VILLAGE NURSING CENTER

street Address:

City and State:

401 FAIRWOOD AVE

CLEARWATER FL 33519

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

06/11/87

SELECTED RESIDENT CHARACTERISTICS

Totai Residents on Day of Survey:

106

■Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
niyniy spsciaiiZoCi Caio ana Sorvicss.

FACILITY

STATE

NATION

Battling

Residents requiring some or total assistance in bathing.

80.2

81.5

Dressing

Residents requiring some or total assistance in dressing.

84.9

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

88.7

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

tiih or tnilpt

84.0

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

65.1

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

7.5

4.9

4.6

Eating

Residents receivina tube feedinos or reauirina assistance with eatina

1 1 wwlU^ 1 1 Lw 1 WWW 1 V 1 1 lU lUl^w 1 w 1 1 lU w wl 1 wUU II 1 1 lU dwwl W IMI 1 w w Will 1 III 1 g •

34.0

36.9

37.7

Completely bedfast residents.

1.9

3.0

3.4

Residents confined to chairs.

72.6

49.3

50.8

Residents requiring restraints.

30.2

40.4

41.3

Confused or disoriented residents.

39.6

61.2

58.4

Residents with bed sores.

4.7

7.0

7.1

Residents receiving special skin care.

28.3

31.2

IMedicaid Residents:

124

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies Immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

1 ne Taciiiiy ensures inat its written procedures regarding the ngnts and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

NOT MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

125

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=iEOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

126

CLEARWATER FL

NURSING HOME PROFILE
DRUID HILLS SKILLED NURSING COMMUNITY

street Address:

City and State:

905 S HIGHLAND AV

CLEARWATER FL 33516

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

103

PROPRIETARY

05/20/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

69.6

OH C
Ol .0

O 1 .O

Dressing

nesiuenis requiring some or loiai assisiance in uressing.

78.5

ft/1 "5

ftT 0

Toileting

RociHonfc roniiirinn c^mo r\r tr\tQl Qccictonr^ct in t/^ilotirtn
nc;oiuc^iiio icjL|uiiiiiy ouiiic^ Ui luidi dobibicir lOc^ iii LUiic^uiiy.

73.4

76 6

73 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tuD or toilet.

81.0

75 8

77 2

Continence

nesiuenis wiin catneters or pamai or total loss or Dowei or uiauaer control.

74.7

70 0

68 2

nesiaents on inoiviouaiiy written oowei ana DiaoQer retraining program.

0.0

4 9

4.6

Eating

hesioents receiving tuoe leeaings or requiring assistance witn eating.

51.9

36 9

37.7

^Ompieieiy DeuTasi resiusnis.

3.8

3.0

3.4

Residents confined to chairs.

82.3

49.3

50.8

Residents requiring restraints.

50.6

40.4

41.3

Confused or disoriented residents.

69.6

61.2

58.4

Residents with bed sores.

15.2

7.0

7.1

Residents receiving special skin care.

25.3

31.2

Medicaid Residents:

!27

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

128

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
ana luoe leeaing.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

■1 no
lUo

A ceo
\K3Xid.

1 7 ft

Drugs are administered according to the written orders of the attending physician.

wic 1

107

22.1

2739

29.0

MET

6.4

1389

A A ^

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mt 1

1 .9

587

c o
D.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

(VIC 1

lo.o

one

olb

o.b

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in nnrmfll niirQiiit^ inpliiHinn rAlininiiQ APtiwitiAC r»f thfi rpclHflnt'Q r^hnipfl if sinx/

III 1 l^^l 1 1 ICII fi^UIOUIlO, II IwlUUII lU IwllUIWUO ClwllVllli70 1^1 11 IC7 ICOIvlCSIIl O wl 11.^1017, II Cll IV*

KAPT
MC 1

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

Mb 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

tiA^T
MC 1

2.5

1216

H o n

All common resident areas are clean, sanitary and free of odors.

IVIC 1

7 A
1 A

1 U41

1 1 .(J

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

o 1

ft A

1 't 1 o

1 4 Q

Resident care equipment is clean and maintained in safe operating condition.

MET

Q 7

14nft

14 Q

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

129

CLEARWATER FL

NURSING HOME PROFILE
HIGHLAND PINES NURSING MANOR

street Address:

City and State:

1111 S HIGHLAND AV

CLEARWATER FL 33516

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

120

PROPRIETARY

01/21/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

117

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

RocirlcintQ roniiirinn como r\r tntsil fSQcict^^npo in hsithinn

riC^OlUC?! IIO 1 C^l^UII 11 ly OL/1 1 \Jl l^ldl doOlOlCll IS^sS II 1 L/dll III i^*

64.1

81 5

Dressing

Rp^iHpntQ rpniiirinn ^omp nr total a^^i^tfinrp in rirp^sina

1 I^OIVJd 1 lO I^UUIIIIIU OWIIIw \JI K\J ICll ClOOlO iCll IVi/w III VJI^OwillVJ-

84.6

84.3

83.2

Toileting

Residents rpQuirina some or total assistancs in toiletina

1 1 ^ WlU w 1 1 1 WVl U 1 1 1 1 lU O Wl 1 1 w W 1 Ww iVll Mwwl W mi 1 III ^Wl 1 w ^11 l\J ■

73.5

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

lUU Ul lUll^l.

65.0

75.8

77.2

Continence

RpQiHpntQ with pathpfprQ or nsrtiAl or totfll Ioqq of howpl or hlflHHpr pontrol
riooiLJwi 1 lo Willi L/dii icioi o ^1 iJdi iidi sji iwidi iv/oo Kjt UL/Wwi \Ji la/iduuwi

68.4

70.0

68.2

RpQirlpntQ on inHi\/iHiifill\/ writtpn howpl AnH HI^Hrlpr rptmininn nronrflm

liOOlLId llo \Jl 1 11 lUIVILIUdliy W! Illwl 1 U^WC^I dl ILI UldLIUd 1 C71I dll III 1^ ^1 \J^i dl 1 >•

1.7

4.9

4.6

Eating

rmoiut7iuo 1 c^v./C7iviriy luuc loc^uiriyo ui rcv.|uiiiiiy dooioidiioc? wiiii t^duiiy.

23.9

36.9

37.7

ConiDietAlv heHfaet reQldentQ

0.0

3.0

3.4

Residents confined to chairs.

41.9

49.3

50.8

Residents requiring restraints.

25.6

40.4

41.3

Confused or disoriented residents.

65.8

61.2

58.4

Residents with bed sores.

6.8

7.0

7.1

Residents receiving special skin care.

13.7

31.2

Medicaid Residents:

130

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at tfie time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in othier facilities in tfie State and Nation. "Ivlet" means tfiat the facility is in compliance with the specific requirement. "Not Met" means the facility

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ne laciiiiy uses a sysiem mat assures luii ana complete accounting ot residents
personal funds. An accounting report is nnade to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

131

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

rAOILI 1 Y
MET/
NOT

MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

132

CLEARWATER FL

NURSING HOME PROFILE
MORTON F PLANT REHAB NURSING CTR

street Address:

City and State:

1250 S FT HARRISON AV

CLEARWATER FL 33516

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

126

NON-PROFIT OTHER

09/03/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

119

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Battling

ncoiuciuo icLjUiriiiy ourric or loiai aooioiant/c in ijaiiiiriy.

80.7

O 1 .Q

O 1 .O

Dressing

nc;oiUc;lUo rc^LjUiriiiy bUrilc^ Ul lUlal dbblblai lot; III Uic^bbliiy.

118

99.2

OH.O

Toileting

nesiuenxs rccjuiring some or loiai assisiance in loiieiing.

109

91.6

7fi fi

73 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tuD or toilet.

115

96.6

75 8

77 2

Continence

nesiaenis wiin caineiers or pariiai or loiai loss oi uowei or Diauuer control.

73.9

70 0

68.2

AOI A A A A 1 A A 11 /I A 1 1 A 1 1\ / 1 A A A A\Af Al A A A aI A A A AK I'A'f ■* A 1 Al A A AI*A A

nesiuenis on inoiviuuaiiy wriuen uowei anu DiaoQer reiraining program.

2.5

4.9

4.6

Eating

^jAAIAAA^f^ fAAAIl/IAA lAA TAAAIAAf* AK fAAl IIAAA AC>OlotAAAA \AfltA A A^l A A

nesiuenis receiving luoe leeaings or requiring assisiance wiin eaiing.

42.0

36.9

37.7

Comnletelv bedfast residents

0.8

3.0

3.4

Residents confined to chairs.

52.9

49.3

50.8

Residents requiring restraints.

37.8

40.4

41.3

Confused or disoriented residents.

35.3

61.2

58.4

Residents with bed sores.

5.0

7.0

7.1

Residents receiving special skin care.

45.4

31.2

Medicaid Residents:

133

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

134

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
utJMuient/y iiieiy reprebeni an ongoing proDiem or a one-iime laiiure ot a single statt person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

•i AO

lOo

OH O
<£ 1

H ceo

1 /.b

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

c o

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

1 b.b

Q -1 C

O ID

o.D

MET

CO
DO

14.U

luyy

1 1 .D

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

^0
Oe.

in 7

1 Old
\c.i yj

1 0,H

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1?1fi

12 9

All common resident areas are clean, sanitary and free of odors.

MET

QR
OO

7 A

1041

1 U*r 1

1 1 n

All essential mechanical and electrical equipment is maintained in safe operating
condition.

NOT MET

O 1

1 M-.y

Resident care equipment is clean and maintained in safe operating condition.

MET

A7
4 /

Q 7
y. 1

14 Q
1 H.y

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

135

CLEARWATER FL

NURSING HOME PROFILE
OAK BLUFFS NURSING CENTER

street Address:

City and State:

420 BAY AVE

CLEARWATER FL 33516

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE SNF

NON-PROFIT RELIGIOUS

04/21/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

nesiucnis icCjuiririy some or loiai aSSisiano6 in ijairiing.

98.2

O 1 .3

O \ .U

Dressing

Residents requiring some or total assistance in dressing.

96.5

o4.o

OO.d

Toileting

Residents requiring some or total assistance in toileting.

94.7

/D.D

/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

84.2

7K Q
^ O.O

77 O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

89.5

Residents on individually written bowel and bladder retraining program.

0.0

A Q

A. ft

Eating

Residents receiving tube feedings or requiring assistance with eating.

26.3

Vl 7

v^ornpieieiy DeQiasi resiaenis.

0.0

3.0

3.4

Residents confined to chairs.

75.4

49.3

50.8

Residents requiring restraints.

47.4

40.4

41.3

Confused or disoriented residents.

61.4

61.2

58.4

Residents with bed sores.

3.5

7.0

7.1

Residents receiving special skin care.

3.5

31.2

l\/ledicaid Residents:

136

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Thie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected withiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "IVlet" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the sun/ey.

Reminder: These 32 selected perlormance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

137

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT

IVIt 1

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
anu luoc Teeaing.

MET

7 ft

1 1 ?T

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

Mb 1

\ UD

Oi Q

c. \ .D

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22 1

2739

29 0

IVlt 1

6 4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

IVIC 1

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MFT

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in nr>rmfll Dursuits inrliidinn rpliniou^ flptivitip^ nf thp rp^iripnt'^ phnipp if anv

III 1 1 wi 1 1 icci k/ui oui lo, iiiv^iuuiiiu iwiiuiv.yuo ct\j iiviii^o \ji iii^ iwoiu^iii o wiiwiv/^, ii ciiiy.

MFT

IVI^ 1

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

NOT MET

1 1 IV1 1— 1

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

138

CLEARWATER FL

NURSING HOME PROFILE

OAK COVE HEALTH CENTER

street Address:

City and State:

210 S OSCEOLA AVE

CLEARWATER FL 33516

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE SNF

NON-PROFIT RELIGIOUS

09/15/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

o/
/o

Bathing

nesiucnia r6C|uiring some or xoiai assistance in uaTninQ.

86.0

o 1 .0

O 1 .0

Dressing

nesiuenis rec|uiriny some or loiai assisiance in Qiessing.

86.0

R'? 9
OO.^

Toileting

riesiaenis recjUiring some or loiai assisiance in loiieiing.

74.4

1 D.D

7*5 ft

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

83.7

7R ft

77 P

Continence

riesiaenis wim caineiers or pamai or total loss ot uowei or Diaooer control.

65.1

Mesiaents on inaiviauaiiy written Dowei ana Diaaoer retraining program.

0.0

4 9

4 6

Eating

nesiaents rGceiving luue Teeoings or requiring assistance witn eaiing.

18.6

36 9

37 7

0/>mnlotol%/ hoHfoet roeiHontc

wUIII|/lddy UCVllCl9l lC9lUdll9a

4.7

3.0

3.4

Residents confined to chairs.

32.6

49.3

50.8

Residents requiring restraints.

34.9

40.4

41.3

Confused or disoriented residents.

51.2

61.2

58.4

Residents with bed sores.

7.0

7.1

Residents receiving special skin care.

30.2

31.2

Medicaid Residents:

139

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ne Taciiiiy uses a sysxem inai assures lUii ana complete accounting ot resiaenis
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

■ • ■■ "III 1 lllll xl* • _I _ 1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

140

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
ueiii^iei iL/y mdy lepioieni an ongoing proDiem or a one-iime taiiure oi a single start person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21 .2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

A C C

1 5.5

816

8.6

MET

14.U

A CiCkCk

luyy

lie

n .D

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

\\J.f

1 Q /I

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 o

O C
d.O

1 ^ 1 0

1 9 Q

All common resident areas are clean, sanitary and free of odors.

MET

/ .4

1 (\A 1

1 1 n
1 1 .u

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

O 1

ft A

1 41 T

^A Q

1 H.O

Resident care equipment is clean and maintained in safe operating condition.

Mb 1

H 1

Q 7

1 40A

14 Q

Isolation techniques to prevent the spread of infection are followed by all personnel.

Mb 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

141

CLEARWATER FL

NURSING HOME PROFILE
PALM GARDEN CLEARWATER

street Address:

City and State:

3480 MCMULLEN BOOTH RD

CLEARWATER FL 33519

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

12/30/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Battling

RociHontc roni lirinn o/^mo ti^tal Qccictan^o in hathinn
ricoiuciiio icLjuiiiiiy buiim ui luidi dooioiai lOc iii udiiiiiiy.

59.0

ft1 ^

Dressing

ncoiUciuo icLjuiriiiy ourim ur luidi dobioidiiuc in uicooiiiy.

87.2

Toileting

ncsiucnis rscjuiring som6 or loidi dSSisidnc6 in lOiicxing.

87.2

7fi fi

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

87.2

75 8

77 2

Continence

nesiQenis wiin caineiers or paniai or loiai loss ot oowei or Diaaoer control.

71.8

70 0

68 2

nesioenis on inaiviauaiiy written Dowei ana uiaaaer retraining program.

0.0

4 9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

28.2

36.9

37.7

5.1

3.0

3.4

Residents confined to chairs.

23.1

49.3

50.8

Residents requiring restraints.

33.3

40.4

41.3

Confused or disoriented residents.

46.2

61.2

58.4

Residents with bed sores.

25.6

7.0

7.1

Residents receiving special skin care.

41.0

31.2

Medicaid Residents:

142

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected witfiin a reasonable period of lime. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

143

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=tEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNaxionai nesearcn L/Ouncii, iNaiionai Acaoemy or ociences.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

144

CLEARWATER FL

NURSING HOME PROFILE
SUNSET POINT NURSING CENTER

street Address:

City and State:

1980 SUNSET POINT ROAD

CLEARWATER FL 33515

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

01/28/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

115

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

RpQiHpntc r^aniiirinn cnmp r^r tr^tal ^^Gcictaripp in Kathinn
ric;oiLic7i iio i c^uii ii o\Ji i \ji lyjicLi ciooioicii i^c? ii i Udii ill lu.

101

87.8

O 1 .yj

Dressing

ric;oiUc?i iio icfLfUliliiy ouiiic; Ui lUlcll doololdl lUo III Uit^ooliiy.

107

93.0

Of.O

Toileting

Rocirlontc roni lirinn oomo r\r tr^tcil Qccictan/^o in t/^ilotinn
nti/OlU^I Ho i^LjUlilliy oUllIt; Ui lUlcil doblolcii lut^ III LUIIc^Uliy.

76.5

7fi fi

7T 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

82.6

7R ft

77 P

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

74.8

fift 0

Residents on individually written bowel and bladder retraining program.

1.7

A Q

Eating

Residents receiving tube feedings or requiring assistance with eating.

35.7

OO.C7

'^7 7

Of,/

Comnlptplv hpriffl^t rPQiripntQ

2.6

3.0

3.4

Residents confined to chairs.

73.9

49.3

50.8

Residents requiring restraints.

73.9

40.4

41.3

Confused or disoriented residents.

80.0

61.2

58.4

Residents with bed sores.

7.0

7.1

Residents receiving special skin care.

78.3

31.2

Medicaid Residents:

145

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time, "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient In the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

146

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
utJHoieiiuy iiidy reprebeni an ongoing proDiem or a one-time taiiure oi a single staft person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

A A r\

1 1.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

A A A

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

A "7

14Uo

14. a

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

fi4

24 7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

147

CLERMONT FL

NURSING HOME PROFILE
LAKE HIGHLANDS RETIREMENT HOME & NSG

street Address:

City and State:

151 E MINNEHAHA AV

CLERMONT FL 32711

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

142

PROPRIETARY

07/17/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

125

IVledicare Residents:
0

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
nicjniy spccoiizeu Caio anu services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

77.6

81.5

Dressing

Residents requiring sorne or total assistance in dressing.

109

87.2

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

107

85.6

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih nr toilpt

66.4

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

63.2

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

4.0

4.9

4.6

Eating

Residents recsivina tubs feedinas or reouirina assistance with eatina

1 IwWlVIVi^l 1 ^WwlVII lU LWIk/W IwwVlll wl I wVJUII II lU MWwIWlVil iww Will 1 vViLII Ig*

26.4

36.9

37.7

Completely bedfast residents.

2.4

3.0

3.4

Residents confined to chairs.

40.0

49.3

50.8

Residents requiring restraints.

29.6

40.4

41.3

Confused or disoriented residents.

61.6

61.2

58.4

Residents with bed sores.

2.4

7.0

7.1

Residents receiving special skin care.

53.6

31.2

Medicaid Residents:

148

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at tfie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures tfiat its written procedures regarding tfie rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

149

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

150

CLEWISTON FL

NURSING HOME PROFILE
CLEWISTON HEALTH CARE CENTER

street Address:

City and State:

301 GLORIA ST

CLEWISTON FL 33440

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

11/18/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

100

(Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

81.0

81.5

Dressing

Residents requiring some or total assistance in dressing.

81.0

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

80.0

Jo.o

70 O
fO.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

81.0

1 0.0

77 O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

80.0

f\j.\j

Rft 0

Residents on individually written bowel and bladder retraining program.

4.0

A Q

A R
't.D

Eating

Residents receiving tube feedings or requiring assistance with eating.

23.0

OO.v7

'XI 7

wornpiciciy Dcuiasi rcsiacnis.

2.0

3.0

3.4

Residents confined to chairs.

62.0

49.3

50.8

Residents requiring restraints.

33.0

40.4

41.3

Confused or disoriented residents.

39.0

61.2

58.4

Residents with bed sores.

12.0

7.0

7.1

Residents receiving special skin care.

38.0

31.2

Medicaid Residents:

151

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time, "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING 1

STATE

NT OF FACILITIES
REOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

152

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

nflf ir^l AnriV msv ronrft^Ant sin nnnninn nmhiom r^r a rtna-timo f aili ira r\i a cinnia etoff narcnn
uuiivicir^y may lopioooiri di i ui lyuiM^ piUUIolil Ul a KJ\\Ki~l\\%\V lollUio Ul a oliiyio oldIT polbUil.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1 123

1 1 .9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

1 uo

91 0
c. 1 .c.

1 fiRI>
1 OO^

1 7 R

Drugs are administered according to the written orders of the attending physician.

MET

1 u /

90 n

MET

0.4

1 ooy

1 id 7

1 4. 1

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 Q

1 .y

oo 1

R 9

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

( o

1 vj.v)

R1R

R R

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal pursuits, inciuuing religious aciiviiies ot ine resiueni s cnoice, it any.

MET

1 uyy

116

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10 7

1*^ 4

Toilet and bath facilities are clean, sanitary, and free of odors.

Mb 1

1 0
1 ^

0 ^

1 91 fi

19 0

All common resident areas are clean, sanitary and free of odors.

MET

7 A

1 n^i

1 1 n

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

O 1

R A

i4n

14 0

Resident care equipment is clean and maintained in safe operating condition.

Mt 1

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

IVIC 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

153

CORAL GABLES FL

NURSING HOME PROFILE
DOCTOR'S HOSPITAL

street Address:

City and State:

5000 UNIVERSITY DR

CORAL GABLES FL 33114

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF

NON-PROFIT PRIVATE

02/26/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
nigniy speciaiizeu care ano services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

100

81.5

Dressing

Rp^irients rpniiirino ^omp or tntai a^^i^tanre in dre^^inn

1 IWWIUWI 1 1 WUUII II lU OvI 1 l\7 Wl fcV./iCll ClOOIwiCll Iww II 1 \Jl WO^II IM*

100

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

1 i wl\i4 1 1 WW 1 Vi'W^ W 1 1 1 1 1^4 III \^ 1 Wbll W wl W WbWI 1 v III W^^l 1 \^ Wl 1 1^4 •

100

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

tiih nr tnilpf

100

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

■ * \rf \^ ■ T \\J V T 1 bl 1 WW Wl 1%^ WS^ 1 W ^^1 |>^b4l Wl tiAl ^^1 WwAI 1 W W 1 i^^^ * V 1 1 1^ 1 V« Vt^'l \^ • 1 Wl \^ 1 ■

100

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

■ 1 \^ wlv>l\^ 1 1 Ww W II 11 lU 1 V 1 VI 1 y will Ww 1 1 ttJ^J VV w l vll IVI l Vl w 1 1 w 11 Ql 1 1 1 1 lU tJt wll 1 1 ■

0.0

4.9

4.6

Eating

Residents receivina tube feedinas or reauirina assistance with eatina

1 1%^ Wl\al 1 1 WW 1 \^ Wxi'l Til 1^4 WW 1^^^ 1 ^^^^ VI 1 1 1 w ^^1 1 V' V| U 1 1 1 1 1^4 VCw Wl *J WV&I 1 TT 1 Wl 1 Vt Wl 1 '^4 •

0.0

36.9

37.7

Comoletelv bedfast residents

0.0

3.0

3.4

Residents confined to chairs.

0.0

49.3

50.8

Residents requiring restraints.

0.0

40.4

41.3

Confused or disoriented residents.

0.0

61.2

58.4

Residents with bed sores.

0.0

7.0

7.1

Residents receiving special skin care.

100

31.2

Medicaid Residents:

154

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

155

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNaiionai nesearcn uouncii, ixaiionai Mcauemy ot ociences.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

156

CORAL GABLES FL

NURSING HOME PROFILE

street Address:

City and State:

6901 YUMURI ST

CORAL GABLES FL 33146

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

03/29/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Battling

neoiuerub rucjuiririy some or loiai assisiance in Oaininy-

93.3

O 1 .o

o 1 .0

Dressing

ncoiuc/iiib ici^uiiiiiy ouriie or loiai dooioicirii/c in uicsoiny.

82.2

SKA

Toileting

rmoiuciiio ic\^uiiiiiy ooiiic or loiai dooioiaiioc in loiicuny.

86.7

7fi fi

7*? ft

Transferring

Residents requiring some or total assistance moving from bed to chair or to
TUD or lOiiet.

77.8

75 8

77 2

Continence

ncaiucnib wiin Oaiiicicio Oi pdilicli Ui lOldl luoo Ul UUWel or UldUUci ooniiui.

77.8

70.0

68.2

nesioenis on inuiviuuaiiy wniien uowei anu Diauuer reiraininy proyram.

0.0

4.9

4.6

Eating

nesiuenis receiving xuue leeuings or recjuinng assisxance wiin eaiiny.

42.2

36.9

37.7

Completely bedfast residents.

2.2

3.0

3.4

Residents confined to chairs.

46.7

49.3

50.8

Residents requiring restraints.

37.8

40.4

41.3

Confused or disoriented residents.

66.7

61.2

58.4

Residents with bed sores.

0.0

7.0

7.1

Residents receiving special skin care.

100

31.2

Medicaid Residents:

157

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance Indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=tEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

158

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
ueiiuioiiuy Midy itj^jie&tini dn ongoing proDiem or a one-iime laiiure oi a single stati person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

r~ T

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

1 1 .6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

■\(\~?
1 U. /

I 0.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 0

\C.\\J

1 9 Q

All common resident areas are clean, sanitary and free of odors.

MET

7 A

1 nAi

1 U*t 1

1 1 .u

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

i4.y

Resident care equipment is clean and maintained in safe operating condition.

MET

y./

1 4Uo

1 4.y

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State sun/ey agency or the State ombudsman.

159

CORAL SPRINGS FL

NURSING HOME PROFILE
PARK SUMMIT HEALTH CARE CTR

street Address:

City and State:

8500 ROYAL PALM BLVD

CORAL SPRINGS FL 33065

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

02/29/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

FACILITY

STATE

NATION

Bathing

Residents reouirina some or total assistancs in bathina

31.3

81.5

Dressing

65.6

84 3

83 2

Toileting

ncsiucMis recjuiriny some or loiai assisiancc in loiieiiny-

62.5

7fi fi

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

56.3

7*^ ft

77 ?

Continence

nesiaents witn catneters or partial or total loss ot Dowei or Diaoaer control.

71.9

70 n

6ft ?

nesiaents on inoiviuuaiiy written oowei ana uiaoaer retraining program.

6.3

4 9

4 6

Eating

nesiaenis receiving luue teeaings or requiring assistance witn eaiing.

37.5

36.9

37.7

(^oiTinlPtPlv hpriffict rpciripntc

6.3

3.0

3.4

Residents confined to chairs.

9.4

49.3

50.8

Residents requiring restraints.

21.9

40.4

41.3

Confused or disoriented residents.

15.6

61.2

58.4

Residents with bed sores.

6.3

7.0

7.1

Residents receiving special skin care.

25.0

31.2

Medicaid Residents:

160

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
=IEOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ne Taciiiiy uses a system tnat assures tuii and complete accounting of residents
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

161

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:nt of facilities
requirements

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

iNdiiuiicti ric?oc?cii oi 1 Vb^uuiiuii, iNctuuiidi /AUdut^iiiy ui ooic^iil«c^o.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

162

CRAWFORDVILLE FL

NURSING HOME PROFILE

street Address:

City and State:

RT 1 BOX 335

CRAWFORDVILLE FL 32327

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

02/18/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

104

■Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

88.5

OH C
81 .0

OA C
Ol .0

Dressing

Residents requiring some or total assistance in dressing.

88.5

o4.o

Toileting

Residents requiring some or total assistance in toileting.

82.7

lO.O

7*5 ft

/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

75.0

/ O.O

77 O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

82.7

70 n

Rfl 0

Residents on individually written bowel and bladder retraining program.

2.9

A fi

H.O

Eating

Residents receiving tube feedings or requiring assistance with eating.

49.0

'57 7

uornpieieiy Deuiasi resiaenis.

0.0

3.0

3.4

Residents confined to chairs.

75.0

49.3

50.8

Residents requiring restraints.

49.0

40.4

41.3

Confused or disoriented residents.

61.5

61.2

58.4

Residents with bed sores.

5.8

7.0

7.1

Residents receiving special skin care.

6.7

31.2

Medicaid Residents:

163

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient In the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^lEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

164

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
Mb 1

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
=fEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
aiiu luuc iccuing.

MET

7 fl
/ .O

\ 1 C.O

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

1 Uo

OH n

d\ .y

Oi R
C\ .D

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

PQ 0

iVIC 1

■^l

6 4

1389

14 7

Therapy is provided according to orders of the attending physician in accordance
w^th accepted professional practices by qualified therapists or qualified assistants.

MPT

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MFT

INW i IVl 1

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal Dursuits includina reliaious activities of the resident's choice if anv

III 1 1 Wl 1 1 lUI h^UI WWIfcWf 11 IWl U^all 1 vl I Vj|\y VI W VftW ^1 V 1 11 WW W 1 ^1 1 V 1 W Wl V<l Wl I i W IWl WN^ | 11 Ul 1 J •

NOT MFT

1 1 IVl 1 1

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

1 1 IVl I— 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

165

CRESCENT CITY FL

NURSING HOME PROFILE
LAKESHORE NH

street Address:

City and State:

100 LAKE ST

CRESCENT CITY FL 32012

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICAID SNF/ICF

PROPRIETARY

06/04/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Rp^irlpnt^ rpniiirinn ^nmp nr tntal a^^i^tanop in hflthinn

1 I^OIUd 1 lO 1 ^UUII II lU Owl 1 Iw \J1 \,\J^CLI dOOIOiCll II 1 l«/ClLi III IM<

34.1

81.5

Dressing

RpQiHpntQ rpnuirinn ^nmp nr tntal a^^i^tflnpp in rirp^^inn

85.9

84.3

83.2

Toileting

RpQiHpntQ rpniiirinn cnmp nr tntal ciQQiQtflnnp in tnilptinn

llwOlUwl ILO 1 C?^UII II lU 0\Ji 1 iv7 \Jl 1\JICI( dOOlOldl lOw II 1 IVIIwlll 1^.

85.9

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
lUD or loiiei.

83.5

75.8

77.2

Continence

RociHontc vA/itH /^athotorc nr nsrtial nr tntal Incc nf KniA/ol nr KIqHHot nnntrni
r\c;olUc^i llo Willi udlilt^l^lo Ui [Jclillcll Ui lUldl lUoo Ul UUWc^l Ui UldUUt^l L/UllllUi.

85.9

70.0

68.2

RociHontc nn inHi\/iHi iqIK/ xA/ritton KniA/^l cinH HlorlHor rotrsininn nrnnrom
nt^olUc^lllo Ull iilUIVIUUdliy Willlt^ll UUWt^l dllU UldUUc^l ic;udlllliiy piuyidiii.

0.0

4.9

4.6

Eating

DAciH^nfc r^n^iv/inn tiiK^ fooHinnc nr roniiirlnn QCcictonnA \AfitH ootinn
nUolU^tllo r^uc;IVniy lUlJt? lc;^UIIiyb Ul ^c;^UIlllly dbolbldlloc^ Willi c;dlliiy.

43.5

36.9

37.7

9.4

3.0

3.4

Residents confined to ctiairs.

43.5

49.3

50.8

Residents requiring restraints.

75.3

40.4

41.3

Confused or disoriented residents.

74.1

61.2

58.4

Residents with bed sores.

11.8

7.0

7.1

Residents receiving special skin care.

67.1

31.2

l\/ledicaid Residents:

166

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not MeV means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

167

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

168

CRESTVIEW FL

NURSING HOME PROFILE
CRESTVIEW NURSING & CONVALESCENT HOME

street Address:

City and State:

1849 E 1ST ST

CRESTVIEW FL 32536

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

07/22/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

118

■Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

lllv.]iHy opoUicill^cU wdic aiiU 9C^iVILfC;o.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance In bathing.

103

87.3

81.5

Dressing

Residents reauirlna some or total assistance In dresslna

110

93.2

84.3

83.2

Toileting

Re^ldpnt^ rpnuirinn ^omp or tntnl fl^^i^t^ripp in toilptinn

1 IwOIVIWIIlw 1 II lU wWI 1 i w \JI kwiCII dOOI^im Iww III iWliwLlliU*

77.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

lUU Ui lUIIC^l.

70.3

75.8

77.2

Continence

Rp^iripntQ with ppthptprQ or OArtifll or totsil Iocq of howpl or hlaHHpr oontrol
ri^oivJwiiio Willi 1./CIII o \j\ pcii iioi \Ji i^Jidi iwoo \ji UL/wd \Ji uiciLiuoi ouiiiiv./i.

76.3

70.0

68.2

RpQiHpntQ on inriix/iHiiAllw writtpn HowpI ahH KlAHHpr rptrAininn nronrftm

riwOlvJC^I 119 \Jl 1 II lulVIUUClliy Wl lllC!l l UKjnKSl Cil lU UldviUv?! i sSU all III 1^ ^1 \J^l Cll 1 1*

1.7

4.9

4.6

Eating

Rp^iHpnt^ rpppi\/inn tiiHp fppHinriQ or rpniiirinn nQQiQtAncp with p^tinn

riwOI\Jwl HO l^wwIVIIIU ls7C7lJIIIUO \Ji 1 dJUII II 1^ dOOIOlCII IwO Willi ^Cllil 1^*

30.5

36.9

37.7

Completely bedfast residents.

2.5

3.0

3.4

Residents confined to chairs.

62.7

49.3

50.8

Residents requiring restraints.

102

86.4

40.4

41.3

Confused or disoriented residents.

61.9

61.2

58.4

Residents with bed sores.

6.8

7.0

7.1

Residents receiving special skin care.

52.5

31.2

IVIedicaid Residents:

169

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:NT OF FACILITIES
REOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

170

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
ana xuue leeuing.

MET

7 Q
/ .O

1 1 do

I 1 Q

I I .y

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21 .9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

?1 ?

1662

17 6

Drugs are administered according to the written orders of the attending physician.

\V\C 1

1 07

C.C.. \

07'kCt

Mb. 1

O 1

1 OOv7

14 7

1 *T. t

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

IVlt 1

1 Q

6 2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

Mt 1

15 5

816

8 6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

In nnrmfll nur^iiit^ inpliiriinn rplininiiQ aptivitipQ nf thp rpQiHpnt'Q phnipp if anv

III 1 IWI 1 1 ICII ^UIOUIIO, II IV^IUUII lU 1 dlUIV^UO ClOllVlllOO \JI 11 1^ I^OiU^lli O M ciiiy.

Ivit 1

14 0

1099

11 6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

IVIC 1

10 7

1270

13 4

Toilet and bath facilities are clean, sanitary, and free of odors.

K/IPT
IVIP 1

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

171

CRYSTAL RIVER FL

NURSING HOME PROFILE
CRYSTAL RIVER GERIATRIC CENTER

street Address:

City and State:

136 NE 12TH AVE

CRYSTAL RIVER FL 32629

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

150

PROPRIETARY

02/12/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

118

l\Aedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Battling

Rp^iripnt^ rf^nuirinn ^omp or total assi^tannp in hathina

1 I^OIVI^II Iw 1 II lU Ovl 11^ \JI l\J Ldl Clwwl wlvll Iw^ III k^vlLIIIIIM*

104

88.1

81.5

Dressing

Rpsiripnt^ rpniiirinn ^omp or total a<;^istanop in rirp^sino

1 I^OIVI^II Iw i wUUII II lU Owl 1 1 w \JI ^Wivll ClOOlO ICtl 1 WW III \Jt w Owll lU ■

107

90.7

84.3

83.2

Toileting

Rp^iHpntQ rpniiirinn Qomp or total aQQiQtanop in toilptinn

riwOlwwIllO IwUUIIIIIm Owl I Iw wI lUldl dOOIOlCII Iww III lUllwlll lU.

74.6

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti il^ rtr trtjlot

lUD or loiici.

78.0

75.8

77.2

Continence

RpQiHpntQ with pflthPtprQ nr nartif^l r\r trital lr>QQ ni Hnwol nr hIsiHHpr printrol

riC70iLlv7l Ho Willi OCllI IC710I O \J\ ^dl Lldl WI lUlCll lUoO \Jt UKJMVKSt \Jl UldULIwl OwllllWI-

78.8

70.0

68.2

RpQiHpntc on inHi\/iHi lollw \A/rittpri Ka\a/pI sinH KlarlHor rptraininn nrr»nrflm
nc^oiud iio \ 11 luiviuuciiiy wiiiic^ii uuwc^i diiu uiduuc^i ic^iidiiiiiiy piu^idiii.

0.0

4.9

4.6

Eating

RpciHpntc rpr*pi\/inn tiiKo fpoHinnc r\r roniiirinn ftccictsnop u/ith psitinn
ric7oiUc;iiiD ic^uc^iVMiy luut; ic^c;uuiyo ui it^^uiiiiiy dooioidiiov wiiii c^diiiiy.

40.7

36.9

37.7

Comoletelv bedfast residents

1.7

3.0

3.4

Residents confined to chairs.

58.5

49.3

50.8

Residents requiring restraints.

49.2

40.4

41.3

Confused or disoriented residents.

100

84.7

61.2

58.4

Residents with bed sores.

4.2

7.0

7.1

Residents receiving special skin care.

16.1

31.2

■Medicaid Residents:

172

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
persona! funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

173

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

174

CRYSTAL RIVER FL

NURSING HOME PROFILE
CYPRESS COVE CARE CENTER

street Address:

City and State:

700 S E 8TH AVENUE

CRYSTAL RIVER FL 32629

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

12/10/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

101

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

62.4

Q-i C

o 1 .0

Dressing

Residents requiring some or total assistance in dressing.

81.2

o4.o

oo.d

Toileting

Residents requiring some or total assistance in toileting.

73.3

1 D.D

7*5 ft

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

75.2

IK ft

77 9

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

73.3

6ft P

nesiaents on inaiviauaiiy written Dowei ana Diaaaer retraining program.

1.0

4 9

4 6

Eating

Residents receiving tube feedings or requiring assistance with eating.

22.8

37 7

COmpi9T0iy DSaTaSI rOSiaaniSi

1.0

3 0

3.4

Residents confined to chairs.

73.3

49.3

50.8

Residents requiring restraints.

26.7

40.4

41.3

Confused or disoriented residents.

87.1

61.2

58.4

Residents with bed sores.

4.0

7.0

7.1

Residents receiving special skin care.

21.8

31.2

Medicaid Residents:

175

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

176

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

fi At ir'IAnr'V msv rfinrAQftnt sin onriAinn nri^hlom r\r a r^no.timo fsiliirA f\i q cirti^lo ctaff riorcrtn
1 i^id i^y M lay i ^yji oooi ii CIM \ji i^wii 1^ pi UUloi 1 1 KJt cl Ul lt?~in 1 lo IdllUI C7 Ul ct oil lU'^ olal 1 y^xsl oUI 1.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1 123

11 .9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 uo

c. 1 .c.

1 RR9

1 7 fi

Drugs are administered according to the written orders of the attending physician.

It ACT

Mb 1

■\ CYJ

lU/

oo i
CC..\

070Q

MET

D.4

1 OQO

1 ooy

1/17

14./

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 Q

1 .9

«;fi7
oo /

R 9

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

1 o

1 v}.Q

MP,

O 1 \3

ft R

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
III iiuifiieii pursuiio, iriOiUuing rsiigioua aciiviues oi inu rssiuoni s cnoicc, it any.

Mb 1

14 0

10QQ

1 Uv7i7

1 1 R

1 1 .\j

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10 7

1 U. /

1 970

1 4

1 0.*T

Toilet and bath facilities are clean, sanitary, and free of odors.

Mb 1

^ o
\ d.

1 91 ft
1 ^ 1 o

1 9 Q

All common resident areas are clean, sanitary and free of odors.

MET

7 A

1 C\A 1

110
1 1 .U

All essential mechanical and electrical equipment is maintained in safe operating
condition.

McT

O 1

A 4

141 "5
1 *+ 1 o

14 Q

Resident care equipment is clean and maintained in safe operating condition.

IVIC 1

9 7

1408

14 9

Isolation techniques to prevent the spread of infection are followed by all personnel.

IVIC 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

177

DADE CITY FL

NURSING HOME PROFILE
DADE CITY GERIATRIC CENTER

street Address:

City and State:

805 W COLEMAN AV

DADE CITY FL 33525

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

03/16/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

100

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

niC]niy Sp6ClallZ60 Caic anQ ScrvlCcS.

FACILITY

STATE

NATION

Bathing

ResidGnts requiring some or total assistance in bathing.

99.0

81.5

Dressing

Residents requiring some or total assistance in dressing.

84.0

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

77.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

tuh nr toilpt

45.0

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

74.0

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

8.0

4.9

4.6

Eating

Residents receivinn tubp feedina^ nr renuirina a^^i^tanne with eatina

62.0

36.9

37.7

0.0

3.0

3.4

Residents confined to chairs.

64.0

49.3

50.8

Residents requiring restraints.

50.0

40.4

41.3

Confused or disoriented residents.

85.0

61.2

58.4

Residents with bed sores.

6.0

7.0

7.1

Residents receiving special skin care.

23.0

31.2

Medicaid Residents:

178

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

179

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

N^tlnnAl RpQ^arph (^minpil Natinnf^l ApaHpmw nf ^pjpnppQ

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

180

DADE CITY FL

NURSING HOME PROFILE
PASCO NURSING AND REHAB CENTER

street Address:

City and State:

447 N FIFTH ST

DADE CITY FL 33525

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

PROPRIETARY

04/30/87

SELECTED RESIDENT CHARACTERISTICS

Totai Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

FlColUdllo ic^LfUilliiy oUM Ic; Ui lUldl doololdi lUt^ III Udllllll^.

100

O 1 ,\j

O 1 ,\J

Dressing

nc^oiUdiio ic^LjUllliiy oUillc; Ul lUldl doololdliot? Ill Ulc^oolliy.

92.5

0*T.O

Toileting

R^QiH^ntc roni lirinn cr^mo r>r tntal accictonr^o in tr^ilotinn
ncoiuc?iiLo ic^LfUlllliy oUlllw Ul lUldl doololdiiut^ III lUllt^Uliy.

70.0

76 6

73 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
lUD or loiiei.

75.0

75 8

77 2

Continence

ncoiuclllo Willi Ocllllclcio Ul pcti lldl Ui lUldl lUoo Ul UUWcl Ui UldUUci UUIIIIUI.

75.0

70.0

68.2

ncbiuciiib uri inuiviuuaiiy wruien uowsi anu uiauusr rcxraininy program.

30.0

4.9

4.6

Eating

ncoiucnib icceiviny iuij6 T66Qingo or recjuinrig dSSistanc© witn 6aiing.

27.5

36.9

37.7

0.0

3.0

3.4

Residents confined to chairs.

52.5

49.3

50.8

Residents requiring restraints.

42.5

40.4

41.3

Confused or disoriented residents.

87.5

61.2

58.4

Residents with bed sores.

10.0

7.0

7.1

Residents receiving special skin care.

12.5

31.2

Medicaid Residents:

181

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

182

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT

IVIt 1

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for Injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
anu luuc iccQiny.

MET

7 Q
/ .O

1 1 C.O

I 1 Q

I I .y

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

Mb 1

106

21.9

2045

21.6

Each resident needing assistance In eating or drinking Is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

17 6

Drugs are administered according to the written orders of the attending physician.

MET

1 V 1

9Q n

Menus are planned and followed to meet the nutritional needs of each resident In
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
National Research Council, National Academy of Sciences.

O 1

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 q

587

6 2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

i \Jm\J

R 8

An ongoing program of meaningful activities Is provided, based on identified needs
and Interests of each resident. It Is designed to promote opportunities for engaging
in normal Dursuits includina reliaious activities of the resident's choice if anv

MET

14 0

10QQ

11 6

Appropriate staff develop and Implement a written health care plan for each resident
according to the Instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained In safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained In safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

183

DADE CITY FL

NURSING HOME PROFILE
ROYAL OAK NURSING RESORT

street Address:

City and State:

700 ROYAL OAK LANE

DADE CITY FL 33525

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

NON-PROFIT OTHER

01/14/88

SELECTED RESIDENT CHARACTERISTICS

Totai Residents on Day of Survey:

118

Medicare Residents:
1

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

1 ii^i iiy o|J^^iciii^c«u \^cii cii lu

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

109

92.4

81.5

Dressing

Residents requiring some or total assistance in dressing.

105

89.0

84.3

83.2

Toiieting

Residents requiring some or total assistance in toileting.

101

85.6

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

lUU \J\ iiJWxSi.

100

84.7

75.8

77.2

Continence

RAciH^ntQ with psithotorc or nfirti^tl r\r total locc of Kou/ol or KlaHrior pontrol
FlVolUdllo Willi Odll It^lv^l O \Jl |JCll lldl Ul lUldl lUoo Ul UUWc;l Ul UiCtUUd UUIIIILII*

101

85.6

70.0

68.2

Dacirlontc on inHi\/iHi iqIK/ \A/ritton Kovuol onH KlaHHor rotroinino ororiram
nc!olUt;lllo Uil II lUIVIUUdliy Willlt;ll UUW^I ailU UldUUc^i lt;Udli liliy |JlUyidiil*

0.0

4.9

4.6

Eating

Rocirlontc ror*oi\/inn tiiKo fooHinric or rooiiirino occictanoo u/itK oatlno
nVolUt^i Ho 1 t7L/C?IVIi ly LUUc it^c^Uiliyo Ul Ic^LfUllliiy doololdilOw Willi c;dlll ly >

40.7

36.9

37.7

CoiTiDletelv bedfast residents.

10.2

3.0

3.4

Residents confined to chialrs.

74.6

49.3

50.8

Residents requiring restraints.

55.9

40.4

41.3

Confused or disoriented residents.

76.3

61.2

58.4

Residents witli bed sores.

8.5

7.0

7.1

Residents receiving special skin care.

118

100

31.2

l\/ledicaid Residents:

184

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 lie idciiiiy uses a sysiem inai assures lUii ana compieie accouniing oi resiuenis
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

185

SELECTED PERFORMANCE INDICATORS

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:NT of FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment Is maintained In safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

186

DANIA FL

NURSING HOME PROFILE
DANIA NH

street Address:

City and State:

440 PHIPPEN RD

DANIA FL 33004

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

06/23/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

FACILITY

STATE

NATION

o/
To

0/
70

Bathing

nesiaenis rec|uiring some or lOiai assisiance in Daining.

88.2

O 1 .o

0 1 .0

Dressing

AO A 1 1 rm/^ o a a ak t At 1 aooio^aa a a i a a r aoo i a a

nesiaenis requiring some or loiai assisiance in aressing.

100

oh-.o

Toileting

piesiaents requiring some or lOiai assistance in lOiieting.

89.4

7fi fk
1 D.D

I'A ft
/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

87.1

1 O.O

77 5

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

90.6

70 n
/ u.u

fift 0

Residents on individually written bowel and bladder retraining program.

4.7

A Q

Eating

Residents receiving tube feedings or requiring assistance with eating.

71.8

37 7

v^uiiipideiy DcQTasi rcsiuenis.

10.6

3.0

3.4

Residents confined to chairs.

78.8

49.3

50.8

Residents requiring restraints.

58.8

40.4

41.3

Confused or disoriented residents.

70.6

61.2

58.4

Residents with bed sores.

7.1

7.0

7.1

Residents receiving special skin care.

28.2

31.2

Medicaid Residents:

187

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

NOT MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

188

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
Mb 1

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=)EOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
ana luoe Teeuing.

MET

7 ft

1 1 O'i
1 1 ^<3

1 1 .9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

OH Q

d\ .y

Of\A C

<;U4o

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21 2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

IVIC 1

1 U 1

?P 1

PQ 0

Mt 1

"^l

6 4

1389

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

IVID i

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MFT

ntc 1

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal oursuits includina relioiou^ activities nf thp rpsidpnt's rhnirp if anv

III 1 1 wi iiivti |i^uiwui iw, iii\^iuuiiiu 1 wi luivyuo ciw iiviiiwo ^.^i iii^ i^oiu^iii o v/i i wi v^^, ii cii ly *

MFT

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

r/lC 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

189

DAVENPORT FL

NURSING HOME PROFILE
WILLIAM L HARGRAVE HEALTH CARE CENTER

street Address:

City and State:

206 W ORANGE ST

DAVENPORT FL 33837

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

NON-PROFIT RELIGIOUS

06/17/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

nt^olUc^l llo ic^LjUlllliy oUIMt; Ui lUldl doololctl lOo III Udllllliy.

96.6

O 1 myj

Dressing

noolUc;illo ic;L|UIMIiy bUillt^ Ul lUldl doololdllUc; III Ulc;oolliy.

75.9

83 2

Toileting

62.1

76 6

73 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

63.8

75 8

77.2

Continence

nesiuents wiiri Caineiers or paniai or loiai loss oi dow6I or uiauusr coniroi.

72.4

70 0

68.2

nesiaenis on inQiviuUaiiy wriuen Dowei ana Diaouer reiraining program.

15.5

4.9

4.6

Eating

nesiaenis receiving tuoe leeaings or recjuiring assisiance wiin eaiing.

19.0

36.9

37.7

V/Uiiipiciciy Dcuidsi rcoiuciiioi

1.7

3.0

3.4

Residents confined to chairs.

67.2

49.3

50.8

Residents requiring restraints.

34.5

40.4

41.3

Confused or disoriented residents.

53.4

61.2

58.4

Residents with bed sores.

3.4

7.0

7.1

Residents receiving special skin care.

100

31.2

Medicaid Residents:

190

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected witfiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "I^et" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^lEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

191

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING 1

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to wall< or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food Is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

192

DAYTONA BEACH FL

NURSING HOME PROFILE
CLYATT MEMORIAL INC

street Address:

City and State:

1001 S BEACH ST

DAYTONA BEACH FL 32014

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

NON-PROFIT OTHER

06/11/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

DaciHontc roniiirinn como r\r tntal occictan/^o in hsjthinn
ncioiuc^iHo icLjuiiiiiy oUiMt' Ui luiai dooioidiiuc iii uduiiiiy.

93.0

O 1 t\J

ft1 s

Dressing

nesiQcDis recjuiriny some or lOiai assisiancs in □rcssing.

95.3

0*T.O

Toileting

nesiaenis requiring some or loiai assistance in TOiieiing.

91.9

/ D.O

7*5 ft
1 o.o

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

91.9

7c; ft

77 9

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

87.2

70 n

Rft 0

Residents on individually written bowel and bladder retraining program.

9.3

A Q

Eating

Residents receiving tube feedings or requiring assistance with eating.

33.7

37 7

3.5

3.0

3.4

Residents confined to chairs.

41.9

49.3

50.8

Residents requiring restraints.

74.4

40.4

41.3

Confused or disoriented residents.

88.4

61.2

58.4

Residents with bed sores.

8.1

7.0

7.1

Residents receiving special skin care.

26.7

31.2

Medicaid Residents:

193

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

;nt of facilities
requirements

NATION

The facility ensures tiiat its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

194

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

flfifif^iPnPV m?l\/ rPnrPQPnt nnnninn nrr^hlom r\r a /->r»o_ti mo f aili iro r»f q cinnlo otoH noro/~»n
n«_>ic;i ivy II lay i cjji ^oc;i rl ail \jl lyuii 1^ pi UUIc;!! 1 Ul cl \J\ IC Ul HC IdllUl Ul ct Oil lU l\> olcti 1 UWI oUl 1.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1 123

1 1.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

lUo

dA .d.

1 DD/1

1 7 R

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

b.4

A oon

looa

A A ~7
14./

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

■1 Q

1 .a

CD7

Oof

A O
O.d

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

/ 0

1 0.0

0 1 D

O.D

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal pursuits, inciuuing religious aciiviiies oi ine resiuent s cnoice, it any.

MET

^A^^

1 uaa

1 1 f%
1 1 .0

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

1 n 7
1 u. /

1 57r»

1 O.'f

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 c.

d..O

1 ^ 1 D

1 5 Q

All common resident areas are clean, sanitary and free of odors.

MET

7 A

1 r\AA

110

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

O 1

fi A

o.t

^A^'\

14 Q

Resident care equipment is clean and maintained in safe operating condition.

Mb 1

Q 7

1408

1 *T\/0

14 9

Isolation techniques to prevent the spread of infection are followed by all personnel.

(vie: 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

195

DAYTONA BEACH FL

NURSING HOME PROFILE
DAYTONA BEACH GERIATRIC CENTER

street Address:

City and State:

1055 3RD ST

DAYTONA BEACH FL 32017

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

180

PROPRIETARY

11/05/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

146

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
hiahlv SDecialized care and services

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

119

81.5

Dressing

Residents requiring some or total assistance in dressing.

120

82.2

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

120

82.2

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

115

78.8

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

•97

66.4

70.0

68.2

Residents on individually written bowel and bladder retraining program.

2.1

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

32.9

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

21.9

49.3

50.8

Residents requiring restraints.

59.6

40.4

41.3

Confused or disoriented residents.

52.1

61.2

58.4

Residents with bed sores.

9.6

7.0

7.1

Residents receiving special skin care.

30.1

31.2

Medicaid Residents:

102

196

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING I

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

1 ne Taciiiiy ensures inax lis wriuen proceoures regaraing tne ngnts ana
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

urugs TO coniroi uenavior ana pnysicai resirainxs are oniy usea wnen auinorizea oy a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

cacn resiucni is aiioweo lo communicaxe, associaxe anu meex privaxeiy wixn
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

cacn resiaenx is aiiowea lo reiain ana use nis/ner personal possessions ana cioxning
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

1 ne Taciiixy ensures max xne neaiin care or eacn resiaenx is unaer xne conxinuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

197

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING I

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

198

DAYTONA BEACH FL

NURSING HOME PROFILE
DAYTONA MANOR NH

street Address:

City and State:

650 REED CANAL ROAD

DAYTONA BEACH FL 32019

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

PROPRIETARY

05/06/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

98.2

O 1 .0

01 .0

Dressing

Residents requiring some or total assistance in dressing.

87.3

04. d

OO.d

Toileting

nesioenis requiring some or loiai assisiance in loiieiing.

83.6

7fi R

7*^ ft

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tuD or toilet.

78.2

75 8

77 2

f fib

Continence

bJ AC> 1 A A A^O 1 Afit A A A^ A A^ AKf^ Ar A A rt! A 1 Al* t A^ A 1 1 A A A A^ k% Al A/A 1 A I' 1^ 1 A A A Al* AA A^I^aI

nesioenis wiin caineiers or pamai or loiai loss ot uowei or Diaouer coniroi.

85.5

70 0

68 2

nesiaenis on inaiviauaiiy wrinen Dowei ana Diaaaer retraining program.

32.7

4 9

4 6

Eating

Residents receiving tube feedings or requiring assistance with eating.

36.4

37 7

wompieieiy Deaiasi rGsiaeniSi

0.0

3.0

3.4

Residents confined to chairs.

70.9

49.3

50.8

Residents requiring restraints.

54.5

40.4

41.3

Confused or disoriented residents.

80.0

61.2

58.4

Residents with bed sores.

10.9

7.0

7.1

Residents receiving special skin care.

27.3

31.2

■Medicaid Residents:

199

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirennents a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

Except In a medical emergency, a resident is not transferred or discharged, nor is
treatment changed radically, without consultation with the resident or, if the resident
is Incompetent, without prior notification of next of kin or sponsor.

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control Is provided with
care necessary to encourage self control. Including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

200

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
ana luoe teeaing.

MET

"7 O

1 1 .y

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

c. 1

17 6

Drugs are administered according to the written orders of the attending physician.

MC 1

\\Jl

00 1

c. 1 oy

90 0

Mb 1

O 1

1 "500
1 OOv7

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mb 1

1 Q
1 .H

'^ft7
QO /

R 0

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

Mb 1

f \J

1 *i

R1R

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. Tt is designed to promote opportunities for engaging

in nnrmfll niirQiiitQ inpluHinn rplininiiQ APtiwitlAQ nf tho rAciHAnt*Q phnipo if stnv/

III 1 IWI 1 liai I^UIOUIIO, lllV/IULIII 1^ ICII^IVJUO CtV^llVlllOO \J\ IIIO lOOIUdllo Ol lUlww, II Ql ly.

MC 1

1 H.U

1 1 R

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

KACT

Mb 1

0£.

10 7

1 U. 1

1 P7n

1 ^ r V/

19 4

1 0.*+

Toilet and bath facilities are clean, sanitary, and free of odors.

\ACT

Mb 1

1 &

1 P1fi
1 C 1 u

19 Q

All common resident areas are clean, sanitary and free of odors.

MC 1

7 A

1041

1 vt 1

1 1 0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MPT

6 4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

201

DAYTONA BEACH FL

NURSING HOME PROFILE

GOLDEN AGE H

EALTH CARE

street Address:

324 WILDER BLVD

City and State:

DAYTONA BEACH FL 32014

Participation:

MEDICARE/MEDICAID SNF/ICF

# of Beds:

192

Type of Ownership:

PROPRIETARY

Survey Date:

04/22/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

133

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

o/
/o

Battling

CSAoi/^Anto living o/^iyia oooioton/^A ir^ l^othm/^

n6siu6nis requiring some or loiai assisiance in uaining.

123

92.5

O 1 .0

Dressing

ncsiQenxs requiring some or loiai assistance in uressing.

125

94.0

Toileting

nc^oiut^iiio it^Ljuifiiiy ouiiit^ ui luidi aooioidiioc^ III luiit^uiiy.

125

94.0

76 6

73 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

tl li^ tftllAt

lUD or Toiiei.

67.7

75.8

77.2

Continence

RociHontc lA/ith ^othiotArc or nortiol r\r t/^tQl l/^cc of K/*maiaI rsr KlaHHor /control

ncsiuci iio Willi uaiiieieio ui paiiiai or luiai luos ui uuwei ui uiauuci ouiiiiui.

108

81.2

70.0

68.2

nesiuenis on inuiviauaiiy wrinen uowei ana uiauoer reiraining program.

7.5

4.9

4.6

Eating

nesioenis receiving luoe leeaings or requiring assistance wiin eaiing.

33.8

36.9

37.7

wOiTipieieiy Deuiasi reoiuoniSi

6.0

3.0

3.4

Residents confined to chairs.

23.3

49.3

50.8

Residents requiring restraints.

44.4

40.4

41.3

Confused or disoriented residents.

103

77.4

61.2

58.4

Residents with bed sores.

4.5

7.0

7.1

Residents receiving special skin care.

133

100

31.2

l\/ledicaid Residents:

119

202

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. Tine Federal Government requires facilities to correct deficiencies Immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies In other facilities in the State and Nation. "Met" means that the facility Is In compliance with the specific requirement. "Not Met" means the facility
was deficient In the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

203

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING [

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

204

DAYTONA BEACH FL

NURSING HOME PROFILE

HALIFAX CONVALESCENT CTR LTD

street Address:

820 N CLYDE MORRIS BLVD

City and State:

DAYTONA BEACH FL 32014

Participation:

MEDICARE/MEDICAID SNF/ICF

# of Beds:

Type of Ownership:

PROPRIETARY

Survey Date:

10/21/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

■Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

ric^olUc^lUo ic^i^Ulilliy oUiFI^ Ur lUldl doolblallUc IN Ualiiliiy.

73.3

fti *=;

O 1 ,\J

Dressing

DociHontc roni lirin/i c/^mo r\F t/^tol occictsn^o in Hroccinn
nt^olUt^illo it;L|Uliniy oUlllo Ul lUlal aooloLcll lot; III Uic;oolliy.

89.3

Toileting

ncoiutjiiio ic(^uiriiiy auiiic ur luicti aooioidiicc iii ivjiicuriy.

76.0

76 6

73 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
lUD or toilet.

100

75 8

77 2

Continence

nesiuenis wiin catneters or paniai or loiai loss oi uowei or uiauucr coniroi.

50.7

70 0

68.2

nesiuenis on inuiviuuaiiy wrixten dow€i anu uiaoucr retraining program.

0.0

4.9

4.6

Eating

nesiaenis receiving luue Teeuings or rec|Uinng assisiance wiin eaiing.

17.3

36.9

37.7

4.0

3.0

3.4

Residents confined to chairs.

41.3

49.3

50.8

Residents requiring restraints.

45.3

40.4

41.3

Confused or disoriented residents.

53.3

61.2

58.4

Residents with bed sores.

5.3

7.0

7.1

Residents receiving special skin care.

0.0

31.2

Medicaid Residents:

205

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING 1

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

206

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT

Mb 1

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
anu luue leeuing.

MET

7.8

1 123

1 1 .9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 uo

(L 1

1 DQ^

1 7 R

1 1 .Q

Drugs are administered according to the written orders of the attending physician.

MFT

1 U /

c 1 oy

Mb 1

Qi
Ol

R A
O.H

1 ooy

1/7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

iVlb 1

1 Q

Do /

R 0

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

INV^ 1 IVI t 1

f 0

1 0.0

0 1 D

R R
O.D

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in nnrmjil niirQiiitQ inpliiHinn rPliniriiiQ flPtiv/itiPQ r»f th^ r^ciHont'Q r^hnipp if anv/

III 1 t\Jl 1 1 ICll ^Ul OUI lO, II lOIUUII lU 1 C7IIUI^^LJO OL\^ 11 V 1 lICO \Jl 11 IC7 i C70lVJC7i 1 1 O ^1 i^JIOCj 1 1 Cll ly •

MOT KVIPT

1 H.\J

1 noQ
1 uyy

1 1 R
1 1 .D

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MPT
IVIC 1

10 7

1?70

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6 4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9 7

1408

14 9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State sun/ey agency or the State ombudsman.

207

DAYTONA BEACH FL

NURSING HOME PROFILE
HOLIDAY CARE CENTER

street Address:

City and State:

1031 S BEACH ST

DAYTONA BEACH FL 32019

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

PROPRIETARY

01/22/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

nc^olUt^i lib it;L|Uliniy oUlilc; Ui lUldl aoololailOt^ III UdUllliy.

81.4

O 1 .yj

Dressing

nesiueriis rccjuiririy some or loiai assisiance in uressing.

93.0

OH.O

oo.c

Toileting

nesiaenis rGC|uiring somG or loiai assisiance in loiieiing.

83.7

7R R

1 O.D

7*^ ft

1 O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

81.4

/ O.O

77 0

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

69.8

/ U.U

Residents on individually wntten bowel and bladder retraining program.

7.0

't.D

Eating

Residents receiving tube feedings or requinng assistance with eating.

30.2

\3D.i7

'57 7

uompieieiy Deaiasi resiaenis.

0.0

3.0

3.4

Residents confined to chairs.

25.6

49.3

50.8

Residents requiring restraints.

30.2

40.4

41.3

Confused or disoriented residents.

53.5

61.2

58.4

Residents with bed sores.

4.7

7.0

7.1

Residents receiving special skin care.

16.3

31.2

Medicaid Residents:

208

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Mei" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

209

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:nt of facilities
requirements

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

INdUUIIal ncbcdruil OUUllLII, INdUOIIal MLaUciny fji oUlcllQ/Co.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

Ail common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

NOT MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

210

DAYTONA BEACH FL

NURSING HOME PROFILE

HUNTINGTON SQUA

RE CONVALARIUM

street Address:

100 BROADWAY

City and State:

DAYTONA BEACH FL 32018

Participation:

MEDICAID SNF/ICF

# of Beds:

Type of Ownership:

PROPRIETARY

Survey Date:

01/21/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

lliyiliy opcOiall^cU ualc; dlKj b6rVIU6S.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

40.5

81.5

Dressing

Residents requiring some or total assistance in dressing.

57.1

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

52.4

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

tiih or tnilpt

59.5

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

59.5

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

0.0

4.9

4.6

Eating

Residents receivina tube feedinas or rGouirina assistance with satina

1 1 w wl U w 1 1 Lw I www 1 V If 1 w iU w w i www 1 1 lU w w ■ 1 w w U II II lU vlwwl w Ivtl 1 w w TV 1 il 1 w il 1 ' g •

11.9

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

19.0

49.3

50.8

Residents requiring restraints.

23.8

40.4

41.3

Confused or disoriented residents.

52.4

61.2

58.4

Residents with bed sores.

2.4

7.0

7.1

Residents receiving special skin care.

47.6

31.2

Medicaid Residents:

211

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

212

SELECTED PERFORMANCE INDICATORS

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

0.6

MET

14.0

1099

lie
M .b

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

1 n 7
lU. /

1 07n

1 0.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

•1 0

i 01 C
I^ID

1 0 Q

All common resident areas are clean, sanitary and free of odors.

MET

7 A

1 0/11

1 1 n

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

'31
0 1

^A^'i
1 1 0

1 4 Q

Resident care equipment is clean and maintained in safe operating condition.

NOT MET

Q 7

14 Q

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

213

DAYTONA BEACH FL

NURSING HOME PROFILE
INDIGO MANOR

street Address:

City and State:

595 WILLIAMSON BOULEVARD

DAYTONA BEACH FL 32014

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

03/31/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

■Medicare Residents:

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

78.8

81.5

Dressing

Residents reauirina some or total assistance in dressina

80.8

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiietina

I 1 wwl VI W 1 1 1 1 III l\J W VI 1 1 w Wl iw mi ViWwl W Ibil 1 W w III I VI 1^ III 1^ •

77.8

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

lUU Ui lUllc^l.

71.7

75.8

77.2

Continence

Rp^iHpnt^ with pathptpr^ nr n^rtifll or total Ioqq of howpl or hlflrlHpr control

li^ODVJ^IIlO Willi OdlllvlwIO \Jt wCll liCli yjl IxJKdl lUOO \Jl UV./WC7I \J\ UlClVJuvl V^WIIIIWI*

74.7

70.0

68.2

RpQiHpntc on inHiv/iHi iaIIw u/ritton Hou/ol anH HIsHHor rc^trfiininn nronrdm
nooiuwi no \ji 1 II iLiiviuuciiiy wi iii\?i i ULiw%7i di i\j uiduuvi i wii ciii iii im \Jt v^i di 1 1*

3.0

4.9

4.6

Eating

RpQiHpntQ rpppl\/inn tiiHo fooHinnc or romiirinn occictanco with ofitinn
nc?oiudiio ic;owiviii^ luuv ic^c^uiiiyo \j\ ic^Lfuiiiiiy dooioidiicc? wiiii odiiiiy.

16.2

36.9

37.7

ComDletelv bedfast residents

9.1

3.0

3.4

Residents confined to chairs.

63.6

49.3

50.8

Residents requiring restraints.

11.1

40.4

41.3

Confused or disoriented residents.

12.1

61.2

58.4

Residents with bed sores.

8.1

7.0

7.1

Residents receiving special skin care.

11.1

31.2

Medicaid Residents:

214

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not tvlet" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
IVIET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

NOT MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

Each resident receives dally personal hygiene as needed to assure cleanliness, good
skin care, good grooming, and oral hygiene taking into account Individual
preferences. Residents are encouraged to take care of their own self care needs.

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore Including proper dressing.

MET

10.3

1052

11.1

MM I 11 t ■ 1 11 tall 1 I.^^^^X__lf_ — . _ _ . .1 J ^ _J - - ..IaIa

Each resident who has problems with bowel and bladder control Is provided with
care necessary to encourage self control, Including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care. Including periodic
evaluation.

MET

9.3

1665

17.6

215

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

rAOILi 1 Y
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

216

DAYTONA BEACH FL

NURSING HOME PROFILE
OLDS HALL GOOD SAMARITAN CENTER

street Address:

City and State:

325 S SEGRAVE ST

DAYTONA BEACH FL 32014

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

120

NON-PROFIT OTHER

09/11/87

SELECTED RESIDENT CHARACTERISTICS

Totai Residents on Day of Survey:

116

■Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

o/
70

Bathing

nesiQenis requiring some or loiai assisiance in Daming.

57.8

01 .0

Dressing

nesiaenis rec|uiring some or toiai assistance in aressing.

58.6

o4.o

OO.C,

Toileting

Residents requiring some or total assistance in toileting.

50.9

/ D.D

f O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

50.9

lO.O

77 O

Continence

* 1 1 ll • Mill ■ ■■■■ J-l

Residents with catheters or partial or total loss of bowel or bladder control.

41.4

fU.V

CQ O

Residents on individually written bowel and bladder retraining program.

0.0

A Q

4.D

Eating

Residents receiving tube feedings or requinng assistance with eating.

21.6

00.9

"37 7

Of .1

uompieteiy Deaiasi resiaenis.

0.9

3.0

3.4

Residents confined to chairs.

29.3

49.3

50.8

Residents requiring restraints.

37.9

40.4

41.3

Confused or disoriented residents.

53.4

61.2

58.4

Residents with bed sores.

3.4

7.0

7.1

Residents receiving special skin care.

7.8

31.2

IMedicaid Residents:

217

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

NOT MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore Including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, Including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

218

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency mav reoresent an onaoina ornhlem nr a nnp-timp f^^iliirp nf a ^Innlp ^taff nfir*5nn

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

OQ
OO

7 Q
/ .O

1 1 .»

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

r\r\ A c

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 vO

P1 P

IfifiP

17 6

Drugs are administered according to the written orders of the attending physician.

KAPT
Mt 1

1 u /

00 1

OQ n

MET

O 1

R A
O.'t

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mb 1

1 Q

R P

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

INUI Mt 1

R1fi

R 6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in normsil niirciiitc inpliiHinn rolinioiic ftptiv/iti^G r»f tho rociHont'c r^hni^^o if snv/
III iiL'iiiicii puiouiio, II lUiuuM ly loiiyiuuo dwiiViiic^o ui 11 ic it?oiuc;iiio uiiuiuc, ii any.

Mb 1

14 0

10QQ

116

1 1 ,\J

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

Mt 1

10 7

1P70

13 4

Toilet and bath facilities are clean, sanitary, and free of odors.

MC 1

1 P

1216

12 9

All common resident areas are clean, sanitary and free of odors.

wtc. 1

7 4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

6 4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

219

DAYTONA BEACH FL

NURSING HOME PROFILE
THE FOUNTAINS NURSING CENTER

street Address:

City and State:

1350 S NOVA RD

DAYTONA BEACH FL 32014

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

01/13/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

95.1

81.5

Dressing

Residents requiring some or total assistance in dressing.

97.6

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

87.8

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

90.2

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

90.2

70.0

68.2

Residents on individually written bowel and bladder retraining program.

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

39.0

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

58.5

49.3

50.8

Residents requiring restraints.

56.1

40.4

41.3

Confused or disoriented residents.

85.4

61.2

58.4

Residents with bed sores.

12.2

7.0

7.1

Residents receiving special skin care.

39.0

31.2

Medicaid Residents:

220

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at ail times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

221

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING 1

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

INaUUllal nt^oodioil OUUllUII, INctUUildi /AUdUoiFiy Ul OUIcilOc^o.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

NOT MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

222

DE FUNIAK SPRINGS FL

NURSING HOME PROFILE
WALTON CO CONVALESCENT CTR

street Address:

City and State:

614 S SECOND ST

DE FUNIAK SPRINGS FL 32433

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

120

PROPRIETARY

04/01/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

120

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

o/
70

o/
To

Bathing

nesiucnis requiring some or loiai assisiance in Daininy-

108

90.0

0 1 .0

O 1 .u

Dressing

nt^olUciUo ic^t^Uliiiiy bUiTic^ ur lOlal aoblolailUc; 111 urt^ooliiy.

111

92.5

Toileting

ncoiudiio ic^uiiiiiy oui 1 ic ui luicti dooioidi lOo iii LUiicuiiy.

111

92.5

76 6

73 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
lUD or loiiei.

109

90.8

75.8

77.2

Continence

n^olUc^Mlo Willi Udll It^lc^l o Ui fJctl lldl Ul lUldl lUoo Ul UUW^I Ul UldUUc^l OUIIUUI.

60.8

70.0

68.2

nc^oiuc^iiio uii 11 luiviuudiiy wiiut^ii uuwcji diiu uiduu^i ic^uaiiiiiiy piuyidiii.

3.3

4.9

4.6

Eating

nesiaenis receiving luoe leeuings or requiring aSSisiance wiin eaiing.

28.3

36.9

37.7

voiTipioiciy DeviTaol resivicniSi

2.5

3.0

3.4

Residents confined to chairs.

47.5

49.3

50.8

Residents requiring restraints.

60.0

40.4

41.3

Confused or disoriented residents.

48.3

61.2

58.4

Residents with bed sores.

3.3

7.0

7.1

Residents receiving special skin care.

29.2

31.2

Medicaid Residents:

110

223

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

224

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiencv mav reoresent an onaoino ornhlpm nr a nnp-time f^^ihirp r»f a •^innlA ^taff nAr<5nn

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

NOT MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 no

1 ceo

1 7 ft

Drugs are administered according to the written orders of the attending physician.

Mt 1

107

22.1

27oy

on A
29.0

MET

looy

14./

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 .y

OO/

R O
D.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

n ilex
Mt 1

/ 0

1 0.0

OlD

O.D

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident, ft is designed to promote opportunities for engaging
in iiurriiai purauiio, iriciuaing religious aciiviiies oi ine resiuoni s cnoice, it any.

Mb 1

-1 noQ

luyy

M .D

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

Mb 1

10.7

i2/U

■1 O /I

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.0

12 ID

1 O Q

1 2.y

All common resident areas are clean, sanitary and free of odors.

Mb 1

7 A

1 r\A i
\ u*n

1 1 n

All essential mechanical and electrical equipment is maintained in safe operating
condition.

IVIC 1

O 1

1 1 o

14 Q

Resident care equipment is clean and maintained in safe operating condition.

IVIC 1

Q 7

V?. 1

1408

14 Q

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

225

DEBARY FL

NURSING HOME PROFILE
DEBARY MANOR

street Address:

City and State:

60 NORTH HIGHWAY 1792

DEBARY FL 32713

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

11/06/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

{Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

RGsidents reaulrina some or total assistance in bathina.

76.7

81.5

Dressing

Residents reaulrina some or total assistance In dresslna

92.2

84.3

83.2

Toileting

Residents requiring some or total assistance In toileting.

80.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

kUla^ \^l I^^IIV^I*

71.1

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

80.0

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

1 1 %^ 1 1 *w \^ II III VII V 1 Vai U VCI 1 y W 1 1 W 1 1 1^^^ TV 1 bll 1 VI 1^1 VCVI VI V^i 1 «l VftI 1 1 1 1 Ijg F' ' ^^29* ■ ■ •

11.1

4.9

4.6

Eating

Residents receivina tube fsedinas or reaulrina assistance with eatina

30.0

36.9

37.7

Cornoletelv bedfast residents.

1.1

3.0

3.4

Residents confined to chairs.

35.6

49.3

50.8

Residents requiring restraints.

47.8

40.4

41.3

Confused or disoriented residents.

73.3

61.2

58.4

Residents with bed sores.

4.4

7.0

7.1

Residents receiving special skin care.

13.3

31.2

IVIedicaid Residents:

226

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable pehod of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

227

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING [

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

228

DELAND FL

NURSING HOME PROFILE

street Address:

City and State:

151 WINNEMISSETT AVE

DELAND FL 32720

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

NON-PROFIT RELIGIOUS

03/18/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IMedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

100

o1 .0

Dressing

Residents requiring some or total assistance in dressing.

86.5

QA O

o4.J

OO.d

Toileting

Residents requiring some or total assistance in toileting.

75.0

fO.O

70 ft
/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

75.0

77 O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

94.2

7n n

Residents on individually written bowel and bladder retraining program.

1.9

A Q

Eating

Residents receiving tube feedings or requiring assistance with eating.

36.5

^7 7

f^nmnlPtAlv K^rif net rAQiri^ntQ

0.0

3.0

3.4

Residents confined to chairs.

48.1

49.3

50.8

Residents requiring restraints.

59.6

40.4

41.3

Confused or disoriented residents.

42.3

61.2

58.4

Residents with bed sores.

17.3

7.0

7.1

Residents receiving special skin care.

5.8

31.2

Medicaid Residents:

229

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

230

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency mav reoresent an onaoina oroblem or a onp-time fsiliirp nf a <;innlp <;taff npr<;nn

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

H no
lUo

OH O
<1 1 .d

i ceo

1 f.O

Drugs are administered according to the written orders of the attending physician.

Mt 1

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 .9

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

■ICC

QIC
O ID

Q ft

o.D

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

III MUlllldl [JUIoUILo, IllUIUUIIiy ic^ligiUUo dUllVIUoo Ul Ulc; roolUolU o OIIUIOc, 11 ally.

Mb 1

■f A f\

1 4.U

1 uyy

-lift
1 1 .D

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

1 n 7

1 u. /

1*^ 4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2 5

1216

12 9

All common resident areas are clean, sanitary and free of odors.

mC 1

7 4

1041

1 W*T 1

11 0

1 1 iW

All essential mechanical and electrical equipment is maintained in safe operating
condition.

IVIC 1

ft A

1 't 1 0

1 4. Q

Resident care equipment is clean and maintained in safe operating condition.

IVIC 1

Q 7

1 T-VO

14 Q

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

231

DELAND FL

NURSING HOME PROFILE
DELAND CONVALESCENT CENTER

street Address:

City and State:

451 S AMELIA AVE

DELAND FL 32720

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

125

PROPRIETARY

08/07/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

113

Medicare Residents:

Caution: A large number of residents with tliese characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reaulrina some or total assistance in bathina

86.7

81.5

Dressing

RpQiHpntQ rpniiirinn Qnmp nr tntal flQQiQtsinpp in rlrpQQinn
riC7oiud iio 1 c^uii II lu ^yji i ic ^i iL^icii dooidicii loc? ii i \ji cooii lu*

106

93.8

84 3

83 2

Toileting

nt/oiut/iiio ici^uiiiiiy ouiiic Ui lUlcll aoololaiioc ill lUlicUiiy.

84.1

7fi 6

73 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

109

96.5

7*^ 8

77 2

Continence

nesiaenis witn catneiers or partial or total loss ot oowei or Diaaoer control.

20.4

70 0

t \J.\J

nesiaents on inaiviauaiiy written Dowei ana Diaaoer retraining program.

0.9

4 Q

4 6

Eating

piesiaenis receiving tuoe reeaings or requiring assistance witn eating.

40.7

36 9

37.7

5.3

3.0

3.4

Residents confined to chairs.

40.7

49.3

50.8

Residents requiring restraints.

57.5

40.4

41.3

Confused or disoriented residents.

66.4

61.2

58.4

Residents with bed sores.

0.0

7.0

7.1

Residents receiving special skin care.

36.3

31.2

Medicaid Residents:

232

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Ttie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Ivlet" means the facility

Reminder: These 32 selected petlormance Indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures tliat its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ne Taciiiiy uses a system mat assures tuii ana complete accounting of residents
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

233

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNaiiOMoi rtcScarcn uouncM, iNaiionai Mcausmy ot ocienccs.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

234

DELAND FL

NURSING HOME PROFILE

street Address:

City and State:

1113 N STONE ST BOX 880

DELAND FL 32720

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

134

NON-PROFIT OTHER

01/22/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

126

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

71.4

81 .5

Dressing

Residents requiring some or total assistance in dressing.

78.6

84.3

8v3.2

Toileting

Residents requiring some or total assistance in toileting.

67.5

fO.O

/o.o

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

73.8

fO.O

f 1 .d.

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

59.5

^ U.U

AQ O
XiO.d.

Residents on individually written bowel and bladder retraining program.

4.8

A a

Eating

Residents receiving tube feedings or requiring assistance with eating.

27.0

■o 1 .1

uompieteiy Deoiasi resiaenis.

0.0

3.0

3.4

Residents confined to chairs.

50.8

49.3

50.8

Residents requiring restraints.

31.7

40.4

41.3

Confused or disoriented residents.

66.7

61.2

58.4

Residents with bed sores.

7.9

7.0

7.1

Residents receiving special skin care.

39.7

31.2

Medicaid Residents:

235

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:NT of FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ne Taciiiiy uses a sysiern max assures tuii ana compieie accounting ot resiaenis
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

236

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
aeiiciency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

1 1 .0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

b.4

14 1 o

1 4.y

Resident care equipment is clean and maintained in safe operating condition.

MET

A 7

y. /

•1 Ar\Q.

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13 2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

237

DELAND FL

NURSING HOME PROFILE
UNIVERSITY CONVALESCENT CENTER E

street Address:

City and State:

991 E NEW YORK AVE

DELAND FL 32720

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

09/25/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance In bathina

55.4

81.5

Dressing

Residents reauirina some or total assistance in dressina

1 1^ wlU w 1 1 i V 1 wU U II 1 1 lU 1 1 1 w Wl mi CtwwS w ivil 1 w w III VI 1 ^ wwl 1 1 23 *

67.9

84.3

83.2

Toileting

Residents reauirina some or total assistanr^e in toiletina

1 1 wOl VI wl 1 1 wVJUII II IM Owl 11^ \Jl iCll dOOIOiCll Iww III IwllwllllU.

71.4

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

lUu or IOII6T.

83.9

75.8

77.2

Continence

55.4

70.0

68.2

nCfOiudiio KJii II luiviuudiiy wmii^m uuwc^i diiu uiduuoi ic^udiiiiiiy piuyidiii.

1.8

4.9

4.6

Eating

nvoiudiio ic/Uc?iviiiy luuw it^c^uiiiyo ui it^Ljuiiiiiy dooioidiiot^ wiiii cduiiy.

28.6

36.9

37.7

ConiDletelv bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

26.8

49.3

50.8

Residents requiring restraints.

26.8

40.4

41.3

Confused or disoriented residents.

50.0

61.2

58.4

Residents with bed sores.

3.6

7.0

7.1

Residents receiving special skin care.

30.4

31.2

Medicaid Residents:

238

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Ivlet" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

239

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNaTionai riesearcn uouncii, iNationai Acaaemy ot ociences.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

240

DELAND FL

NURSING HOME PROFILE
UNIVERSITY CONVALESCENT CENTER W

street Address:

City and State:

545 W EUCLID AVE

DELAND FL 32720

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

09/23/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

ncsiucnis icCjuiriny soms or icjiai assisiancc in umniny.

44.6

O 1 .0

Dressing

ncsiucMis icciuiriny some or loiai assisiancc in urcssing.

83.9

OM-.O

oo.^

Toileting

nesiusnis rGquinng somG or loiai assisiancG in loiiGiing.

73.2

1 D.D

( o.o

Transferring

RGsidGDts rGqulring somG or total assistancG moving from bed to chair or to
tub or toilet.

80.4

fO.O

77 O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

62.5

fu.U

AQ O

Residents on individually written bowel and bladder retraining program.

5.4

A a
4.D

Eating

*|J. *■ ll^ I* *■ M '

Residents receiving tube feedings or requiring assistance with eating.

17.9

07 7

0.0

3.0

3.4

Residents confined to chairs.

62.5

49.3

50.8

Residents requiring restraints.

26.8

40.4

41.3

Confused or disoriented residents.

50.0

61.2

58.4

Residents with bed sores.

3.6

7.0

7.1

Residents receiving special sidn care.

44.6

31.2

Medicaid Residents:

241

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:nt of facilities
requirements

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

242

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING [

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 ft

1 1 9Q
1 1

1 1 Q

1 1 .i7

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

1 Ud

d\ .D

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NfC. 1

1 07

97'^Q

99 n

MET

O 1

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

Mt 1

15 5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

III 1 lui 1 1 icii [juiouiioi iiioiuuiiiy iciiyiuuo doiiviiico ui uio icoiuc^iiio uiiuiuo, ii ctiiy.

vAc. 1

14 0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

Mt 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

iVit 1

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

(VIC 1

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

IVIC 1

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MPT

IVIC (

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MFT

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

243

DELRAY BEACH FL

NURSING HOME PROFILE

HARBOUF

S EDGE

street Address:

401 E LINTON BLVD

City and State:

DELRAY BEACH FL 33444

Participation:

MEDICARE SNF

# of Beds:

Type of Ownersliip:

NON-PROFIT OTHER

Survey Date:

03/17/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Rp<iiripnt9 rpfiiiirinn 9omp or total a^^istanop in hathino

100

81 5

Dressing

Rp9iHpnt9 rpnuirinn somp or total a^^istanne in firp^^ina

1 I^OIVJwIllO IwUUIIIIIU OVi/l 1 1^ \JI IWldl Ctw^lO Idl 1 w w III Ul ^WOII IU>

100

84.3

83.2

Toileting

Rp^iHpnt^ rpnuirinn Qomp or total aQQiQtanpp in toilptinn

100

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih\ /^r tollot

73.3

75.8

77.2

Continence

RpQiHpntQ with pathptPrQ or n^rtifll nr tntal InQQ nf Hdu/pI nr hIsiHHpr r*nntrnl

riC70lLJC7l 1 lO Willi \.^Clll IdCfl O \Ji jJdl IIAI ^1 l^ldl lUOO yjl UUWC^I L/IClUUOl ULIMIIV^I.

60.0

70.0

68.2

RpQiHpntQ inHiwiHi ifiliw writtpn Hrtu/pl sinH KlaHHpr rptrsininn nrnnrsim

riC70IU\7l ILO \Jt 1 II lUIVIUUClliy Wl lllwl l UWWCSI dl lU UldUUC^I 1 wll dll III 1^ fJl >/^i ^1 1 1*

0.0

4.9

4.6

Eating

RpciHpntQ rPOPi\/inn tiiHp fppHinnc rtr rpniiirinri occictfinop u/ith psttinn
ncoiuc^iiio ic;oc?iviiiy luuc? ic^uuiiiyo ui lc^^ullllly dooioidiioc? wiiii c^diiiiy.

13.3

36.9

37.7

CoiTiDletelv bedfast residents

0.0

3.0

3.4

Residents confined to chairs.

6.7

49.3

50.8

Residents requiring restraints.

26.7

40.4

41.3

Confused or disoriented residents.

60.0

61.2

58.4

Residents with bed sores.

0.0

7.0

7.1

Residents receiving special skin care.

100

31.2

Medicaid Residents:

244

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at ttie time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected witfiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in ttne State and Nation. "Met" means tfiat the facility is in compliance with the specific requirement. "Not IVIet" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING 1

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0,4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

245

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

NAtinnftl Rociaarph r^nimpil NIdtirtnal ApflH^rnw r\i ^pi^nPAC

INCIllwilCll riCOCCllV,fM wUUllUll, iNClllUllCll AM./ClUCrM ly KJl wVirld IU09>

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

246

DELRAY BEACH FL

NURSING HOME PROFILE
HEALTH CENTER AT ABBEY DELRAY SOUTH

street Address:

City and State:

1717 HOMEWOOD BLVD

DELRAY BEACH FL 33445

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

NON-PROFIT OTHER

03/16/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:
1

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
hinhlv ^Deriali7Pri rarp and ^prvipp^

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

75.4

81.5

Dressing

Residents requiring some or total assistance in dressing.

82.5

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

86.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

78.9

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

66.7

70.0

68.2

Residents on individually written bowel and bladder retraining program.

5.3

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

38.6

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

68.4

49.3

50.8

Residents requiring restraints.

47.4

40.4

41.3

Confused or disoriented residents.

56.1

61.2

58.4

Residents with bed sores.

5.3

7.0

7.1

Residents receiving special skin care.

45.6

31.2

IMedicaid Residents:

247

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies Immediately or to submit a
plan Indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies In other facilities In the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient In the indicated area at the time of the sun/ey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ne Taciiiiy uses a sysiem xnai assures tun ana complete accounting ot resiaents
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

248

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT

Mt 1

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 fl

1 1 ?3

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

1 uo

01 Q

51 ft

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

IVlC 1

107

22 1

2739

29 0

MET

6 4

1389

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

ivlb 1

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

ivit 1

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal Dijr<?ijit«; inpluriinn rplininii<? artivitip<? nf thp rp^ifipnt'<5 r^hnirp if anv

III 1 ivyi 1 1 ml ^uiouiio, II iwi uuii iM 1 ^iiMi<.^uo civyiiviii^o Kji 11 1^ icoivjwiii o wi ivji^o, 11 diiy.

MPT

IVI L_ 1

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

IVIC 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MPT

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

^^PT

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

IVIt 1

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MFT

IVIC 1

9.7

1408

14.9

isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

249

DELRAY BEACH FL

NURSING HOME PROFILE
HILLHAVEN CONVALESCENT CTR OF DELRAY

street Address:

City and State:

5430 LINTON BLVD

DELRAY BEACH FL 33445

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

04/21/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

115

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
Diyniy speciaiizeo care ana services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

100

87.0

81.5

Dressing

Rpsidpnt^i renuirinn snmp nr total a<;si«5tanoe in dressina

1 l^wlvJ^I 1 1 wUUII II 1^ Owl 1 Iw Wi iwlvll ClOOIOlCtl Iww II 1 vi 1 wwwil 1^*

84.3

83.2

Toileting

Residents reauirina some or total as«;istancG in toiletina

71.3

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih nr tnilpt

115

100

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

69.6

70.0

68.2

Residents on individually written bowel and bladder retrainina oroaram

i 1 w w i w 1 1 \J 11 IIIUIVIUU d 1 ' y will IW 1 1 kJ\J VV G I Cl 1 1 V>l *J I C(U w 1 1 w 11 dl 1 1 1 1 1 U 1^ 1 w U 1 Cil 1 i •

0.9

4.9

4.6

Eating

Residents receivina tube feedinas or reauirina assistance with eatina

41.7

36.9

37.7

Completely bedfast residents.

5.2

3.0

3.4

Residents confined to chairs.

53.0

49.3

50.8

Residents requiring restraints.

39.1

40.4

41.3

Confused or disoriented residents.

73.9

61.2

58.4

Residents with bed sores.

11.3

7.0

7.1

Residents receiving special skin care.

16.5

31.2

Medicaid Residents:

250

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation, "tvlet" means that the facility is in compliance with the specific requirement. "Not Mel" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

tVlET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

251

SELECTED PERFORMANCE INDICATORS

RpiT^inripr' XH^QP c^lo/^toH norfnrmanr*o inrlir'ati^rc rirt nr^t rartracarti ^11 tho ram ilramantc a
ndiiiiiuci. 1 ( icoc dciCiUicu |Jd lui M lai iLrt^ illUIL'alUio UU itUl ryprt?ocni all mc rcL]UircrTIcl llo a

facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

NOT MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

252

DELRAY BEACH FL

NURSING HOME PROFILE
THE HEALTH CTR AT ABBEY DELRAY

street Address:

City and State:

2105 SW 11TH COURT

DELRAY BEACH FL 33445

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

100

NON-PROFIT OTHER

01/28/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
hiahlv ^Decialized care and sprvicp«5

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

79.2

81.5

Dressing

Residents requiring some or total assistance in dressing.

89.6

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

79.2

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

63.5

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

72.9

70.0

68.2

Residents on individually written bowel and bladder retraining program.

1.0

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

30.2

36.9

37.7

Completely bedfast residents.

3.1

3.0

3.4

Residents confined to chairs.

36.5

49.3

50.8

Residents requiring restraints.

46.9

40.4

41.3

Confused or disoriented residents.

78.1

61.2

58.4

Residents with bed sores.

4.2

7.0

7.1

Residents receiving special skin care.

16.7

31.2

l\/ledicaid Residents:

253

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Ivlet" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=1E0UIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

254

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

nf^fir^if^nr^v msu r^nrtiQ(3nt an r^nnoinin nroh lorn r\r q t i mo fQiliiro r^i q cinnio ctoff norcr^n
uciii^ic^n^y iriciy iciJi Coci ii dii (JiiyuMiy |JiUUItrlll Ul ct UllculMc IdllUlc (Ji a olllUlc olcti 1 pel oUi 1 .

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

OQ
OO

/ .O

1 1 .y

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21 .9

2045

21 .6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 vjo

1fifi?

1 \J\JC

1 7 fi

Drugs are administered according to the written orders of the attending physician.

MET

1 u /

0700

OQ n

MET

o 1

P. A

1 ooy

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 Q

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

/ \j

R 6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal pursuits, inciuuing religious activities or tne resioent s cnoice, it any.

NOT MET

14 0

11 6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

Mt 1

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

IVlt 1

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6 4

1413

14 9

Resident care equipment is clean and maintained in safe operating condition.

MET

9 7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

Mt 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

255

DELTONA FL

NURSING HOME PROFILE
DELTONA HEALTH CARE CENTER

street Address:

City and State:

1851 ELKCAM BOULEVARD

DELTONA FL 32725

Participation:

# Of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

05/14/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

108

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Battling

nesiuenis rec|uiring some or loiai assisiance in uaTning.

48.1

O 1 .O

O 1 .3

Dressing

Residents requiring some or total assistance in dressing.

65.7

(34. o

Toileting

Residents requiring some or total assistance in toileting.

73.1

7ft ft

7*3 Q

1 o.o

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

64.8

/ O.O

77 O

Continence

_ _ ' —J — . . A — . ' X L_ _ ^ X 1^ X*l Axil t I 1 ll^ll_-___ — . X _ 1

Residents with catheters or partial or total loss of bowel or bladder control.

78.7

/ U.U

Residents on individually written bowel and bladder retraining program.

18.5

A Q

A ft

Eating

Residents receiving tube feedings or requiring assistance with eating.

42.6

"57 7

uompieieiy Deaiasi resiaenis.

4.6

3.0

3.4

Residents confined to chairs.

47.2

49.3

50.8

Residents requiring restraints.

37.0

40.4

41.3

Confused or disoriented residents.

62.0

61.2

58.4

Residents with bed sores.

4.6

7.0

7.1

Residents receiving special skin care.

24.1

31.2

l\/ledicaid Residents:

256

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at ttie time of survey, Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in otfier facilities in ttie State and Nation, "Met" means that the facility is in compliance with the specific requirement. "Not IVIet" means the facility
was deficient in the indicated area at the time of the survey,

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
^EOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

r\/lET

0.6

168

1.8

• Xlll* ll'l ■'■ 1 II ll'll

Drugs to control behavior and physical restraints are only used when authonzed by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

Exceot in a medical emeraencv a re«;ident i<? not tran<?fprrprl nr di«;rharnpH nor i<5
treatment changed radically, without consultation with the resident or, if the resident
is incompetent, without prior notification of next of kin or sponsor.

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

Each rp^idpnt tpppIvp^ Hailv npr«^rjnj^l hvnipnp nppHpH to a^^iirp p|pflnlinp<^c; nnnc\

skin care, good grooming, and oral hygiene taking into account individual
preferences. Residents are encouraged to take care of their own self care needs.

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

257

SELECTED PERFORMANCE INDICATORS

RGmincl©r* ThPSP .T? ^iPlprtpd nprfnrm?inrp inriirptnr^ Hn not rpnrpQPint a\\ the rpni lirpmpntQ a

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

258

DESTIN FL

NURSING HOME PROFILE
VILLAGE AT SANDESTIN

street Address:

City and State:

5851 HIGHWAY 98 E

DESTIN FL 32541

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

NON-PROFIT PRIVATE

05/27/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

68.8

o 1 .0

O 1 .O

Dressing

nesiaents requiring some or total assistance in aressing.

93.8

04. 0

Toileting

Residents requiring some or total assistance in toileting.

68.8

7ft ft

7*3 ft
/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

68.8

/ O.O

77 0

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

50.0

7n n

Residents on individually written bowel and bladder retraining program.

6.3

A Q

Eating

Residents receiving tube feedings or requiring assistance with eating.

31.3

OD.i7

"37 7

uompieieiy Deaiast residents.

12.5

3 0

3.4

Residents confined to chairs.

6.3

49.3

50.8

Residents requiring restraints.

50.0

40.4

41.3

Confused or disoriented residents.

37.5

61.2

58.4

Residents with bed sores.

6.3

7.0

7.1

Residents receiving special skin care.

31.3

31.2

Medicaid Residents:

259

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement, "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected perfornnance indicators do not represent all the requirements a
idOMiLy iMuoL iiifcjui. iiiyit; aifc; uvcr ouu bcpdraic rcquiremenis. I ne iniormaiion presenteo
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=?EOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ho TCi/^ilit\/ 1 icoc £3 C\/ctom thiit occi iroc ill oniH r^r\fT\ t~\ \ r>\ ^r-r^r\\ \r\^'\r\r\ /^i r^oiH^rito'
1 1 ic iciLrMliy Uoc;o a oyolt;!!! Utctl ctooUloo lUII ctilU CUill[jlolc; aUUUUiltlMy Ul loolUoillo

personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

260

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

ucrii^iciiuy Miay 1 tJJJI cotri 11 all Uiiyuiiiy prUUiyril Ul d UllfcJ-lllIlt; IdllUlt:; Ul a bliiyit: bldll ptJioUil.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1 1 23

1 1 .9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 yjo

91 0

1 7 R
1 / .D

Drugs are administered according to the written orders of the attending physician.

MET

1 U/

DO 1

iiy.u

MET

C5.4

1 OQQ

1/17

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 Q
1 .y

OO /

R 9

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

1 o.o

ftl R
O 1 D

ft R

O.D

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in norrnai pursuits, inciuuing religious aciivmes or me resiaeni s cnoice, it any.

MET

1 0QQ

1 1 .u

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10 7

1 pyn

n 4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 ^

1?1fi

12 9

All common resident areas are clean, sanitary and free of odors.

MET

7 A

1 041

1 \J 1 1

1 1 0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

Mb 1

O 1

6 4

1413

14 9

Resident care equipment is clean and maintained in safe operating condition.

Mb 1

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

IVlb 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

261

DOWLING PARK FL

NURSING HOME PROFILE
J RALPH SMITH HEALTH CENTER

street Address:

City and State:

ROUTE 5 BOX 88

DOWLING PARK FL 32060

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

107

NON-PROFIT RELIGIOUS

11/06/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

105

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

ricoiUv^i no 1 cijuii II ovji 1 1^ \j\ iwidi dooioicii il/C mi uciiiiiiiu.

81.0

81 5

Dressing

RpQiHontQ roni lirinn cnmp r»r tntal sicciQt^inpp in HrPQQinn

llCOlVJC?! 1 lO IwVJUIIIilU O^IIIC \J\ iKJldl dOOlO Idl Il^v7 III LllCoOlll^.

80.0

84.3

83.2

Toileting

RociHontc roni lirinn crMTio r\r tr^tal accictanr^f^ in tAilt^tinn
ric^olUt^l 1 lo 1 CL^UII 11 lU oUl lie Ul lUldi doolo Ldl lOw 11 1 lUl I w ill l^ .

60.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
TUD or loiiei.

54.3

75.8

77.2

Continence

iicolUclUo WIUI Odlllclcio Ul pdl lldl Ui lUldl lUoo Ul UUWUI Ul UldUUci L/UllliUI.

48.6

70.0

68.2

ncoiuciuo on iriuiviuudiiy wriutJii uuwci diiu uiduuci rcirdiriiriy pruyidiii.

0.0

4.9

4.6

Eating

riesiaenis receiving tuue leeuings or requiring assistance wiin eaiing.

26.7

36.9

31.1

0.0

3.0

3.4

Residents confined to chairs.

21.0

49.3

50.8

Residents requiring restraints.

29.5

40.4

41.3

Confused or disoriented residents.

57.1

61.2

58.4

Residents with bed sores.

1.0

7.0

7.1

Residents receiving special skin care.

37.1

31.2

Medicaid Residents:

262

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

263

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostonny/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote maximunn physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

264

DUNEDIN FL

NURSING HOME PROFILE

DUNEDIN CARE CENTER

street Address:

City and State:

1351 SAN CHRISTOPHER DRIVE

DUNEDIN FL 33528

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

104

PROPRIETARY

08/27/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

0/
70

Bathing

nesiaents requiring some or toiai assistance in Datning.

77.6

0 1 .0

ol .0

Dressing

Residents requiring some or total assistance in dressing.

84.7

Q A O

o4.d

QO 0
00. id

Toileting

Residents requiring some or total assistance in toileting.

64.7

/ D.D

70 Q
/ 0.0

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

81.2

Zo.o

77 0
/ /.ii

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

68.2

70.Q

DO. 2

Residents on individually written bowel and bladder retraining program.

0.0

4.y

A C
4.D

Eating

Residents receiving tube feedings or requiring assistance with eating.

34.1

oD.y

"57 7

01 .1

completely Deaiast resicients.

0.0

3 0

3 4

Residents confined to chairs.

49.4

49.3

50.8

Residents requiring restraints.

34.1

40.4

41.3

Confused or disoriented residents.

56.5

61.2

58.4

Residents with bed sores.

4.7

7.0

7.1

Residents receiving special skin care.

24.7

31.2

Medicaid Residents:

265

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies wWl be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation, "Met" means that the facility is in compliance vi/ith the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected perfornnance indicators do not represent all the requirennents a
idciiiiy inubi iiitJci. i licit: diu uvur ouu bcpdrdic rcC|uircmenis. I ne iniormaiion presenieu
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 lie idciMiy ubsb a bysiem mat assures tum anu compieie accouniing ot resiuenis
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

266

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

Hpf ipjpnpv msv rpnrp^pnt nnnninn nroKlpm nr a nnp-timp f^iili rrp of a Qinnip ctaff norcrtn
uciivjidi^y ( r my i c;oc;M i all iji lyuii ly pi i^^Lfic^i 1 1 \j\ a ui ic 1(11(0 idiiuicr \ji a oil lyic oictn ptJioUii.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostonny/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1 123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 Uo

i ceo

17ft
1 / .D

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

C A

1 Joy

14./

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 .y

oof

ft o

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

/ 0

IKK

\ 0.0

Ol D

ft ft
O.D

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
iri normal pursuits, inciuaing religious aciiviiies oi ine resiueni s cnoice, it any.

MET

ftp
DO

1 uyy

1 1 ft
1 1 .D

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

1 u. /

■t 07n

1 T 4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 0

1 ^

1 91 ft
1 ^ 1 Q

1 9 Q

All common resident areas are clean, sanitary and free of odors.

MET

7 A

\ U't 1

1 1 n

1 1 .\j

All essential mechanical and electrical equipment is maintained in safe operating
condition.

NU 1 Mb 1

O 1

ft A

1 /in

1 H I o

1 4 Q

Resident care equipment is clean and maintained in safe operating condition.

Mb 1

Q 7

1 H-VJO

14 9

Isolation techniques to prevent the spread of infection are followed by all personnel.

Ivlt 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

267

DUNEDIN FL

NURSING HOME PROFILE
MANOR CARE OF DUNEDIN

street Address:

City and State:

870 PATRICIA AV

DUNEDIN FL 33528

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE SNF

120

PROPRIETARY

12/04/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

102

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

hinhlv/ cnor^iQli^oH card anH cor\/i/^oc
1 iiy 1 iiy ofJ^L'iciiiz.cu L>cii C7 cii lU ocri vi^Co.

FACILITY

STATE

NATION

Battling

Residents requiring some or total assistance in bathing.

97.1

81.5

Dressing

Residents requiring some or total assistance in dressing.

96.1

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

96.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilpt

96.1

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

62.7

70.0

68.2

Residents on individually written bowel and bladder retraining program.

0.0

4.9

4.6

Eating

Residents receivina tube feedinas or reauirina assistance with eatina.

21.6

36.9

37.7

Completely bedfast residents.

2.9

3.0

3.4

Residents confined to chairs.

81.4

49.3

50.8

Residents requiring restraints.

29.4

40.4

41.3

Confused or disoriented residents.

63.7

61.2

58.4

Residents with bed sores.

1.0

7.0

7.1

Residents receiving special skin care.

21.6

31.2

Medicaid Residents:

268

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at Ifie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected perfornnance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The Information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

269

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

270

DUNEDIN FL

NURSING HOME PROFILE
SPANISH GARDENS NH

street Address:

City and State:

1061 VIRGINIA ST

DUNEDIN FL 33528

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

03/18/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

RGSidGnts reauirina some or total assistance in bathina

95.6

81.5

Dressing

Residents reauirina some or total assistance in dressina

89.0

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

85.7

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

93.4

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

84.6

70.0

68.2

Residents on individually written bowel and bladder retrainina oroaram

1 1 w wi ^ 1 1 \j II 1 1 1 \^ 1 V \A u ' " y will 1 1 vj\j w ^ 1 a \ u\ a\A\A^t \ ^ ii oi i 1 1 1 ly i w y i vii 1 1 •

2.2

4.9

4.6

Eating

Residents receivina tube feedinas or reauirina assistance with eatina

■ 1 X^ \^ w I i L w 1 1 V 1 1 1 y WA w 1 \^ \mf \A 1 1 ly w \^ 1 1 \^ yJk \A 1 1 1 1 1 U w4 v7 Wl v7 LVil 1 V w V V 1 LI 1 x^ V* LI 1 1 >j *

37.4

36.9

37.7

Comoletelv bedfast residents.

5.5

3.0

3.4

Residents confined to chairs.

71.4

49.3

50.8

Residents requiring restraints.

40.7

40.4

41.3

Confused or disoriented residents.

54.9

61.2

58.4

Residents with bed sores.

6.6

7.0

7.1

Residents receiving special skin care.

100

31.2

Medicaid Residents:

271

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected witfiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=!EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ne TacMiiy uses a sysiem inai assures lUii ano cornpiete accounting ot resioents
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

272

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiencv mav reorpspnt an nnnoinn nrnhipm nr a nnp-timp failurp of 3 ^^innlp <>tflff nprsnn

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^lEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 R
/ .0

1 1 .C7

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

1 Uo

01 Q

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

ivit 1

C.C.. 1

97^9

99 n

MET

0 1

fi 4

1 ?ft9

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 9

587

6 2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

^ ACT

Mb 1

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

Mi iivjiiiicii |Juiouiio, II i^iuuii ic^ii^iuuo dUUViLioo ui 11 lo ic;oiut:^iii 0 LfiiuiOw, II ciiiy.

IVIt 1

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

IVIt 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

IVIt 1

1 P

1 ^

2 5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

Mh 1

7 4

1 041

1 \J 1 1

1 1 .0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

^/l CT
IVIt 1

\J 1

6 4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

IVIt 1

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

273

EASTPOINT FL

NURSING HOME PROFILE
MEADOWBROOK MANOR OF EASTPOINT

street Address:

City and State:

HIGHWAY 98 W AND BEGONIA ST

EASTPOINT FL 32328

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

04/01/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

RpciHpntq rpnulrina "snmp or total a<5<?i<;tanrp in hathina

75.0

81.5

Dressing

RpciHpnt^ rpmiirinn ^omp or total a^^i^tanrp in drp^^inn

79.2

84.3

83.2

Toileting

Ppci(-jp|-it<? rpoiiirinn <5omp or total a<i^i«itanrp in toilptinn

1 I^OIVJ^I 1 lO 1 ^UUII II IM owl 1 1^ \JI IWLCll dOOIOLdl IV.y^ II 1 Lwll^lll IM*

75.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

75.0

75.8

77.2

Continence

Rp«iidpnt«i with rathptpr*; or nartial or total lo<;<; of howpl or hlaHHpr rontrol

1 1 ^OlVd^l 1 iO VV llll OCllll^i^lO \Jt 1../CIIIICII \JI \,\J iCll IwOO \J\ IkJwVV^I V.^1 Im/ICIUV.J^I ^.^wllilwl*

54.2

70.0

68.2

Rp^iripntt; on inrlivirliiallv writtpn howpl anH hIarlHpr rptraininn oronram
1 i^oiu^iiio \ji I 1 1 i\j 1 V 1 v.iucii 1 y vviiiL^ii uKjvv^i cLi lyj uia\j\j^i i ^ii ciii iii im v^m' cii i i<

8.3

4.9

4.6

Eating

Rp^irlpnt^ rpopivinn tiihp fppHinriQ or rpniiirinn a^^i^tanop with patinn

1 IwOIM^IILO I^V./^IVIIIU lUk/^ I^^VJIIImO \JI 1 ^^.JUII 11 IM ClOOlO Idl 1 Willi wClllllM*

20.8

36.9

37.7

Comoleteiv bedfast residents

0.0

3.0

3.4

Residents confined to chairs.

29.2

49.3

50.8

Residents requiring restraints.

16.7

40.4

41.3

Confused or disoriented residents.

54.2

61.2

58.4

Residents with bed sores.

12.5

7.0

7.1

Residents receiving special skin care.

41.7

31.2

Medicaid Residents:

274

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at Ihie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "IVIet" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: Ttiese 32 selected performance indicators do not represent all the requirennents a
facility must meet. Ttiere are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

The facility ensures XhaX its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 lie idLiiiiy ubcs d sysiem inai assures tun ano compieie accouniing ot resiuenis
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

^ l_ ^ _ ■ _l 1 1 1 II "111 1 lllll aI* ■ _ I _ 1 ■ 1 1 .

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

275

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

o/
/o

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostonny/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

276

ENGLEWOOD FL

NURSING HOME PROFILE
ENGLEWOOD HEALTH CARE CENTER

street Address:

City and State:

1111 DRURY LANE

ENGLEWOOD FL 33533

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

04/13/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

68.5

81 .5

Dressing

Residents requiring some or total assistance in dressing.

78.7

o4.o

Toileting

Residents requiring some or total assistance in toileting.

68.5

fO.O

/ o.o

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

82.0

lO.O

7T O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

68.5

IV.V

RO O

Residents on individually written bowel and bladder retraining program.

4.5

A Q

A R
H.O

Eating

Residents receiving tube feedings or requiring assistance with eating.

67.4

oD.y

^7 7
•J f . 1

v^ompicieiy DcaTaSi rcsiucnis.

0.0

3.0

3.4

Residents confined to chairs.

78.7

49.3

50.8

Residents requiring restraints.

39.3

40.4

41.3

Confused or disoriented residents.

24.7

61.2

58.4

Residents with bed sores.

6.7

7.0

7.1

Residents receiving special skin care.

46.1

31.2

Medicaid Residents:

277

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Thie Federal Government requires facilities to correct deficiencies Immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time, "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility Is In compliance with the specific requirement. "Not Met" means the facility
was deficient In the Indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the hghts and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

278

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY

MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotonny care, suctioning
and tube feeding.

MET

7 ft
/ .0

1 1

1 1 C.O

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

lUb

iA .a

i:U4o

C \ .D

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

Ivl c 1

107

P? 1

?Q 0

Mb 1

6 4

V./. "

1389

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Ivit 1

1 9

587

6 2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

tvit 1

15 5

816

8 6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in norm?^! niirQiiitQ inpliiHinn rplininiiQ ar'tiwitipQ of th^^ rt^Qirif^nt'Q phoir*f^ if anw

MOT ^/lPT
IN U ! IVI t 1

14 0

1099

11 6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

Ivit 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained In safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

279

EUSTIS FL

NURSING HOME PROFILE
EUSTIS MANOR

street Address:

City and State:

2810 RULEME ST

EUSTIS FL 32726

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICAID SNF/ICF

135

PROPRIETARY

01/15/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

131

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inapprophate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

RpciHpntc rpniiirinn <5nmp or tntal a<?<5i«;tanrp in hathino

129

98.5

81.5

Dressing

RpciHpntc rpniiirinn ^nmp nr total a^^i^tanpp in rirp<;^inn

1 l^OIVJd no 1 ^UUII II iU Owl 1 Iw \J\ LwLCll dOOIOldl IW^ II 1 VJI WOOII lU.

107

81.7

84.3

83.2

Toileting

RociHontc roni lirinn cr^mo r\v totcil flcciQtanr*^ in tr^il^tinn

riColUd llo ICLjUlllllW OVJIM^ \J\ lULCtl dOOlOldl ILrC III lUildll 1^.

104

79.4

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

107

81.7

75 8

77 2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

65.6

70 0

Residents on individually written bowel and bladder retraining program.

3.8

A Q

Eating

Residents receiving tube feedings or requiring assistance with eating.

63.4

37 7

0.0

3.0

3.4

Residents confined to chairs.

35.9

49.3

50.8

Residents requiring restraints.

38.9

40.4

41.3

Confused or disoriented residents.

58.0

61.2

58.4

Residents with bed sores.

9.2

7.0

7.1

Residents receiving special skin care.

44.3

31.2

Medicaid Residents:

280

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Ivlet" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=iEOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

281

SELECTED PERFORMANCE INDICATORS

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

N?5tinn?il Rp^^parph f^rninril Nptinnfll Ap^iHpmv of ^ripnpp^^

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State sun/ey agency or the State ombudsman.

282

EUSTIS FL

NURSING HOME PROFILE
LAKE EUSTIS CARE CENTER

street Address:

City and State:

411 W WOODWARD AVE

EUSTIS FL 32726

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

08/19/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

RGsidents requiring some or total assistance in bathing.

92.7

81.5

Dressing

Residents requiring some or total assistance in dressing.

81.8

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

72.7

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

76.4

75.8

77.2

Continence

Residents with cathptpr^ nr nartial nr tntal lr><5<5 nf hnwpl nr hladdpr rnntrnl

58.2

70.0

68.2

Residents nn individuallv writtpn hnwpl and hiaridpr rptraininn nrnnram

0.0

4.9

4.6

Eating

Residents rpcpivinn tuhp fppdinn^ nr rpniiirinn fl^^i^tanf^p with patinn

' 1 W\3HJ^^ 1 1 l^p 1 \^v.r^l V 1 1 lU lULy^ I^^V.IIIIUO \jl I^UUIIIIIU ClOOlO ICll 1 Willi ^dllllM*

49.1

36.9

37.7

Comoletelv bedfast residents

3.6

3.0

3.4

Residents confined to chairs.

32.7

49.3

50.8

Residents requiring restraints.

36.4

40.4

41.3

Confused or disoriented residents.

78.2

61.2

58.4

Residents with bed sores.

1.8

7.0

7.1

Residents receiving special skin care.

23.6

31.2

Medicaid Residents:

283

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected witfiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation, "Met" means that the facility is in compliance with the specific requirement, "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

284

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

deficipncv mAV renrp<5Pnt ?in nnnninn nrnhlpm or ^ nnp-timp fAiliirp nf ^ <^innlp ^itaff nprc;nn

FACILITY

MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/iieostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

oo
oo

f.O

1 1 Q
1 1 .»

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

1 06

21 .9

2045

21 .6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 669

17 6

1 r .U

Drugs are administered according to the written orders of the attending physician.

Mb 1

1 u /

99 1

97^0

9Q n

MET

O 1

D.'f

1 ^ftQ

1 OOi7

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 Q

6 2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MOT MCT

InU I M t 1

fl16

R 6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

Ml 1 ivji 1 iicii [juiouiio, iMi^iuuiny ic^iiyiuuo ctuuviuoo ui iiic^ looiuoiiio ciiuioo, ii dfiy.

Mb 1

14 0

10QQ

1 1 6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

Mb 1

10 7

1270

13 4

Toilet and bath facilities are clean, sanitary, and free of odors.

Mb 1

2 5

1216

12 9

All common resident areas are clean, sanitary and free of odors.

Mt 1

7.4

1041

1 1.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

IVl C 1

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

285

EUSTIS FL

NURSING HOME PROFILE
OAKWOOD CONVALESCENT CENTER

street Address:

City and State:

301 S BAY ST

EUSTIS FL 32736

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

10/29/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

120

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility s ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Battling

RpcjHpnfc rpnuirinn <?nmp nr tntal a<^9istanrp in hathina

1 1 ^ Ol 1 1 1 V \_J L4 1 1 II 1 ^ Owl 1 1 w \J 1 V\J Id 1 CI O 0 1 0 1 1 w w 1 1 I VJGi 11 III ' ^ •

71.7

81.5

Dressing

Rp^idpnt^i rpnuirinn <innnp nr tntal a'i^ii'itanf^p in drG'?*?ina

1 1 ^ Ol vl w 1 1 lO 1 w VJ U II II 1 ^ OW 1 1 1 \^ \J 1 LW Id 1 diOOl O Ld 1 ' \-> v-' III \Jkl w 1 1 1 ^ •

82.5

84.3

83.2

Toileting

RpciHpnt«; rpnuirinn <inmp nr tntal a«;^i<it?)nrp in tnilptinn

1 I^OILJ^I IIO 1 ^ULJII M lU owl 1 \J\ IWiCll ClOOIOlCll IV^W II 1 LWII^LII IM*

55.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

+ 1 ik\ r\r \r\'\\ci\
lUU (Jl lUMcl.

71.7

75.8

77.2

Continence

RpciHontQ vA/ith r^athotorc nr nartial nr tntal locc nf hn\A/ol est hlflHHpr pnntrni

riCOlU\7l no VVILI 1 L/ClLI Idd O \J\ [Jdl lldl Ul lUldl IWOO \J\ UVJW^I \J\ UldVJVJd \^\J\ III

71.7

70.0

68.2

RociHontc nn inHi\/irli oll\/ \A/ritt<^n hri\A/fil anH hIaHHor r^traininn nrnnr^im

liOOiUC^I 1 lO \J\\ IMLilVIUUClliy Wll lLC7l 1 UVJ W^l Ctl lU UldUUd IC^llClllllll^ [JlVjyidlll.

3.3

4.9

4.6

Eating

ricoiuciiib icL/civiiiy luuc; iccuiiiyb ur rcquiiiiiy dooioiciiioc wiiii cctuiiy.

12.5

36.9

37.7

ComDietelv bedfast residents

0.0

3.0

3.4

Residents confined to chairs.

40.8

49.3

50.8

Residents requiring restraints.

48.3

40.4

41.3

Confused or disoriented residents.

70.0

61.2

58.4

Residents with bed sores.

7.5

7.0

7.1

Residents receiving special skin care.

7.5

31.2

Medicaid Residents:

286

SELECTED PERFORMANCE INDICATORS

Facility" column indicates deficiencies found at thie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time, "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other lacilities in the State and Nation, "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

287

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^EOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tuhp fppdinn

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

IVI C i

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

Ail common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

288

EUSTIS FL

NURSING HOME PROFILE

WATERMAN MEDICAL CENTER ECF

street Address:

City and State:

1 1 6 EAST MCDONALD ST

EUSTIS FL 32726

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE SNF

NON-PROFIT OTHER

04/15/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
hiahlv SDPriati7ed r^re ?infi ^prvirp^

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

62.1

81.5

Dressing

Residents requiring some or total assistance in dressing.

96.6

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

82.8

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tiih nr tnilpt

82.8

75.8

77.2

Continence

Residents with catheters or oartiai or total loss of bowel or bladder control

72.4

70.0

68.2

Residents on individuallv written bowel and hiaddpr rptrainina oroaram

10.3

4.9

4.6

Eating

Residents receivina tube feedinas or reauirina assistance with eatina

41.4

36.9

37.7

Completely bedfast residents.

10.3

3.0

3.4

Residents confined to chairs.

20.7

49.3

50.8

Residents requiring restraints.

17.2

40.4

41.3

Confused or disoriented residents.

6.9

61.2

58.4

Residents with bed sores.

6.9

7.0

7.1

Residents receiving special skin care.

17.2

31.2

Medicaid Residents:

289

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at ttie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "tVlet" means that the facility is in compliance with the specific requirement. "Not IVIet" means the facility

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

"NT OF FACILITIES
REQUIREMENTS

NATION

1 iifcj idciiiiy ensures inai its wrixien proceaures regaruing tne rignts ana
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and connplete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

urugs to control oenavior ana pnysicai restraints are oniy usea wnen autnorizea uy a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

tacn resiaent is aiiowea to communicate, associate ana meet privaieiy wiin
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

tacn resiaent is aiiowea lo retain ana use nis/ner personal possessions ana ciotning
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

1 ne Taciiity ensures tnat tne neaitn care oi eacn resiaent is unaer tne continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

290

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

ripfipjpnpv mPiv rpnrp^pnt ?in nnnninn nrnhlpm nr a nn^i-timp f aili irp of a Qinnl^^ Qtaff nf^rcnn

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^EOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 Q
/ .O

^ ■\ OO

1 1 ilO

M .y

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21 .9

2045

21 .6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

166?

17 6

Drugs are administered according to the written orders of the attending physician.

MET

1 u /

00 1

dil.. 1

070Q

MET

O 1

fi A

1 OM
1 ooy

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 Q

1 .\7

fi 2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

ft1 6

fi 6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in riormai pursuns, inciuuing religious aciiviiies oi me resiaeni s cnoice, it any.

MET

14 0

1099

1 \J <Z/

11 6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10 7

1270

13 4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2 5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7 4

1041

1 1.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

Mb 1

6 4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

Mb 1

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

Mt 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

291

FERNANDINA BEACH FL

NURSING HOME PROFILE
QUALITY HEALTH OF FERNANDINA BEACH

street Address:

City and State:

PO BOX 1489

FERNANDINA BEACH FL 32034

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

04/28/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

116

Medicare Residents:

Caution: A large number of residents with tliese characteristics does not indicate whether those
residents are receiving appropnate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

62.1

81.5

Dressing

Residents reouirina some or total assistance in dressina

78.4

84.3

83.2

Toileting

Residents renuirinn some nr total assistance in toiletina

73.3

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

56.0

75.8

77.2

Continence

Residents with ratheters or nartial nr total loss of howel or bladder rontrol

■ I^OIVJ^IIIO Willi V^Cllll^l^lO \JI L^dlllCll Wl lULdl lUOO \JI U\JVV^I \JI k/i CIVJU^I V^WI 1 LI V/l >

69.8

70.0

68.2

Rpcjrlpntc nn indlvldi lallv writtpn hnwpl and hladdpr rptraininn nronram

3.4

4.9

4.6

Eating

RpcjHpnt^ rpppivinn tiihp fppdinn^ nr rpniiirinn a^^i^tannp with patinn

riC7olLJv7l 1 lo ICOdVMIU LUUw IC\?LllilUO \Jl IdJUIIIIIU dOOIOldl lw\7 Willi C7dlll l^>

28.4

36.9

37.7

Cornoletelv bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

20.7

49.3

50.8

Residents requiring restraints.

31.9

40.4

41.3

Confused or disoriented residents.

51.7

61.2

58.4

Residents with bed sores.

6.9

7.0

7.1

Residents receiving special skin care.

42.2

31.2

Medicaid Residents:

101

292

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at Itie lime of survey. Ttie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected withiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in ottier facilities in ttie State and Nation. "Mel" means ttiat the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance Indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The Information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:nt of facilities
reouirements

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

293

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=1E0UIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

NOT MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

294

FORT LAUDERDALE FL

NURSING HOME PROFILE
AVIVA MANOR

street Address:

City and State:

3370 NW 47TH TERRACE

FORT LAUDERDALE FL 33319

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

04/07/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

100

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

81.0

81 .5

OH C

81 .5

Dressing

Residents requiring some or total assistance in dressing.

87.0

QA O

o4.o

Toileting

nesiaenis requiring some or lotai assistance in toileting.

88.0

( Q.D

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

87.0

77 2

Continence

nesiaents witn catneters or partial or total loss ot oowei or Diaaaer control.

87.0

70 n

Residents on individually written bowel and bladder retraining program.

1.0

A Q

4 6

Eating

Residents receiving tube feedings or requiring assistance with eating.

25.0

'^7 7

completely bedfast residents.

2.0

3 0

3 4

Residents confined to chairs.

84.0

49.3

50.8

Residents requiring restraints.

31.0

40.4

41.3

Confused or disoriented residents.

70.0

61.2

58.4

Residents with bed sores.

6.0

7.0

7.1

Residents receiving special skin care.

17.0

31.2

Medicaid Residents:

295

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage ot occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Me\" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected perfornnance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the seventy or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and connplete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

296

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an onqoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT

IVI C 1

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

0/
/o

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
ana luoe leeuing.

MET

0(J

7 R

11 23

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NU 1 Mh 1

1 UD

^ 1

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the whtten orders of the attending physician.

MET

107

22.1

2739

29.0

IVIC 1

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

IVI C 1

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
In normal oursuits includina reliaious activities of the resident's choice if anv

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MPT

IVIC I

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

297

FORT LAUDERDALE FL

NURSING HOME PROFILE
BROWARD CONVALESCENT CENTER

street Address:

City and State:

1330 S ANDREWS AVE

FORT LAUDERDALE FL 33316

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

198

PROPRIETARY

04/08/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

176

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

139

79.0

Ol .D

Q i C
Ol .O

Dressing

nesiaents requiring some or total assistance in aressing.

151

85.8

OH. J

Toileting

nesiuenis requiring some or loiai assisxance in loiieiing.

142

80.7

7fi fi

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

144

81.8

75 8

77 2

Continence

nesiaenxs wiin caineiers or partial or total loss ot uowei or uiaooer control.

133

75.6

70 0

68 2

Residents on individually written bowel and bladder retraining program.

6.3

4 9

4 6

Eating

Residents receiving tube feedings or requiring assistance with eating.

32.4

36 9

37 7

completely Deaiast resiaents.

0.0

3.0

3.4

Residents confined to chairs.

53.4

49.3

50.8

Residents requiring restraints.

117

66.5

40.4

41.3

Confused or disoriented residents.

114

64.8

61.2

58.4

Residents with bed sores.

4.5

7.0

7.1

Residents receiving special skin care.

16.5

31.2

Medicaid Residents:

141

298

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the lime of survey, Thie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected witfiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in otfier facilities in the State and Nation, "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: Tfiese 32 selected perfornnance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^lEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

299

SELECTED PERFORMANCE INDICATORS

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
^EOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostonny/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

NOT MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

300

FORT LAUDERDALE FL

NURSING HOME PROFILE
HARBOR BEACH CONVALESCENT HOME

street Address:

City and State:

1615 S MIAMI RD

FORT LAUDERDALE FL 33316

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

07/08/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

95.2

81 .5

Dressing

Residents requiring some or total assistance in dressing.

85.7

o4.J

Q O O

Toileting

Residents requiring some or total assistance in toileting.

85.7

fo.b

70 Q
/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

76.2

/o.o

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

76.2

/U.U

Residents on individually written bowel and bladder retraining program.

7.1

A Q

Eating

Residents receiving tube feedings or requiring assistance with eating.

40.5

oD.y

"57 7

v^uiiipiciciy uctjidsi icsiocnis.

2.4

3.0

3.4

Residents confined to chairs.

28.6

49.3

50.8

Residents requiring restraints.

64.3

40.4

41.3

Confused or disoriented residents.

100

61.2

58.4

Residents with bed sores. j

2.4

7.0

7.1

Residents receiving special skin care.

64.3

31.2

Medicaid Residents:

301

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not tvlet" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a systenn that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

Exceot in a msdiral pmpropnpv a rpiirient i"? not tran'ifprrpri nr rii^rharnpd nor is

L_ /\ ^ I III d Iii^uiv/Cii ^iii^iu^ii^y, o iwoiu^iii lo iiwi iiciiioi^ii^\.J ^i uio^iicxiM^vJ, ii\./i lo

treatment changed radically, without consultation with the resident or, if the resident
is incompetent, without prior notification of next of kin or sponsor.

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

P^iph rPQiHpnt tpppix/pc Hflil\y nprQonjil h\/nipnp hppHpH tn ^iqqi itp plp^^nlinp^^ nooH

skin care, good grooming, and oral hygiene taking into account individual
preferences. Residents are encouraged to take care of their own self care needs.

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

302

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiencv mav reoresent an onanina Drnhlem nr a nnp-timp failure of a <?innle <itaff ner^^nn

w w f tvfv ' IV J II / r*^ * ^ ' ^ ' ' ' ' ' It./ 1 ^ III 1 Ci4 w 1 1^ ill' 1 W 1 U 1 1 M 1 V ^/ 1 CA ^11 1 ^ 1 \^ Old 1 1 ky V 1 Owl 1 >

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

OQ
OO

1 1 do

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21 .9

2045

OH C

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

1 WW

?1 9

1662

17 6

Drugs are administered according to the written orders of the attending physician.

INw 1 Ivit 1

1 07
1 \J 1

MET

O 1

1 0(Jv7

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mb 1

1 Q

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

Mt 1

7*=;

\ <j.o

R fi

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

III IIUIIIICll |JUIoUllo, IMwIUUIIiy loiiyiL/Uo aUUVIlIco Ul lllc iCoiUc^lllo Lrl lUlUt^, II ally.

Mt 1

14 0

10QQ

11 6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

iVIt 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

NOT MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MFT

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

303

FORT LAUDERDALE FL

NURSING HOME PROFILE
MANOR OAKS

street Address:

City and State:

2121 E COMMERCIAL BLVD

FORT LAUDERDALE FL 33308

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE SNF

116

PROPRIETARY

05/14/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

106

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

hinhl\/ cnof^ialiToH n^ro anH corx/ir'oc

1 IILJI My OfJ^OIClll^ti^U LiCtl t7 dl lU OOl VIUCO.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

89.6

81.5

Dressing

Residents requiring some or total assistance in dressing.

88.7

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

87.7

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
luu or lOiiei.

88.7

75.8

77.2

Continence

ncolUclllo Willi odlllclclo Ul pcti lldl (Jl lUldl lUoo Ul UUvVcl (Jl UldUUcl L/UIIIIUI.

90.6

70.0

68.2

nfcJbiuclUb uii iriuiviuudiiy wriiitJii uowci diiu uiduuci rciraiiiiriy pruyidiii.

0.9

4.9

4.6

Eating

ntrolUciUo 1 c(./<:^IVII ly lUUc IccUlliyo Ul icquiriiiy doolbldll(./C; Willi cdllliy.

40.6

36.9

37.7

ConriDletelv bedfast residents

0.9

3.0

3.4

Residents confined to chairs.

60.4

49.3

50.8

Residents requiring restraints.

62.3

40.4

41.3

Confused or disoriented residents.

67.9

61.2

58.4

Residents with bed sores.

5.7

7.0

7.1

Residents receiving special skin care.

3.8

31.2

Medicaid Residents:

304

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation, "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 lie laciiiiy uses a sysicm inax assures luii ana compiexe accouniing oi resiuenis
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three nnonths.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

305

SELECTED PERFORMANCE INDICATORS

Rpminripr* Thp^P TP Qp|pf*tpH nprfnrmflnf^P inHipsjtnrc Hn nnt rprtrpcont all thca roni ilromontc a

riwl 1 III lUVI ■ 1 1 ICOC yjC OC^IOV^lOU I^OI 1 1^1 1 1 ICll I^C II lUlLfCtlfJI O UU f IfJl 1 Cot^l 11 dll U lC7 1 OUUIl "1 1 Iv^l iio d

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

306

FORT LAUDERDALE FL

NURSING HOME PROFILE

MANOR PINES CONVALESCENT CENTER

street Address:

1701 NE 26TH ST

City and State:

FORT LAUDERDALE FL 33305

Participation:

MEDICARE SNF

# of Beds:

206

Type of Ownership:

PROPRIETARY

Survey Date:

02/15/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

188

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Battling

Residents requiring some or total assistance in bathing.

165

87.8

o1 .5

o\ .5

Dressing

Residents requiring some or total assistance in dressing.

172

91.5

o4.o

OO.d

Toileting

Residents requiring some or total assistance in toileting.

154

81.9

/b.b

70 O
/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

152

80.9

lO.O

77 O
/ / .d.

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

152

80.9

/U.U

^\ 'J • II *XA 1 1 III ■■ ■ '•

Residents on individually written bowel and bladder retraining program.

6.4

A Q

Eating

Residents receiving tube feedings or requinng assistance with eating.

37.8

oD.y

of .1

Completely bedfast residents.

1.1

T 4
o.*t

Residents confined to chairs.

49.5

49.3

50.8

Residents requiring restraints.

113

60.1

40.4

41.3

Confused or disoriented residents.

153

81.4

61.2

58.4

Residents with bed sores.

6.9

7.0

7.1

Residents receiving special skin care.

30.9

31.2

Medicaid Residents:

307

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

308

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotonny care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

309

FORT LAUDERDALE FL

NURSING HOr
NATIONAL HEALT

i/IE PROFILE

H CARE CENTER

street Address:

2000 E COMMERCIAL BLVD

City and State:

FORT LAUDERDALE FL 33308

Participation:

MEDICARE/MEDICAID SNF/ICF

# Of Beds:

253

Type of Ownersliip:

PROPRIETARY

Survey Date:

09/16/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

241

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
nigniy speciaiizeu care ana services.

FACILITY

STATE

NATION

Batliing

Residents reauirina some or total assistance in bathina

171

71.0

81.5

Dressing

Residents reauirina some or total assistance in dressina

1 1 \^ 1 \tfl \^ 1 1 %\J 1 \^ Vi 1 1 1 1 1 III \^ \^ 1 VWC 1 1 1 1 \^ III \Jt 1 \^ \^ III ■

220

91.3

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

184

76.3

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

195

80.9

75.8

77.2

Continence

RpQifipntQ with pflthpfPTQ or nf)rtif)l nr tnt?il Ioqq nf hnwpl nr hl^Hrlpr pnntrni

ri^OIVJd HO Willi L^CllI l\7l\7l 9 KJl L/dl IIOI \Jt IwlCli IwOO \J\ UwWC7i \Ji UlClLJLlOl ^WIIIIV./I>

199

82.6

70.0

68.2

RpQiHpntQ r»ri inHiv/iHi lallw \A/rittpn Kn\A/pl c*nH hIcjHHpr rotraininn nrnnr^im
ricoiUwi no KJl 1 II luiviuudiiy wi iiiwi i uuwc7i di lu uidvjud i s^ii dii iii \Ji uyi di 1 1.

3.3

4.9

4.6

Eating

RpQiHpntQ rpppix/inn ti iHp fppHinnc at rpniiirinn accictfinr'P with P^tinn

niC70IUC7l Ho 1 C7V,/dVII lU lUUC? ICC^UII lUO 1 d.fUII II lU dOOIOldl IOC? Willi Cdllll^-

36.5

36.9

37.7

CoiTiDletelv bedfdst residents

5.0

3.0

3.4

Residents confined to chairs.

144

59.8

49.3

50.8

Residents requiring restraints.

123

51.0

40.4

41.3

Confused or disoriented residents.

149

61.8

61.2

58.4

Residents with bed sores.

12.4

7.0

7.1

Residents receiving special skin care.

31.1

31.2

Medicaid Residents:

163

310

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
raoiMiy mubi meei. i nere are over ouu separaie requiremenis. i ne inrormaTion presenieo
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 lie idciiiiy ubcb a bysiem inai assures tun ana compieie accounting oi resiaenis
personal funds. An accounting report is nnade to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

311

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=)EOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

NOT MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

312

FORT LAUDERDALE FL

NURSING HOME PROFILE
PALM COURT NURSING & REHAB CENTER

street Address:

City and State:

2675 N ANDREWS AVE

FORT LAUDERDALE FL 3331 1

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

118

PROPRIETARY

03/04/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

107

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

92.5

o1 .5

ol .5

Dressing

Residents requiring some or total assistance in dressing.

92.5

o4.o

QO 0
00. d

Toileting

Residents requiring some or total assistance in toileting.

81.3

/D.b

(0.0

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

84.1

■7 r- 0

75.8

-7-7 0

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

78.5

70.0

68.2

Residents on individually written bowel and bladder retraining program.

7.5

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

29.9

36.9

0*7 "7
•if J

Completely bedfast residents.

0.0

'5 n

Residents confined to chairs.

72.9

49.3

50.8

Residents requiring restraints.

61.7

40.4

41.3

Confused or disoriented residents.

50.5

61.2

58.4

Residents with bed sores.

13.1

7.0

7.1

Residents receiving special skin care.

29.9

31.2

Medicaid Residents:

313

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

314

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

HPTlPlPnPV msv rpnr^Q^nt an onnoinn nmhiom or 9 nno-timcs fsriiiro r\i 9 cinnio ctaff norci^n
iK^i^ii^y rtiay t coci 1 1 dii Ui i^UH [Ji UUI^I II Ul ci It; ul 1 it; 1 ctllUi t::^ Ui c* oil ly 0 Idl 1 |Jt;I oUl 1.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.0

1 1 23

1 1 .y

Each resident receives rehabilitative nursing care to pronnote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

1 n'i

1 \JO

^ 1

1 Rfi9

1 7 fi
1 ( .0

Drugs are administered according to the written orders of the attending physician.

NOT MET

\\J/

07QQ

^ly.u

MET

0 1

D.4

1 QQQ

14./

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 Q
1 .v7

f;fi7
00 /

R 9

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

1 0

1 0.0

ftl R

A R
0.0

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
iri noriTidi purbuiis, inciuuing religious aciiviiies oi ine resiueni s cnoice, it any.

MET

1 4 n

1 DQQ

1 1 R

1 1 .Q

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

RO
Dc.

10 7

1 970
1 ^ / u

1 4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 9
1 ^

9 R

1 91 R

1 9 Q

All common resident areas are clean, sanitary and free of odors.

NOI MLI

'^fi
00

7 4

1 041

110

All essential mechanical and electrical equipment is maintained in safe operating
condition.

Mb 1

0 1

fi 4

141*^

1 t 1 0

14 Q

Resident care equipment is clean and maintained in safe operating condition.

MOT ^y|[^T
NU 1 M t 1

Q 7

1408

14 9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MOT Kyi FT
\\\J I IVi t 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

315

FORT LAUDERDALE FL

NURSING HOME PROFILE
ST JOHN'S REHAB AND HEALTH CARE CENTER

street Address:

City and State:

3075 NW 35TH AVENUE

FORT LAUDERDALE FL 33311

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

160

NON-PROFIT OTHER

02/10/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

155

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance In bathlna

145

93.5

81.5

Dressing

Residents reauirina some or total assistance In dresslna

1 IV^wlVIV^I 1 1 %^\Jvlll II 1^4 1 1 1^^ ^yi 1W4I blvS'lvWtl IV^N^ 11 I \>i I Ni/WWil 1 Vf ■

155

100

84.3

83.2

Toileting

Residents renuirinn some or total assistance in toiletina

155

100

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

145

93.5

75.8

77.2

Continence

Residents with cathefprs or nartial or total loss of howel or hladder control

1 I^OIvl^l 1 iO Will 1 OCIil l^lwl O \JI f.i'Cli IICII \JI IWiCll IwOO \Jl K/\JvV^l \Jl Ita'IOUUwl wwl III wli

145

93.5

70.0

68.2

Residents on indix/idiiallv written howel and hladder retraininn nronram

1 i^oiu^iiio \ji 1 II lui V luuciiiy vviiii^ii u^^vv^i cii lu i«/ici\j\j^i i ^ii ciii iii im i-^i wmi cii i i>

0.0

4.9

4.6

Eating

RpQiHpntQ rpppix/inn tiihp fppHinriQ nr rpniiirinn flQQi^tflnpp with pfltinn

39.4

36.9

37.7

Completely bedfast residents.

5.2

3.0

3.4

Residents confined to chairs.

117

75.5

49.3

50.8

Residents requiring restraints.

49.0

40.4

41.3

Confused or disoriented residents.

130

83.9

61.2

58.4

Residents with bed sores.

8.4

7.0

7.1

Residents receiving special skin care.

38.7

31.2

Medicaid Residents:

316

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies Immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies In other facilities In the State and Nation. "Met" means that the facility Is In compliance with the specific requirement, "Not Met" means the facility
was deficient in the Indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

317

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
^lEOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

318

FORT MYERS FL

NURSING HOME PROFILE
BEACON DONEGAN MANOR

street Address:

City and State:

8400 BEACON BOULEVARD

FORT MYERS FL 33901

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

150

PROPRIETARY

03/24/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

135

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

71.1

81 .5

Dressing

Residents requiring some or total assistance in dressing.

66.7

o4.o

Toileting

nesiaenis requiring some or loiai assistance in lOiieiing.

66.7

1 D.D

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

103

76.3

75 R

77 9

Continence

nesioenis wiin caineiers or partial or total loss ot Dowei or Diaaaer control.

60.7

Residents on individually written bowel and bladder retraining program.

0.7

A Q

4 ft

Eating

Residents receiving tube feedings or requiring assistance with eating.

29.6

"^7 7

compi6t6iy Deafast residents.

0.0

3 4

Residents confined to chairs.

43.0

49.3

50.8

Residents requiring restraints.

43.7

40.4

41.3

Confused or disoriented residents.

55.6

61.2

58.4

Residents with bed sores.

8.1

7.0

7.1

Residents receiving special skin care.

17.0

31.2

Medicaid Residents:

319

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a

fjlf^llltv/ miict moot Thoro ara rwi^^r ^C\C\ cor~\oroto rQ/~1l liromon+o ThiQ 'mfr\rmnfmr\ r*ir£iC>/ar»t£bW

laL/rniy iriuoi iiic^c^i. iiicic; aic uvfcji ouu oc|JaraLc; icLjuirymGnis. 1 ne iniormation preseniea
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures tliat its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ho T5l^^ilit\/ 1 icoc Q cv/ctorm thot ocoiiroc fiill onrl ^rtmr^lo+o o^/^rM in+inin rQoiiH^ir^+e*
1 Mc! IctUMIiy Uoco a oybl^ill llldl dooUloo lUli dllU CUriipicLc aUC/UUriLiriy OI roolQ^nib

personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

320

SELECTED PERFORMANCE INDICATORS

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning

anH ti ihp fppHinn

ivic: 1

7 R

1 1 ?3

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MFT

IVIC 1

1 OR

51 Q

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MOT hylCIT

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

321

FORT MYERS FL

NURSING HOME PROFILE
CALUSA HARBOUR

street Address:

City and State:

2525 E 1ST ST

FORT MYERS FL 33901

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

12/04/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

0/
VO

o/
To

Battling

nGsioenis requiring some or lotai assisiance in Daining.

85.2

0 1 .0

O 1 .0

Dressing

nesiQenxs requiring some or loiai assisiance in uressing.

87.0

ot.o

Toileting

r\c;olUt^i lib ic^LjUliliiy oUlllc:/ Ui lUldl dooloLcli lOc? Ml LUIIc;Uiiy.

85.2

76 6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tuD or lOiiet.

100

75.8

77.2

Continence

nesiaGnxs wiin CainGiGrs or paniai or loiai lOSS ot uowei or uiauu^r coruroi.

88.9

70.0

68.2

nesiuenis on inuiviauaiiy wrinen Dowei ana oiauoer reiraining program.

7.4

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

35.2

36.9

37.7

^ompieieiy DcaTasi resiuenis.

3.7

3.0

3.4

Residents confined to chairs.

33.3

49.3

50.8

Residents requiring restraints.

44.4

40.4

41.3

Confused or disoriented residents.

87.0

61.2

58.4

Residents with bed sores.

9.3

7.0

7.1

Residents receiving special skin care.

31.5

31.2

l\/ledicaid Residents:

322

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Thie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the Indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

323

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
=tEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNdiioridi ncbcarcn v^ouncii, iNaiionai Mcaucrny oi ocicncco.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

324

FORT MYERS FL

NURSING HOME PROFILE
CYPRESS MANOR

street Address:

City and State:

7173 CYPRESS ROAD SW

FORT MYERS FL 33907

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

02/25/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

■Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

73.7

81.5

Dressing

Residents requiring some or total assistance in dressing.

77.8

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

84.8

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

73.7

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

73.7

70.0

68.2

Residents on individually written bowel and bladder retraining program.

7.1

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

41.4

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

40.4

49.3

50.8

Residents requiring restraints.

53.5

40.4

41.3

Confused or disoriented residents.

66.7

61.2

58.4

Residents with bed sores.

11.1

7.0

7.1

Residents receiving special skin care.

100

31.2

Medicaid Residents:

325

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
lEOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

326

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiencv mav reoresent an nnanino nrnhlpm or a nnp-time failurp of a ^innlp ^taff npr<5nn

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 ft
/ .O

1 1

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

1 Ud

01 Q

d \ .y

or\A K
<;U4o

01 ft
ii \ .D

Each resident needing assistance in eating or drinl<ing is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

INtJ 1 IVIt 1

107

99 1

?Q 0

NO 1 Mh 1

6 4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mb 1

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

Mb 1

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in nnrmfll niirQiiitQ inr^liiHinn rolini/^iiQ ar^tix/itifiic r^f tho rociHont*c r*hr»ir*o if anx/

III 1 ILfl 1 1 Idl (JUIoUllO) 11 IwlUUIil^ lOll^lUUo dOUVILICO Ul 11 Ic^ IC^olU^^Mlo L/l lUIOc^i II dl ly.

Mb 1

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

Mb 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

IVIC 1

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

IVlC 1

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

327

FORT MYERS FL

NURSING HOME PROFILE
FORT MYER CARE CENTER

street Address:

City and State:

13755 GOLF CLUB PKWY

FORT MYERS FL 33906

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

107

PROPRIETARY

12/04/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

IllUjliiy opUUIall^UU Ucllc; dllU oclvl^c;o.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

99.0

81.5

Dressing

Residents requiring some or total assistance in dressing.

99.0

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

83.7

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

83.7

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

83.7

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

1 1 1 ^1 1 1 II 111 ^1 1 V 1 ^1 d V4 11/ VVIIV 1 1 1^ V ¥ 1 1 1 ^1 9j 1 ^1^1 1 1 K 1 II III 1 V4 1 i ills

6.1

4.9

4.6

Eating

Resident*; recsivina tube feedina<? or reouirino a<;<;i<?tance with eatina

43.9

36.9

37.7

Completely bedfast residents.

6.1

3.0

3.4

Residents confined to chairs.

37.8

49.3

50.8

Residents requiring restraints.

29.6

40.4

41.3

Confused or disoriented residents.

73.5

61.2

58.4

Residents with bed sores.

4.1

7.0

7.1

Residents receiving special skin care.

34.7

31.2

Medicaid Residents:

328

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at thie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance Indicators do not represent all the requirennents a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^lEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

329

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:NT of FACILITIES
REQUIREMENTS

NATION

u
ft

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feedina

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MFT

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

330

FORT MYERS FL

NURSING HOME PROFILE
LEE CONVALESCENT CENTER

street Address:

City and State:

2826 CLEVELAND AVE

FORT MYERS FL 33901

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

146

PROPRIETARY

05/27/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

144

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

ResidGnts requiring some or total assistance in bathing.

130

90.3

Q-i C

Ol .0

Q-i C

b 1 .0

Dressing

Residents requiring some or total assistance in dressing.

120

83.3

o4.o

oo.<i

Toileting

Residents requiring some or total assistance in toileting.

113

78.5

fO.O

/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

106

73.6

/ O.O

77 O

Continence

Residents with catheters or partial or total loss of bowel or bladder ontrol.

125

86.8

/u.u

\i0.c.

Residents on individually written bowel and bladder retraining program.

4.2

/ Q

Eating

Residents receiving tube feedings or requiring assistance with eating.

28.5

oD.y

uompieteiy DeaTast residents.

4.2

Residents confined to chairs.

62.5

49.3

50.8

Residents requiring restraints.

58.3

40.4

41.3

Confused or disoriented residents.

120

83.3

61.2

58.4

Residents with bed sores.

11.8

7.0

7.1

Residents receiving special skin care.

59.0

31.2

Medicaid Residents:

112

331

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infhnges upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

332

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet, There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

1 1.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 f.O

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

1oo9

•i A ~7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

■1 n

1 .y

cov
oof

c o
o.d

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

■ICC

1 o.o

Ol D

Q ft
O.D

MET

1 4.U

1 uyy

11ft
M .O

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

-1 r> 7
1 U. /

■i o7n
1 <i r u

A'i A
1 J.H

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 c.

0 c

1 ^ 1 D

1 9 Q

All common resident areas are clean, sanitary and free of odors.

MET

'iR
JD

7 A

1 U't 1

1 1 n

1 1 .u

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

O 1

R A

141'?

1 H 1 O

14 Q

Resident care equipment is clean and maintained in safe operating condition.

MET

Q 7

14 Q

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

333

FORT MYERS FL

NURSING HOME PROFILE
SHADY REST NH

street Address:

City and State:

2300 N AIRPORT RD

FORT MYERS FL 33907

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

105

LOCAL GOVERNMENT

04/13/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\Aedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
nigniy speciaiizeu care ano services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

89.8

81.5

Dressing

Residents reouirina some or total assistance in dressina

1 1 V Wl VI Vi' 1 1 1 V' VI VI 1 1 1 I 1 U I 1 1 kVt 1 V4 W Wl W ^ V<l 1 WW i 1 1 VI 1 W Wl I 1 \A •

76.5

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

I 1 V/ wl vl W I 1 1 w Vl U II II I U w V 1 1 1 w \J\ \\J Lvl 1 V( w wl w tvll 1 WW III Iwl 1 w kl 1 1^ •

64.3

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

lUU Ui lUllt;l.

62.2

75.8

77.2

Continence

RpQiripntQ with p^^thptprQ nr nartifll or tntal Ioqq nf hnwpl nr hl^iHHpr pnntrol
rt^oivi^iiio Willi ociii idd o \j\ L/cii iidi ^1 iwidi iwoo \j\ UL/Vvc^i \J\ uiciuvjwi ov/iiii^ji.

53.1

70.0

68.2

RpQiHpntc nn inHi\/irli lallw \A/rittpn hri\A/pl anH KlaHHpr rptraininn nronrflm
ric^oiuC'i Ho \j\ 1 11 ivjiviuudiiy wi iiid i u^wc^i di lu uiduuci i c^ii dii iii \j\ di 1 1.

3.1

4.9

4.6

Eating

RociHontc ro/^oi\/inn ti iKo fooHinnc r\r rom lirinn accictan^o \A/ith ostinn
rit70tUc7i 1 lo lC7Uc7lvliiy lUUc; It^UUIiiyo Ui Ic^L^UIIIiiy doololdilOc:? Willi c;dllliy>

17.3

36.9

37.7

0.0

3.0

3.4

Residents confined to chairs.

53.1

49.3

50.8

Residents requiring restraints.

0.0

40.4

41.3

Confused or disoriented residents.

54.1

61.2

58.4

Residents with bed sores.

6.1

7.0

7.1

Residents receiving special skin care.

55.1

31.2

Medicaid Residents:

334

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. Tfie Federal Government requires facilities to correct deficiencies Immediately or to submit a
plan indicating deficiencies will be corrected withiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in tfie State and Nation. "Mei" means that the facility Is in compliance with the specific requirement. "Not fvlet" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
fVlET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

N/IET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

tVlET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

335

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=iEOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

336

FORT PIERCE FL

NURSING HOME PROFILE
ABBIEJEAN RUSSELL CARE CENTER

street Address:

City and State:

700 S 29TH ST

FORT PIERCE FL 33450

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

NON-PROFIT OTHER

04/23/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

94.9

81 .5

Dressing

Residents requiring some or total assistance in dressing.

96.2

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

91.0

7d.d

"70 O

fo.o

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

82.1

"7C Q

/b.8

/ 1.^1

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

69.2

fV.V

_ *_| ■ • I" • 1 II * AX 1 1 lllll X'*

Residents on individually wntten bowel and bladder retraining program.

6.4

A Q

4.y

A R

Eating

Residents receiving tube feedings or requinng assistance with eating.

61.5

oD.y

ol .1

Completely bedfast residents.

11.5

Residents confined to chairs.

70.5

49.3

50.8

Residents requiring restraints.

57.7

40.4

41.3

Confused or disoriented residents.

57.7

61.2

58.4

Residents with bed sores.

3.8

7.0

7.1

Residents receiving special skin care.

64.1

31.2

Medicaid Residents:

337

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures tliat its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

338

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1 123

1 1 .9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 \JO

91 0
c. 1 .c.

1 7 R
1 / .D

Drugs are administered according to the written orders of the attending physician.

MET

\\jf

^y.U

MET

1 ooy

^A'7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

NOT MET

1 .y

Oo /

R 9

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

1 0

1 o.o

O 1 Q

ft R

MET

1 ^.u

1 1 R

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

RO
0£.

1 n 7

1 VJ. /

1 970

1 4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 0
1 c

1 91 fi

19 Q

All common resident areas are clean, sanitary and free of odors.

MET

7 4

1041

110

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

O 1

fi 4

141"^

14 9

Resident care equipment is clean and maintained in safe operating condition.

MET

Q 7

1408

14 9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

339

FORT PIERCE FL

NURSING HOME PROFILE
FORT PIERCE CARE CENTER

street Address:

City and State:

703 S 29TH ST

FORT PIERCE FL 33450

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

107

PROPRIETARY

08/06/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

100

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

niciniy sp6ci3iiz6Q care ano sbiVicgs.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

66.0

81.5

Dressing

Residents reauirina some or total assistance in dressina

86.0

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

86.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

86.0

75.8

77.2

Continence

Resident'? with catheter*? or Dartial or total loss of howel or bladder control

85.0

70.0

68.2

Rp^iripnt^ on indix/irlur^llv writtpn hnwpl and hlariripr rptraininn nronram

1.0

4.9

4.6

Eating

Residents repeivinn tiihe feedinns or reniiirinn assistanpp with eatina

29.0

36.9

37.7

Completely bedfast residents.

6.0

3.0

3.4

Residents confined to chairs.

41.0

49.3

50.8

Residents requiring restraints.

50.0

40.4

41.3

Confused or disoriented residents.

64.0

61.2

58.4

Residents with bed sores.

4.0

7.0

7.1

Residents receiving special sidn care.

65.0

31.2

Medicaid Residents:

340

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING 1

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

341

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNaiionai nesearcn oouncii, iNaiionai Mcauemy or ociences.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

342

FORT PIERCE FL

NURSING HOME PROFILE

SUNRISE MANOR

street Address:

City and State:

611 S 13TH ST BOX 1658

FORT PIERCE FL 33450

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

171

PROPRIETARY

09/17/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

147

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

123

83.7

81 .5

81.5

Dressing

Residents requiring some or total assistance in dressing.

132

89.8

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

132

89.8

76.6

73.0

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

132

89.8

75.8

"7"7 0

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

59.2

70.0

coo

60.2

Residents on individually written bowel and bladder retraining program.

3.4

4.9

4.D

Eating

Residents receiving tube feedings or requiring assistance with eating.

7.5

ob.y

61.1

Completely bedfast residents.

13.6

T n

Residents confined to chairs.

102

69.4

49.3

50.8

Residents requiring restraints.

32.7

40.4

41.3

Confused or disoriented residents.

33.3

61.2

58.4

Residents with bed sores.

18.4

7.0

7.1

Residents receiving special skin care.

147

100

31.2

IVIedicaid Residents:

119

343

SELECTED PERFORMANCE INDICATORS

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

ThG facility Gnsures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at ail times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

344

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facilitv must meet There are nver ^00 ^enarate rpnuirement^ The information ore^^pntpd
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=tEOUIREMENTS

NATION

tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

Mil uiiyuiiiy piuyidin ui iii^aiiiiiyiui ciuuviuc?b lo piuviuc^u, ucibc;u uii lucriiiiicu rioc^uo
and interests of each resident. It is designed to promote opportunities for engaging
in normal pursuits, including religious activities of the resident's choice, if any.

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

345

FORT WALTON BEACH FL

NURSING HOME PROFILE
FT WALTON BEACH CARE CENTER

street Address:

City and State:

1 LBJ SR DRIVE

FORT WALTON BEACH FL 32548

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

02/23/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

118

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

RpsiHpnt^ rpniiirinn ^nmp nr tntfll fl^^i^tflnpp in hathinn

110

93.2

81 5

81.5

Dressing

Rp^iripnt^ rpniiirinn ^nmp nr tntfll a^^i^tanpp in rlrp^^inn

1 l^OIUwIILO l^\JL4IIIIIU OWIIIw \Jl LCII dOOlO ICll Iww III VJIwOOIIIM>

107

90.7

84.3

83.2

Toileting

Rp^iHpnt^ rpniiirinn ^omp or tnt^^l ^iQ^i^t^inpp in tnilptinn

73.7

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
lUD or loiiei.

64.4

75.8

77.2

Continence

r\t7olU^IILo Willi Udll lt;Lt;l o Ui pdi Udl Ul lULctI lUbo Ul UUWt^l Ul iJIctUUUI UUIIIIUI.

60.2

70.0

68.2

nt^olUUIIlo Uil 11 lUI VllJUaliy WMUUII UUWt^l ailU UlctUUc;i lt;liallliny IJiuyidlll.

11.0

4.9

4.6

Eating

nt;olUt;illo it;uUIVIilL) lUU^ lt^(:;Uliiyo Ul ic^LjlJiriliy ctbolblai lUt::' Willi Uallliy.

35.6

36.9

37.7

ComDietelv bpHfaQt rAQiHpnt^

5.1

3.0

3.4

Residents confined to chairs.

73.7

49.3

50.8

Residents requiring restraints.

49.2

40.4

41.3

Confused or disoriented residents.

58.5

61.2

58.4

Residents with bed sores.

10.2

7.0

7.1

Residents receiving special skin care.

19.5

31.2

Medicaid Residents:

346

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and conriplete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

347

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiencv mav represent an onaoina oroblem or a one-time failure of a sinale <5taff oerson

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

QQ
OO

7 Q
/ .O

1 1 do

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21 .9

2045

21 .6

Each resident needing assistance in eating or drinl<ing is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

1 \Jw

?1 2

166?

17 6

Drugs are administered according to the written orders of the attending physician.

IVIt 1

107

1 V /

00 1

00 n

MET

O 1

1'^ftQ

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mb 1

1 Q

6 2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MOT ^/ICT
INC 1 Mt 1

1 S 5

816

8 6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

III 1 iL/i M idi ^uiouiio, II iwiuuii ly icMuiuuo duuviLico \j\ 11 ic looiut^nio (..'iiuioo, ii diiy.

l\flt 1

14 0

1099

1 1.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MOT ^/IPT

10 7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

\V\C 1

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

NOT MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

348

FORT WALTON BEACH FL

NURSING HOME PROFILE
GULF CONVALESCENT CENTER

street Address:

City and State:

114 3RD ST SE

FORT WALTON BEACH FL 32548

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

09/11/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

118

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

115

97.5

OH C

81.5

81 .5

Dressing

Residents requiring some or total assistance in dressing.

76.3

84.0

00.2

Toileting

Residents requiring some or total assistance in toileting.

69.5

fO.O

"70 O

1 o.o

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

66.1

fo.o

77 O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

76.3

fV.V

Residents on individually written bowel and bladder retraining program.

5.1

A Q

4.D

Eating

Residents receiving tube feedings or requiring assistance with eating.

46.6

oD.y

•57 7

completely Dedfast residents.

16.1

3 4

Residents confined to chairs.

24.6

49.3

50.8

Residents requiring restraints.

32.2

40.4

41.3

Confused or disoriented residents.

74.6

61.2

58.4

Residents with bed sores.

5.9

7.0

7.1

Residents receiving special skin care.

56.8

31.2

Medicaid Residents:

110

349

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING 1

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

350

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

NOT MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functionina to orevent loss of abilitv to walk or move freelv deformities and oaralvsis

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

H no
1 Uo

OH O

1 ceo

1 7 C

1 ^.b

Drugs are administered according to the written orders of the attending physician.

MET

107

22.. \

2739

29.0

MET

C A

D.4

1 doy

1/17

14./

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 .y

CQ7

c o
b.^

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

/ 0

ICC

1 0.0

Of b

o.b

MET

•\ A C\

1 4.U

1 uyy

I 1

I I .b

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

1 U. /

-1 07n

1 O /I
1 d.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

o c

i OH C
1 ill b

1 O Q

1 ii.y

All common resident areas are clean, sanitary and free of odors.

MET

1 (\A i
\ U4 1

1 1 n
1 1 .u

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

P. A
D.4

1/110
1 4 1 d

1 /I Q

Resident care equipment is clean and maintained in safe operating condition.

MET

Q 7

y. /

1 AC\ik
\ 4 UO

1 4 Q
1 t.y

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13 2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full sun/ey are available
from the State survey agency or the State ombudsman.

351

FORT WALTON BEACH FL

NURSING HOME PROFILE
WESTWOOD HEALTH CARE CENTER

street Address:

City and State:

1001 MAR WALT DR

FORT WALTON BEACH FL 32548

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

05/25/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
nigniy speciaiizeu care ana services.

FACILITY

STATE

NATION

Bathing

RGSidents requiring some or total assistance in bathing.

81.7

81.5

Dressing

Residents requiring some or total assistance in dressing.

83.3

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

83.3

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

80.0

75.8

77.2

Continence

Residents with catheters or nartial or total loss of bowel or bladder control

78.3

70.0

68.2

Rp^irlpnt^ on inHix/irluflllv writtpn hnwpl anrj hlj^HHpr rptraininn nrnnram

8.3

4.9

4.6

Eating

RpQiripntQ rpr*pi\/inn tiihp fppHinn^ nr rpniiirinn ^^^Qi^t^inpp with Pfltinn

ri^OII-JC^I 1 LO lO^OIVIIIU \Jl lC7LJUIIIII^ CtOOlO Lul Willi ^Cllll i^*

33.3

36.9

37.7

Completely bedfast residents.

1.7

3.0

3.4

Residents confined to chairs.

33.3

49.3

50.8

Residents requiring restraints.

35.0

40.4

41.3

Confused or disoriented residents.

58.3

61.2

58.4

Residents with bed sores.

6.7

7.0

7.1

Residents receiving special skin care.

10.0

31.2

Medicaid Residents:

352

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

353

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotonny care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote maxinnum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

354

GAINESVILLE FL

NURSING HOME PROFILE
ALACHUA NURSING CENTER

street Address:

City and State:

1000 S W 16TH AVE

GAINESVILLE FL 32601

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICAID SNF/ICF

120

PROPRIETARY

04/17/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

100

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

95.0

81 .5

Dressing

Residents requiring some or total assistance in dressing.

89.0

84. o

CO o

oo.d.

Toileting

Residents requiring some or total assistance in toileting.

87.0

/b.D

70 Q
lO.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

79.0

/b.o

77 O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

58.0

/U.U

Residents on individually written bowel and bladder retraining program.

2.0

A Q

A R

Eating

Residents receiving tube feedings or requiring assistance with eating.

44.0

00.9

Of .1

completely bedfast residents.

1.0

T 4

Residents confined to chairs.

36.0

49.3

50.8

Residents requiring restraints.

44.0

40.4

41.3

Confused or disoriented residents.

29.0

61.2

58.4

Residents with bed sores.

9.0

7.0

7.1

Residents receiving special skin care.

0.0

31.2

Medicaid Residents:

355

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Thie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected witfiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in otfier facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

356

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MFT

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=fEQUIREMENTS

NATION

o/
vo

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning

onH ti iKo fooHinn

cti lU luuc/ icouii ly.

Mt I

7.8

1 123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

INW 1 IVIC 1

?1 q

21 6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

Mb 1

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

NOT MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

357

GAINESVILLE FL

NURSING HOME PROFILE
GAINESVILLE NURSING CENTER

street Address:

City and State:

4000 SW 20TH AVE

GAINESVILLE FL 32601

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICAID SNF/ICF

PROPRIETARY

02/10/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Rp<5idpnt<5 rpnuirinn <;omp or total a<5<?i<?tanf:p in hathina

1 1 ^ wl vl w 1 1 Lw 1 U 1 1 II 1 U Owl 1 1 w \J 1 mi dwwl O Idl 1 V/ w III W v4 11 III l^>

89.2

81.5

Dressing

Rp«?iripnt«5 rpniiirinn «!omp or total a<5<ii«;tanrp in drp<><5inn

88.0

84.3

83.2

Toileting

Rp^iHpnt^ rpniiirinn ^omp or total a^^i^tanpp in toilptinn

1 I^OI\J^lllO 1 ^ULIil 11 lU owl liw \JI IWIGI dOOIwlCll Iv^ III Iwll^LIIIU*

74.7

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

lUU Ul lUllcl.

73.5

75.8

77.2

Continence

nColUwl Ho Willi Ocilll^l.^lo U\ pdl lldl Ui lUlCll lUoo Ul UUWt^l U) UldUUcI OL/llllwl*

75.9

70.0

68.2

nc7olUdllo Ul 1 II lUiVIUUciliy Wllllc^ll UUWt;l dllU UldUUc;l It^Udllllliy [Jiuyidlll*

2.4

4.9

4.6

Eating

ncoiumiio icL/civiiiy luuc iccuiiiyo ui icv.^uiiiiiy ctooisidiiot; wiiii eaiiiiy.

24.1

36.9

37.7

Comoletelv bedfast residents

1.2

3.0

3.4

Residents confined to chairs.

65.1

49.3

50.8

Residents requiring restraints.

49.4

40.4

41.3

Confused or disoriented residents.

57.8

61.2

58.4

Residents with bed sores.

6.0

7.0

7.1

Residents receiving special sl<in care.

41.0

31.2

Medicaid Residents:

358

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation, "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0 '

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

359

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=iEOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote nnaxinnum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

iNdUwficii ric;oc^ciiuii ouuiiLrii, iNdUUMcii rAUcivj^iiiy ui ouic^i i\./Co.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

360

GAINESVILLE FL

NURSING HOME PROFILE
NORTH FLORIDA SPECIAL CARE CENTER

street Address:

City and State:

6700 NW 10TH PLACE

GAINESVILLE FL 32605

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

11/20/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

113

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Rp^iripnt*? rpniiirinn <;nmp or tntal ?)<;<5i<?tflnpp in hathinn

1 l^OIVJwIILO IwVJUIIIIIM OWIII^ \JI \\J tell ClOOlOlCllIv^^ III k/ClilllllM<

107

94.7

81.5

Dressing

RociHontc roni lirinn c/^mo at total Qccictsnr'o in Hroccinn

109

96.5

84 3

83 2

Toileting

nesiuenis requiring some or loiai assisiance in loiieiing.

107

94.7

7fi fi

7*^ ft

Transferring

Residents requiring some or total assistance moving from bed to chair or to

X. .u. x.m.:Im.x

tub or toilet.

107

94.7

1^ ft

77 P

Continence

nesiaents wiin catneters or partial or total loss ot Dowei or Diaaaer control.

110

97.3

70 0

nesiaenxs on inaiviauaiiy wriuen oowei ana Diaoaer reiraining program.

0.9

4 9

4.6

Eating

nebiuenis receiving luue leeuings or requiring assisiance witn eating.

33.6

36.9

37.7

Completely bedfast residents.

0.9

3.0

3.4

Residents confined to chairs.

78.8

49.3

50.8

Residents requiring restraints.

39.8

40.4

41.3

Confused or disoriented residents.

77.0

61.2

58.4

Residents with bed sores.

0.9

7.0

7.1

Residents receiving special skin care.

33.6

31.2

Medicaid Residents:

361

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

.NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

362

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

vj^Mwioiik^y iiiay icpi coci r i cti i Ui lyuii ly (JIUUIv^ill Ul CI Ul Mc IcillUI c; U) a oil lUI^ oLcti 1 Uci oUl 1.

facility

MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotonny care, suctioning
and tube feeding.

MET

"7 O

7.8

1 123

1 1 .9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 uo

o^ o

c. \ .c.

1 RRO
1 DO^

1 7 fi
1 / .D

Drugs are administered according to the written orders of the attending physician.

K 1 ~F It j| r~~ T

NOT MET

1 U/

MET

D.4

1 doy

1/17

1 4. /

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

\ .y

Do f

fi 0

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

1 0

1 D.O

O 1 D

fl fi

O.D

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal pursuits, inciuaing religious aciiviiies ot tne resiaent s cnoice, it any.

MET

1 4 n

1 't.U

1 uyy

1 1 fi

1 1 .u

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10 7

1 V. /

1 P7n

n 4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 0
1 c.

1 P Q

All common resident areas are clean, sanitary and free of odors.

MET

7 4

110

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

O 1

fi 4

141*^

14 Q

Resident care equipment is clean and maintained in safe operating condition.

Mb 1

9 7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

Mt 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

363

GAINESVILLE FL

NURSING HOME PROFILE
PALM GARDEN GAINESVILLE

street Address:

City and State:

227 SW 62ND BLVD

GAINESVILLE FL 32607

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

04/21/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

93.2

81.5

Dressing

Residents requiring some or total assistance In dressing.

79.7

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

70.3

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tiih nr tnilpt

74.3

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

59.5

70.0

68.2

Residents on individually written bowel and bladder retraining program.

0.0

4.9

4.6

Eating

Residents receivina tube feedinas or reauirina assistance with eatina

23.0

36.9

37.7

Completely bedfast residents.

2.7

3.0

3.4

Residents confined to chairs.

32.4

49.3

50.8

Residents requiring restraints.

10.8

40.4

41.3

Confused or disoriented residents.

70.3

61.2

58.4

Residents with bed sores.

12.2

7.0

7.1

Residents receiving special skin care.

12.2

31.2

Medicaid Residents:

364

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=tEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

365

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=1E0UIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to wall< or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNaiionai nesearcn i^ouncii, iNaiionai Mcaaemv oi ociences.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

366

GAINESVILLE FL

NURSING HOME PROFILE
THE OAKS RESIDENTIAL & REHAB CTR

street Address:

City and State:

3250 SW 41ST PLACE

GAINESVILLE FL 32608

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

179

PROPRIETARY

11/23/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

147

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

112

76.2

O 1 .0

Q1 C
Ol .0

Dressing

Residents requiring some or total assistance in dressing.

124

84.4

o4.o

QQ O
OO.C

Toileting

Residents requiring some or total assistance in toileting.

106

72.1

/ D.D

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

66.0

7^ ft

77 9

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

110

74.8

70 n

fift 9

Residents on individually written bowel and bladder retraining program.

0.0

A Q

Eating

Residents receiving tube feedings or requiring assistance with eating.

50.3

?7 7

v^ofiipiciciy DeuTasi resiuenis.

3.4

3.0

3.4

Residents confined to chairs.

108

73.5

49.3

50.8

Residents requiring restraints.

41.5

40.4

41.3

Confused or disoriented residents.

60.5

61.2

58.4

Residents with bed sores.

12.9

7.0

7.1

Residents receiving special sl<in care.

32.7

31.2

Medicaid Residents:

125

367

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Thie Federal Government requires facilities to correct deficiencies Immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected perfornnance indicators do not represent all the requirements a
idoiiiiy FTiubi FTititii. i riers are over ouu separate recjuiremenis. i ne inTormaiion presenteo
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

NOT MET

1.9

201

2.1

"Tho fci^ilit\/ 1 icoc d c\/ctam that occi ir£ic fiill onH /*>ri m ol^nto ^r^r^m irti'mn i^t r£ioiH£into'
1 1 Ic IdUllliy Uoc;o a oyolc^lil Uldl aooUit;o lUM dllU UUlIipiclc dOOUUrUiny (JT rc^olQonio

personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

NOT MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

NOT MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

368

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

NOT MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote nnaximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

Nj^tir^n^il RpQAJ^rph r^nitnpil Nfltinnal ApflHpmu of ^pipnpPQ

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

369

GAINESVILLE FL

NURSING HOME PROFILE
UNIVERSITY NURSING CARE CENTER

street Address:

City and State:

1311 SW 16TH ST

GAINESVILLE FL 32608

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

180

PROPRIETARY

02/12/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

171

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Battling

Rssident<> rsauirina some or total assistanop in bathina

146

85.4

81.5

Dressing

Rpsidpnts rpniiirinn <5omp or total a^^i<?tanrp in rirp<5*iinn

120

70.2

84.3

83.2

Toileting

Rp^idpnt^ rpniiirinn ^omp or total a^^i^tanpp in toilptinn

1 I^OIVJv^l no 1 W\JUII II lU OV^I i 1^ \Jt l\^LCll ClOOIwLCll Iw^ II 1 Lwlldll IM> .

120

70.2

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih r\r tr^ilot

100

58.5

75.8

77.2

Continence

Rp^irlpnt^ with pathptprQ nr n?irti?*l nr tntal Ioqq nf hnwpl nr hlarlrlpr pnntrni

IIOOIU^IIIO Willi \^Clll ld\7i o \Jl IJdi lldl Wl IVjldi IwOO \Jl U\JWC7I \J\ UidUUv?! UUIIll^JI.

123

71.9

70.0

68.2

RpQiripntQ nn inHiv/irli iaIIv vA/rittPn hnxA/pl anH hlaHrlpr rptraininn nrnnrsim
riooivjd Ho \ji \ iiiLJiviuudiiy wi iiid i uuwwi di lu Ufduuc:?! i c^ii dii iii yj\ yJ^* di 1 1.

2.3

4.9

4.6

Eating

nooiuc^iiio ic^ooiviiiy luuc^ it^ouiiiyo ui loi^uiiiiiy dooioidiiuc wiui oaiiiiy.

9.9

36.9

37.7

Completely bedfast residents.

12.3

3.0

3.4

Residents confined to chairs.

40.9

49.3

50.8

Residents requiring restraints.

39.2

40.4

41.3

Confused or disoriented residents.

106

62.0

61.2

58.4

Residents with bed sores.

14.0

7.0

7.1

Residents receiving special skin care.

14.6

31.2

IVIedicald Residents:

150

370

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at tfie time of survey. The Federal Government requires facilities to correct deficiencies Immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies In other facilities In the State and Nation. "Met" means that the facility Is In compliance with the specific requirement. "Not Met" means the facility
was deficient In the Indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=IEOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

371

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to wall< or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinl^ing is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

372

GRACEVILLE FL

NURSING HOME PROFILE
JACKSON CO CONVALESCENT CENTER

street Address:

City and State:

1002 SANDERS AVENUE

GRACEVILLE FL 32440

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

120

PROPRIETARY

02/04/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

117

l\Aedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

70.9

81 .5

Dressing

Residents requiring some or total assistance in dressing.

71.8

84.3

oo o
00.2

Toileting

Residents requiring some or total assistance in toileting.

68.4

fO.O

"70 O
/O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

76.9

/ O.O

"77 O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

68.4

/ U.vJ

Residents on individually wntten bowel and bladder retraining program.

0.0

/i Q

4.y

A ft

Eating

Residents receiving tube feedings or requinng assistance with eating.

65.0

oD.y

"^7 7

Completely bedfast residents.

6.0

3 0

3 4

Residents confined to chairs.

34.2

49.3

50.8

Residents requiring restraints.

56.4

40.4

41.3

Confused or disoriented residents.

66.7

61.2

58.4

Residents with bed sores.

6.0

7.0

7.1

Residents receiving special skin care.

19.7

31.2

l\/ledicaid Residents:

113

373

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at thie time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan Indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in ottier facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

374

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

NOT MET

1 1 Q

M .y

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21 .9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 yjo

17 fi

Drugs are administered according to the written orders of the attending physician.

INLJ 1 Mt 1

1 07
1 U /

MET

O 1

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mt 1

1 Q

1 .W

6 2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

IVit 1

fi16

R fi

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in nnrmsl niirQiiitQ inpliiHinn rAlininiic ^otiv/itioc r^f tho rociHont'c r'hni^o if onv/
III 1 IVJI 1 1 ICll puiouiLo, II lOIUUII ly ICliyiUUo CtOUVIllVo Ui LI iColUt^lllo OMUlUt?, II ally.

NU 1 Mt 1

14 0

lOQQ

11 6

1 1 ,\J

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

Mt 1

10 7

1270

13 4

Toilet and bath facilities are clean, sanitary, and free of odors.

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

NOT MFT

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MOT MFT

INW 1 IVI Cm 1

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

1 1 IVI ^ 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

375

GREEN COVE SPRINGS FL

NURSING HOME PROFILE
GREEN COVE SPGS GERIATRIC CENTER

street Address:

City and State:

803 OAK ST

GREEN COVE SPRINGS FL 32043

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

120

PROPRIETARY

12/11/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

116

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
nigniy speciaiizeu care ana services.

FACILITY

STATE

NATION

Bathing

RGsidents rGQuirina sonriG or total assistance in bathina

51.7

81.5

Dressing

Residents reauirina some or total assistance in dressina

75.0

84.3

83.2

Toileting

Resident*? reauirina some or total assistance in toiletina

1 1 ^ wl U w 1 1 iw 1 V ^ U 1 1 II 1^ O V 1 1 1^ V^l Lw iUl O m 1 1 III 1 1 ^ til lu •

66.4

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
lUD or loiiet.

62.1

75.8

77.2

Continence

nebiuenis wiin caineiers or parxiai or loxai loss oi uowei or uiaouor coruroi.

59.5

70.0

68.2

nesiaenis on inaiviauaiiy wrinen oowei ana Diauoer reiraining program.

0.0

4.9

4.6

Eating

nesiaenis receiving luue Teeaings or rec|uiring assisiance wiin eating.

17.2

36.9

37.7

0.0

3.0

3.4

Residents confined to chairs.

41.4

49.3

50.8

Residents requiring restraints.

42.2

40.4

41.3

Confused or disoriented residents.

68.1

61.2

58.4

Residents with bed sores.

8.6

7.0

7.1

Residents receiving special skin care.

19.0

31.2

l\/ledicaid Residents:

103

376.

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and connplete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

NOT MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

377

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

378

GREENVILLE FL

NURSING HOME PROFILE
PINE LAKE NH

street Address:

City and State:

HIGHWAY 90 E

GREENVILLE FL 32331

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/iCF

PROPRIETARY

03/17/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

82.1

81 .5

OA C

81 .5

Dressing

Residents requiring some or total assistance in dressing.

91.1

84. o

00.2

Toileting

Residents requiring some or total assistance in toileting.

89.3

7d.d

"70 O
lO.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

89.3

75.8

7"7 O
f I .tL

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

50.0

fU.V

CO o

Residents on individually written bowel and bladder retraining program.

8.9

A n

A a

Eating

Residents receiving tube feedings or requinng assistance with eating.

33.9

1R Q

oD.y

•37 7

Ol .1

Completely bedfast residents.

1.8

T 4

Residents confined to chairs.

26.8

49.3

50.8

Residents requiring restraints.

46.4

40.4

41.3

Confused or disoriented residents.

55.4

61.2

58.4

Residents with bed sores.

3.6

7.0

7.1

Residents receiving special skin care.

53.6

31.2

Medicaid Residents:

379

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing sen/ices are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

380

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

UCii^idiuy iiiay icpitJoclll ail UliyUlliy |JiUUIc;lll Ul a Uiiy'lllllfc; IdMUlU Ul a blllQIS olaTT pSlSOn.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1 123

1 1.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 ceo

1 7 C
1 /.D

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 .y

Oof

c o

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

■ICC

1 0.0

QIC

O.D

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal pursuiis, inciuuing religious aciiviiies oi tne resioent s cnoice, it any.

MET

\ 4.U

1 uyy

1 1 R
I 1 .D

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

0£.

1 u. /

1 ^ / u

1 "5 4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 0

1 C.

1 ^ 1 D

1 9 Q

All common resident areas are clean, sanitary and free of odors.

Mt 1

7 A

1 Hill

1 1 fi

All essential mechanical and electrical equipment is maintained in safe operating
condition.

Mt 1

O 1

R A

1 H 1 O

14 Q

Resident care equipment is clean and maintained in safe operating condition.

Mt 1

Q 7

1408

14 Q

Isolation techniques to prevent the spread of infection are followed by all personnel.

Mt 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

381

GULF BREEZE FL

NURSING HOME PROFILE
BAY BREEZE NURSING & RETIREMENT CTR

street Address:

City and State:

3375 GULF BREEZE PARKWAY

GULF BREEZE FL 32561

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

04/15/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It nnay reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Pocjrjpntc rpouirina <5omp or total assistance in bathina

83.7

81.5

Dressing

Rssidpnts rpouirino some or total assistance in dressina

92.5

84.3

83.2

Toileting

Residents renuirinn some or total assistance in toiletinn

92.5

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

75.0

75.8

77.2

Continence

Rp^iHpnt^ with r?ithptpr^ nr nartifll or tntpil Ioqq nf hnwpl nr hlpiHHpr pnntrol

67.5

70.0

68.2

RpQiHpntQ inHiwiHi islK/ writtpn Kava/pI anH hl^iHHpr rptrflininn nrr>nr?im
iiooivjc^iiio \j\ I Miuivivjucniy wi i iici i Wwi di lu uiduuo ic^iiciiiiiii^ yj\ cii m.

5.0

4.9

4.6

Eating

rit;oiUUillo icUtrlVlliy lUUU It^cUliiyo Ul lt;^Unliiy ctoololcii )L«^ Willi c;ciUii^.

36.2

36.9

37.7

ConiDletelv bedfast residents

7.5

3.0

3.4

Residents confined to chairs.

57.5

49.3

50.8

Residents requiring restraints.

58.7

40.4

41.3

Confused or disoriented residents.

60.0

61.2

58.4

Residents with bed sores.

5.0

7.0

7.1

Residents receiving special skin care.

11.2

31.2

Medicaid Residents:

382

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

383

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

384

GULFPORT FL

NURSING HOME PROFILE
GULFPORT CONVALESCENT CENTER

street Address:

City and State:

1414 59TH ST S

GULFPORT FL 33707

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

04/20/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

115

l\/ledicare Residents:

FACILITY

STATE

NATION

Battling

Residents requiring some or total assistance in bathing.

68.7

OH C

81 .5

Dressing

Residents requinng sonne or total assistance in dressing.

75.7

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

67.8

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

56.5

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

52.2

70.0

68.2

Residents on individually written bowel and bladder retraining program.

0.0

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

18.3

db.y

07 7

o( .1

Completely bedfast residents.

0.9

Residents confined to chairs.

54.8

49.3

50.8

Residents requiring restraints.

27.8

40.4

41.3

Confused or disoriented residents.

59.1

61.2

58.4

Residents with bed sores.

11.3

7.0

7.1

Residents receiving special skin care.

13.9

31.2

Medicaid Residents:

385

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a

fpcilitv/ mi IQt mppt ThprP ^rt^ n\/or ^00 conarato rom lircimcintc Tha infr\rmotir»r\ nrocontoH
iciv^iii ly 1 1 luoi II ICC I. 1 1 Id c ai c ijvd o<7|Jcti die 1 cLjUII cl 1 Ici Ho. 1 1 Ic 11 1 lUl l MaliUi I Ul coci tlcU

below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

Thp f^^pilit\/ ii^P^ ^ ^vQtPm that aqqiitpq fiill anH r*rMT»nlptP sip/^r*! intinn nf rociHontc'

personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

386

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
uciiLiciicy [iidy reprebcm an ongoing prouiem or a one-iime laiiure oi a single siaTi person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

•i no
1 (Jo

Oi O

\ DD^

17ft
1 / .D

Drugs are administered according to the written orders of the attending physician.

MET

107

22.. \

2739

29.0

MET

C A

D.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 .y

bo/

ft o

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

/ O

1 0.0

Q1 ft
Ol D

fl ft
O.D

MET

\ 4.U

1 uyy

11ft
1 1 .D

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

iV.f

1 07r»

1 0.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 O
1 d

o c

1 01 ft
1 ^ 1 D

1 9 Q

All common resident areas are clean, sanitary and free of odors.

MET

7 A

1 U4 1

1 1 n

1 1 .u

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

O 1

fi A
D.4

1 4 1 O

14 Q

Resident care equipment is clean and maintained in safe operating condition.

MET

ATI

Q 7

1 H-UO

14 Q

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

387

HAINES CITY FL

NURSING HOME PROFILE

HAINES CITY HEALTH CARE CENTER

street Address:

City and State:

409 S 10TH ST

HAINES CITY FL 33844

Participation:

# of Beds:

Type of Ownersiiip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

08/06/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

116

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

79.3

81.5

Dressing

Residents requiring some or total assistance in dressing.

101

87.1

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

76.7

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

tiih or tnilpt

100

86.2

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control.

76.7

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

1 1 1 ^1 ■ 1 IV III ^4 V V 1 ^1 VV J TvllV t 1 1^ V V 1 1 1 1 ^1 1 1 ^1 vL* 1 1 1 1 1 \^ 1 I Ilia

13.8

4.9

4.6

Eating

Residents receivina tube feedinas or reauirina assistance with eatina

■ 1 Wl Vp4 \^ 1 1 L W 1 W y^y^f 1 V 1 1 lU \\A %J\^ I %■/ \^ Vl 1 1 '^4 W l \m lilt 1 V«W Wl W ILAI 1 W^i' T V 1 fcl 1 \.^^>4 ^11 1 \A •

37.1

36.9

37.7

Completely bedfast residents.

1.7

3.0

3.4

Residents confined to chairs.

40.5

49.3

50.8

Residents requiring restraints.

74.1

40.4

41.3

Confused or disoriented residents.

81.0

61.2

58.4

Residents with bed sores.

4.3

7.0

7.1

Residents receiving special skin care.

6.9

31.2

Medicaid Residents:

388

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the Indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

389

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotonny care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

390

HALLANDALE FL

NURSING HOME PROFILE

HALLANDALE REHABILITATION CTR

street Address:

2400 E HALLANDALE BEACH BLVD

City and State:

HALLANDALE FL 33009

Participation:

MEDICARE/MEDICAID SNF/ICF

# of Beds:

149

Type of Ownership:

PROPRIETARY

Survey Date:

02/03/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

135

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Rp<?iHpnt<? rpniiirinn ^omp nr tntal fl^<?i<itanrp in hathinn

1 l^OIVJ^IliO I^UUIIIIIU Owl 1 1 w \JI \\J LCll dOOlO Idl III l..yClilllllM>

118

87.4

81.5

Dressing

Residents requiring some or total assistance in dressing.

123

91.1

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

116

85.9

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tiih nr toilpt

114

84.4

75.8

77.2

Continence

Residents with catheters or oartial or total io<?«5 of bowel or bladder control

I 1 wl Vl \^ t t \\j Willi LI 1^ 1 wl l^vil il vll w I iw Ldl 1 woo \J 1 w VV ^1 Wl 1^ 1 OUVI^I W Wl 1 vl ■

104

77.0

70.0

68.2

Rs^idfint^ on indix/idu^llx/ writtpn hnwpl and hladdpr rptr^^ininn nrnnrj^m

■ 1^0l\4^l 1 lO \Jl I IllUIVlVlUldliy VVII llwl 1 UKJMV^t Cll Ivl Iw/IClUUwl Idl Cell III lU yjf wUI Cll 1 i>

7.4

4.9

4.6

Eating

Rp^idpntQ rpr^pi\/inn tiiHp fppdinriQ nr rpniiirinn AQQiQtAnnp with pstinn

ri^OIVJ^i no 1 w\/^iVll 1^ ICC7UII iMw Ul 1 CLjUII li lU ClOOlOlCll IV^sS Will 1 CCllll IM*

38.5

36.9

37.7

f^nmnlptplv hpHfAQt rpciHpnte

wwl 1 y I^CU 1 ClOi 1 V79lUd 1 Ida

4.4

3.0

3.4

Residents confined to chairs.

55.6

49.3

50.8

Residents requiring restraints.

49.6

40.4

41.3

Confused or disoriented residents.

65.9

61.2

58.4

Residents with bed sores.

4.4

7.0

7.1

Residents receiving special skin care.

16.3

31.2

l\/ledicaid Residents:

391

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
^EOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

392

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

o/
/o

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning

flnri tiihp fppHinn

MFT

IVI C 1

7.8

1 123

11.9

Each resident receives rehabilitative nursing care to pronnote maxinnum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21 9

2045

21 6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MFT

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident, it is designed to promote opportunities for engaging
in normal pursuits, including religious activities of the resident's choice, if any.

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

393

HIALEAH FL

NURSING HOME PROFILE
HIALEAH CONV HOME

street Address:

City and State:

190 W 28TH ST

HIALEAH FL 33010

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

276

PROPRIETARY

02/03/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

263

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

I 1 w W 1 1 iw I ^ UUII II lU <J Wl I 1 w Wl tw Vvil Wwwl w lUI 1 w w III 11 III 1 g •

258

98.1

81.5

Dressing

Residents requiring some or total assistance in dressing.

242

92.0

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

215

81.7

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

tiih or toiipf

212

80.6

75.8

77.2

Continence

Residents with oathetprs or nartial or total loss of howel or hiaridpr control

215

81.7

70.0

68.2

Residents on indiv/idiialix/ written bowel and bladder retraininn nronram

1 i\^oiu^iiio II V IV.J Lidi 1 y vviiii^ii UKjyv^i cii lu ijiciuu^i i ^ii ciii iii lu k.fi Vi/mi cii 1 1.

10.6

4.9

4.6

Eating

ncoiuciiis icuciviiiy luuc iccuiiiys <ji icquiriiiy ctooioidiiuc wiiii caiiiiy.

169

64.3

36.9

37.7

O/^mnlotolu horlfsiet roeiWonfe
vUiiipicidy ucuidoi rcoiuciiio.

9.9

3.0

3.4

Residents confined to chairs.

157

59.7

49.3

50.8

Residents requiring restraints.

117

44.5

40.4

41.3

Confused or disoriented residents.

148

56.3

61.2

58.4

Residents with bed sores.

9.1

7.0

7.1

Residents receiving special skin care.

213

81.0

31.2

Medicaid Residents:

261

394

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Me\" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

395

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

NOT MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

396

HIALEAH FL

NURSING HOME PROFILE
PALMETTO REHABILITATION CENTER

street Address:

City and State:

6750 W 22ND ST

HIALEAH FL 33016

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

12/17/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

nesiaenis requiring some or loiai assisiance in Daining.

96.4

0 1 .0

Dressing

nesiuenis recjuiring some or lOiai assisiance in uressing.

71.4

00.^

Toileting

nesiuenxs requiring some or loiai assisiance in loiieiing.

71.4

1 O.D

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

71.4

7*1 ft

77 P

Continence

nesiuenis wiin cameiers or paniai or lOiai loss ot Dowei or Diaooer coniroi.

35.7

f \J.\J

fift ?

nesiuenis on inoiviauaiiy wriuen Dowei ana Diaoaer retraining program.

3.6

4 Q

4 6

Eating

nesiuenis receiving luoe leeaings or requiring assistancG witn eating.

25.0

37 7

wuiiipiciciy ucuidol rcoKJcnts.

7.1

3.0

3.4

Residents confined to chairs.

14.3

49.3

50.8

Residents requiring restraints.

71.4

40.4

41.3

Confused or disoriented residents.

78.6

61.2

58.4

Residents with bed sores.

17.9

7.0

7.1

Residents receiving special skin care.

35.7

31.2

Medicaid Residents:

397

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
^EOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

398

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/iieostomy, respiratory (breathing) and tracheotonny care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

399

HIALEAH FL

NURSING HOME PROFILE
SUSANNA WESLEY HEALTH CENTER

street Address:

City and State:

5300 W 16TH AVE

HIALEAH FL 33012

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

NON-PROFIT RELIGIOUS

12/16/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

117

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

hinhK/ cr\or*i3li"7oH ^aro anrl cor\/ir^oc

1 MLJi liy op^OIClll^C^U Oct) O dl lU OCI VILrC70.

FACILITY

STATE

NATION

Battling

Residents requiring some or total assistance in bathing.

77.8

81.5

Dressing

Residents requiring some or total assistance in dressing.

77.8

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

77.8

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

80.3

75.8

77.2

Continence

ric;olUt;luo Willi Ucill lt;Lt7l o Ul jJcii llcil Ul LUlcil lUoo Ul UUWt^l Ul UlctUUUI UUilllUI.

73.5

70.0

68.2

nUolUUlllo Ufl II lUIVIUUclliy WriUc;(l UUVVc^l dllU UlctUUc;) ic^Uclli llliy |JlUyiaill.

2.6

4.9

4.6

Eatmg

n^oiu^iUo i^u^iviiiy luu^ ic^^uiriyb ur ic^cjuiririy dboibiciriuc^ wiui c^aiiiiy.

68.4

36.9

37.7

Cnmnlet^lv hpHffiQt rp^iHpntQ

5.1

3.0

3.4

Residents confined to chairs.

61.5

49.3

50.8

Residents requiring restraints.

41.0

40.4

41.3

Confused or disoriented residents.

39.3

61.2

58.4

Residents with bed sores.

2.6

7.0

7.1

Residents receiving special skin care.

39.3

31.2

Medicaid Residents:

400

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Thie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=IEOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

401

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

ENT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

402

HIALEAH GARDENS FL

NURSING HOME PROFILE
THE WATERFORD CONVALESCENT CTR

street Address:

City and State:

8333 W OKEECHOBEE RD

HIALEAH GARDENS FL 33016

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

160

PROPRIETARY

11/19/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

154

[\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring sonne or total assistance in bathing.

139

90.3

81.5

Dressing

Residents requiring some or total assistance in dressing.

142

92.2

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

136

88.3

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

132

85.7

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

109

70.8

70.0

0 ft

68.2

Residents on individually written bowel and bladder retraining program.

4.5

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

63.0

36.9

37.7

Completely bedfast residents.

3.2

o.U

0.4

Residents confined to chairs.

42.9

49.3

50.8

Residents requiring restraints.

49.4

40.4

41.3

Confused or disoriented residents.

59.7

61.2

58.4

Residents with bed sores.

18.8

7.0

7.1

Residents receiving special skin care.

57.8

31.2

Medicaid Residents:

152

403

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the Indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
rai./iiiiy iiiuoi iiiccL. 1 Mcic ale uvtji D\j\j ocpdtaic rfc;t]uircrncnis. 1 ne iRTormation presenieu
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:NT of FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

Tho fsir*illt\/ 1 icoc a c\/ctom that acciiroc fiill onH ^rtmolotQ Qr»Oi"\i intin/^ r\f rAoiH^rtto'
liiKi laOllliy Uoco a oyolc;IM lllctl dooUico lUII dilU UUrripiolc duC/UUIUlliy Ul rc;olu6nio

personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

404

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

uciii./icMOy may i cpi cbcl ll all UliyuillL] piUUI^lIi Ol d Oilc-lirTlc IdliUfc Ul a blliyic? bldll pcrbOM.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

"7 O

7.8

1 123

1 1 .9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 uo

1 OD^

1 7 R
1 1 .o

Drugs are administered according to the written orders of the attending physician.

MET

£.1 jy

MET

J 1

ft A
0.4

1 OQQ

1 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

NOT MET

1 Q

QO 1

o.^

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

1 O.O

fli R
O 1 o

o.o

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal pursuits, inciuuing religious aciiviiies oi ine resioent s cnoice, it any.

MET

1 *T,U

1 noQ

116
1 1 .o

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10 7

1?70

13 4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 P

1 ^

? 5

1216

12 9

All common resident areas are clean, sanitary and free of odors.

MET

1 4

1041

11 0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6 4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

Mt 1

9 7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

Mh 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

405

HOBE SOUND FL

NURSING HOME PROFILE
HOBE SOUND GERIATRIC VILLAGE

street Address:

City and State:

9555 SE FEDERAL HIGHWAY

HOBE SOUND FL 33455

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

11/04/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

102

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

0/
70

Bathing

nesiaenis repuiring some or lotai assisiance in Daining.

93.1

QIC

Dressing

nesiaenis requiring sonne or loxai assisiance in aressing.

83.3

HA Q

OH.O

R'i O
OJ.C.

Toileting

Residents requiring some or total assistance in toileting.

73.5

/D.O

/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

71.6

1 O.O

77 O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

56.9

l\J.\J

Residents on individually written bowel and bladder retraining program.

4.9

Eating

Residents receiving tube feedings or requiring assistance with eating.

26.5

O 1 . 1

Completely bedfast residents.

2.0

3 4

Residents confined to chairs.

51.0

49.3

50.8

Residents requiring restraints.

32.4

40.4

41.3

Confused or disoriented residents.

61.8

61.2

58.4

Residents with bed sores.

2.9

7.0

7.1

Residents receiving special skin care.

15.7

31.2

Medicaid Residents:

406

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey, Ttie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

407

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote nriaximunn physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
Natinnal Rpi^parrh nniinril National Arariemv of Sciences

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

408

HOLLY HILL FL

NURSING HOME PROFILE
BISHOP'S GLEN HEALTH CARE CENTER

street Address:

City and State:

900 11TH ST

HOLLY HILL FL 32017

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

NON-PROFIT OTHER

10/15/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

o/
/o

Battling

Residents requiring some or total assistance in bathing.

71.2

Ol .0

Q -1 C

Dressing

Residents requiring some or total assistance in dressing.

74.6

04.0

OO.d

Toileting

Residents requiring some or total assistance in toileting.

74.6

fO.O

7Q Q
/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

74.6

/ o.o

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

66.1

70.0

DO. 2

Residents on individually written bowel and bladder retraining program.

5.1

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

45.8

36.9

37./

completely Dedfast residents.

6.8

'i 4

Residents confined to chairs.

32.2

49.3

50.8

Residents requiring restraints.

47.5

40.4

41.3

Confused or disoriented residents.

59.3

61.2

58.4

Residents with bed sores.

8.5

7.0

7.1

Residents receiving special skin care.

61.0

31.2

l\/ledicaid Residents:

409

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected withiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

410

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiencv mav reoresent an onaoino orohlpm nr a nnp-timp failurp nf a 9lnolp staff nprsnn

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

OQ
OO

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21 .9

2045

21 .6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 uo

1 fifi?

17 fi

Drugs are administered according to the written orders of the attending physician.

Mt 1

1 u /

97QQ

^y.u

MET

O 1

R A
D.'t

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 Q

RR7

R P

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

Mt 1

7'=,

1 R IS

ftl fi

R fi

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in nnrmfll niirQiiit^ inpliiHinn rpMniniiQ flptiv/itif^Q nf th*^ rciQiHAnt'c phnir'Ci if an\/
III 1 i^ji 1 1 icii puiouiLo, iiioiuuiiiy loiiyiLrUo duuviUsi^o \j\ u looiuoiii o oiiuiL't^, ii diiy.

Mt 1

14 0

10QQ

11 6

1 1 .\J

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

Ivltl i

10 7

13 4

Toilet and bath facilities are clean, sanitary, and free of odors.

Mt 1

1 ?

? R

1216

12 9

All common resident areas are clean, sanitary and free of odors.

IvIC 1

\J\J

7 4

1041

1 1

11 0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

ivlC 1

\j 1

6 4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

411

HOLLYWOOD FL

NURSING HOME PROFILE
GOLFCREST NH

street Address:

City and State:

600 N 17TH AVE

HOLLYWOOD FL 33020

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

05/05/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
nigniy speciaiizeu care ana services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

95.4

81.5

Dressing

Residents requiring some or total assistance in dressing.

95.4

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

83.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

tiih nr tnilpt

83.1

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

72.3

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

1 1 wl\>l 1 1 V W 11 11 f\m 1 V 1 VI VI V4I 1 y W 1 1 h 1 1 1^^^ VT \^ 1 Vti 1 VI 1^ 1 V&VI Vl^^ 1 1 \^ VI V41 1 1 1 1 1^4 r' * 9 V4I 1 1 >

9.2

4.9

4.6

Eating

RpslHpnt^ rprpivinn tuhp fppHinn^ or rpniiirinn fl<5^i9tanrp with patino

1 I^OIU^I 1 1 ^wwl VII lU IUIk^w I WGvIII IMw \Jl 1 UVIUII II lU ClOOIOldl lO^ VVIil 1 ^Ciifl IM<

20.0

36.9

37.7

Completely bedfast residents.

4.6

3.0

3.4

Residents confined to chairs.

44.6

49.3

50.8

Residents requiring restraints.

56.9

40.4

41.3

Confused or disoriented residents.

66.2

61.2

58.4

Residents with bed sores.

6.2

7.0

7.1

Residents receiving special skin care.

10.8

31.2

Medicaid Residents:

412

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

413

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^EOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

414

HOLLYWOOD FL

NURSING HOME PROFILE

HOLLYWOOD HILLS NH

street Address:

1200 N 35TH AVE

City and State:

HOLLYWOOD FL 33021

Participation:

MEDICARE/MEDICAID SNF/ICF

# of Beds:

152

Type of Ownership:

PROPRIETARY

Survey Date:

10/30/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

132

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

o/
/o

Battling

ncoiucius rc^cjuinriy boriic (jr luiai dboioiaiiLc iii udiiiiriy.

116

87.9

O 1 .3

O 1 .D

Dressing

RpQiHontQ r^ni lirinn Qomo or totiil flccictisnpfs in HrpQQinn
ricoiud iio 1 c^^uii II 1^ Owl 1 IC7 VI iwicii ciooioicii ii./w ii i \J\ cooii i^.

107

81.1

84 3

83 2

Toileting

Rf*«iiripnt<? rpfiuirinn 9omp nr tntal fl<5«;i<5t3nrp in tnilptinn

113

85.6

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti il^ r\r trtil^t

lUD or loiici.

129

97.7

75.8

77.2

Continence

RpQiHontc \A/ith r'athotorc or ncirticil or total locc of Koxa/oI or KlaHHor oor^trol
ricolUd ilo Willi Ualllc7l^io Ui ^diUctl Ui lUldl lUoo Ul UUvVcJI Ul UlaUUc;i UUiluUI.

63.6

70.0

68.2

ntJoiuciiio UN ii luiviuuaiiy wiiutjii uuvvci aiiu uiauu^r rciraiiiiny pruyiaiii.

9.1

4.9

4.6

Eating

nesiaenis receiving luue leeaings or requiring assistance wiin eaiing.

62.1

36 9

37 7

v^ompieieiy ueaiasi resiaenis.

0.8

3.0

3.4

Residents confined to chairs.

67.4

49.3

50.8

Residents requiring restraints.

112

84.8

40.4

41.3

Confused or disoriented residents.

116

87.9

61.2

58.4

Residents with bed sores.

8.3

7.0

7.1

Residents receiving special skin care.

25.8

31.2

Medicaid Residents:

123

415

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

416

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiencv mav reoresent an onaoino oroblpm or a one-timp failurp of a sinnip staff oprsnn

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

oo
oo

7 O
1 .0

1 1

11 .y

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21 .9

2045

21 .6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

?1 ?

1662

17 6

Drugs are administered according to the written orders of the attending physician.

MOT ^ylPT

07'3Q

NOT MET

J 1

p. A

1 0.9,0i

\ ooa

1 A 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 Q

1 .v7

oo 1

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

Mb 1

1 O.Q

O 1 D

o.o

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
III iiuiMicti puiouiib, iiiciuuiiiy loiiyiuub ctC/Uviuco or irio rc^biuc^ru b cnuic^, it any.

Mb 1

A A r\
\ ^.u

1 uyy

1 1 R

1 1 .D

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

Od.

1 r> 7

1 97n

1 O.H

Toilet and bath facilities are clean, sanitary, and free of odors.

Mb 1

1 ^

1 ^ 1 u

1? Q

All common resident areas are clean, sanitary and free of odors.

Mb 1

7 A

1 041

1 1 0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

Mt 1

O 1

6 4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MFT

9 7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MFT

IVIt_ I

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

417

HOLLYWOOD FL

NURSING HOME PROFILE
WASHINGTON MANOR NURSING & REHAB CTR

street Address:

City and State:

4200 WASHINGTON ST

HOLLYWOOD FL 33021

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE SNF

240

PROPRIETARY

06/18/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

187

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

ResidGiits requiring some or total assistance in bathing.

181

96.8

81.5

Dressing

Residents requiring some or total assistance in dressing.

183

97.9

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

125

66.8

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilf^t

146

78.1

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control.

158

84.5

70.0

68.2

Residents on indix/idusllv written howpl and hiaddpr retrainina oroaram

1 1 w wlU w I 1 w 1 I II i\A \ V 1 VI Udl 1 y will 1 1 1^ w VV ^1 vil 1 vJ Ik/i CiVJVJ wl 1 w 11 vil 1 11 1 lU 1^1 ■ Wil I 1 ■

4.3

4.9

4.6

Eating

Rp^ldpntQ rpppivinn tiihp fpprlinriQ or rpniiirinn fiQQictanpp with patinn

riwOIUwIllO 1 C'Vrf\7l VII 1^ IXJUVS IC7C7l,JII IMO ^I I wL^UII II IM ClOOIOlCll ILfC7 Willi ^Cllll 1^.

120

64.2

36.9

37.7

Comoleteiv bedfast residents

1.1

3.0

3.4

Residents confined to chairs.

21.4

49.3

50.8

Residents requiring restraints.

120

64.2

40.4

41.3

Confused or disoriented residents.

150

80.2

61.2

58.4

Residents with bed sores.

6.4

7.0

7.1

Residents receiving special skin care.

38.0

31.2

Medicaid Residents:

418

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected witfiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in othier facilities in tfie State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=tEOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

NOT MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at ail times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

419

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNaiionai riesearcn council, iNaiionai Acauemy oi ociences.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

NOT MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by ail personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44^3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

420

HOMESTEAD FL

NURSING HOME PROFILE
BROOKWOOD GARDENS CONVALESCENT CTR

street Address:

City and State:

1990 S CANAL DR

HOMESTEAD FL 33035

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

01/12/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

73.5

o 1 .0

O 1 .O

Dressing

Residents requiring some or total assistance in dressing.

89.7

o4.o

OO.d

Toileting

Residents requiring some or total assistance in toileting.

89.7

7R ft

/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

86.8

/ O.O

77 0

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

64.7

70 n

\j0.c.

Residents on individually written bowel and bladder retraining program.

2.9

4 Q

Eating

Residents receiving tube feedings or requiring assistance with eating.

38.2

'^R Q

OD.i/

"^7 7

v^ompieieiy Deaiasi resiaenis.

2.9

3 0

3.4

Residents confined to chairs.

5.9

49.3

50.8

Residents requiring restraints.

14.7

40.4

41.3

Confused or disoriented residents.

86.8

61.2

58.4

Residents with bed sores.

7.4

7.0

7.1

Residents receiving special skin care.

0.0

31.2

Medicaid Residents:

421

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation, "tvlet" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the Indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and connplete accounting of residents
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

422

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
Mb 1

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotonny care, suctioning
and tube feeding.

NOT MET

7 ft

1 1

Each resident receives rehabilitative nursing care to promote nnaximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

1 Ud

OA Q

on/1 c

OA R

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MDT MFT

IMW 1 IVIC 1

1 yj 1

Mb 1

O 1

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mb 1

1 9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MC 1

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

In nnrmfll niir^iiit^ Inrliirlinn rplininii^ flpti\/itip^ of thp rpQiHpnt'Q phnipp if anx/

III IIV/IIIICII ^UIOUIIO, III^^IUUIIIU I^IIUIwUO dwll V 1 lICO \Jt LIIC I^OIUwIll O wl I^^IOO, II Cll ly .

MPT

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MFT

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

423

HOMESTEAD FL

NURSING HOME PROFILE
HOMESTEAD MANOR NURSING HOME

street Address:

City and State:

1330 NW FIRST AVENUE

HOMESTEAD FL 33030

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

01/08/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

FACILITY

STATE

NATION

Battling

Rp<?irlpnt«; rpniiirinn "snmp nr tntal a<?«ii9tanrp in hathina

89.8

81.5

Dressing

R^QiHontQ roni lirinn cnmp r\r tntal flCQiQtflnpp in HrPQQinn

li^OlUOl 1 lO 1 C^V^UII IMU OKJt lie \Jl i\J Idl ClOOlOlCll ILrC III KJl wOOM 1^.

95.9

84 3

83 2

Toileting

ricbiuciiib rci^uiriiiy auiiic u\ lUiai aboioiaiioc in luiicuiiy.

91.8

76 6

73 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

89.8

75 8

77.2

Continence

nesiaenis wiin caineiers or partial or total loss ot oowei or uiaaoer control.

81.6

70 0

68 2

hiesioents on inaiviauaiiy written Dowei ana uiaooer retraining program.

14.3

4.9

4.6

Eating

nesiaents receiving tuoe teeuings or requiring assistance witn eating.

67.3

36.9

37.7

2.0

3.0

3.4

Residents confined to chairs.

18.4

49.3

50.8

Residents requiring restraints.

46.9

40.4

41.3

Confused or disoriented residents.

53.1

61.2

58.4

Residents with bed sores.

6.1

7.0

7.1

Residents receiving special skin care.

38.8

31.2

l\/ledicaid Residents:

424

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirennents a
facilitv must meet There are nvpr SOD c^pnsratp rpni lirpmpnt^i Thp infnrm?itinn nrpcipntpH
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
Mb 1 /
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

Thp fpipilitv ii^iPQ a <N\/<5tpm that fl^^iirp^ full PnrI pr»mnlptp appniintinn nf rpQirHpntQ'

111^ 1 dVI II ly UO^O Ct OyOL^III lllCll CIOOUI ILIII ClIIU V^V^IIIIJIdC d^^O^LIIIllllM v." IC^OIUOIIIO

personal funds. An accounting report is made to each resident in a skilled nursing
facility every three nnonths.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

^dUI 1 K^OlUcill WIIU 1 ICto fJlUUIclllo Willi UUWc^l dl lU UlClUUt;! OUl 1 11 Ul lo jJl UVIUoU Wl 11 1

care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

425

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT

Mt 1

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 ft

1 1 CO

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

1 uo

01 Q

^ 1 .a

51 ft
c. 1 .0

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MOT MFT

INW 1 IVIC 1

107

?? 1

273Q

29 0

Mb 1

\J 1

6 4

1389

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mb 1

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

Mt 1

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in nnrmfll niirQiiitQ inpliiHinn r^lininiic 5ir*ti\/itiPQ r\i thp r^QiH^nt'Q phnir'tfi if anu
Ml ii^iiiicii [JUiouiiOj II iVi^iuuii 1^ icfii^iwuo ciL«iiviiic;o \j\ 11 ic^ iC'Oiucfiiio oi iwiL/w, II diiy.

Mt 1

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

IVIC 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

426

HUDSON FL

NURSING HOME PROFILE
BEAR CREEK NURSING CENTER

street Address:

City and State:

8041 STATE ROAD 52 EAST

HUDSON FL 33567

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

05/14/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

109

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care, it may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

104

95.4

81.5

Dressing

Residents requiring some or total assistance in dressing.

85.3

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

79.8

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

82.6

75.8

"7"7 O

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

67.0

70.0

DO. 2

Residents on individually written bowel and bladder retraining program.

0.0

4.9

4.D

Eating

Residents receiving tube feedings or requinng assistance with eating.

36.7

ob.y

of .1

Completely bedfast residents.

4.6

n
o.u

Residents confined to chairs.

73.4

49.3

50.8

Residents requiring restraints.

27.5

40.4

41.3

Confused or disoriented residents.

64.2

61.2

58.4

Residents with bed sores.

6.4

7.0

7.1

Residents receiving special skin care.

8.3

31.2

Medicaid Residents:

427

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected perfornnance indicators do not represent all the requirements a
facility nnust meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REOUIREMENTS

NATION

The facility ensures XhaX its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

428

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
Mb 1

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 Q

1 1 Q
1 1 .ij

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21 .9

2045

21 .6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

10'^

21 ?

166?

17 6

1 f ,\J

Drugs are administered according to the written orders of the attending physician.

MFT

IVIC 1

1 07
1 U /

99 1
c.^. 1

97*^0

^ / <J<3

9Q r>

Mb I

O 1

1 00<7

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mb 1

1 Q

6 ?

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

Mb 1

R16

8 6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in nnrmfll niirQiiit^ inpliiHinn rplinirtiiQ flPtiv/iti^Q r\i th^ r^ciH^nt^Q phnipp if anv/

111 1 l\Jl 1 1 Idl fJ\J \ OUI LO, II 1^1 LIU II lU 1 C7IIMIL./UO dL/ 11 V 1 11 CO \J\ 11 1x7 i CTOlLIOI HO V./I lUIOC?, 1 1 Cll IV •

Mt 1

14 0

1099

11 6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

WIC 1

10 7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

429

HUDSON FL

NURSING HOr
NATIONAL HEALTHCA

k/IE PROFILE

RE CENTER HUDSON

street Address:

7210 BEACON WOODS DRIVE

City and State:

HUDSON FL 33567

Participation:

MEDICARE/MEDICAID SNF/ICF

# of Beds:

120

Type of Ownership:

PROPRIETARY

Survey Date:

03/25/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

R^QiH^ntQ roniiirinn cAmo or total flQQiQtflnoo in hsithinn
nc^oivic^f iio 1 UL|Uii II iw Owl 1 ic \j\ lULdi dooioidi lo^ ii i udii iii i^.

44.3

81 5

Dressing

RociHontc romiirinn como or total occictsnoo in Hroccinn
ric^oiU^lllo i^LjUiiliiy oUiilt; Ul lUldi dObloldilOc; III Ult^oolliy.

84.3

84 3

83 2

Toileting

ncolUciUo icv^Uiriiiy bUlllc ur lUlal aoololailOc 1(1 lUllcUliy.

77.1

76 6

73 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

78.6

75 8

77 2

Continence

nesiaenis wiin Caineiers or paniai or loiai loss or Dowei or uiaouer control.

55.7

70 0

68.2

nesioents on inaiviQuaiiy written uowei ana Diauaer retraining program.

10.0

4 9

4.6

Eating

riesiaents receiving tuoe teeaings or requiring assistance witn eaiing.

21.4

36.9

37.7

r^fimnlotoli/ hoHfaet rocirlAntc
v^uiiipiciciy ucuidol rcsiuciiio.

0.0

3.0

3.4

Residents confined to chairs.

71.4

49.3

50.8

Residents requiring restraints.

41.4

40.4

41.3

Confused or disoriented residents.

32.9

61.2

58.4

Residents with bed sores.

10.0

7.0

7.1

Residents receiving special skin care.

18.6

31.2

Medicaid Residents:

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:nt of facilities
requirements

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

431

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

NOT MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

432

HUDSON FL

NURSING HOME PROFILE
WINDSOR WOODS CONVALESCENT CENTER

street Address:

City and State:

13719 LAKESHORE BLVD

HUDSON FL 33567

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

12/15/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

iliyiiiy opoCldllZcU Octrc allU ociVICc;b.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

71.8

81.5

Dressing

Residents requiring some or total assistance in dressing.

79.5

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

74.4

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

lUU Ul

82.1

75.8

77.2

Continence

RpQiHontQ with r^^ithotorQ rw nartial r\T \r\\cx\ Ir^cc Kn\A/ol rw hloHHor r^r\r\\fr\\
ricolUc;! 1 lo Willi OctUlc^l^io Ul pcii Udl Ui LUld.1 lUoo Ui UUWc7l Ul UlciUUt;! UUIIUUI.

61.5

70.0

68.2

n^olUc^lllo Ull 11 lUIVIUUctliy WilLlc;ri UUWc;l dilU UlaUUc;! loUall III ly jJlUyicllll.

0.0

4.9

4.6

Eating

ricjoiuc^l llo lC7UdVlliy lUUt; Ic^^UUiyo Ul lt:'^UIllliy dooiolctl IL/Ci/ Willi Udliliy.

38.5

36.9

37.7

CofTiDletelv bedfast residents

2.6

3.0

3.4

Residents confined to chairs.

69.2

49.3

50.8

Residents requiring restraints.

23.1

40.4

41.3

Confused or disoriented residents.

35.9

61.2

58.4

Residents with bed sores.

7.7

7.0

7.1

Residents receiving special skin care.

10.3

31.2

Medicaid Residents:

433

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at thie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan Indicating deficiencies will be corrected withiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility Is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:NT OF FACILITIES
REOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a systenn that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

434

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

U
ft

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tuhp fppriinn

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21 9

2045

21 6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

IVIC 1

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

435

INVERNESS FL

NURSING HOr
HERITAGE HEALT

i/IE PROFILE

H CARE CENTER

Street Address:

611 TURNER CAMP RD

City and State:

INVERNESS FL 32651

Participation:

MEDICAID SNF/ICF

# Of Beds:

Type of Ownership:

PROPRIETARY

Survey Date:

09/16/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

ntcjniy sp6ciaiiz6Q care ano services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

89.6

81.5

Dressing

Residents requiring some or total assistance in dressing.

89.6

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

i I^^^^I^IN^I 1 1 II 1^^ ^^^^1 1 IN^ ^^1 V^CI ^A^^^^ 1 1 1%^%^ II 1 ^V^ll^^^ll '^4*

91.7

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih nr tnilpt

81.3

75.8

77.2

Continence

Resident*? with catheter*? or oartial or total los<; of howel or bladder control

68.8

70.0

68.2

Re<?ident<5 on individuallv writtpn howpl and hiaddpr rptrainina oroaram

1 1 ^ oivj ^ 1 1 to w II II 1 v4 1 V i\j udi 1 y VV 1 1 i 1 1 VV ^ i cii ivi iciuu i ^ \i cii i 1 1 1 i^ ii^i v ^ i vii 1 1 •

12.5

4.9

4.6

Eating

Rp^idpnt^ rpppiuinn tiihp fppHinn^ or rpniiirinn aQ^i^tancp with patinn

1 I^OIvl^lllO I^^^IVIIIU lUI./^ l^^\«IIIIUO \JI 1 ^VIUII II IM ClOOIOlCII Iv*^ Willi ^ClilllU.

31.3

36.9

37.7

Completely bedfast residents.

4.2

3.0

3.4

Residents confined to chairs.

54.2

49.3

50.8

Residents requiring restraints.

29.2

40.4

41.3

Confused or disoriented residents.

41.7

61.2

58.4

Residents with bed sores.

4.2

7.0

7.1

Residents receiving special skin care.

35.4

31.2

Medicaid Residents:

436

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected perfornnance Indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The Information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

^_L-. '1 i 1 1 II 'bII I III II ±. t ' ^ ^ ' i_ 1 * ■ ■

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

437

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

CAP'll ITV

MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=tEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

438

INVERNESS FL

NURSING HOME PROFILE
INVERNESS HEALTH CARE CENTER

street Address:

City and State:

304 S CITRUS AV

INVERNESS FL 32650

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

104

PROPRIETARY

07/01/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

94.9

81.5

Dressing

Residents reauirina some or total assistance In dressina

1 i^^wivi^^i 1 1 v^XiiViii 11 1 23 v^^i 1 ■Si' ^^1 hV4i wCwwiw^w«i iwv II 1 VII wvi/wii '23*

91.9

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

89.9

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tuh nr tnilpt

96.0

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

83.8

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

■ ■ \^ > ■ I \^ II III \^ 1 V 1 VI \^ IIT wVIIV \ 1 1 1^ V V 1 V^ 1 1 Vi 1^ 1 V^ VI Vi 1 1 ^1 VCI 1 1 1 1 1 V4 lv 1 \am 1 V% 1 1 1 *

4.0

4.9

4.6

Eating

Residents receivina tube feedinas or reauirina assistance with eatina

1 1 >^y^tym 1 1 * w 1 WN^i » 1 1 1 24 • w fc^N^ i 1 1 1 23 ^ V^i • \^ VI vi 1 1 1 1 • jj vi w wi w vci i » ■ i m i v% mi i •

59.6

36.9

37.7

Cornoietelv bedfast residents

2.0

3.0

3.4

Residents confined to chairs.

41.4

49.3

50.8

Residents requiring restraints.

47.5

40.4

41.3

Confused or disoriented residents.

46.5

61.2

58.4

Residents with bed sores.

10.1

7.0

7.1

Residents receiving special skin care.

12.1

31.2

l\/ledicaid Residents:

43?

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

iiic idt^iMiy fcjiibuicb uidi lib wriiicri prot/caurcb reyaruing ine rignis anu
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

urugs to coniroi uenavior anu pnysicai resirainis are oniy useu wnen auinorizeu uy a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

cacn resiueni is aiioweu xo communicaie, associaie anci meei privaieiy wiin
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

cacn resiuenx is aiioweu to retain ana use nis/ner personal possessions anu cioxning
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

440

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
iViu: 1

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
^EOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
ana luue leeuing.

MET

7 8

1 123

1 1.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

Mb 1

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MFT

107

22.1

2739

29.0

)V)C 1

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

IVIC 1

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal oursuits includina reliaious activities of the resident's choice if anv

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

441

JACKSONVILLE FL

NURSING HOr
ADAMS

I/IE PROFILE
PLAZA

street Address:

33 W ADAMS ST

City and State:

JACKSONVILLE FL 32202

Participation:

MEDICAID SNF/ICF

# of Beds:

Type of Ownership:

PROPRIETARY

Survey Date:

11/06/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

RpciHpnt<5 rpniiirinn «;nmp nr total fl<;<;i<itanrp in hathinn

1 1^0l\.J^I 1 lO 1 ^UUII II lU OUI 1 1^ \jl LWlCil ClOOIOlCll IV^^ II 1 UCllI III IM>

70.6

81.5

Dressing

Rp^ifipnt^ rpniiirinn Qnmp nr total a^^i^tanpp in Hrp^^inn

1 ICOIud no 1 wUUli il IM Owl 1 Iw \Jl IWICII dwOIOlCll Iww II 1 V>ll WOOII IM*

88.2

84.3

83.2

Toileting

Re«;idsnt<? reauirina somp or total a«;«;i<?tance in toiletina

64.7

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

lUU yji lUMc?l.

64.7

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

58.8

70.0

68.2

Rpsidpnts nn indi\/irjij;5ll\/ writtpn hnwpl and hladdpr rptraininn nronram

1 IWOIXkIwIIIO ^11 lll\,IIVIVJUdliy VVIILIwII Ik^V^VVWl QliVJ k/ldVJU^f 1 ^11 Clll III lU l-'l V/MI m 1 l>

0.0

4.9

4.6

Eating

Rp^irlpntQ rpppiv/inn tiihp fppHinnc nr rpniiirinn aQQi^tanpp with patinn

riCI^OlLIUI 1 lo IC^OC^IVIIIU lUUC ICCUIIIUd ^1 IC^V^UIIIII^ CloOIOlCll Iww Willi \7CIUI 1^.

23.5

36.9

37.7

Comoletelv bedfast residents

5.9

3.0

3.4

Residents confined to chairs.

17.6

49.3

50.8

Residents requiring restraints.

23.5

40.4

41.3

Confused or disoriented residents.

23.5

61.2

58.4

Residents with bed sores.

5.9

7.0

7.1

Residents receiving special skin care.

35.3

31.2

Medicaid Residents:

442

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and 'Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Me\" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

443

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNaiionai riesearcn oouncii, iNaiionai Mcauemy ox ociences.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

444

JACKSONVILLE FL

NURSING HOME PROFILE
ALL SAINTS CATHOLIC NH FOR AGING

street Address:

City and State:

2040 RIVERSIDE AVE

JACKSONVILLE FL 32204

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

NON-PROFIT RELIGIOUS

04/15/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

100

81 .5

Dressing

Residents requiring some or total assistance in dressing.

95.0

o4.o

Toileting

Residents requiring some or total assistance in toileting.

96.7

fO.O

70 Q

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

100

/ D.O

77 O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

73.3

/ U.U

Residents on individually written bowel and bladder retraining program.

0.0

A Q

A. fi

Eating

Residents receiving tube feedings or requiring assistance with eating.

51.7

oD.y

"57 7

Ol .1

uompieieiy DeuTast resiaents.

0.0

\Jm\J

Residents confined to chairs.

33.3

49.3

50.8

Residents requiring restraints.

26.7

40.4

41.3

Confused or disoriented residents.

100

61.2

58.4

Residents with bed sores.

8.3

7.0

7.1

Residents receiving special skin care.

100

31.2

Medicaid Residents:

445

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the sun/ey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

NOT MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

Except in a medical emergency, a resident is not transferred or discharged, nor is*
treatment changed radically, without consultation with the resident or, if the resident
is incompetent, without prior notification of next of kin or sponsor.

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

446

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1 123

1 1.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

1 Uo

dA .C.

1 AAO
1 DO^

•17ft

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

D.4

1 Joy

14./

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 .y

OO/

ft 0

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

/ 0

1 0.0

01 ft
0 1 D

fi ft
o.D

MET

1 uyy

1 1 ft

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

1 P7n

1 0.*T

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2 5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7 4

1041

11 0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

NOT MET

O 1

ft 4

1^10

Resident care equipment is clean and maintained in safe operating condition.

MET

A7
H 1

Q 7

1 4 Q

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13 2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

Mb 1

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

447

JACKSONVILLE FL

NURSING HOME PROFILE
AMERICANA HEALTH CARE CENTER

street Address:

City and State:

3648 UNIVERSITY BLVD S

JACKSONVILLE FL 32216

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

03/18/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

1 1 ViJ ^ 1 1 1 vl U II II 1 ^ WW III w Wl iw LUI wtwwl w Wvll 1 ww III ln/U 11 1 1 1 1 U •

92.9

81.5

Dressing

Rpsifipnt^ rpniilrinn Qr>mp or tntfll flQ^i^tanpe in rirp^^inn

riC70IVJC7M lo Id^CIIIIIIU Owl MC \Jl IL/lCll dOOIOlCll III VJI^OOIIIU>

92.9

84 3

83.2

Toileting

P^pciHpntc rpni lirinn corno or total sccictonop in toilptinri

ncoiuciiio icv^uiiiiiy ouiiic ui luicii ciooioiciiiuc III ivjiicuiiy.

88.1

76 6

73 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tuD or toilet.

88.1

75 8

77.2

Continence

nesiuenTS wiin caineiers or paniai or xoiai loss oi uowei or oiauaer control.

88.1

70 0

68.2

nesiuenis on inuiviuuaiiy wrinen uowei ana oiauuer retraining program.

15.5

4.9

4.6

Eating

nesiuenxs receiving luue Teeuings or recjUiring ossioxance wixn eaiing.

36.9

37.7

CoiTiDletelv bedfast refiidents

0.0

3.0

3.4

Residents confined to chairs.

45.2

49.3

50.8

Residents requiring restraints.

51.2

40.4

41.3

Confused or disoriented residents.

91.7

61.2

58.4

Residents with bed sores.

14.3

7.0

7.1

Residents receiving special skin care.

29.8

31.2

Medicaid Residents:

448

SELECTED PERFORMANCE INDICATORS

"Facility" coiumn indicates deficiencies found at the time of survey. Ttie Federal Government requires facilities to correct deficiencies Immediately or to submit a
plan Indicating deficiencies will be corrected wittiln a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies in otfier facilities in ttie State and Nation. "Met" means ttiat ttie facility Is In compliance with the specific requirement. "Not IVIet" means the facility
was deficient In the indicated area at the time of the survey.

Reminder: Tfiese 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The Information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
tVlET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

449

SELECTED PERFORMANCE INDICATORS

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

450

JACKSONVILLE FL

NURSING HOME PROFILE
ARLINGTON MANOR CARE CENTER

street Address:

City and State:

7723 JASPER AVENUE

JACKSONVILLE FL 32211

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

100

PROPRIETARY

01/04/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

■Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring sonne or total assistance in bathing.

97.9

81.5

Dressing

Residents requiring some or total assistance in dressing.

91.8

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

76.3

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

80.4

"ICQ

75. o

/ f .d

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

60.8

70.0

68.2

Residents on individually written bowel and bladder retraining program.

4.1

4.9

4.D

Eating

Residents receiving tube feedings or requiring assistance with eating.

35.1

OD.y

61.1

completely Deaiast resiaents.

0.0

'\ 4

Residents confined to chairs.

68.0

49.3

50.8

Residents requiring restraints.

48.5

40.4

41.3

Confused or disoriented residents.

68.0

61.2

58.4

Residents with bed sores.

20.6

7.0

7.1

Residents receiving special skin care.

12.4

31.2

Medicaid Residents:

451

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected perlornnance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING 1

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

452

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

INdllUriai ncocdrL/ri wUUnon, INallunal MOaUomy UI oClcrriC/OO.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

453

JACKSONVILLE FL

NURSING HOME PROFILE
BEAUCLERC MANOR

street Address:

City and State:

9355 SAN JOSE BLVD

JACKSONVILLE FL 32217

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

08/27/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

100

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

90.0

81.5

Dressing

Residents reouirinn some or total assistance in dressino

65.0

84.3

83.2

Toileting

Residents renuirinn some or total assistance in toiletinn

63.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

lUU Ui LUIIc^l.

90.0

75.8

77.2

Continence

RpQiHpntQ with p^ithPtPrQ nr nartifll nr tntal Ihqq nf Hnwpl nr hlaHHpr pnntrni

riC70llMlC7l no will 1 wCllI IdCl O yjl pdllidl \Jl lUldl lUOO Ul UL/Wwl \Jl Uld^JUC/l \^\Jl lll vi>

70.0

68.2

RpQiHpntQ nn inHi\/iHi iaIK/ \A/rittpn Kaxa/pI anH hl^iHHpr rptraininn nrnnram
ricoiuoi 1 Lo wii iiiuiviuudiiy wii iiK^i i uwwc^i di lu uiduvjc^i i c^ii dii iii i^ pi yj^t di ii-

3.0

4.9

4.6

Eating

RpciHontc ror'oiv/inn ti iKo fooHinnc r\r rorti lirinn accictsnoo \A/ith pfitinn
Fic^olUc;i llo ic;U^IVIIiy lUUc; lc;t:;Ulliyo U\ it;L|Uliliiy doololdi lOc? Willi t^dllliy.

37.0

36.9

37.7

ComDietelv bedfast residents

3.0

3.4

Residents confined to chairs.

38.0

49.3

50.8

Residents requiring restraints.

42.0

40.4

41.3

Confused or disoriented residents.

53.0

61.2

58.4

Residents with bed sores.

10.0

7.0

7.1

Residents receiving special sl<in care.

5.0

31.2

Medicaid Residents:

454

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "MeV means that the facility is in compliance with the specific requirement. "Not MeV means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
IVIET/
NOT
I^ET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

I^ET

5.6

518

5.5

Each resident is free from mental and physical abuse.

IVIET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

455

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
Nfltinnal Rp<?Pflrr'h nniinril Natinnal Ar'flrlpmv nf Spipnrp^

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

456

JACKSONVILLE FL

NURSING HOME PROFILE
CATHEDRAL CONVALESCENT CENTER

street Address:

City and State:

333 E ASHLEY ST

JACKSONVILLE FL 32202

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

120

NON-PROFIT OTHER

10/29/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

115

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

1 iNi'WlxjN^I 1 1 X^ViiWII II 1^ W^^l 1 IV/ ^^1 L^/LV«I WilWWiwkVtl IWVi' II 1 li^biC^I III

62.6

81.5

Dressing

Rpsiripnts rpnuirinn ^nmp or tntai assi<5tanre in Hressinn

103

89.6

84.3

83.2

Toileting

R^QiHontc roni lirinn cnmo nr tntal acdQtsnpo in tAilotinn
riooiviCr] 1 lo 1 c^Lf uii M lu oui lie ui luidi dooioidi loc? ii i ivjiioui iu>

73.0

76 6

73 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
lUD or loiieT.

74.8

75 8

77.2

Continence

ncsiuciiis Willi uauicicis or partial or loiai loss or Dowei or uiauuer control.

72.2

70 0

68 2

ncbiueius on inuiviuuaiiy wrmen uowci anu uiauuer reiraininy program.

0.0

4.9

4.6

Eating

r\coiuciua mociviiiy luuc ic^cuiiiyo (Ji icv.juiiiiiy dsoiaiai luc Willi cdiiiiy.

29.6

36.9

37.7

Comoletelv bedfast residents

0.0

3.0

3.4

Residents confined to chairs.

38.3

49.3

50.8

Residents requiring restraints.

10.4

40.4

41.3

Confused or disoriented residents.

49.6

61.2

58.4

Residents with bed sores.

11.3

7.0

7.1

Residents receiving special skin care.

20.0

31.2

l\/ledicaid Residents:

457

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:NT OF FACILITIES
REOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

458

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 ft
( .O

1 1 9'^

1 1 C.O

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

1 UD

01 Q

dA .y

on/i c
<;U4o

C\ .D

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21 2

1662

17 6

Drugs are administered according to the written orders of the attending physician.

Mb 1

107

PP 1

MET

O 1

14 7

1 *+. r

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 9

587

6 2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

Mh 1

15 5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in nArrnal ni irci litc inr*li iHinn rolinir\i ic Qr^tiv/itioc /^f tKo r^ciHant'c r*h/^ir*o ti Qn\/
III 1 lui M icti [juiouiio, 11 luiuuii ly ic;iiyiuuo ctuiiviiic^o ui lii^ ic^oiut^iiio uiiuiuc;, ii ciiiy.

Mc 1

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MOT KVICT

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

Mt 1

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

iNVj 1 Ivrt 1

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

IVIC 1

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

459

JACKSONVILLE FL

NURSING HOME PROFILE
CEDAR HILLS NURSING CENTER

street Address:

City and State:

2061 HYDE PARK RD

JACKSONVILLE FL 32210

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

180

PROPRIETARY

03/31/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

176

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
niyniy sp6CiaiiZ60 carG ano services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

146

83.0

81.5

Dressing

Residents requiring some or total assistance in dressing.

152

86.4

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

134

76.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih nr tnilpt

140

79.5

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

133

75.6

70.0

68.2

Residents on individur^llv written howpl and bladder retrainina Droaram

1 1 wl\p4^ 1 1 w 1 1 II lU 1 V lU U vtl 1 y Will \^ 1 1 %J\J W ^ 1 dl IVI 1 vtUU^ 1 1 w il wl 1 1 1 1 1^ 1^1 WVH ' ' ' *

7.4

4.9

4.6

Eating

Re^ldpnt^ rerpivinn tube fppdinn^ or rpniiirinn a<5<;i^tanrp with patina

1 I^OIU^IIIO I^W^IVIIIU lUk^^ I^^UIIIUw ^1 I^UUIIIIIU ClOOl O ICll IV/^ Willi V^dllllU.

30.7

36.9

37.7

Completely bedfast residents.

2.8

3.0

3.4

Residents confined to chairs.

52.3

49.3

50.8

Residents requiring restraints.

50.0

40.4

41.3

Confused or disoriented residents.

108

61.4

61.2

58.4

Residents with bed sores.

8.0

7.0

7.1

Residents receiving special skin care.

8.5

31.2

Medicaid Residents:

145

460

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=tEOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

461

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Mofir^nal Rocoarf^h r^r\iinr*il Nistirtnsl Ar^QHomv/ nf Qr'ionr'i^c

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

462

JACKSONVILLE FL

NURSING HOME PROFILE
EAGLE CREST NURSING CENTER

street Address:

City and State:

2802 PARENTAL HOME RD

JACKSONVILLE FL 32216

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

240

PROPRIETARY

05/16/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

214

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

148

69.2

81.5

Dressing

Residents reauirina some or total assistance in dressina

177

82.7

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

157

73.4

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

153

71.5

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

145

67.8

70.0

68.2

Residents on individually written bowel and bladder retraining program.

7.0

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

31.3

36.9

37.7

Completely bedfast residents.

2.8

3.0

3.4

Residents confined to chairs.

134

62.6

49.3

50.8

Residents requiring restraints.

29.4

40.4

41.3

Confused or disoriented residents.

178

83.2

61.2

58.4

Residents with bed sores.

7.5

7.0

7.1

Residents receiving special skin care.

23.8

31.2

Medicaid Residents:

203

463

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

464

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

465

JACKSONVILLE FL

NURSING HOME PROFILE
EARTHA M M WHITE NH

street Address:

City and State:

5377 MONCRIEF RD

JACKSONVILLE FL 32209

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

NON-PROFIT OTHER

08/06/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

116

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Rp<5irie>nt<5 rpnuirino somp or total a«?<iistancG in bathina

79.3

81.5

Dressing

RpQiHpntQ rpniiirinn Qnmp nr totsl ^i^Qi^tfinpp in HrpQQinn

ri wOlvlC7l 1 lO 1 v7\JL4ll II lU Owl 1 IC7 ^1 IL/ldl dOOlOlCll IwW III UI^OOIIIU.

35.3

84.3

83.2

Toileting

Rp<;irlpnt<? rpnuirinn <;omp or total a<5<?i<itanpp in toilptinn

71.6

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih r\r tr\ilpt

79.3

75.8

77.2

Continence

Rp^lHpnt^ with (^athptpr^ or nartial or total lo^^ of howpl or hIaHHpr oontrol

1 I^OIVJ^I 1 VV III! V^Clllld^lO ^1 k^CllllCll wl Iw ICll IV./ OO \Jl L/W VV wl \JI Im/ICIUU^I V^Vafllllwl*

85.3

70.0

68.2

Rp^iHpnt^ on inriiviHiiallv writtpn howpl anH hIaHHpr rptraininn nronram

riC70IUC7l 1 lO \J\ I II IVJIVIuUdliy VVIIllC7ll l^Vi/VVwl dl IVJ UiClVJVJC7l 1 ^11 dll III 1^ |../l Vi/^l dl 1 1>

3.4

4.9

4.6

Eating

RpciHpntQ rpppiv/inn tiiKp fppHinriQ r\r rpniiirinn siQQictsinpp with Pfltinn
ri%?oiuc7i iio 1 c^^dvii lu luuc ic^cviii i^o wi iCLfuiiii i^ dooioicii il/C? vviii i ociiii i^.

37.1

36.9

37.7

ComDletelv bedfast residents

9.5

3.0

3.4

Residents confined to chairs.

29.3

49.3

50.8

Residents requiring restraints.

44.0

40.4

41.3

Confused or disoriented residents.

68.1

61.2

58.4

Residents with bed sores.

8.6

7.0

7.1

Residents receiving special skin care.

0.9

31.2

l\/ledicaid Residents:

115

466

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at thie time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities In the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

467

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

468

JACKSONVILLE FL

NURSING HOME PROFILE
FANNIE E TAYLOR HOME FOR AGED NH

street Address:

City and State:

3937 SPRING PARK RD

JACKSONVILLE FL 32207

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID ICF

NON-PROFIT PRIVATE

09/11/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

34.8

/o.y

lo.o

Dressing

Residents requiring some or total assistance in dressing.

73.9

/4.d

f'O.I

Toileting

Residents requiring some or total assistance in toileting.

30.4

o/.y

DO. 4

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

65.2

DO.O

DD.U

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

60.9

D 1 .0

39. 1

Residents on individually written bowel and bladder retraining program.

0.0

1 1 R
1 1 .0

R 1

Eating

Residents receiving tube feedings or requiring assistance with eating.

8.7

9*5 7

v^ompieieiy Deaiast resioents.

0.0

0 0

3 6

Residents confined to chairs.

21.7

23.0

39.1

Residents requiring restraints.

13.0

24.3

31.7

Confused or disoriented residents.

34.8

62.5

55.8

Residents with bed sores.

0.0

2.0

4.7

Residents receiving special skin care.

13.0

24.3

24.0

Medicaid Residents:

469

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

0.0

1.2

1 ne Taciiiiy uses a sysiem inai assures luii ana complete accounting ot resiaents
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

0.0

198

3.6

Each resident is free from mental and physical abuse.

MET

0.0

1.4

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

0.0

564

10.3

Each resident is given privacy during treatment and care of personal needs.

MET

0.0

798

14.6

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.5

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.0

1.6

MET

0.0

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.0

0.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.0

Nursing services are provided at all times to meet the needs of residents.

MET

0.0

335

6.1

MET

0.0

1187

21.7

Each resident receives care necessary to prevent skin breakdown.

MET

0.0

679

12.4

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

0.0

382

7.0

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

0.0

807

14.8

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

0.0

700

12.8

470

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
Mt 1

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
ana luoe leeaing.

MET

n 0

4 7

*T. /

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

N li^T K It 1 — r

NOI Mt 1

1 HO

1 o. /

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

25.0

601

11.0

Drugs are administered according to the written orders of the attending physician.

MET

0.0

1385

25.3

IVIC \

0.0

1045

19.1

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

IVIC 1

0.0

269

4.9

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NDT MFT

IN W 1 IVI C 1

25.0

311

5.7

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal Dur^uits inrluriinn rpllninii"? artivitip<? nf thp rp<5iripnt'«; rhnirp if anv

III livillldl l.yulOUILO, IIIV^IUUIIIM l^ilUIULIO d^afllVlli^O \Jt lllw I^OIUOIIi O ^IIV./IV.'^, II dllY*

MOT ^ylFT

25.0

481

8.8

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

IVI u 1

0.0

479

8.8

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

0.0

1064

19.4

All common resident areas are clean, sanitary and free of odors.

MET

0.0

1169

21.4

All essential mechanical and electrical equipment Is maintained in safe operating
condition.

MET

0.0

Resident care equipment is clean and maintained in safe operating condition.

MET

0.0

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

0.0

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

0.0

267

4.9

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

0.0

2452

44.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

471

JACKSONVILLE FL

NURSING HOME PROFILE
FL CHRISTIAN HEALTH CENTER

street Address:

City and State:

1827 STOCKTON ST

JACKSONVILLE FL 32204

Participation:

# of Beds:

Type of Ownerstiip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

128

NON-PROFIT RELIGIOUS

08/28/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

128

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

77.3

81.5

Dressing

Residents requiring some or total assistance in dressing.

100

78.1

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

71.9

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

71.9

75.8

77.2

Continence

Residents with catheters or oartial or total los<; of bowel or bladder control

49.2

70.0

68.2

Rp^irlpnt^ on indiviHuflllv writtpn hnwpl ^^nci hlaHHpr rptraininn nrnnr^^m

1 1 wOlU^I 1 LO \Jt I IMUIVIUUClliy Will 1^1 1 k/w VV ^1 Cll IVJ UldUxJ^I 1 ^ 11 dl 1 III lU L^l ' ' ■

17.2

4.9

4.6

Eating

Residents rprpivinn tiihp fppHInn^ or rpniiirinn a^^i^tanrp with patinn

32.8

36.9

37.7

Completely bedfast residents.

5.5

3.0

3.4

Residents confined to chairs.

28.1

49.3

50.8

Residents requiring restraints.

53.9

40.4

41.3

Confused or disoriented residents.

76.6

61.2

58.4

Residents with bed sores.

1.6

7.0

7.1

Residents receiving special skin care.

60.2

31.2

Medicaid Residents:

472

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

iiic laL/iiiiy ubcb d oyoicrn iiidi abburcs Tuii auQ compicie accouniing OT resiaents
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

473

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

474

JACKSONVILLE FL

NURSING HOME PROFILE
HOSPITALITY CARE CTR OF THE BEACHES

street Address:

City and State:

1504 SEABREEZE AVE

JACKSONVILLE FL 32250

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

120

PROPRIETARY

04/08/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

111

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

o/
/o

Bathing

ncolUclUb icLjUliliiy bUlilc ui lUlal abolblaiiL/C III Udlilliiy.

106

95.5

O 1 .O

O 1 .Q

Dressing

nesiuents requiring some or loiai assiSTance in □ressing.

107

96.4

OO.^

Toileting

nesiaenis requiring some or lOiai assisiance in loiieTing.

88.3

7R ft

7T ft

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

80.2

7R ft

77 9

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

65.8

70 n

( u.u

fift 9

\jO.C.

Residents on individually written bowel and bladder retraining program.

12.6

A ft

Eating

Residents receiving tube feedings or requiring assistance with eating.

46.8

^7 7

lifOmpieieiy ueGrasi resioenis.

3.6

3.0

3.4

Residents confined to chairs.

67.6

49.3

50.8

Residents requiring restraints.

55.9

40.4

41.3

Confused or disoriented residents.

63.1

61.2

58.4

Residents with bed sores.

14.4

7.0

7.1

Residents receiving special skin care.

29.7

31.2

Medicaid Residents:

475

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Ttie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan Indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies In other facilities in the State and Nation. "Met" means that the facility Is in compliance with the specific requirement. "Not Met" means the facility

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=tEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

476

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 Q
^ .O

•1 ■\ OO

M .y

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to wail< or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

OH C

21.6

Each resident needing assistance in eating or drinl<ing is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

91 9

17 6

1 / ■V.'

Drugs are administered according to the written orders of the attending physician.

MOT K^PT

OO 1

07OQ

Mb 1

O 1

R A
D.H

1 OOv7

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mb 1

1 Q

5ft7

fi 9

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

Mt 1

ft16

ft 6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in nnrmal nur^iiit^ inpliirlinn rplinir^iiQ flr*ti\/itipc nf th^^ rPQiri^^nt'Q pHoIpp if anu
III iiVi^iiiiai yjxji oui lo, iii\.^iu\jiii^ idiui^uo cio iiviiioo v^i iiio icoiuc^iii o uiiL/iVi/C?, II ciiiy.

IVIt 1

\J\J

14 0

10Q9

11 6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

tvIC 1

10 7

1270

13 4

Toilet and bath facilities are clean, sanitary, and free of odors.

IVIC 1

2 5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MFT

IvIC 1

7.4

1041

1 1.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6 4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MFT

1 1 IVI L- 1

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

477

JACKSONVILLE FL

NURSING HOME PROFILE
JACKSONVILLE CONVALESCENT CENTER

street Address:

City and State:

730 COLLEGE ST

JACKSONVILLE FL 32204

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICAID SNF/ICF

104

PROPRIETARY

03/24/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

ly/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirlna some or total assistance in bathina

55.7

81.5

Dressing

Residents renuirino some or total assistance in dressina

96.9

84.3

83.2

Toileting

Residents renuirinn some or total assistance in toiletino

1 I^WIUwl 1 1 WVJUII II lU OV^I 1 1^ \JI l\/ldl dOOIOlCII Iw^ II 1 i^ll^lll lU*

82.5

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

lUU Ui lUllt^l.

82.5

75.8

77.2

Continence

R^^QiflpntQ with pflthptATQ nr nArtisI nr tntal Ihqq nf hnwpl nr hlflHHpr pnntrni

l100luC/l 1 lo Willi L^dli IdC^I O \J\ \JO.i IXw \Jl IVlCtI IwOO \J\ ULrWd \Jl UldUUCI L/V^llll^l.

79.4

70.0

68.2

RpQirlpntQ on inHiv/iHi istlK/ written Ko\a/pI cinH hlaHrlor rotraininn nmnr^im
riC7oiuc?i iio \Ji I iiiuiviuudiiy wi iiic7i i uvjvvc/i diiu uiduuc^i ic^iidiiiiii^ yji w^i di 1 1.

6.2

4.9

4.6

Eating

RociHontc roppi\/inn ti iKo fooHinnc r\r roni lirinn accict^nr^o with oatinn
rit;oiUc7illo ic70c7lvUiy lUUc^ ic^c^Uliiyo Ui it^LfUliliiy dooioldiioc; Willi c^diiiiy.

42.3

36.9

37.7

CoiTiDletelv bedfast residents

0.0

3.0

3.4

Residents confined to chairs.

52.6

49.3

50.8

Residents requiring restraints.

43.3

40.4

41.3

Confused or disoriented residents.

68.0

61.2

58.4

Residents with bed sores.

8.2

7.0

7.1

Residents receiving special skin care.

16.5

31.2

Medicaid Residents:

478

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

479

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostonny/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

NOT MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

480

JACKSONVILLE FL

NURSING HOME PROFILE
MANDARIN MANOR

street Address:

City and State:

10680 OLD ST AUGUSTINE ROAD

JACKSONVILLE FL 32223

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

06/12/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

113

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

o/
To

Bathing

nesiuGnis requiring some or loiai assisisnce in uaining.

105

92.9

Ol .0

01 c;
Ol .0

Dressing

Residents requiring some or total assistance in dressing.

103

91.2

o4.o

oo.d

Toileting

Residents requiring some or total assistance in toileting.

74.3

/b.D

70 Q
/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

63.7

7C O

lO.O

Continence

t^S _ * J — . . A. ^ "X L_ till ft 1 llll ll

Residents with catheters or partial or total loss of bowel or bladder control.

63.7

70.0

CO o

^ _ * —J — . . X— ^ ' II 'J-A 1 1 lit II t

Residents on individually written bowel and bladder retraining program.

0.9

4.y

4.b

Eating

Residents receiving tube feedings or requiring assistance with eating.

41.6

oD.y

C 1 .1

uompieieiy Deaiasi resiaenis.

0.0

3 0

3.4

Residents confined to chairs.

28.3

49.3

50.8

Residents requiring restraints.

17.7

40.4

41.3

Confused or disoriented residents.

35.4

61.2

58.4

Residents with bed sores.

6.2

7.0

7.1

Residents receiving special skin care.

17.7

31.2

Medicaid Residents:

481

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. Thie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

1 lie idOMiiy yiisureb iiidi lib wriuen proceuures regarairiy ine riynis ana
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

urugs TO control oenavior ana pnysicai restrainis are oniy usea wnen autnorizea oy a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

cacn resiaeni is aiiowea lo communicaie, associaxe ana meex privaxeiy wiin
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

tacn resiaeni is aiiowea to retain ana use nis/ner personal possessions ana cioxning
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

1 ne Taciiiiy ensures xnat tne neaitn care oi eacn resiaent is unaer tne continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

482

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostonny/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 ft

1 1

1 1 Q

1 1 .\7

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

1 (Jo

^ 1 .D

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

IVIt 1

22 1

2739

29 0

MET

6 4

1389

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mb 1

1 9

1 ■ v/

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NUI Mbl

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in nnrmpil niirQiiitQ inpliiHinn rplinirMiQ ar*ti\/itiAQ nf thp r^ciHAnt'c phnipp if anv/
III 1 ivji 1 1 icii oui io, iiioiuLiiiiu 1 diui^juo ci^ii V 1 11 yji ii ic? i c^oiLiv:;! 1 1 o l«i il/i^^c?, ii cii ly •

ivit 1

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

IVIt 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

IVflt 1

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

IVIC 1

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

Win 1

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

483

JACKSONVILLE FL

NURSING HOME PROFILE

PHEO MEDICAL CENTER

street Address:

City and State:

1771 EDGEWOOD AVE WEST

JACKSONVILLE FL 32208

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

NON-PROFIT OTHER

02/11/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

100

81.5

Dressing

Residents reauirina some or total assistance in dressina

100

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

100

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

100

75.8

77.2

Continence

Rp^iHpnt^ with pathptpr^ or nnrtifll or total lo^^ of howpl or hiadHpr pontrol

1 IwOIU^IIlO Willi WCILI 1^ i^l O \Jl L/dl IICII \Jl IwLCll I^OO VI UKJvV^l \JI UtCL\J\J^l

100

70.0

68.2

RpclHpnt^ on inrlivlHi mll\/ writtpn howpl JinH hIaHHpr rptrfiininn nronram

1 I^OIVJ^IIIO Vyi 1 11 l\JI V I^JUCII 1 y VVIIll^ll U\JW^I Cll lU iJIClW^I 1 ^ 11 dl 1 III IM 1.^1 WM' ClI 1 1>

0.0

4.9

4.6

Eating

RpQirlpntQ rpppi\/inn tiihp fppHinriQ nr rpniiirinn flQ^iQtflnpp with p?itinn

0.0

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

100

49.3

50.8

Residents requiring restraints.

0.0

40.4

41.3

Confused or disoriented residents.

0.0

61.2

58.4

Residents with bed sores.

100

7.0

7.1

Residents receiving special skin care.

100

31.2

Medicaid Residents:

484

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Mel" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

485

SELECTED PERFORMANCE INDICATORS

n^iiiiiiuvi. 1 1 itz^at; ocict^lcu ^oi lUI lllal lOU lilUIOalUib uu nOL reprcSGni all ins icCjUirsmGnis a

MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:nt of facilities
requirements

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

486

JACKSONVILLE FL

NURSING HOME PROFILE

REGENTS PARK OF JACKSONVLLE

street Address:

City and State:

7130 SOUTHSIDE BOULEVARD

JACKSONVILLE FL 32216

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

107

PROPRIETARY

10/29/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Re<5idGnts rpnuirina somp or total a<5<5istanf;G in bathina

I 1 1 1 iw 1 U II II 1^ WW 1 1 1 w w 1 iW iC(l dwwl w iOI 1 W w III l>yu il III lU >

95.8

81.5

Dressing

Residents requiring some or total assistance in dressing.

96.8

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

84.2

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

82.1

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

80.0

70.0

68.2

Residents on individurillv writtpn hnwpl and hiaddpr rptraininn nrnnram

■ 1 w wi\J wl 1 iw Wll IllUIVIUUdliy VV 1 1 1 1 U\JV¥^1 Cti iU I^IC(V>IU wl iwliClllliliU L./l\,^UICllll>

4.2

4.9

4.6

Eating

Rp^idpnt^ rpppiv/inn tiihp fppdinnQ nr rpniiirinn ACQictAncp with Pfltinn

1 lwQI\.Jwl IIO 1 ^^./^IVII 1^ lUk/w I^^UII Ul 1 wLfUII II IM OOOIOICII Iww Will 1 C7CIIII lU*

21.1

36.9

37.7

CAmnlptPlv hprifAct rPQiHpntQ

1.1

3.0

3.4

Residents confined to chairs.

33.7

49.3

50.8

Residents requiring restraints.

15.8

40.4

41.3

Confused or disoriented residents.

57.9

61.2

58.4

Residents with bed sores.

4.2

7.0

7.1

Residents receiving special skin care.

24.2

31.2

Medicaid Residents:

487

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Thie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the sun/ey.

Reminder: These 32 selected performance indicators do not represent all the requirennents a

ia»jiiiiy Miuoi iircci. lllc;lt: alt; Uvci uKJ\j otrfJcticilc: icLjUli^llloi lib. 1 lie iniOi iTIclllOn picbcrHcU

below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

Thp fflpilitv iiQPQ ^ cvctpm that aqqiitpq fiill anrl rr^nnnjpto ao/^r^i intinn nf rtaciHontc'
1 1 IC7 ici^iiiiy uoc;o a oyoiciii ii idi cioouivo lUii cii lU ouiMpioLc^ ctU/CUUi nil lu Ul loolUc^iiLo

personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

488

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=tEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 O
/ .0

1 1

1 1 Q
1 1 .3

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

\ UD

c.\.\i

on/I

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

Mt 1

2Q n

MET

1 ^RQ

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mb i

1 9

587

6 2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

vAc. \

15 5

816

8 6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in n^rrnsil ni iroi litc in/^li iHinn rdini^i ic oi^tix/itiac the raciHant'c if on\/
III ii^iiiidi puiouiio, iiiuiuuiiiy ic/iiyiuuo ctouviiic^o ui uic icoiuc^iiio uiiuioc^, ii ctiiy.

Mb 1

14 0

1 '-r.yj

lOQQ

11 6

1 1 m\J

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10 7

1270

1*5 4

Toilet and bath facilities are clean, sanitary, and free of odors.

Ivlb 1

2 5

1216

1 ^ 1 w

12.9

All common resident areas are clean, sanitary and free of odors.

WKJ \ Ivit 1

7.4

1041

1 1.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MPT

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MFT

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MOT MFT

1 NW 1 Ivl C 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

489

JACKSONVILLE FL

NURSING HOME PROFILE
RIVER GARDEN HEBREW HOME FOR THE AGED

street Address:

City and State:

1800 STOCKTON ST

JACKSONVILLE FL 32204

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

192

NON-PROFIT OTHER

08/27/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

178

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

ResidGnts requiring some or total assistance in bathing.

160

89.9

81.5

Dressing

Residents requiring some or total assistance in dressing.

160

89.9

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

128

71.9

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

125

70.2

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

128

71.9

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram.

0.0

4.9

4.6

Eating

Rp^lHpnt^ rpppiv/inn tiihp fppHinriQ nr rpniiirinn fl^Qi^tflnrp with Pfltina

II^OIUwIHO Iww^lVIIIM lUUw IwwLIIIIUO wl 1 w\JUII 11 IM ClOOIOlCII Ivw Willi ^Cllll IM'

43.8

36.9

37.7

Comoletelv bedfast residents

0.6

3.0

3.4

Residents confined to chairs.

110

61.8

49.3

50.8

Residents requiring restraints.

7.3

40.4

41.3

Confused or disoriented residents.

115

64.6

61.2

58.4

Residents with bed sores.

3.9

7.0

7.1

Residents receiving special skin care.

33.7

31.2

Medicaid Residents:

490

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Mel" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

491

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

492

JACKSONVILLE FL

NURSING HOME PROFILE
ROSEWOOD NH

street Address:

City and State:

12739 DUNNS CREEK ROAD

JACKSONVILLE FL 32218

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

PROPRIETARY

06/11/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

98.1

81.5

Dressing

Residents requiring some or total assistance in dressing.

75.9

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

74.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih or tnilpt

63.0

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

81.5

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

■ • vvt\^ W 1 ■ VNif \^ 11 III 1 » 1 \ia WVAI IT » » 1 1 V \ 1 1 It/ w w \^ 1 VVi M\A ttJ 1 wt%J\^^y 1 1 \^ LI W41 1 H 1 lU 1 1 V»I I 1 •

0.0

4.9

4.6

Eating

Residents receivina tube feedinas or reauirina assistance with eatina

■ 1 \^ V^ 1 \^ \^ 1 1 V^ 1 \^ \^ 1 V 1 1 1 \^ 1^ \^ 1 III 1 1 ^^^1 ^1 1 1 1 1 1 V4 ^t^J^J 1 \ 1 ^^^^ V T 1 V 1 1 VII 1 \am ■

37.0

36.9

37.7

Completely bedfast residents.

5.6

3.0

3.4

Residents confined to chairs.

77.8

49.3

50.8

Residents requiring restraints.

35.2

40.4

41.3

Confused or disoriented residents.

90.7

61.2

58.4

Residents with bed sores.

5.6

7.0

7.1

Residents receiving special skin care.

16.7

31.2

Medicaid Residents:

493

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

494

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostonny, respiratory (breathing) and tracheotonny care, suctioning
and tube feedina

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

lUlFT

IVIC 1

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

495

JACKSONVILLE FL

NURSING HOME PROFILE
ST CATHERINE LABOURE MANOR

street Address:

City and State:

1717 BARRS ST

JACKSONVILLE FL 32204

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

232

NON-PROFIT RELIGIOUS

04/28/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

223

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
niyniy speciaiizeu care ana services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

175

78.5

81.5

Dressing

Residents requiring some or total assistance in dressing.

181

81.2

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

175

78.5

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

lUU Ul luiim.

155

69.5

75.8

77.2

Continence

ntJoiutJiuo Willi (./aiimicib ur paiiidi or lUidi lUob cji uowci (jr uictuuci uuiiiiui.

136

61.0

70.0

68.2

nesiuenis on inuiviuuaiiy wrinen uowei anci uiaouer retraining program.

3.6

4.9

4.6

Eating

nesiaenis receiving luoe leeoings or requiring assistance witn eating.

28.3

36.9

37.7

2.7

3.0

3.4

Residents confined to chairs.

136

61.0

49.3

50.8

Residents requiring restraints.

28.3

40.4

41.3

Confused or disoriented residents.

43.0

61.2

58.4

Residents with bed sores.

6.3

7.0

7.1

Residents receiving special skin care.

5.4

31.2

l\/ledicaid Residents:

156

496

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

^ ^ 1^ "J A 1 1 II 'ill 1 lllll Al' "11 ' a.t

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

497

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

1 Ndll^^l Idl riCOCdl 1 wL/UI lOII , 1 NdLIL/l Idl rA^.«dUd 1 1 y \Jl ILr^O.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

498

JACKSONVILLE FL

NURSING HOME PROFILE
TAYLOR CARE CENTER

street Address:

City and State:

6535 CHESTER AVENUE

JACKSONVILLE FL 32217

Participation:

# of Beds:

Type of Ownerstiip:

Survey Date:

MEDICAID SNF/ICF

120

NON-PROFIT OTHER

03/27/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

120

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

81.7

ol .t)

01 .0

Dressing

Residents requiring some or total assistance in dressing.

113

94.2

o4.o

OO.^

Toileting

Residents requiring some or total assistance in toileting.

102

85.0

lO.O

7*3 Q

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

102

85.0

lO.O

77 O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

65.0

/ U.U

Residents on individually written bowel and bladder retraining program.

0.0

/I Q

A ft

Eating

Residents receiving tube feedings or requiring assistance with eating.

61.7

OD.S7

^7 7

uompieteiy uedfast residents.

0.0

\J.\J

T 4

Residents confined to chairs.

44.2

49.3

50.8

Residents requiring restraints.

13.3

40.4

41.3

Confused or disoriented residents.

60.8

61.2

58.4

Residents with bed sores.

2.5

7.0

7.1

Residents receiving special skin care.

53.3

31.2

l\/ledicaid Residents:

499

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
idciiiiy iiiubi riitsei. 1 nere are over ouu separate requirements, i ne inTormaiion presenxeo
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

IMC IdOllliy Ubcb a byslclll lllal dboUrcb lUII aHO COmpiclc aCCOUnUMy OT rcSIUcniS

personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

500

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MFT

IVIC 1

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning

IVlt 1

7 8

1 123

1 1.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

Mt I

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOI Mbl

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

501

JACKSONVILLE FL

NURSING HOI
TURTLE CREEK HEA

^E PROFILE

LTH CARE CENTER

street Address:

11565 HARTS RD

City and State:

JACKSONVILLE FL 32218

Participation:

MEDICAID SNF/ICF

# of Beds:

180

Type of Ownership:

PROPRIETARY

Survey Date:

11/20/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

174

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Rp^iripnt^ rpniiirinn ^nmp nr total fl^^i^tanpp in hathinn

154

88.5

81.5

Dressing

RpQiHpntQ rpniiirinn Qnmp nr tnt^il fl^QiQtflnpp in HrpQQinn

125

71.8

84.3

83.2

Toileting

RpciHpntc rpniiirinn cnmp nr tntcil accictannp in tnilptinn
r\C70lU^lllo it^L|Uliliiy oUi Mt^ Ul lUlcll ciooIdLciiiUc; III lUllt^lliiy.

110

63.2

76 6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
TUD or loiiei.

55.2

75.8

77.2

Continence

ncolUcilllb Willi L/Ctlllclclo (jr parildl Ul Ivjlal lUoo UT UCJWcl ur UldUUcr uUllliUI.

111

63.8

70.0

68.2

nesiaenis on inuiviuuaiiy wnuen uowei anu uiauu6r reiraining program.

2.3

4.9

4.6

Eating

nesiuenTS receiving luue Teeoings or recjuiring assistance wiin eaiing.

13.2

36.9

37.7

f^nmnlptplv hprifsiQt rPQiriPntQ

1.1

3.0

3.4

Residents confined to chairs.

106

60.9

49.3

50.8

Residents requiring restraints.

34.5

40.4

41.3

Confused or disoriented residents.

37.9

61.2

58.4

Residents with bed sores.

5.2

7.0

7.1

Residents receiving special skin care.

18.4

31.2

Medicaid Residents:

152

502

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "N/let" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

i_ _ e 'I'A I A.L 1 fill ij. .f'lii

The facility uses a systenn that assures full and complete accounting of residents
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

503

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

NOT MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to wall< or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

504

JASPER FL

NURSING HOME PROFILE
SUWANNEE VALLEY NURSING CTR

street Address:

City and State:

427 NW 15TH AVE DRAWER 1058

JASPER FL 32052

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

PROPRIETARY

07/31/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents rsquiring some or total assistance in bathing.

69.5

ol .0

O I .0

Dressing

Residents requiring some or total assistance in dressing.

61.0

QA O

o4.o

DO O

oo.<i

Toileting

Residents requiring some or total assistance in toileting.

54.2

lO.O

/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

54.2

fO.O

77 O

Continence

'Ij. *hI III ■*! ■■■■ #1 1 llll At

Residents with catheters or partial or total loss of bowel or bladder control.

35.6

70.0

bo. 2

Residents on individually written bowel and bladder retraining program.

15.3

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

16.9

36.9

07 7

37.7

Completely bedfast residents.

0.0

o.yj

Residents confined to chairs.

69.5

49.3

50.8

Residents requiring restraints.

32.2

40.4

41.3

Confused or disoriented residents.

42.4

61.2

58.4

Residents with bed sores.

0.0

7.0

7.1

Residents receiving special skin care.

3.4

31.2

Medicaid Residents:

505

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of sun/ey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

Each resident receives daily personal hygiene as needed to assure cleanliness, good
skin care, good grooming, and oral hygiene taking into account individual
preferences, Residents are encouraged to take care of their own self care needs.

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

506

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1 123

1 1.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

\ Uo

1 ceo

1 1 .0

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

O 1

D.4

1 ooy

1/17

14./

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 Q

1 .y

Oof

ft o

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

1 0

1 D.O

Q1 ft

n ft

O.D

MET

A A r\
1 4.U

1 uyy

lift

1 1 .D

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

c;o
0^

1 u. /

1 97n

1 4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 o
1 d

C..0

1 91 ft
1 ^ 1 D

1 9 Q

All common resident areas are clean, sanitary and free of odors.

MET

7 A

1 KJH 1

1 1 n

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

O 1

D.M-

14 Q

Resident care equipment is clean and maintained in safe operating condition.

MET

Q 7

14 Q

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

iVIC 1

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

507

JUNO BEACH FL

NURSING HOME PROFILE
THE WATERFORD HEALTH CENTER

street Address:

City and State:

601 SOUTH US HIGHWAY 1

JUNO BEACH FL 33408

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

NON-PROFIT OTHER

12/17/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirlna some or total assistance in bathina

75.9

81.5

Dressing

Residents reauirlna some or total assistance in dressina

63.8

84.3

83.2

Toileting

Residents reauirlna some or total assistance in toiletina

63.8

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih nr tr\ilot

75.9

75.8

77.2

Continence

Residents with rathetprs or nartial or total ln<5<; of hnwpl or bladder control

51.7

70.0

68.2

Rpsidpnts on indix/idiiallv writtpn hnwpl and hiaddpr rptraininn r^ronram

15.5

4.9

4.6

Eating

Rp^idpnt^ rpppiuinn tiihp fppdinn^ or rpmiirinn fl^^i^tanrp with pfltinn

1 I^OIU^IIIO IwVi/UIVIIIU lUk/w l^^\JIIIUO \Jl I^ULIIIIIIU ClOOIOlCll Iww Willi wCllll IU>

17.2

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

36.2

49.3

50.8

Residents requiring restraints.

31.0

40.4

41.3

Confused or disoriented residents.

36.2

61.2

58.4

Residents with bed sores.

5.2

7.0

7.1

Residents receiving special sl<in care.

5.2

31.2

Medicaid Residents:

508

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 Mc idoiiiiy ubco a oyoicrTi iiiai abourco luii aHu compicic accouniing oi resiuenis
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

509

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote maxinnum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

510

JUPITER FL

NURSING HOME PROFILE
JUPITER CARE CENTER

street Address:

City and State:

17781 YANCY STREET

JUPITER FL 33458

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

02/25/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

■Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

90.9

Q i C

ol .O

0\ .0

Dressing

nesiuenis requiring some or loiai assistance in uressing.

89.8

Toileting

r\t;olUt;i lib ic;L|Uliliiy oUillc^ Ui lUlal doblolailUU III lUllt:^Uiiy.

85.2

7fi fi

7*^ 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
lUD or lOiiet.

85.2

75 8

77 2

Continence

nesiaenis wim cainexers or paniai or loiai loss oi oowei or uiauoer control.

86.4

70 0

68 ?

nesiaenis on inaiviauaiiy wnnen Dowei ana Diaoaer retraining program.

0.0

4 Q

4 6

Eating

Residents receiving tube feedings or requiring assistance with eating.

36.4

^7 7

completely bedfast residents.

1.1

o.\j

Residents confined to chairs.

46.6

49.3

50.8

Residents requiring restraints.

12.5

40.4

41.3

Confused or disoriented residents.

48.9

61.2

58.4

Residents with bed sores.

5.7

7.0

7.1

Residents receiving special skin care.

100

31.2

Medicaid Residents:

511

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^EOUIREMENTS

NATION

The facility ensures tinat its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

NOT MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

NOT MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

512

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1E0UIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

H no

d \ ,d

1 OOC.

1 /.O

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

A A ~7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 .9

C O 7

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

1 5.5

816

o c
O.D

NOT MET

14.0

1099

A A r*

1 1.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

A O ~7 /A

1270

A A

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

1 2.y

All common resident areas are clean, sanitary and free of odors.

MET

"7 A
1 A

1 U41

1 1 .U

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

a A

D.4

1 41 o

1 /I Q

Resident care equipment is clean and maintained in safe operating condition.

MET

H I

Q 7

y. /

1 AHR
1 M-UO

1 4 Q
1 .y

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

2340

24 7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

Ivlb 1

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

513

JUPITER FL

NURSING HOME PROFILE

JUPITER CONVALESCENT PAVILION INC

street Address:

City and State:

1230 SOUTH OLD DIXIE HIGHWAY

JUPITER FL 33458

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

NON-PROFIT PRIVATE

05/06/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

114

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

86.0

Q-i C

Ol .0

ol .O

Dressing

Hesiaents requiring some or total assistance in oressing.

103

90.4

04. 0

Toileting

nesiuenis requiring some or loiai assisiance in loiieiing.

79.8

7fi fi

7? R

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

79.8

7^ ft

77 P

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

53.5

70 n

Rft 9

Residents on individually written bowel and bladder retraining program.

0.0

A Q

Eating

Residents receiving tube feedings or requiring assistance with eating.

25.4

OD.v7

^7 7

Completely bedfast residents.

4.4

T 0

3 4

Residents confined to chairs.

46.5

49.3

50.8

Residents requiring restraints.

64.0

40.4

41.3

Confused or disoriented residents.

62.3

61.2

58.4

Residents with bed sores.

1.8

7.0

7.1

Residents receiving special skin care.

7.9

31.2

Medicaid Residents:

514

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not MeV means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=tEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

515

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feedina

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

1 \J\J

21 Q

2045

21 6

Each resident needing assistance in eating or drinl<ing is provided prompt assistance.
Specific self-help devices are available when necessary.

IVIC 1

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

516

KEY WEST FL

NURSING HOME PROFILE
KEY WEST CONVALESCENT CENTER

street Address:

City and State:

5860 W JUNIOR COLLEGE ROAD

KEY WEST FL 33040

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

06/05/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

115

{Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

o/
/o

o/
70

Bathing

riesiaGnis requiring some or loiai assisiance in Daining.

86.1

O 1 .0

ol .5

Dressing

nesiaenis requiring some or loiai aSSisiance in uressing.

86.1

RA Q
OH .O

Toileting

nesiaenis requinng some or loiai assistance in toiieiing.

74.8

1 D.D

1 O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

76.5

7R ft

77 9

Continence

nesiaenis wiin caineiers or partial or total loss oi Dowei or Diaaoer control.

75.7

nesiaenis on inaiviauaiiy written Dowei ana Diaoaer retraining program.

7.8

4 Q

4 6

Eating

Residents receiving tube feedings or requiring assistance with eating.

36.5

'?7 7

V/Oiiipieiciy DcuTasi resiuenis.

9.6

3.0

3.4

Residents confined to chairs.

35.7

49.3

50.8

Residents requiring restraints.

30.4

40.4

41.3

Confused or disoriented residents.

67.8

61.2

58.4

Residents with bed sores.

8.7

7.0

7.1

Residents receiving special skin care.

28.7

31.2

Medicaid Residents:

517

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tlie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
^EOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a sl<illed nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

Each resident receives daily personal hygiene as needed to assure cleanliness, good
sl<in care, good grooming, and oral hygiene taking into account individual
preferences. Residents are encouraged to take care of their own self care needs.

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

518

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT

IVIC 1

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
anu luuc Tccuing.

Mt 1

7 R

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NU 1 Mb 1

1 Ud

01 Q

ti \ .y

^ 1 .D

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22 1

2739

29 0

MFT

6 4

1389

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MOT MFT

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal oursuits includino reliaious activities of the resident's choice if anv

III 1 1 VI 1 1 IMI h^VidlSJWIbW) lll>/IU\>llll\4 I V 1 lUI Wl W M W VI V 1 V 1 hi 1 w 1 \^ wl 1 1 I W Wl 1 Wl W W ) 1 1 M> ' T ■

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

519

KISSIMMEE FL

NURSING HOME PROFILE
JOHN MILTON NH

street Address:

City and State:

1120 W DONEGAN AVE

KISSIMMEE FL 32741

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

149

PROPRIETARY

03/24/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

129

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Rp<5iHpnt^ rpniiirinn ^omp or tntfll a^^i^tanpp in hathinn

1 I^OIU^I 1 1 ^VJUII II lU owl 1 1^ Wl IWiCll ClOOiOlCII lO^ II 1 Udil ill IM>

68.2

81 5

Dressing

109

84.5

84 T

83 2

Toileting

nesiaenis requiring some or loiai assisiance in loiiexing.

102

79.1

7fi ft

r O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

102

79.1

7^ ft

77 P

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

102

79.1

Residents on individually written bowel and bladder retraining program.

9.3

A Q

4 6

Eating

Residents receiving tube feedings or requiring assistance with eating.

38.0

36 9

37 7

Comnlptplv bprifa^t rp^iripntQ

0.8

3.0

3.4

Residents confined to chairs.

42.6

49.3

50.8

Residents requiring restraints.

35.7

40.4

41.3

Confused or disoriented residents.

31.8

61.2

58.4

Residents with bed sores.

10.9

7.0

7.1

Residents receiving special skin care.

16.3

31.2

Medicaid Residents:

102

520

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan Indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility Is In compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ne Taciiiiy uses a sysiem inai assures tuii ana compieie accounting oi resioents
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

521

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

U
ft

Each resident receives proper care for injections (sliots), fluids supplied tlirougli
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tiihp fppHInn

IVIC 1

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

?1 Q

204*5

21 6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

Mt 1

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, disthbuted, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

522

KISSIMMEE FL

NURSING HOME PROFILE
KISSIMMEE GOOD SAMARITAN NURSING CTR

street Address:

City and State:

1500 SOUTHGATE DRIVE

KISSIMMEE FL 32741

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

170

NON-PROFIT OTHER

05/05/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

165

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

ResidGnts reaulrina soitig or total assistancG in bathlna

1 1 \^ 1 \^ ■ 1 1 \^ %v| Wl 1 1 1 1 1 \^ ^^^^ III \^ 1 1 V^^^ 1 1 1 \^ V> III \^ hi ill I \^ ■

132

80.0

81.5

Dressing

RGsidGnts rGouirlna somG or total assistancG in drGSsina

132

80.0

84.3

83.2

Toileting

RGsidGnts rGoulrina somG or total assistancG in toilGtina

113

68.5

76.6

73.8

Transferring

ResidGnts rGquiring some or total assistance moving from bed to chair or to

ti ih nr tr^ilot

112

67.9

75.8

77.2

Continence

Residents with catheters or oartial or total loss of howpl or hiadder control

131

79.4

70.0

68.2

Rp^idpnt^ nn individu^^llv writtpn hnwpl and hladdpr rptraininn nrnnram

1 IwwIVJ^IIiw wit IllVJIVIUUCllly VV 1 1 lid 1 U\J VV ^1 ClIIU UlCIVJVJwl I^IICIIIIIIIm I>^IV^MICIIII<

6.7

4.9

4.6

Eating

Rpsidpnts rpcpivinn tiihp fppHinriQ or rpniiirinn aQQlstancp with patinn

1 l^OIUwIllO lOO^IVIIIU lUk./^ I^^VIIIlM^ I^VJUIIIIIVJ ClOOIOlCII Willi ^dllllM*

29.7

36.9

37.7

Comoietelv bedfast residents

0.0

3.0

3.4

Residents confined to chairs.

43.6

49.3

50.8

Residents requiring restraints.

51.5

40.4

41.3

Confused or disoriented residents.

129

78.2

61.2

58.4

Residents with bed sores.

1.8

7.0

7.1

Residents receiving special skin care.

26.7

31.2

Medicaid Residents:

108

523

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

;NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

524

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
Mt 1

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning

MET

7 R

1 1?T

119

1 1 .v7

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

1 UD

91 Q

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MFT

107

22.1

2739

29.0

IVIC 1

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

525

KISSIMMEE FL

NURSING HOME PROFILE
KISSIMMEE HEALTHCARE CENTER

street Address:

City and State:

320 N MITCHELL ST

KISSIMMEE FL 32471

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

09/10/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

RG"?idGnt<; rGouirina some or total assistance in bathina

I 1 Va' w 1 >aJ w 1 1 to 1 U 1 1 II 1 ^ wv/ 1 1 1 w \J 1 K\J im U«^wl w LwAI 1 III lii/U LI III 1 >J ■

73.6

81.5

Dressing

Rpsirlpnts rpnuirinn <5nnnp or total assistanos in drss<5ina

86.8

84.3

83.2

Toileting

Rp^irlpntQ rpnuirinn Qnmp or tnt^il ^^QQi^tanpp in tnilptinn

75.5

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

+1 il^ rtr foilot
lUU Ul lUMcl.

81.1

75.8

77.2

Continence

RpQiHpntc \A/ith pathpfprc nr nartial r\r tntal Incc nf Kr^\A/pl nr hloHHpr pnntrnl
nt^OlUdlLo Willi Udlllt^l^lo Ul |Jdl Udl Ul lUldl lUoo Ul UUVv^l Ul UldUUtJl UUIIUUI.

77.4

70.0

68.2

RpciHpntc nn inHiwiHi oll\/ vA/rittpn hr\vA/pl anH hIaHHpr rptraininn nrnnram
nt^oiuc^i iio Ul 1 II luiviuudiiy wiiii^ii uuvvui diiu uiduuc?! ic^iidiiiiiiy |ji<jydiii>

3.8

4.9

4.6

Eating

ncolUc;illo i^U^IVIliy lUU^ lc;^Uiriyb Ul lULjUliiriy dbololdilUc; Willi t;dlliiy.

64.2

36.9

37.7

5.7

3.0

3.4

Residents confined to chairs.

39.6

49.3

50.8

Residents requiring restraints.

26.4

40.4

41.3

Confused or disoriented residents.

66.0

61.2

58.4

Residents with bed sores.

11.3

7.0

7.1

Residents receiving special skin care.

100

31.2

Medicaid Residents:

526

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan Indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies In other facilities In the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the Indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

NOT MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

527

SELECTED PERFORMANCE INDICATORS

neminuer. i nese o<i seieciea perTormance inuicaxors uo not represent sii tne requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

NOT MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

528

LA BELLE FL

NURSING HOME PROFILE
MEADOWBROOK MANOR OF LA BELLE

street Address:

City and State:

250 BROWARD AV

LA BELLE FL 33935

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

PROPRIETARY

09/02/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

hinhlv/ enormia liToH oaro anH corx/ii^oc

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

69.2

81.5

Dressing

Residents requiring some or total assistance in dressing.

69.2

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletino

66.7

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih f\r toilot
lUU \J\ lUllt;l.

66.7

75.8

77.2

Continence

ncoiuc^iiio Willi Udli is;lc;i o Ui fJcli Ual Ui lUldl lUoo Ul UUVVc;! Ui UlclUUc:?! ouilliUl.

69.2

70.0

68.2

nc^oiuc^i iio UN II luiviuudiiy wiiii^ii uuvvc^i diiu uiduut^r loiidiiiiiiy |jiuyidiii>

0.0

4.9

4.6

Eating

DociHontQ roooi\/inn ti iKo fooHinnc or rom lirinn occictanoo \A#itH ootino
ncoiuc^iiio luuciviiiy luut; ic^c^uiiiyo ui it^^uiiiiiy dooioidi luc? wiui t^duiiy.

12.8

36.9

37.7

Completely bedfast residents.

2.6

3.0

3.4

Residents confined to chairs.

56.4

49.3

50.8

Residents requiring restraints.

33.3

40.4

41.3

Confused or disoriented residents.

20.5

61.2

58.4

Residents with bed sores.

7.7

7.0

7.1

Residents receiving special skin care.

20.5

31.2

Medicaid Residents:

529

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

530

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MFT

IVIQ 1

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning

Qnrl ti iHo fooHinn

cti lu luuo i^cuiiiy.

Mt 1

7 8

1 123

1 1 9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

Mt 1

1 UD

91 Q

C. \ .C7

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT Mtr

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

531

LAKE ALFRED FL

NURSING HOME PROFILE
LAKE ALFRED RESTORIUM

street Address:

City and State:

350 W HAINES BLVD

LAKE ALFRED FL 33850

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

NON-PROFIT RELIGIOUS

05/07/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

■Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
nigniy speciaiizeo care ana services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

96.0

81.5

Dressing

Residents requiring some or total assistance in dressing.

100

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

100

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

100

75.8

77.2

Continence

Residents with catheters or oartiai or total loss of bowel or bladder control

96.0

70.0

68.2

Rp^idpnt^ on individupllv writtpn hnwpl and hladdpr rptraininn nrnnram

0.0

4.9

4.6

Eating

Residents rpppivinn tiihp fepdinn^ or rpnuirinn a^^istanre with eatina

48.0

36.9

37.7

Completely bedfast residents.

4.0

3.0

3.4

Residents confined to chairs.

12.0

49.3

50.8

Residents requiring restraints.

52.0

40.4

41.3

Confused or disoriented residents.

96.0

61.2

58.4

Residents with bed sores.

4.0

7.0

7.1

Residents receiving special skin care.

28.0

31.2

Medicaid Residents:

532

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. Thie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in othier facilities in tfie State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected petlormance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

1 _ "lit 1 II "mil 1 lllll Al' ' ■ 1 * ■ ■ ■

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

533

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotonny care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNaiionai ncScarcn <_>ouncM, iNaiionai MCaOcmy or ocicnccs.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

NOT MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

534

LAKE CITY FL

NURSING HOME PROFILE
TANGLEWOOD CARE CENTER

street Address:

City and State:

2400 S 1ST AVE

LAKE CITY FL 32055

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

12/18/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

93.3

81.5

Dressing

Residents reauirina some or total assistance in dressina

80.0

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

78.9

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

tiih nr tnilpt

77.8

75.8

77.2

Continence

Residents with catheters or oartlal or total loss of bowel or bladder control

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

■ ■ >^ ^ 1 1 11 II I V 1 » 1 \^ Wa\iAI 1 y TT 1 1 1i \ 1 1 »» Vi* 1 V4I t\A 1 W4\«l VI 1 1 \^ 11 VCI 1 1 1 1 1 1 ' 1<*I II"

0.0

4.9

4.6

Eating

Residents receivina tube feedinas or renuirino as^i^tannp with patina

37.8

36.9

37.7

CoiTiDleteiv bedfast residents.

4.4

3.0

3.4

Residents confined to chairs.

57.8

49.3

50.8

Residents requiring restraints.

47.8

40.4

41.3

Confused or disoriented residents.

38.9

61.2

58.4

Residents with bed sores.

6.7

7.0

7.1

Residents receiving special skin care.

27.8

31.2

Medicaid Residents:

535

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=tEQUIREMENTS

NATION

The facility ensures tliat its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

536

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tuhe fppdinn

IVtC 1

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

1 1 IVI ^ 1

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

Mt 1

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

537

LAKE PARK FL

NURSING HOME PROFILE
HELEN WILKES RESIDENCE

street Address:

City and State:

750 BAYBERRY DRIVE

LAKE PARK FL 33403

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

PROPRIETARY

09/22/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

71.6

81.5

Dressing

Rp9i(ipnt<? rpnuirinn <;omp or tntal assi^stanne in dressina

85.1

84.3

83.2

Toileting

Residents rpnuirinn <5nmp nr total a«;<?istanrp in tnilptinn

1 I^OIVJ^I 1 iO 1 ^UUII II iU OV^I 1 1^ \JI i\J\CLt QOOIOtQi Iw^ II 1 iV^ll^lil IM>

83.8

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih r\r tnil^^t

74.3

75.8

77.2

Continence

Residents with catheter*; or nartial or total lo<5<; of howpl nr bladder control

64.9

70.0

68.2

Rp^iripnt^ on indix/irlijflllv writtpn hnwpl and hlaridpr rptraininn nrnnram

1.4

4.9

4.6

Eating

Rp^idpnt^ rpppivinn tiihp fppHinoQ nr rpnuirinn 3QQiQtJinnp with patinn

nOOILJdllO ld,/\7IVIII^ lUUC? lv7v7UlllUO \Ji 1 l^vJUII M IM ClOOIOLCll Willi OCllll Im-

35.1

36.9

37.7

Comoletelv bedfast residents

2.7

3.0

3.4

Residents confined to chairs.

40.5

49.3

50.8

Residents requiring restraints.

48.6

40.4

41.3

Confused or disoriented residents.

62.2

61.2

58.4

Residents with bed sores.

9.5

7.0

7.1

Residents receiving special skin care.

37.8

31.2

Medicaid Residents:

538

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

539

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING [

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNaiionai nesearcn uouncii, iNationai Acaaemy ot ociences.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

540

LAKE PLACID FL

NURSING HOME PROFILE
LAKE PLACID HEALTH CARE CENTER

street Address:

City and State:

125 TOMOKA BOULEVARD SOUTH

LAKE PLACID FL 33852

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

08/27/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

1 1 \i/ VI w 1 1 Vw 1 U 1 1 1 1 lU WW 1 1 1 w wl vw Vlwwl w 1 W W III li^wt 11 III 1^ ■

79.8

81.5

Dressing

Residents reauirina some or total assistance in dressina

1 t 1 1 1 W 1 Vfl W 11 1 1 1 u w^y 1 1 1^^ Lb&l vi w wl W ^^(1 1 W W III VII W wl i 1^4 ■

75.5

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

1 1 w wl U w 1 1 ^w 1 w VlUI 1 II 1^ WW 1 1 f w wl Lw Ivtl Vlwwl w VUl 1 w w III i VI 1 w Wl 1 lU >

68.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih nr tnilot

63.8

75.8

77.2

Continence

Residents with catheters or nartial or total loss of howel or hladder control

1 l^«JIV.f^lliO Willi Vi/dlll^l^lO wl L/UIIIOI \JI l\J LCll l\/wO \J\ uyjiiv ^\ \Jl wIClU vl wl WWI 1 11 wl ■

64.9

70.0

68.2

Residents on individijallx/ written howel and bladder retraininn nronram

1 IwwlVJWIIiw Wl 1 II lUI V 1 WUCll 1 y VVIIILWII U\Jllr^l Cll Iw UldvlVJwl Iwlldlililiw wl WUI Cll I !■

4.3

4.9

4.6

Eating

RG^idsnt^ rpfipivinn tuhp fppHinn^ nr rpniiirinn flQQiQtflnpp with pfltinn

1 iwwIU^I 1 lO 1 ^wwiVII lU iUk/w iwwUII lUO wl 1 wUUIl II lU dOwlOlCll IwW Will 1 wdlll IM*

33.0

36.9

37.7

Completely bedfast residents.

3.2

3.0

3.4

Residents confined to chairs.

25.5

49.3

50.8

Residents requiring restraints.

59.6

40.4

41.3

Confused or disoriented residents.

47.9

61.2

58.4

Residents with bed sores.

1.1

7.0

7.1

Residents receiving special skin care.

35.1

31.2

Medicaid Residents:

541

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Ivlet" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

NOT MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

NOT MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

542

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A

riorir*ion/^\/ m a\/ ronrocont 3n rtn(^rtinn orr\h\lom r\r o r\t~ic^ tlmo f q il 1 1 ro o cirt/ilo otoff norc/^n
Uc^ltL'lc?! icy lllay 1 t;|JI tfotfl U dll UIILJUIliy prUUiclII Ui d Ullt? Ulllfc; lallUic; Ul a olliyitJ oldll (JclbUil.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1E0UIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 Q
/ .O

1 1 do

1 1 .a

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21 .9

2045

21 .6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

PI P

IfifiP

17 6

Drugs are administered according to the written orders of the attending physician.

NOT MET

1 f^7
1 U /

Ol'^Ck
c. 1 0\J

PQ n

MET

O 1

R A

1 OOS7

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 Q

1 .V/

'ift7

6 P

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

1 5

R16

8 6

MET

14 0

1099

1 1.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

Mt 1

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MC 1

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6 4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NU 1 Mh 1

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

543

LAKE WALES FL

NURSING HOME PROFILE
LAKE WALES CONVALESCENT CENTER

street Address:

City and State:

730 N SCENIC HIGHWAY

LAKE WALES FL 33853

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICAID SNF/ICF

100

NON-PROFIT RELIGIOUS

08/27/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
niQniy speciaiizeu care ana services.

FACILITY

STATE

NATION

Battling

Residents reauirina some or total assistance in bathina

73.7

81.5

Dressing

RpQirlpntQ rpniiirinn Qnmp nr tntfll ^^QQi^tflnpp in HrP^Qinn

72.7

84.3

83.2

Toileting

RociHpntc roni lirinn c^nnp r\r \r\\ck.\ occicfon/^p in t^ilptin^
nt^olUc^illo ic^LjUlilliy oUiilt^ Ui lUlctl aoololdilOc^ III LUiit^llliy.

59.6

76 6

73 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

54.5

75 8

77.2

Continence

nesiusnis wiin cainexers or paniai or loiai loss oi oowei or uiauuer coniroi.

60.6

70 0

68.2

nesiuenis on inQiviuuaiiy wriuen uowei ana uiauuer retraining program.

1.0

4.9

4.6

Eating

nesiueriib reueiviriy luue leeuinyo ur requinriy dosiaiciriue wiiii eaiiiiy.

25.3

36.9

37.7

Comoletelv bedfast residents

3.0

3.4

Residents confined to chairs.

6.1

49.3

50.8

Residents requiring restraints.

33.3

40.4

41.3

Confused or disoriented residents.

64.6

61.2

58.4

Residents witli bed sores.

4.0

7.0

7.1

Residents receiving special skin care.

25.3

31.2

Medicaid Residents:

544

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

545

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Msti/^^nsl RocoQroh r^/-»iin/^il Nloti/*^nol Ar*oH^m\/ r\f ^r^'tanr^ac
iNcLUUilal noocdlwM VwfUUllUII, iNdllUfial Mt/dUcrTiy Ol Ot/lciH^co.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

546

LAKE WALES FL

NURSING HOME PROFILE
LAKE WALES HOSP ECF

street Address:

City and State:

414 S 11TH ST

LAKE WALES FL 33853

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

NON-PROFIT OTHER

05/21/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

116

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

75.0

81.5

Dressing

Residents requiring some or total assistance in dressing.

81.0

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

65.5

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

70.7

75.8

-7 -7 0

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

57.8

70.0

68.2

Residents on individually written bowel and bladder retraining program.

1.7

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

24.1

36.9

0 -7 -7

37.7

Completely bedfast residents.

1.7

o.u

O.H

Residents confined to chairs.

19.8

49.3

50.8

Residents requiring restraints.

31.9

40.4

41.3

Confused or disoriented residents.

54.3

61.2

58.4

Residents with bed sores.

6.9

7.0

7.1

Residents receiving special skin care.

67.2

31.2

Medicaid Residents:

547

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every -three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

548

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MAtiADd! RAQ^arr'h (^oiin^il Klstinnst Ar'aHomw r\i ^r'ionr'i^c
iNctuwiicii riCoodiL'ii ouuiioii, iNdUwiicii rvodUciiiy kji ouioi locf o.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

NOT MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

549

LAKE WALES FL

NURSING HOME PROFILE
RIDGE CONVALESCENT CENTER

street Address:

City and State:

512 S 11TH ST

LAKE WALES FL 33853

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

08/12/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

119

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

ricoiUt/lllo it;L|Ulilliy oUlllt; Ui LUldl cioololcil lOt? Ill Ucillllliy.

101

84.9

\J 1 .'•J

Dressing

nt/oiuc^iHo ic7^uiiiiiy ouiiit? ui luidi ctooioictiiL't? Ill ui^ooiiiy.

73.9

Toileting

ncolUcillo icl^Ulilliy bUlIlc UI lUlal aoblolai luc III lUllcilliy.

78.2

76 6

73 8

Transferring

Residents requiring some or total assistance nnoving from bed to chair or to
tub or toilet.

78.2

75 8

77.2

Continence

nesiuenxs wiin caineiers or paniai or xoiai loss oi uowei or uiauQc^r coruroi.

60.5

70.0

68.2

nesiuenis on inaiviuuaiiy wnnen Dowei ana Diauoer reiraining program.

2.5

4.9

4.6

Eating

nesiaents receiving tuoe Teeaings or requiring assistance wiin eating.

18.5

36.9

37.7

0.0

3.0

3.4

Residents confined to chairs.

71.4

49.3

50.8

Residents requiring restraints.

58.8

40.4

41.3

Confused or disoriented residents.

72.3

61.2

58.4

Residents with bed sores.

5.9

7.0

7.1

Residents receiving special skin care.

6.7

31.2

Medicaid Residents:

550

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan Indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities In the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Mel" means the facility
was deficient In the indicated area at the time of the survey.

Reminder: These 32 selected perfornnance indicators do not represent all the requirements a

f^ir^ilitv miiQt m^^t Th*^rp r\\/c^r ^00 con^rsto rom liromontc Tho infr\rmati(^n nrocontiaH
ly 1 1 luoi II icci. 1 1 Id c; ai c (j v ci 0\J\J oc^dl die l c^LfUll l llo. l l ic ll l lUl 1 1 icillUl l yJl tJocl llc;U

below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

t^ET

1.9

201

2.1

Xhp f^^pilit\/ mcpq ?i QVQtpm ths^t ^qqiitpq fiill anri rr^mnlptp aprriiintinri r\i rpciHpntc*
IMC iciL'iMLy uoc;o d oyoioii iiicii. cioouit?o luii di id uvji m^jioic^ dLrLiUUi iiii ly ui looiuc^iiio

personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

IVIET

5.6

518

5.5

Each resident is free from mental and physical abuse.

I^ET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

(VIET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

IVIET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

IVIET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

IVIET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

(VIET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

IVIET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

551

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Nistii^nstl Roc^arr'h (^r^imr*!! Msttirtnal A^saHomx/ r\i Qr*ioni*'OC

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

552

LAKE WORTH FL

NURSING HOME PROFILE
AMERICAN FINNISH NH

street Address:

City and State:

1800 SOUTH DR

LAKE WORTH FL 33461

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

NON-PROFIT PRIVATE

03/17/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
nigniy speciaiizeu care ano services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

96.6

81.5

Dressing

Rp^iripnt^ rpniiirinn ^omp or tntai a^^i^tanrp in Hrp^^inn

1 l^OIU^IIVO 1 ^UUIl II lU Owl 1 1^ \mf\ IV^ICII ClOOIOiCII Iww III UlwOOIIIM*

96.6

84.3

83.2

Toileting

RpQiHpntQ rpniiirinn Qnmp or total AQQiQtanpp in toilptinn

riCOlUd IIO 1 %7^UII II 1^ Owl 1 IC? \J\ IVICII dOOIOlCll I^C? II 1 lV./lldll 1^.

83.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
lUD or loiiei.

83.1

75.8

77.2

Continence

r\C9iut?Mio Willi v^dii iciei o ui iJaiUdi (Ji lUidi lUoo Ui uuwci ui uiduuci uuiiiKJi.

72.9

70.0

68.2

nesiuciiio uii II luiviuudiiy wriiicii uuwci diiu uiduuci rciidiriiriy pruyidiii.

6.8

4.9

4.6

Eating

F^PciHpntc rpppiv/inn tiiHp fppHinnc or romiirinn accictan^o \A/ith ootinn
rtcoiudiio ivvrft^iviiiy luuc ic^vuiiiyo ui i^^^uiMiiy ctooioidiiut^ wiiii vctiiiiy.

20.3

36.9

37.7

ComDietelv bedfast residents

0.0

3.0

3.4

Residents confined to chairs.

57.6

49.3

50.8

Residents requiring restraints.

76.3

40.4

41.3

Confused or disoriented residents.

69.5

61.2

58.4

Residents with bed sores.

3.4

7.0

7.1

Residents receiving special skin care.

6.8

31.2

Medicaid Residents:

553

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requlrennents a

fjipilitx/ mi iQt moot Thoro aro rwior conaroto roni liromorttc Tho lr>f*~»rpYioti/^r» r»rc»oQntoH

iduiiiiy iMuol iiieci. iMdc diti uvci d\j\j oopdidic loLjuir^iiic^iiio. I iic iniormduori prcociiicu
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^EOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

Tho fa^ilitx/ i icoc q cv/ctom thot occi irac fi ill QnH r*r\mr^lotQ Qr'^r\i intinn r^f r^ciH^rttc'

personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

554

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotonny care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote nnaximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

555

LAKE WORTH FL

NURSING HOME PROFILE
CREST MANOR NH

street Address:

City and State:

504 3RD AVE S

LAKE WORTH FL 33460

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

12/09/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

ResidGnts rGquiring some or total assistancG in bathing.

76.5

81.5

Dressing

RGsidGnts rGouirina some or total assistance in dressina

89.7

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

1 1 \^ 1 I 1 VI U 1 1 1 1 1 U w V/ III \^ \^ 1 i^/ ilAI Wit wwl w Vwt 1 1 wVh' III 1 1 III 1^4 •

76.5

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih r\r toilot

54.4

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

51.5

70.0

68.2

Rp^idpnt^ nn inrlix/iHu^llv writtpn hnwpl flnH hlflHHpr rptrflininn nrnnrflm

7.4

4.9

4.6

Eating

Rp<5irlpnt<; rpppivinn tiihp fppHinn*; nr rpniiirinn a<;<;i<itanrp with patina

1 I^OIU^I 1 IWW^IVIIIU I^WUIIlM^ ^1 I^VJUIIIIIU dOOIOlCll VV lilt ^dilllVj.

32.4

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

55.9

49.3

50.8

Residents requiring restraints.

54.4

40.4

41.3

Confused or disoriented residents.

83.8

61.2

58.4

Residents with bed sores.

11.8

7.0

7.1

Residents receiving special skin care.

55.9

31.2

Medicaid Residents:

556

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation, "fvlet" means that the facility is in compliance with the specific requirement. "Not Me{" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected peiiormance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

557

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

558

LAKE WORTH FL

NURSING HOME PROFILE
EASON NH INC

street Address:

City and State:

1711 6TH AVE S

LAKE WORTH FL 33460

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

04/28/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

o/
/o

Bathing

nesiaents requiring some or loiai assisiance in Daining.

72.3

O 1 .0

O 1 .D

Dressing

nesiaenis requiring some or lOiai assistance in aressing.

87.2

04. 0

m o
oo.^

Toileting

nesiuenis requiring some or loiai assistance in toileting.

75.5

/ O.D

7^ ft
/ o.o

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

67.0

7'S ft

77 ?

Continence

nt?biut?nib wiin caineiers or pariiai or lOiai loss OT Dowei or DiauQ6r coniroi.

58.5

70 0

68 2

nesiaents on inaiviauaiiy written Dowei ana Diaooer retraining program.

1.1

A Q

A 6

Eating

nesiaents receiving tuoe leeaings or requiring assistance witn eating.

25.5

36 9

27.1

Comnletelv bedfast rPQiripntc

0.0

3.0

3.4

Residents confined to chairs.

17.0

49.3

50.8

Residents requiring restraints.

26.6

40.4

41.3

Confused or disoriented residents.

51.1

61.2

58.4

Residents with bed sores.

2.1

7.0

7.1

Residents receiving special skin care.

17.0

31.2

Medicaid Residents:

559

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

560

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

o/
/o

44.
W

o/
To

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning

Cll lU lUUC? loouiiiy.

IVIC; 1

7.8

1 123

1 1.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

IVI C 1

infi

P1 Q

C 1 .\J

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

K ACT

Mb 1

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

561

LAKE WORTH FL

NURSING HOME PROFILE
LAKE WORTH HEALTHCARE CENTER

street Address:

City and State:

2501 NORTH A STREET

LAKE WORTH FL 33460

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

162

PROPRIETARY

06/24/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

153

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

124

81.0

81.5

Dressing

Residents requiring some or total assistance in dressing.

125

81.7

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

111

72.5

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

113

73.9

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

108

70.6

70.0

68.2

Residents on individually written bowel and bladder retraining program.

1.3

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

36.6

36.9

37.7

Completely bedfast residents.

2.6

3.0

3.4

Residents confined to chairs.

111

72.5

49.3

50.8

Residents requiring restraints.

60.1

40.4

41.3

Confused or disoriented residents.

108

70.6

61.2

58.4

Residents with bed sores.

9.8

7.0

7.1

Residents receiving special skin care.

37.3

31.2

Medicaid Residents:

117

562

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. Ttie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies m ottier facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Me\" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=fEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

563

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING [

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNationai rtesearcn uouncii, iNaiionai Acaoemy ot ociences.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

NOT MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

564

LAKE WORTH FL

NURSING HOME PROFILE
MACLEN REHABILITATION CENTER

street Address:

City and State:

1201 12TH AVE SOUTH

LAKE WORTH FL 33460

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

120

PROPRIETARY

06/11/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

110

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

100

90.9

OH C

O 1 .t)

Dressing

Residents requiring some or total assistance in dressing.

101

91.8

o4.o

Toileting

Residents requiring some or total assistance in toileting.

72.7

/D.D

/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

72.7

lO.O

77 O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

65.5

fv.yj

ftO O

Residents on individually written bowel and bladder retraining program.

5.5

A Q

t.U

Eating

Residents receiving tube feedings or requiring assistance with eating.

20.0

OD.y

^7 7
O 1 .1

uornpieteiy Deaiast residents.

0.0

3 0

3 4

Residents confined to chairs.

15.5

49.3

50.8

Residents requiring restraints.

23.6

40.4

41.3

Confused or disoriented residents.

70.0

61.2

58.4

Residents with bed sores.

6.4

7.0

7.1

Residents receiving special skin care.

5.5

31.2

Medicaid Residents:

565

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected withiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in otfier facilities in the Slate and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

566

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
ivit: 1

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1E0UIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
ana lUue leeaing.

MET

7 ft

1 1 P'^

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

1 UD

01 Q

on/1 c;

91 ft

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MriT ^;1FT

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

IVIC 1

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal Dursuits includina reliaiou"? artivitip'; of thp rp<;idpnt'<; rhnipp if anv

III llWIIlim ^UIOUILO, lll\./IUvllllM IWIIUIV./UO Qw lIVIllwO \Jt LIIC lOOIvJwIlL O II UllV.

MFT

IVIC 1

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MFT

IVIC 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food Is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

567

LAKE WORTH FL

NURSING HOME PROFILE
MEDICANA NURSING CENTER

street Address:

City and State:

1710 LUCERNE AVE

LAKE WORTH FL 33460

Participation:

# of Beds:

Type of Ownerslilp:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

117

PROPRIETARY

05/20/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

110

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

hinhlv ^nprifili7pH rarp and ^prvipp^

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

70.9

81.5

Dressing

Residents requiring some or total assistance in dressing.

90.0

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

82.7

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

tiih nr tnilpt

83.6

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

■ 1 V \J 1 \^ IhW TVIil 1 VI 1 w Iw 1 w w I Wil VI vil Wl V^ mi 1 Www W 1 WW VV w 1 Wl Ul vlvl W W 1 WW 1 1 il W 1 •

66.4

70.0

68.2

RpQiHpntQ nn InHiv/iHi islK/ written hr»\A/pl anrl hIsiHHor rotraininn nrAnram
ric?oiuc7i iio II luiviuudiiy wiiiit7ii uuvwi ciiiu uiduuwi ic;iiciiiiiiiy piuyiciiii.

10.9

4.9

4.6

Eating

Rp^lHpnt^ rpppi\/inn tiihp fppHinriQ or rpniiirinn AQQictsmpp with patinn

31.8

36.9

37.7

Comoletelv bedfast residents.

2.7

3.0

3.4

Residents confined to chairs.

29.1

49.3

50.8

Residents requiring restraints.

40.0

40.4

41.3

Confused or disoriented residents.

38.2

61.2

58.4

Residents with bed sores.

4.5

7.0

7.1

Residents receiving special skin care.

24.5

31.2

Medicaid Residents:

568

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. JUe Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "IVlet" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.,

MET

1.9

201

2.1

1 rife) idt/iiiiy uoob a by&iem inai assures run ana compiexe accounxing ox resiuenxs
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

569

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

;nt of facilities
requirements

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote maximunn physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

570

LAKE WORTH FL

NURSING HOME PROFILE
REGENCY HEALTH CARE CENTER

street Address:

City and State:

3599 CONGRESS AVE

LAKE WORTH FL 33460

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

168

NON-PROFIT PRIVATE

07/09/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

162

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

149

92.0

Q -1 C

O 1 .0

Q -1 C
Ol .0

Dressing

Residents requiring some or total assistance in dressing.

133

82.1

o4.d

oo o

OO.C

Toileting

Residents requiring some or total assistance in toileting.

117

72.2

lO.O

/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

110

67.9

lO.O

77 O

Continence

*lx * t t ill lilt ^1 1 llll aI

Residents with catheters or partial or total loss of bowel or bladder control.

49.4

/U.U

OO.d

Residents on individually written bowel and bladder retraining program.

4.3

4.y

A R.

Eating

Residents receiving tube feedings or requiring assistance with eating.

28.4

oD.y

07 7

uompieieiy DeoTast resiaents.

3.7

3 0

3.4

Residents confined to chairs.

44.4

49.3

50.8

Residents requiring restraints.

25.9

40.4

41.3

Confused or disoriented residents.

139

85.8

61.2

58.4

Residents with bed sores.

6.8

7.0

7.1

Residents receiving special skin care.

23.5

31.2

Medicaid Residents:

141

571

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Thie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan Indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility Is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=)EOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

572

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

M
tt

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning

j^nH tiihp fppHinn

MFT

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

Mt 1

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

573

LAKE WORTH FL

NURSING HOME PROFILE
SUTTON PLACE CONVALESCENT CENTER

street Address:

City and State:

4405 LAKEWOOD RD

LAKE WORTH FL 33461

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

03/17/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

118

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

IIILjiliy bpcuidll^trU Odlc; dilU o^rViOc^o.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

83.1

81.5

Dressing

Residents requiring some or total assistance in dressing.

108

91.5

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

108

91.5

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih or toilpt

100

84.7

75.8

77.2

Continence

Residents with catheter*; or Dartial or total lo<?<; of howpl or bladder control

108

91.5

70.0

68.2

Rp^idpnt^ on inriividuflllv writtpn hnwpl ^nH hlarirlpr rptrflininn nronram

12.7

4.9

4.6

Eating

Re^ident^ rpopivinn tuhp fppdinn^ or rpniiirinn a^^i^tancp with patinn

27.1

36.9

37.7

Completely bedfast residents.

3.4

3.0

3.4

Residents confined to chairs.

19.5

49.3

50.8

Residents requiring restraints.

33.1

40.4

41.3

Confused or disoriented residents.

48.3

61.2

58.4

Residents with bed sores.

1.7

7.0

7.1

Residents receiving special skin care.

118

100

31.2

Medicaid Residents:

574

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "Slate" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ne Taciiixy uses a sysiem inat assures lUii ano complete accouniing ot resioents
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

575

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to wall< or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNaiionai nesearcn uouncii, iNaiionai Acaaemy ot ociences.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

576

LAKELAND FL

NURSING HOME PROFILE
FLORIDA PRESBYTHERIAN HOMES

street Address:

City and State:

1919 LAKELAND HILLS BLVD

LAKELAND FL 33801

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

NON-PROFIT RELIGIOUS

02/12/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

115

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Rp^irlpnt^ rpniiirinn ^nmp nr tntal flQ^i^tanpp in hflthinn

1 I^OIUwIILO IwvJUIIIIIU Owl 1 \Jt LwLCIi ClOOIOlCII Iww ill l«/ClilllllM*

115

100

81 5

81.5

Dressing

ric;olUt7i 1 Lo ic^LjUlilliy oUni^ Ui lUlcll cloololcti Iwc; III UicJoolliy*

113

98.3

83 2

Toileting

ncoiuciuo icCjuiririy burned <ji luiai aosioidriLc in Kjiicuny.

110

95.7

76 fi

7^ 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

103

89.6

77 2

Continence

nesiaenis wiin caineiers or pamai or total loss ot Dowei or Diaaoer control.

109

94.8

68 2

nesiaents on inaiviauaiiy written uowei ana Diaaoer retraining program.

5.2

4 9

4 6

Eating

nesiaenxs receiving luue Teeuings or recjuiring assisiance wiin eaxing.

41.7

36.9

37.7

Cnmnlptplv hpHfAct rPQiHpntQ

1.7

3.0

3.4

Residents confined to chairs.

40.0

49.3

50.8

Residents requiring restraints.

34.8

40.4

41.3

Confused or disoriented residents.

63.5

61.2

58.4

Residents with bed sores.

6.1

7.0

7.1

Residents receiving special skin care.

13.0

31.2

Medicaid Residents:

577

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies In other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the Indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

578

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
Mb 1

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
^EOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostonny/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 R

1 1

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

\ UD

c. \ .O

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

ivic: 1

107

22 1

2739

29 0

Mb 1

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mb 1

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MOT N>1PT

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

In normal niir^iiit^ inpliirlinn rplininii^ aptiv/itipQ cii thp rPQirfpnt*^ phnir^p if Jinw

III IIVJIIIICll f.^LJIOUI lO, III^IUUIIIU I^IIUI\.^IJO CIV./LIVIIICO \JI IIII7 I^I'OIU^IIl O V./I Il_/I07, II Oily.

1 IVIC 1

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

IvIP 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MPT

IvIP 1

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

579

LAKELAND FL

NURSING HOME PROFILE
IMPERIAL VILLAGE CARE CTR

street Address:

City and State:

5245 SOCRUM LOOP RD

LAKELAND FL 33805

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

08/06/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

89.6

81.5

Dressing

Residents reauirina some or total assistance in dressina

84.4

84.3

83.2

Toileting

Residents renuirinn some or total assistance in toiletina

77.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

lUU Ui lUllt;l.

65.6

75.8

77.2

Continence

Rpcirlpntc with Pflthptpr^ or nflrtifil or total In^^ r>f hnwpl nr bladder control

II^OIU^IIIO Willi V^ClllldOlO \J\ k./CllLICll \Jt \.\J LCll 1 wOO \JI w VV^I \^l l../iCl\JVJwl O^llllV/li

61.5

70.0

68.2

Rp^lHpnt^ nn indiulHiiflilv writtpn hnwpl anH hIarlHpr rptraininn nrnnram

IIOOIUwIllO Wll IllUIVIVJUCllly VVIIll^ll U\J VV^I Cll IVJ krlQULJ wl l^lldllllllM MIUMICllll.

8.3

4.9

4.6

Eating

RpcirlpntQ rpppi\/inn tiiHp fppHinnQ nr rpniiirinn aQQiQtanpp with patinn

IICOIU^IILO iC^OdVIIlM lUUv? VJi i^uUIIMIW ClOOiO ICll 1 Willi C7CIIII l^<

25.0

36.9

37.7

Completely bedfast residents.

1.0

3.0

3.4

Residents confined to chairs.

55.2

49.3

50.8

Residents requiring restraints.

44.8

40.4

41.3

Confused or disoriented residents.

58.3

61.2

58.4

Residents with bed sores.

7.3

7.0

7.1

Residents receiving special skin care.

25.0

31.2

Medicaid Residents:

580

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ne Taciiiiy uses a sysiem mat assures tun ana cornpieie accounting oi residents
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

1 i_ 1 II 'ill 1 III II i I' ■ _ 1 _ 1 ■ 1 1 .

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

581

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:nt of facilities
requirements

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostonny/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

582

LAKELAND FL

NURSING HOME PROFILE
LAKELAND CONVALESCENT CENTER

street Address:

City and State:

610 E BELLA VISTA DRIVE

LAKELAND FL 33801

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

08/13/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

119

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

1 liy Illy bpc^UlalliicU Odic; ailU bolVIUcb.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

113

95.0

81.5

Dressing

Residents requiring sonne or total assistance in dressing.

111

93.3

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

72.3

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

103

86.6

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

75.6

70.0

68.2

Residents on individually written bowel and bladder retraining program.

3.4

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

16.8

36.9

37.7

Completely bedfast residents.

2.5

3.0

3.4

Residents confined to chairs.

52.9

49.3

50.8

Residents requiring restraints.

53.8

40.4

41.3

Confused or disoriented residents.

76.5

61.2

58.4

Residents with bed sores.

0.8

7.0

7.1

Residents receiving special skin care.

42.9

31.2

Medicaid Residents:

583

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at ttie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=tEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

584

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

585

LAKELAND FL

NURSING HOME PROFILE
LAKELAND HEALTH CARE CENTER

street Address:

City and State:

1530 KENNEDY BLVD

LAKELAND FL 33802

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

300

PROPRIETARY

05/19/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

282

l\1edicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Rp^idpnt*; rpnuirina somp or total assistance in bathina

223

79.1

81.5

Dressing

Residents reauirina some or total assistance in dressina

1 1 w wlU w 1 1 1 U 1 1 1 1 lU WW 1 1 1 w Wl fcW tWi Viwwl W iMI 1 W W III \A 1 w wwl 1 1 g ■

228

80.9

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

212

75.2

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

219

77.7

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control.

176

62.4

70.0

68.2

Residents on individuailv written bowel and bladder retrainina oroaram

1 1 w wlU w 1 1 fcw W II II lU 1 V 1 VI UUI 1 y VV III Iw 1 1 W w 1 Oil lU U 1 QUxJ w 1 1 w 11 vil 1 1 1 1 l\A Wl w I Ul 1 1 •

17.7

4.9

4.6

Eating

RpQiHpntQ rpppiwinn tiihp fppHinriQ or rpniiirinn flQ^iQtflnpp with p^tinn

riwOIUwIllO IwwwIVIIIM lUk/w IwwLJII lUO \Ji IwUUIIIHU ClOOIOiCll Iww Willi wClill IV^*

105

37.2

36.9

37.7

ConriDlfitelv bedfast residents

0.4

3.0

3.4

Residents confined to chairs.

128

45.4

49.3

50.8

Residents requiring restraints.

32.3

40.4

41.3

Confused or disoriented residents.

208

73.8

61.2

58.4

Residents with bed sores.

10.6

7.0

7.1

Residents receiving special skin care.

100

35.5

31.2

IVIedicaid Residents:

233

586

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities In the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

587

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

588

LANTANA FL

NURSING HOME PROFILE
ATLANTIS NSG CTR

street Address:

City and State:

6026 OLD CONGRESS RD

LANTANA FL 33462

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

03/16/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

117

Medicare Residents:
1

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reouirina some or total assistance in bathina

82.1

81.5

Dressing

Residents reouirina some or total assistance in dressina

1 1 w wlu w 1 1 1 U II II 1^ WW III w \J 1 ivil vlwwl w iwil 1 V w III VJ 1 www! 1 1 g •

102

87.2

84.3

83.2

Toileting

Residents renuirinn some or total assistance in toiletinn

1 l^OIU^IILO I^UUIIIIIM Owlll^ l\J cell QOOIO Idl III iWII^LIIIU*

76.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

74.4

75.8

77.2

Continence

Residents with catheters or nartial or total loss of howel or bladder control

1 iwoiu^iiio Willi ii i\^ 1^1 o \ji Mcli iicii wi iwidi iwoo yji \j\ k/iciuvjwi o^iiiiwt-

70.1

70.0

68.2

Residents on individiiallv written howel and bladder retraininn nronram

1 I^OIUwIILO V^l 1 II 1 Ul V IVIUCll 1 y VVIIll^ll UV^VVwl Cll IVJ ia^lClVJvl^l IdldllllllM k/l V^m' Cll 1 1 •

7.7

4.9

4.6

Eating

Residents receivinn tube feedinns or renuirinn assistance with eatinn

1 IwOIX^V^IILO I^W^IVIIIU I^^UIIIUO V^l i CVJUil 11 IM ClOOlO iCll IV^^ Willi wdlll IM*

18.8

36.9

37.7

Cornoletelv bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

52.1

49.3

50.8

Residents requiring restraints.

47.0

40.4

41.3

Confused or disoriented residents.

67.5

61.2

58.4

Residents with bed sores.

6.8

7.0

7.1

Residents receiving special skin care.

9.4

31.2

Medicaid Residents:

589

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

NOT MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

NOT MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

590

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

u
if

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotonny care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

591

LANTANA FL

NURSING HOME PROFILE

RIDGE TERRACE HEALTH CARE CTR

street Address:

City and State:

2180 HYPOLUXO RD

LANTANA FL 33462

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

08/25/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

112

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

112

100

81.5

Dressing

Rpsidpnts rpmiirinn snmp nr total fl<;«ii<5tanoe in drpssina

87.5

84.3

83.2

Toileting

RpQlHpntc rpniiirinn Qnmp nr total flQ^i^tanf^p in tnllptinn

riC7oiVJdllo 1 CUUII II lu DLfl 1 l\7 ^^1 IwlCll dOOIOlCll IO\7 III l^Jlldll IM>

68.8

76.6

73.8

Transferring

Residents requiring sonne or total assistance moving from bed to chair or to
tub or toilet.

87.5

75.8

77.2

Continence

nesiaents witn catneters or partial or total loss ot Dowei or uiaaoer control.

57.1

70 0

68 2

Residents on individually written bowel and bladder retraining program.

12.5

4 Q

4 6

Eating

Residents receiving tube feedings or requiring assistance with eating.

21.4

36 9

37.7

0.0

3.0

3.4

Residents confined to chairs.

32.1

49.3

50.8

Residents requiring restraints.

33.0

40.4

41.3

Confused or disoriented residents.

62.5

61.2

58.4

Residents with bed sores.

3.6

7.0

7.1

Residents receiving special skin care.

4.5

31.2

Medicaid Residents:

592

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies Immediately or to submit a
plan Indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies In other facilities in the State and Nation. "Met" means that the facility Is In compliance with the specific requirement. "Not Met" means the facility
was deficient in the Indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person,

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=tEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

593

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

594

LARGO FL

NURSING HOME PROFILE
OAK MANOR NURSING CENTER

street Address:

City and State:

3500 OAK MANOR LANE

LARGO FL 33544

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE SNF

180

PROPRIETARY

08/05/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

153

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

128

83.7

o1 .5

o1 .0

Dressing

Residents requiring some or total assistance in dressing.

137

89.5

84.3

00.2

Toileting

Residents requiring some or total assistance in toileting.

129

84.3

fO.O

/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

123

80.4

/O.O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

125

81.7

/U.U

^\ X l**l II 'IJ. ■ 1 III II ■ •*

Residents on individually written bowel and bladder retraining program.

3.9

A R

Eating

Residents receiving tube feedings or requinng assistance with eating.

38.6

Q7 7
Of ./

Completely bedfast residents.

4.6

Residents confined to chairs.

41.2

49.3

50.8

Residents requiring restraints.

56.9

40.4

41.3

Confused or disoriented residents.

116

75.8

61.2

58.4

Residents with bed sores.

3.3

7.0

7.1

Residents receiving special skin care.

14.4

31.2

Medicaid Residents:

59_5

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

596

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT

IVIC 1

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^lEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
ctriu luuc^ Tocuing.

Mb 1

7 fi

11 ?3

1 1 Q

Each resident receives rehabilitative nursing care to pronnote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

Mb 1

1 0R
1 yJyj

51 (\
c. \ .O

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MPT

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MFT

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MFT

INW 1 ivl^ 1

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

597

LARGO FL

NURSING HOME PROFILE
PALM GARDEN LARGO

street Address:

City and State:

10500 STARKEY RD

LARGO FL 33542

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

05/10/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

1 1 ^ wl 1 1 1 U II 1 1 lU wVI 1 1 V wl ^Wll V&wwl w vwil 1 w w III VI ill 1 g ■

75.0

81.5

Dressing

Resifipnts rpnuirino somp or total assistants in drpssina

71.4

84.3

83.2

Toileting

Rpsidpnts rpniiirinn somp or total assistanop in toilptinn

1 I^OIU^I 1 iO 1 ^UUII 11 IM Owl 1 1^ \J\ IWLCli ClOOIOlCli Iww 11 1 IWIIwlll IM*

66.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

+1 il^ /^r

luu or IOII6I.

67.9

75.8

77.2

Continence

liC7olUd)lo Willi Ocill ic^lC/l o Ul [Jdi llcil \J\ lUlCil lUoo Ul UUWt^i Ul UldUUc;! V,/UIIU^i>

58.9

70.0

68.2

R^olUc;illo Uil IMUIVIUUdliy WilUc;il UUWc;l dllU UldUUt;i lc;Udilliiiy jJluyidlli.

0.0

4.9

4.6

Eating

nooiuc^iiio itjuoiviiiy luuc; itrc^uiiiyo ur rt^L^uiiiriy dooiDidiiv./^ wiui c^duiiy.

37.5

36.9

37.7

ComDletPlv hpHfaQt residents

0.0

3.0

3.4

Residents confined to chairs.

25.0

49.3

50.8

Residents requiring restraints.

7.1

40.4

41.3

Confused or disoriented residents.

66.1

61.2

58.4

Residents with bed sores.

14.3

7.0

7.1

Residents receiving special skin care.

46.4

31.2

Medicaid Residents:

598

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not tvlet" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=lEOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

599

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to wall< or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State sun/ey agency or the State ombudsman.

600

LARGO FL

NURSING HOME PROFILE
TIERRA PINES NURSING CENTER

street Address:

City and State:

7625 ULMERTON RD

LARGO FL 33541

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

06/04/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

119

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

nesiaents requiring somG or total assistancG in oatning.

116

97.5

Q 1 C

ol .O

QIC
0 1 .0

Dressing

Residents requiring some or total assistance in dressing.

106

89.1

o4.o

QO O

Toileting

Residents requiring some or total assistance in toileting.

79.0

fO.O

TO Q

to.o

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

70.6

75. o

1~7 O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

73.1

70.0

68.2

Residents on individually written bowel and bladder retraining program.

3.4

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

37.0

36.9

2>1 .1

^ornpieieiy Deaiasi resiaents.

4.2

3 0

3 4

Residents confined to chairs.

73.1

49.3

50.8

Residents requiring restraints.

50.4

40.4

41.3

Confused or disoriented residents.

76.5

61.2

58.4

Residents with bed sores.

4.2

7.0

7.1

Residents receiving special skin care.

0.8

31.2

Medicaid Residents:

601

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected perfornnance indicators do not represent all the requirements a
facility nnust nneet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REOUIREMENTS

NATION

The facility ensures tliat its written procedures regarding tiie riglits and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a systenn that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

602

SELECTED PERFORMANCE INDICATORS

FACILITY
MET/
NOT
Ivlb 1

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotonny care, suctioning
and tube feeding.

NOT MET

/ .O

1 1 do

1 1 Q

1 1 .y

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

1 Ub

OH C\

c\ .y

r\f\ A r-

d.\ .b

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21 2

1662

17 6

Drugs are administered according to the written orders of the attending physician.

09 1

C.C.. 1

Mb 1

O 1

1 OOv7

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Mt 1

1 Q

587

6 2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

IvIC 1

15 5

816

8 6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in nnrmfll r»iir<5iiit^ inpliiriinn rplininiiQ flPti\/itip^ nf thp rpQlHpnt'Q phnipp if anw
III iiv^iiiiai i-fuiouiio, iii^iuuiiiu idi^iwuo iiviiic^o \ji i\7oiuc7iii o ivjiLfC?, II oily.

MOT ^^PT

\J\J

14 0

1099

11 6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MPT

10 7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MFT

IVI C 1

2 5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

1 A

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MFT

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

603

LECANTO FL

NURSING HOME PROFILE

THE HEALTH CENTER AT BRENTWOOD

street Address:

City and State:

2333 N BRENTWOOD CIRCLE

LECANTO FL 32661

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

07/17/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reaulrina some or total assistance in bathina

89.3

81.5

Dressing

Residents reaulrina some or total assistance in dressina

87.5

84.3

83.2

Toileting

Residents renuirinn some or total assistance in toiietina

87.5

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

87.5

75.8

77.2

Continence

Residents with cathpters or nartial or tr»tal Ioqq of howel nr bladder control

1 iwoivjwiiLo Willi wciii iwi^i o \ji k^cii lidi Vi/i iwicii iwoo vjyjw^i \ji Lficivju^i owiiiiwii

87.5

70.0

68.2

Residents on indi\/idiiall\/ vurittpn howpl and hiaddpr retraininn nronram

8.9

4.9

4.6

Eating

RpQiHpntc rp^^pi\/inn tiiKp fppHinriQ rtr rpniiirinn flccictssnPA with Pfltinn

riC70IUC7l 1 lO 1 C7l,/C7IVM lU lUUC IC7C?\JIII^O \Jl IC^LJUIIIII^ doOIOldl lwC7 Willi CCllll 1^.

37.5

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

50.0

49.3

50.8

Residents requiring restraints.

69.6

40.4

41.3

Confused or disoriented residents.

57.1

61.2

58.4

Residents with bed sores.

10.7

7.0

7.1

Residents receiving special sidn care.

51.8

31.2

Medicaid Residents:

604

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tlie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not l^et" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

_l_ I_ 1_ II 'xll 1 III II i 1* '1 1 'il—

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

605

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostonny/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

NOT MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

606

LEESBURG FL

NURSING HOME PROFILE
LEESBURG HEALTH CARE CENTER

street Address:

City and State:

2000 EDGEWOOD AVE

LEESBURG FL 32748

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

116

PROPRIETARY

02/19/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

115

Medicare Residents:

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

82.6

81.5

Dressing

Residents requiring some or total assistance in dressing.

83.5

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

82.6

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

102

88.7

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

64.3

70.0

68.2

Residents on individually written bowel and bladder retraining program.

3.5

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

39.1

36.9

37.7

Completely bedfast residents.

1.7

3.0

3.4

Residents confined to chairs.

33.0

49.3

50.8

Residents requiring restraints.

27.8

40.4

41.3

Confused or disoriented residents.

27.0

61.2

58.4

Residents with bed sores.

7.0

7.1

Residents receiving special skin care.

31.3

31.2

Medicaid Residents:

607

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a

fsipilitv/ mi ict moot Thoro 9ro o\/or Rf^f^ conoroto roni liromonto Tho 'infr\rm^iir\r^ p»rooor>toH

la^iiiiy iiruol iiitrci. iiicic: ale uvci ow oc;paiaic rt:;L|utrc;rTic;rub. 1 ric iniormaiion prescrucu
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

Tho for^ilitx/ iicoc a c\/ctom tHot occiiroc fiill onri o/^mr^lot^ o/^/**rti intinn r\f rac'iriantc^

1 Ht; lauiiiiy uot;o d oybiciii iiicti doouico luii diiu ouiFipioit; ctouuuriurty Ul rt^olUcrilb

personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

608

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feedina

MET

7 8

1 123

11 9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

^ 1 .v7

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

609

LEESBURG FL

NURSING HOME PROFILE

LEESBURG NURSING CENTER

street Address:

City and State:

715 E DIXIE AV

LEESBURG FL 32748

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

04/15/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

116

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

1 ii^i iiy o|jc^^iciiiz.cLi Lrdi cii i\J od vii^co.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

66.4

81.5

Dressing

Residents requiring some or total assistance in dressing.

77.6

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

68.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

61.2

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

56.0

70.0

68.2

Residents on individually written bowel and bladder retraining program.

0.9

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

40.5

36.9

37.7

Completely bedfast residents.

4.3

3.0

3.4

Residents confined to chairs.

32.8

49.3

50.8

Residents requiring restraints.

34.5

40.4

41.3

Confused or disoriented residents.

39.7

61.2

58.4

Residents with bed sores.

1.7

7.0

7.1

Residents receiving special skin care.

10.3

31.2

Medicaid Residents:

610

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

611

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

NOT MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

612

LEHIGH ACRES FL

NURSING HOME PROFILE
CROSS KEY MANOR

street Address:

City and State:

1515 LEE BOULEVARD

LEHIGH ACRES FL 33936

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

110

PROPRIETARY

09/16/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

103

■Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

o/
vo

o/
70

Bathing

ncoiuciiib reC|Uiririy ooriicJ or Kjiai aaoibiaiiC/c in udiriiny.

65.0

O 1 .Q

O 1 .0

Dressing

ncbiuc^iUo rc^cjuiiiriy oumc^ ur loidi aboioiaiiC/c^ in urc^ooiiiy.

76.7

Toileting

nesiuenis requiring some or lOiai assisxance in loiieiing.

84.5

7fi R

7*^ ft

r O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

76.7

77 9

Continence

nesiQenis wiin caineiers or pamai or loiai loss ot Dowei or Diaooer conxroi.

84.5

6ft ?

nesiaenis on inaiviuuaiiy wrinen oowei ano Diaaaer reiraining program.

1.9

4 Q

4 6

Eating

nesiaenis receiving luue leeaings or requiring assistance wiin eating.

35.0

36 9

37 7

0.0

3.0

3.4

Residents confined to chairs.

50.5

49.3

50.8

Residents requiring restraints.

68.9

40.4

41.3

Confused or disoriented residents.

68.9

61.2

58.4

Residents with bed sores.

2.9

7.0

7.1

Residents receiving special skin care.

103

100

31.2

IVIedicaid Residents:

613

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies Immediately or to submit a
plan Indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient In the Indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and connplete accounting of residents'
personal funds. An accounting report is nnade to each resident in a skilled nursing
facility every three nnonths.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

614

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
Mh 1

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7 ft
/ .o

1 1

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

1 UD

o^ Q

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

IVlt 1

107

22 1

2739

29.0

Mt 1

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MCI 1

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

Mt 1

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging

in nnrmal niir^iMit^ indiiHinn rplininiiQ ^^ptivitipQ nf thp rpQlHpnt'Q phnir^p if anvy

IVItl 1

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MOT hAf^T

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

IviC 1

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MFT

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

615

LIVE OAK FL

NURSING HOME PROFILE
SURREY PLACE CONVAL CTR

street Address:

City and State:

110 SE LEE AVE

LIVE OAK FL 32060

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

03/16/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

lUl^lliy opcfLilciMZoU Uctic dllU ocivlOco.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

93.5

81.5

Dressing

Residents requiring some or total assistance in dressing.

61.3

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

64.5

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tiih nr tnilpt

0.0

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

64.5

70.0

68.2

Residents on individij/^llv writtpn hnwpl and hiaddpr rptraininn nrnnr?5rn

0.0

4.9

4.6

Eating

Rp^lHpnt^ rpppivinn tnhp fppHinn^ nr rpniiirinn fl^^i^tanrp with Pfltinn

1 I^OIU^I 1 lO 1 ^V^^IVII IM LUIw'^ I^^VJII • ^^Ull II IM ClOOIOlCll IV../W Will 1 ^Cllll lU.

16.1

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

25.8

49.3

50.8

Residents requiring restraints.

12.9

40.4

41.3

Confused or disoriented residents.

25.8

61.2

58.4

Residents with bed sores.

9.7

7.0

7.1

Residents receiving special skin care.

16.1

31.2

Medicaid Residents:

616

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=1E0UIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and connplete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

617

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=^EOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to wall< or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNdiiondi ncbcarcn oouncii, iNaiioriai Mcauerny oi ooicriocs.

NOT MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

618

LIVE OAK FL

NURSING HOME PROFILE
SUWANNEE HEALTH CARE CENTER

street Address:

City and State:

1620 HELVENSTON ST

LIVE OAK FL 32060

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

120

PROPRIETARY

02/25/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

118

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

83.1

C\ A FT

81.5

Dressing

Residents requiring some or total assistance in dressing.

83.9

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

70.3

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

56.8

75.8

77.2

Continence

— . — ^ ' -J ^ ^ X ■ X L J-lx llfl fl 1 till Jl

Residents with catheters or partial or total loss of bowel or bladder control.

56.8

/U.U

OO.d

Residents on individually written bowel and bladder retraining program.

1.7

4.y

4.0

Eating

Residents receiving tube feedings or requinng assistance with eating.

41.5

oD.y

Q7 7

Completely bedfast residents.

4.2

o.u

Residents confined to chairs.

49.2

49.3

50.8

Residents requiring restraints.

28.8

40.4

41.3

Confused or disoriented residents.

59.3

61.2

58.4

Residents with bed sores.

6.8

7.0

7.1

Residents receiving special skin care.

14.4

31.2

Medicaid Residents:

108

619

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

620

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT

KACT

Ivit 1

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
ano lUDe leeoing.

MET

7 fi

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

1 flR
1 UD

91 Q

£. 1 .i7

91 ft

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MFT

1 '|N_/ 1 IVI ^ 1

107

22.1

2739

29.0

IVIt 1

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

Kyi [IT

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MFT

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal oursuits includina rsliaious activities nf thf> rpsiripnt's rhoirp if anv

MFT

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

621

LONGWOOD FL

NURSING HOr
LONGWOOD HEALI

i/IE PROFILE

FH CARE CENTER

street Address:

1520 GRANT ST

City and State:

LONGWOOD FL 32750

Participation:

MEDICARE/MEDICAID SNF/ICF

# Of Beds:

120

Type of Ownership:

PROPRIETARY

Survey Date:

03/24/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

104

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Rp^iHpntQ rpniiirinn ^omp or total flQ^i^tanrp in hfithinn

1 i^OIVIwl IIO 1 wUUIII II lU Owl 1 1^ \JI LWICII dOwlOlCll li 1 k^CAll III l^<

68.3

81 5

81.5

Dressing

Rp^iHpntQ rpniiirinn ^nmp nr tntal ri^Qi^tanpp in Hrp^^inn

1 1 lO 1 ^VJLIII II 1^ Owl 1 lU \Jl IwLCll ClOOIOlCll lOw II 1 \Jl ^OOII IM*

76.0

84.3

83.2

Toileting

RpQiHpntQ rpniiirinn Qnmp nr tntfll ^iQQiQtflnnp in tnilptinn

riOOlVJC?! 1 lO IC^VJUIIIMm oUIIIC? \Jl Iwldl dOoiOlCll IOC7 III IwllC^lll IU<

71.2

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
lUD or lOiiei.

67.3

75.8

77.2

Continence

RociHpntc lA/ith osithotorc r\r r\ortiol /^r t/^tcjl l/^cc r\i h\/^\A/al or hloHHpr /control
ncolUclllo Willi Oclll Iclci o \Ji |Jc(l UctI Ul lUlctI lUoo Ul UUWcl (Jl UldUUcI UUIIIIUI.

49.0

70.0

68.2

ncoiuciuo vjii iiiuiviuuciiiy wriiicii ijuwci diiu uiauuci rciraiiiiiiy jjiuyiciiii.

5.8

4.9

4.6

Eating

nesiuenis receiving luue Teeuings or recjUiring aosioiance wiin t^aiiny.

32.7

36.9

37.7

CAmnlAtPlv hpHffi^t rPQiHpntQ

19.2

3.0

3.4

Residents confined to chairs.

46.2

49.3

50.8

Residents requiring restraints.

41.3

40.4

41.3

Confused or disoriented residents.

32.7

61.2

58.4

Residents with bed sores.

8.7

7.0

7.1

Residents receiving special skin care.

21.2

31.2

Medicaid Residents:

622

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected witfiin a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

623

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

rAUILI i Y
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

NOT MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

624

LONGWOOD FL

NURSING HOME PROFILE
VILLAGE ON THE GREEN HEALTH CARE CTR

street Address:

City and State:

500 VILLAGE PLACE

LONGWOOD FL 32779

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE SNF/ICF

NON-PROFIT PRIVATE

01/07/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

76.5

o1 .5

Dressing

Residents requiring some or total assistance in dressing.

88.2

o4.J

oo o

Toileting

Residents requiring some or total assistance in toileting.

58.8

/b.D

"70 O

/ o.o

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

58.8

/O.O

"77 O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

41.2

/U.U

Residents on individually written bowel and bladder retraining program.

11.8

A Q

A ft

Eating

Residents receiving tube feedings or requiring assistance with eating.

29.4

oD.y

"57 7

uompieteiy DedTast residents.

0.0

3 4

Residents confined to chairs.

17.6

49.3

50.8

Residents requiring restraints.

11.8

40.4

41.3

Confused or disoriented residents.

52.9

61.2

58.4

Residents with bed sores.

0.0

7.0

7.1

Residents receiving special skin care.

23.5

31.2

Medicaid Residents:

6_25

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ne laciiiiy uses a sysxern inai assures luii ana compieie accounting ot resiaents
personal funds. An accounting report is nnade to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

626

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

627

MACCLENNY FL

NURSING HOME PROFILE
W FRANK WELLS NH

street Address:

City and State:

159 N 3RD ST

MACCLENNY FL 32063

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

LOCAL GOVERNMENT

07/29/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

■Medicare Residents:

FACILITY

STATE

NATION

Bathing

Residents reouirina some or total assistance in bathina

97.0

81.5

Dressing

Residents renuirino some or total assistance in dressina

1 1 ^ Ol w 1 1 1 U 1 1 1 1 lU wWI 1 1 w VI idl Ctw<JI w Lvll iWw III U 1 ^ wwl 1 1 g •

83.3

84.3

83.2

Toileting

Residents reniiirinn some or total assistance in toiletinn

1 I^OIU^I 1 lO I II lU OV/I 1 1 w \JI l\J iCIl ClOOlO Ldl IwW III iWII w ill IM*

92.4

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

lUU Ul lUllc^L

95.5

75.8

77.2

Continence

RpQiripntQ with pp^thptprQ nr nnrti^l nr tntfll Ioqq r»f hnwpl nr hl;iHHpr pnntrni

I iwOIU^IIlO Willi OCIll IC71C7I O 1^1 |JCII IICII ^1 IWlCll ILIOO 1^1 U^^Wd \Jt UICILJ\JC7I O^Mllwl*

77.3

70.0

68.2

RpQiHpntc nn inrliwiHiisliv/ writtpn Kr\\A/pl sinH HIsiHHpr rpfrsininn nmnrsim
ricoiuoi no Kji 1 II luiviLiuciiiy wi iiici i uyjwwK^i cii lu uiciuuc^i i c^ii ciii iii \Ji u^i cii i

0.0

4.9

4.6

Eating

RpQirlpntQ rp/^Piwinn tiiKp fppHinnc or rpniiirinn occictsnr^p u/ith Pfttinn

liwOlVJC?! 1 lO 1 VII lU lUUC? 1 CC^UII Im^ ^I I v7L|UII II IM CloOlOldl lU/V Will 1 C7CIIII 1^.

77.3

36.9

37.7

ComDietelv bedfast residents.

6.1

3.0

3.4

Residents confined to chairs.

65.2

49.3

50.8

Residents requiring restraints.

65.2

40.4

41.3

Confused or disoriented residents.

84.8

61.2

58.4

Residents with bed sores.

1.5

7.0

7.1

Residents receiving special skin care.

24.2

31.2

Medicaid Residents:

628

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not fylet" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected petlormance indicators do not represent all the requirements a
facility nnust meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

NOT MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

629

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING [

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

NOT MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

630

MADISON FL

NURSING HOME PROFILE
MADISON NURSING CENTER

street Address:

City and State:

P 0 BOX 914 U S HWY 90 W

MADISON FL 32340

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

PROPRIETARY

11/06/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

I 1 wl V>( 1 1 1 Vil \A II II 1^ III \^ Lbll W wl W Ibll 1 III >■/ 11 III 1^4 •

100

81.5

Dressing

Residents reauirina some or total assistance in dressina

82.1

84.3

83.2

Toileting

Residents reauirina some or total assistanre in toiletina

67.9

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih Ar t/^ilot
lUU \J\ lUllc7l.

67.9

75.8

77.2

Continence

Residents with cathetprs or nartial or total loss of hnwel or hIaHdpr control

67.9

70.0

68.2

Residents on individuallv written howpl and hladHpr rptraininn nronram

1 iwoiu^iiio \ji 1 1 1 i\ji V luuciii y vviiLi^ii uyjwv^i cii ivj uia\j\j^i i ^ii ciii iii lu 1../1 v./ui cii 1 1.

0.0

4.9

4.6

Eating

Residents receivina tube fppdinns or rpniiirinn 3QQiQt3npp with patinn

1 I^OIU^IIIO I^O^IVIII^ IvIk^C? iC7C7\JIIIUO \Jl 1 v7\JUM II lU doOIOLCll l(^^ Willi OCllll IM*

32.1

36.9

37.7

Comoietelv bedfast residents.

5.4

3.0

3.4

Residents confined to chairs.

5.4

49.3

50.8

Residents requiring restraints.

37.5

40.4

41.3

Confused or disoriented residents.

50.0

61.2

58.4

Residents with bed sores.

0.0

7.0

7.1

Residents receiving special skin care.

17.9

31.2

Medicaid Residents:

631

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and connplete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

632

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
^EOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning

onH ti ihp fppHinn

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MFT

IVIQ 1

106

21 .9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

KAtZT

Ivtb 1

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

633

MARATHON FL

NURSING HOME PROFILE
MARATHON MANOR

street Address:

City and State:

320 SOMBRERO BEACH ROAD

MARATHON FL 33050

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

06/05/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Rp^iripnt^ rpniiirinn «;nmp nr tntal a^^i^tanpp in hathinn

1 Id/OIV.JCi'lllO I^UUIIIIIU Ovylll^ \JI \.\J Id I dOOlO ICll III ik./ClilllllM*

84.4

81 5

Dressing

Rp^iHpnt^ rpniiirinn ^nmp nr tntal fl^^i^tanrp in rlrp^^inn

1 ICOIUC^IItO IwUUIIIIIM owl 1 Iw \Jl IWtCll dOOlO iCll III VJI^OOIIIM*

64.4

84.3

83.2

Toileting

Rp^iHpnt^ rpniiirinn Qnmp nr tntal ^^qqIqI^^ppp in tnilptinn

62.2

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
TUD or TOIieT.

64.4

75.8

77.2

Continence

i\colUc;illo Willi OdU It^lti/I o Ul jJdi lldl Ul lUldl lUoo Ul UUWt^l \J\ UldUUcI UUMIIL/I.

48.9

70.0

68.2

RpciHontc nn inHi\/iHi i£ill\/ xA/ritton Hi^xA/ot anri hxlaHHor rotroininn r^r/^rM'^m
nc;otut7iiio UN II lui viuudiiy wiiii^ii uuvvc;! diiu uiduuoi it^udiiiiiiy piuyidiii>

8.9

4.9

4.6

Eating

r\c;olUt:^l 1 lo it^Oc;IVIiiy lUUc; IC7t;UI(iyo Ul it^L|Ullliiy doololdllUt; Willi Udlliiy.

22.2

36.9

37.7

ComDietelv bedfast residents

0.0

3.0

3.4

Residents confined to chairs.

35.6

49.3

50.8

Residents requiring restraints.

26.7

40.4

41.3

Confused or disoriented residents.

51.1

61.2

58.4

Residents with bed sores.

6.7

7.0

7.1

Residents receiving special skin care.

44.4

31.2

Medicaid Residents:

634

f
)

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at thie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
^REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

NOT MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

635

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostonny/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

NOT MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MFT

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

636

MARGATE FL

NURSING HOME PROFILE

BEVERLY MANOR OF MARGATE

street Address:

5951 COLONIAL DRIVE

City and State:

MARGATE FL 33060

Participation:

MEDICARE/MEDICAID SNF/ICF

# of Beds:

120

Type of Ownership:

PROPRIETARY

Survey Date:

01/08/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

114

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

80.7

81 .5

81 .0

Dressing

Residents requiring some or total assistance in dressing.

100

87.7

o4.o

Toileting

Residents requiring some or total assistance in toileting.

85.1

fO.O

"71 Q

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

83.3

fO.O

77 O
/ /

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

81.6

Residents on individually written bowel and bladder retraining program.

3.5

A Q

A R

Eating

Residents receiving tube feedings or requiring assistance with eating.

35.1

00.9

^7 7

O 1 .1

v^oinpiciciy dcvitcISI resiQcnts>

0.9

3.0

3.4

Residents confined to chairs.

58.8

49.3

50.8

Residents requiring restraints.

26.3

40.4

41.3

Confused or disoriented residents.

58.8

61.2

58.4

Residents with bed sores.

5.3

7.0

7.1

Residents receiving special skin care.

36.0

31.2

Medicaid Residents:

637

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

NOT MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

638

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostonny/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

1 ceo

1 DD<i

i 7 C
1 /.D

Drugs are administered according to the written orders of the attending physician.

MET

A r\ —J

107

22.1

2739

29.0

MET

D.4

1 oby

14./

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 .y

CQ7
C30/

c o
D.^

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

/ 0

1 b.o

Q -i C
Ol D

O.D

MET

1 4.U

1 uyy

M .D

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

1 U. /

1 07n

■to/

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 d.

1 Ol ft

All common resident areas are clean, sanitary and free of odors.

MET

7 A
1 .4

1 r\A 1
1 U4 1

1 1 .u

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

O 1

ft A

1 41 o
14 10

Resident care equipment is clean and maintained in safe operating condition.

MET

A 7

Q 7

y. /

1 'fUO

14 Q

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13 2

2340

24 7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

NOT ME 1

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

639

MARIANNA FL

NURSING HOME PROFILE
MARIANNA CONVALESCENT CENTER

street Address:

City and State:

805 5TH ST DRAWER L

MARIANNA FL 32446

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICAID SNF/ICF

180

LOCAL GOVERNMENT

02/05/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

174

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
niyniy 5p6CiaiiZ6Q Caie ana Services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

138

79.3

81.5

Dressing

Residents requiring some or total assistance in dressing.

146

83.9

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

144

82.8

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih or tr>ilpt

150

86.2

75.8

77.2

Continence

Residents with catheters or oartlal or total loss of bowel or bladder control

100

57.5

70.0

68.2

Rp^irjpnt^ nn inHi\/irlij?itl\/ writtpn hnwpl anH hlfiHHpr rptrflininn nrnnrflm

1 IwOIUwl 1 lO \Jl 1 II lUI V IVJLJCII 1 y VVI lll^l 1 UV/VV^I dl l\J It/ldUUwl 1 ^11 Clll III IM Ml ^Ml W I l>

6.9

4.9

4.6

Eating

Rp^iHpntQ rpppix/inn tiihp fppHinnQ nr rpniiirinn flQQiQtflnpp with pfltinn

llOOILJdllO 1 C7LfC7IVII lU lUl.yC7 IC7\7\JIIIUO \Jt 1 C7V.^UII II lU ClOolOlCli l\^0 Willi ^Cllll

46.0

36.9

37.7

Completely bedfast residents.

7.5

3.0

3.4

Residents confined to chairs.

48.3

49.3

50.8

Residents requiring restraints.

27.0

40.4

41.3

Confused or disoriented residents.

111

63.8

61.2

58.4

Residents with bed sores.

4.0

7.0

7.1

Residents receiving special skin care.

56.9

31.2

Medicaid Residents:

153

640

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Ivlet" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

641

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^lEOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostonny/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feedina

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

IVIu 1

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

NOT MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

642

MELBOURNE FL

NURSING HOME PROFILE
CARNEGIE GARDENS NH

street Address:

City and State:

1415 S HICKORY ST

MELBOURNE FL 32901

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

138

PROPRIETARY

10/29/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

133

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Battling

Residents requiring some or total assistance in bathing.

131

98.5

OH C
Ol .0

Ol .0

Dressing

Residents requiring some or total assistance in dressing.

124

93.2

o4.o

Toileting

Residents requiring some or total assistance in toileting.

111

83.5

lO.O

/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

118

88.7

lO.O

77 O

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

74.4

fv.v

Residents on individually written bowel and bladder retraining program.

4.5

A Q

4.y

Eating

Residents receiving tube feedings or requiring assistance with eating.

36.1

<3D.v7

'57 7

completely bedfast residents.

0.8

T 4

Residents confined to chairs.

72.2

49.3

50.8

Residents requiring restraints.

66.2

40.4

41.3

Confused or disoriented residents.

119

89.5

61.2

58.4

Residents with bed sores.

9.8

7.0

7.1

Residents receiving special skin care.

60.2

31.2

Medicaid Residents:

643

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan Indicating deficiencies will be corrected witfiin a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is In compliance with the specific requirement. "Not Met" means the facility
was deficient in the Indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy duhng treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

644

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostonny/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Nfltion^l RpQP^irph r^niinpil NIfitirtnfll ApaH^^mw r\i ^pi^^ncp^

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

645

MELBOURNE FL

NURSING HOME PROFILE
FL CONVALESCENT HOME

street Address:

City and State:

516 E SHERIDAN RD

MELBOURNE FL 32901

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

NON-PROFIT OTHER

07/17/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Battling

Residents reouirina some or total assistance in bathina

1 1 I wVilUII II lU •J\Jt 1 1^ Wl iwmi UOwlwlUI iWx^ II 1 k^Uil III l^>

86.2

81.5

Dressing

Residents renuirinn some or total assistance in dressina

1 IwOIVlwl 1 lO 1 ^UUII li lU Owl 1 Iw \Jl IWiCil QwOlwLvil Ivw II 1 \At ^wOll '^4*

75.9

84.3

83.2

Toileting

Residents renuirinn some or total assistance in toiletinn

89.7

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

lUU (Jl lUilcl.

77.6

75.8

77.2

Continence

RpQirlpnt^ with p^ithptprQ nr n^irtial or tntal Ihqq of hnwpl nr hl^iHrlpr pnntrni

67.2

70.0

68.2

RpQiHpntc nrt inHiwirliislK/ xA/ritton hr*\A/pl anH hIcjHHpr rptraininn nrnnrsim
iic^oiu^i HO \Ji I iiiuiviuudiiy wi iiioi i uww^i di lu uidvjuv^i i C/ii dii iii \j\ di i i<

3.4

4.9

4.6

Eating

Fic^olUc;) llo ic;uc;IVIiiy lUUt; lc;c7Uliiyo Ul lt7^Ullllly doololdliUt^ Willi c;dUiiy>

41.4

36.9

37.7

ComDietelv bedfast residents

3.4

3.0

3.4

Residents confined to chairs.

58.6

49.3

50.8

Residents requiring restraints.

27.6

40.4

41.3

Confused or disoriented residents.

50.0

61.2

58.4

Residents with bed sores.

10.3

7.0

7.1

Residents receiving special skin care.

41.4

31.2

Medicaid Residents:

646

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ric laciiiiy US6S a sysiem inai assures lUii ano compieie accouniiny oi resiuenis
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

647

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostonny, respiratory (breathing) and tracheotonny care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote maxinnum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Mfltinnsi! RfiQfiarr'h r^-oiin^il Matinnal A/^aHf^mx/ r\i ^pifinppQ

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

648

MELBOURNE FL

NURSING HOME PROFILE
MEDIC HOME HEALTH CENTER OF MELBOURNE

street Address:

City and State:

1420 S OAK ST

MELBOURNE FL 32901

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

110

PROPRIETARY

11/17/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

107

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

105

98.1

81.5

Dressing

Residents requiring some or total assistance in dressing.

89.7

84.3

83.2

Toileting

Residents reauirina somp or total a<?^istanf;p in toilptina

I 1 wlU w 1 1 iw I U 1 1 II 1^ WW III w wl iW im CiwOI w Ldl 1 w w III Lwl 1 w il 1 lU I

69.2

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

66.4

75.8

77.2

Continence

Rp^idpnt^ with p^ithptprQ or nflrtial nr tnt^jl Ihqq nf hnwpl nr hlflHHpr pontrnl

■ twOIU^IIlO Willi OClillwlwIO ^1 ^Cll IICII \Jt KKJlCLi IWOw \J\ VJKJWK^i \Jt UlClUvId LrUllllwl.

58.9

70.0

68.2

RpQiHpntQ on inHiv/iHi iaIIv written hr»\A/^l anrl KlaHHor rotraininn nrnnram
ri^oiu^i 1 lo v.^11 iiivjiviLJUciiiy wii iic^i i uuvvc^i di ivi uiduuci i t^ii dii iii lu pi uui di ii*

4.7

4.9

4.6

Eating

Rp^idpnt^ rpHPivinn tuhp fppriinn^ nr rpniiirinn flQQiQtflnpp with pfitinn

1 I wwlVJ wl 1 iw 1 w wwl V II lU IWM w i w wUl 1 lUO \J\ IdJUIIIII^ dOOlO Ldl Iww VV 1 11 1 ^dLI 1 IM t

29.9

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

50.5

49.3

50.8

Residents requiring restraints.

32.7

40.4

41.3

Confused or disoriented residents.

59.8

61.2

58.4

Residents with bed sores.

7.5

7.0

7.1

Residents receiving special skin care.

21.5

31.2

Medicaid Residents:

649

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. Thie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING 1

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ne Taciiiiy uses a sysiem inai assures lUii ana compieie accounting or resiaenxs
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

650

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

651

MELBOURNE FL

NURSING HOME PROFILE
WEST MELBOURNE HEALTH CARE CENTER

street Address:

City and State:

2125 NEW HAVEN AVE

MELBOURNE FL 32901

Participation:

# Of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

180

PROPRIETARY

05/26/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

114

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

RGsidGnts rGouirina sonriG or total assistancG in bathina

112

98.2

81.5

Dressing

RGsidGnts rGQuirina soitig or total assistancG in dressina

1 1 1 1 1 1 V4 1 1 1 1 1 ^^^^1 1 1 1 1 ^4^^^^ 1 1 1 \^ III \^ 1 1 1 1 *

86.0

84.3

83.2

Toileting

RGsidGnts reauirina sonriG or total assistancG in toilGtina

74.6

76.6

73.8

Transferring

RGsidGnts rGquiring somG or total assistancG moving from bGd to chair or to

lUU KJi lUMC7l.

70.2

75.8

77.2

Continence

RGsldpnts with cathptprs or nartial or total los<; of howpl or hIaddGr control

71.1

70.0

68.2

Rp^irjpnt^ on inHi\/iHiiAll\/ writtpn hnwpl anH hlaHripr rptrflininn nrnnram

1 i^oi\>i^i 1 to \ji I II lUi V luudi 1 y vv 1 1 1 1^1 1 vv d cii lu i>jici\>j\JwI iwiiciiiiiiiu yj* ^i i ■ ■

5.3

4.9

4.6

Eating

Rp^idpnt^ rpppivinn tiihp fppriinn^ nr rpmiirinn a^^i^tancp with patino

1 lwOI\J^lltO IwO^IVIIIU lUluf^ l^wVIIIIUO \J\ I^VILJIIIIlM ClOOlO ICll IV^ W Willi ^dilllM*

24.6

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

50.9

49.3

50.8

Residents requiring restraints.

59.6

40.4

41.3

Confused or disoriented residents.

80.7

61.2

58.4

Residents with bed sores.

6.1

7.0

7.1

Residents receiving special skin care.

67.5

31.2

Medicaid Residents:

652

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tlie time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected perfornnance indicators do not represent all the requirennents a
laciiiiy musi rneei. i nere are over ouu separate requiremenis. i ne intormation presentea
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 lie idL/iiiiy Uocb d oybiem inai assures run ana compieie accouniiny or resiaenxs
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

653

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning

^nrl tiihp fppHinn

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21 Q

2045

21 6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

Mt 1

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

654

MERRITT ISLAND FL

NURSING HOME PROFILE
COURTENAY SPRINGS INC

street Address:

City and State:

1100 S COURTENAY PARKWAY

MERRITT ISLAND FL 32952

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

NON-PROFIT RELIGIOUS

01/26/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

o/
/o

Bathing

Residents requiring some or total assistance in bathing.

72.9

ol .0

0 1 .0

Dressing

nesioenis requiring some or total assistance in aressing.

71.8

04. 0

Oo.^

Toileting

nesiuenis requiring some or loiai assistance in toileting.

64.7

( D.D

7^ ft
/ o.o

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

85.9

7*^ ft

77 P

Continence

nesiaenxs wiin caineiers or paniai or loiai loss ot dowsi or DiauQ6r coniroi.

56.5

70 0

68 2

nesiaents on inuiviuuaiiy written uowei ana Diaoaer retraining program.

0.0

4 9

4.6

Eating

nesiaents receiving tuoe teeaings or requiring assistance witn eating.

22.4

37 7

completely Deafast residents.

1.2

3 0

3 4

Residents confined to chairs.

20.0

49.3

50.8

Residents requiring restraints.

29.4

40.4

41.3

Confused or disoriented residents.

34.1

61.2

58.4

Residents with bed sores.

1.2

7.0

7.1

Residents receiving special skin care.

5.9

31.2

Medicaid Residents:

655

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected withiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not MeX" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirennents a

Tfl^^ilit\y mi iQt moot Thoro ^ro (^\/or ^r^O conarsto roni liromontc Tho lnf/~\rfYioti**\r> r^r^eontoH
lok^iniy iiiuoi iiiccri. iiicic: ale uvtJI jUv ocpdictlc; Fc;L|UliUinciUo. 1 lie lllloriTldllori preocllleU

below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

656

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feedina

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

IVIC 1

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

NOT MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

NOT MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State sun/ey agency or the State ombudsman.

657

MERRITT ISLAND FL

NURSING HOME PROFILE
MERRITT MANOR NH

street Address:

City and State:

125 ALMA BLVD

MERRITT ISLAND FL 32952

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

12/10/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

117

l\Aedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

RpQiHpntQ rpniiirinn Qnmp nr tnt^^l ^^QQiQtflnpp in h?ithinn

104

88.9

81 5

Dressing

RpQiHpntQ rpniiirinn Qnmp nr tnt^^l aQQlQtflnpp in rlrp^^inn

riC70lLiC?l 1 lO IC7VJUMIIIU Owll IC? V.^1 1\JICII dOOlOlCll Iww III vll^OOIIIU.

78.6

84.3

83.2

Toileting

Rpsirlpnt<; rpniiirinn somp or tntal fl<?si<itanrp in toilptinn

68.4

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti iK r\r t/^ilot
lUU Ui lUllc;l.

62.4

75.8

77.2

Continence

Rp^idpnt^ with rathptpr^ nr nartifl! nr tntal In^^ nf hnwpl nr hlflddpr nnntrnl

1 I^OIU^IIIO Willi OCllll^i^lO \JI l«/Cll IICII \JI l^^idl IVyOO ^1 l«/wVVd v^l l>>IClUv«l^l V/V^l 1 11 wl •

68.4

70.0

68.2

Rp^irlpnt^ nn inrli\/irlimll\/ writtpn hnwpl anH hlaHrlpr rptraininn nrnnrflm

riC7ol\JC7l 1 lo ^11 II IVJIVILJUClliy Wllllwll UVJVV\7I Al lU ulClLIUd I C71I Clli III IM |-/l W^l Cll 1 l>

0.0

4.9

4.6

Eating

RpQiHpntQ rpppivinn tiihp fppHinnQ nr rpniiirinn siQQiQtsinpp with psitinn
ncoiUv^i iio icuwiviiiy luuw ic^t^uiii^o ui ic^LjUHiiiy dooioiciiiuc wiui cciiiii^*

35.9

36.9

37.7

CnnrinlotAlv hprlfsiet rpfilHpntc

0.0

3.0

3.4

Residents confined to chairs.

55.6

49.3

50.8

Residents requiring restraints.

35.9

40.4

41.3

Confused or disoriented residents.

70.1

61.2

58.4

Residents with bed sores.

2.6

7.0

7.1

Residents receiving special skin care.

17.1

31.2

Medicaid Residents:

658

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

659

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

:NT of FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostonny/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNauondi ricsearcn ^^ouncii, iNaiionai MCaaemv ot ociences.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

660

MIAMI BEACH FL

NURSING HOME PROFILE
GEM CARE CENTER

street Address:

City and State:

550 9TH ST

MIAMI BEACH FL 33139

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

196

PROPRIETARY

06/17/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

177

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

RGsidGnts requiring some or total assistance in bathing.

163

92.1

O 1 .0

QIC

Dressing

Residents requiring some or total assistance in dressing.

141

79.7

HA Q

Toileting

Residents requiring some or total assistance in toileting.

140

79.1

fO.O

/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

127

71.8

1 O.O

77 0

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

123

69.5

Rft 9
\j0.c.

Residents on individually written bowel and bladder retraining program.

13.0

Eating

Residents receiving tube feedings or requiring assistance with eating.

40.7

97 7

^ornpieieiy Deaiasi resiaenis.

4.0

3.0

3.4

Residents confined to chairs.

46.9

49.3

50.8

Residents requiring restraints.

26.6

40.4

41.3

Confused or disoriented residents.

135

76.3

61.2

58.4

Residents with bed sores.

4.5

7.0

7.1

Residents receiving special skin care.

20.9

31.2

Medicaid Residents:

142

661

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected witfiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEOUIREMENTS

NATION

The facility ensures tliat its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

662

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY

MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^lEQUIREMENTS

NATION

o/
/o

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tuhp fppriinn

MET

7.8

1123

1 1.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

mfi

1 yjyj

?1 6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MPiT ^yIPT

\\\J 1 IVIC 1

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

663

MIAMI BEACH FL

NURSING HOME PROFILE
MIAMI BEACH HEBREW HOME FOR THE AGED

street Address:

City and State:

320 COLLINS AVE

MIAMI BEACH FL 33139

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

104

NON-PROFIT OTHER

01/14/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

101

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Battling

Residents requiring some or total assistance in bathing.

101

100

o1 .0

ol .0

Dressing

Residents requiring some or total assistance in dressing.

90.1

o4.o

oo.d

Toileting

Residents requinng some or total assistance in toileting.

85.1

76.6

73. o

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

94.1

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

85.1

70.0

68.2

Residents on individually written bowel and bladder retraining program.

0.0

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

58.4

36.9

21.7

Completely bedfast residents.

2.0

T n

Residents confined to chairs.

1.0

49.3

50.8

Residents requiring restraints.

41.6

40.4

41.3

Confused or disoriented residents.

82.2

61.2

58.4

Residents with bed sores.

9.9

7.0

7.1

Residents receiving special skin care.

2.0

31.2

Medicaid Residents:

664

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Mel" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

IVIET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

665

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^lEOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

NOT MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

666

MIAMI BEACH FL

NURSING HOME PROFILE

SOUTHPOIN

T MANOR

street Address:

42 COLLINS AVE

City and State:

MIAMI BEACH FL 33139

Participation:

MEDICARE/MEDICAID SNF/ICF

# of Beds:

230

Type of Ownersliip:

PROPRIETARY

Survey Date:

07/08/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

220

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

RpQiHpntQ roniiirinn Qrimo or tntal aQQiQiflnoo in hathinn

riC70lUC7l 1 LO 1 CLJUII II 1^ O^l 11^ KJ\ lUldl dOOlOldl Iwv? II 1 Udll III 1^.

130

59.1

U 1

Dressing

RpciHontc roni lirinn cr\mo r\r total accictanoo in Hroccinn
iiColUcillo lc;L|Ui(liiy oUlM^ Ui lUldl dooioldliUo III Uic^ooiiiy.

170

77.3

Toileting

RociHontc roniiirinn o/~vmo nr total accictanoo in toilotinn
ri^olUclilo I^LjUIMIiy oUn Ic^ Ul lUldl doololdilUo III lUllt;Uliy.

165

75.0

76 6

7? 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
lUD or toilet.

175

79.5

77 2

Continence

ntJbiaenis wiin Cdineiers or pdnidi or loidi loss ot Dowei or DiduQGr coniroi.

148

67.3

70 0

68 2

nesjiaenis on inaiviuuaiiy written uowei ana uiaaQer retraining program.

7.3

4 9

4 6

Eating

131

59.5

36.9

37.7

0.5

3.0

3.4

Residents confined to chairs.

169

76.8

49.3

50.8

Residents requiring restraints.

124

56.4

40.4

41.3

Confused or disoriented residents.

147

66.8

61.2

58.4

Residents with bed sores.

5.9

7.0

7.1

Residents receiving special skin care.

33.6

31.2

Medicaid Residents:

184

667

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at ttie time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

668

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

NOT MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

NOT MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

669

MIAMI FL

NURSING HOME PROFILE
ANDERSON HEALTH CARE CENTER

street Address:

City and State:

8401 NW 27TH AVE

MIAMI FL 33147

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

07/02/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or Inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

97.5

81.5

Dressing

Residents renuirinn some or total assistance in dressina

92.5

84.3

83.2

Toileting

Residents renuirinn some or total assistance in toiletinn

1 l^OIU^I 1 lO 1 ^^Ull II lU OV^I 1 Iw ^^1 IvyiQI dOOIOtdl Iw^ II 1 iWll^lll IM>

62.5

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

47.5

75.8

77.2

Continence

RpQiH^ntQ with PflthotorQ rw narti^il r\T trital Ir^cc cA hriw^l r\T hlflrlHpr pnntrni
ric7oivjC/i 1 lo Willi odii idc^i o \j\ \Jd\ K\a\ \J\ iwidi luoo \j\ UwWd yji \j\o\j\jks\

80.0

70.0

68.2

ri^olvJc^illo UI 1 li lUIVIUUctliy Wiilloil UUWt^t dl lU UldUUv:;! ic^Udlillliy jJIL/yidiil.

10.0

4.9

4.6

Eating

27.5

36.9

37.7

Comoletelv bedfast residents

2.5

3.0

3.4

Residents confined to chairs.

57.5

49.3

50.8

Residents requiring restraints.

27.5

40.4

41.3

Confused or disoriented residents.

82.5

61.2

58.4

Residents with bed sores.

5.0

7.0

7.1

Residents receiving special skin care.

20.0

31.2

Medicaid Residents:

670

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. Ttie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan Indicating deficiencies will be corrected within a reasonable period of time, "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at ail times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

671

SELECTED PERFORMANCE INDICATORS

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^lEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNaiiuriai ncacarC/ri council, iNaiiondi MCaacmy oi ociencco.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

672

MIAMI FL

NURSING HOME PROFILE
ANGELL CARE OF FOUNTAINHEAD

street Address:

City and State:

390 NE 135TH ST

MIAMI FL 33161

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

146

PROPRIETARY

01/07/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not Indicate whether those
residents are receiving appropriate or Inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Battling

Residents requiring some or total assistance in bathing.

83.9

81 .5

81 .0

Dressing

Residents requiring some or total assistance in dressing.

89.7

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

70.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

71.3

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

66.7

70.0

68.2

Residents on individually written bowel and bladder retraining program.

3.4

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

35.6

OD.y

CI .1

Completely bedfast residents.

3.4

Residents confined to chairs.

56.3

49.3

50.8

Residents requiring restraints.

42.5

40.4

41.3

Confused or disoriented residents.

73.6

61.2

58.4

Residents with bed sores.

4.6

7.0

7.1

Residents receiving special skin care.

85.1

31.2

Medicaid Residents:

673

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan Indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies In other facilities In the State and Nation. "Met" means that the facility Is In compliance with the specific requirement. "Not Met" means the facility
was deficient In the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

674

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT

Mt 1

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
ana luue leeuing.

MET

7 ft
/ .O

1 1 9^

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

1 Ud

01 Q

d\ .y

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

?P 1

29 0

Mt 1

6 4

1389

14 7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MOT ^/IPT

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MOT KA^T

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal Dursuits inrluriina rpliainiis artivities nf thp rp«iirlpnt'<? rhnipp if anv

III ll%./IIIIC*l ^UIOUIIO, IIIV./II.JUIIIM I^II^IV./LIO dwllVlllwO ^1 lll^ I^OIUOIIl O V^ilwlv/w, II Cllly.

IVIC 1

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MFT

IVIC 1

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MFT

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

675

MIAMI FL

NURSING HOME PROFILE
ARCH CREEK NH

street Address:

City and State:

12505 NE 16 AVE

MIAMI FL 33161

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

118

PROPRIETARY

05/26/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

104

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

1 iiLji iiy o^c7^iciiiz.c;u ^di di pu ooi viuco.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

89.4

81.5

Dressing

Residents requiring some or total assistance in dressing.

91.3

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

73.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

77.9

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

78.8

70.0

68.2

Residents on individually written bowel and bladder retraining program.

9.6

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

58.7

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

64.4

49.3

50.8

Residents requiring restraints.

56.7

40.4

41.3

Confused or disoriented residents.

52.9

61.2

58.4

Residents with bed sores.

1.9

7.0

7.1

Residents receiving special skin care.

1.9

31.2

Medicaid Residents:

676

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in othier facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=!EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the hghts and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

677

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

678

MIAMI FL

NURSING HOME PROFILE
ASHLEY MANOR CARE CENTER

street Address:

City and State:

8785 NW 32ND AVENUE

MIAMI FL 33147

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

120

PROPRIETARY

04/07/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

115

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

69.6

o1 .0

Dressing

Residents requiring some or total assistance in dressing.

100

87.0

o4.o

OJ.d

Toileting

ncaiuciiio icquiiiiiy auiiic Ui luial doololciriuc III KJiicUiiy.

100

87.0

76 fi

73 8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

84.3

75 fl

77 2

Continence

nesiaenis wim caxneiers or paniai or lotai loss ot oowei or oiaoaer control.

102

88.7

70 n

6R 2

Residents on individually written bowel and bladder retraining program.

4.3

A Q

4 fi

Eating

Residents receiving tube feedings or requiring assistance with eating.

67.8

OU.v7

^1 7

conripietely Dearast residents.

2.6

3 0

3 4

Residents confined to chairs.

34.8

49.3

50.8

Residents requiring restraints.

38.3

40.4

41.3

Confused or disoriented residents.

59.1

61.2

58.4

Residents with bed sores.

7.0

7.1

Residents receiving special skin care.

6.1

31.2

Medicaid Residents:

112

679

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a

fpioilitv mil^t mppt Thprp ?irp nupr SOD (^pnarstp rpni lirpmpntc Tho infArmatinn nr(:iC£:»ntorl

below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=1E0UIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

Thp fflpilitv iiQPC ?5 cwQtpm th3t ^jqqiitoq fiill anrl pr^mnlptp ar'/^rii intinn r\i rocirlontc'
1 1 lo idv^iMiy uoCfO ci oyoidii ii idi doouioo luii cimu ouiiipioio ctoouui nil ly Ui looiUoiiio

personal funds. An accounting report is nnade to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

680

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=1E0UIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
ana iuu6 leeuing.

K 1 k Ml T

NOT MET

7 8

1 123

11 9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

Mb 1

1 uo

P1 Q

P1 fi

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

^yIFT

IVIC 1

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident. It is designed to promote opportunities for engaging
in normal Dursuits includina reliaious activities of the resident's choice if anv

III II x</ 1 1 1 1 1 i*y w4 ■ w ^ 1 ^ w f III 1 \A \^ III 1 \^ 1 1 u V v*^ \^ VI V 1 LI \j \mJ 1 u 1 1 I V-' w 1 \^ v</ lit w V 1 1 1 Nv/ 1 II 1 1 y ■

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

NOT MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

681

MIAMI FL

NURSING HOME PROFILE
BAY SHORE CONVALESCENT CENTER

street Address:

City and State:

16650 W DIXIE HIGHWAY

MIAMI FL 33162

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

150

PROPRIETARY

09/23/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

132

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
nigniy speciaiizeu care ano services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

117

88.6

81.5

Dressing

Residents requiring some or total assistance in dressing.

115

87.1

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

100

75.8

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

75.0

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

100

75.8

70.0

68.2

Residents on individually written bowel and bladder retraining program.

2.3

4.9

4.6

Eating

Residents receivina tube feedinas or rsauirina assistance with eatina

1 1 VI wl 1 1 WW Vl VII t\A 1^ W 1 WWW 1 1 1 w w w 1 1 WVIU 1 III 1 w vlw wl W hVil 1 WW VV 1 LI 1 W Vl ill

25.8

36.9

37.7

ComDietelv bedfast residents.

0.8

3.0

3.4

Residents confined to chairs.

106

80.3

49.3

50.8

Residents requiring restraints.

40.2

40.4

41.3

Confused or disoriented residents.

105

79.5

61.2

58.4

Residents with bed sores.

7.6

7.0

7.1

Residents receiving special skin care.

72.7

31.2

l\/ledicaid Residents:

113

682

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected witfiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the Slate and Nation, "Met" means that the facility is in compliance with the specific requirement. "Not Mel" means the facility
was deficient In the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and connplete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

683

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=tEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

684

MIAMI FL

NURSING HOME PROFILE
CORAL GABLES CONVALESCENT HOME

street Address:

City and State:

7060 SW 8TH ST

MIAMI FL 33144

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE SNF

PROPRIETARY

03/03/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

78.9

o1 .0

Ol .0

Dressing

Residents requiring some or total assistance in dressing.

94.4

o4.o

QQ O
OJ.d.

Toileting

Residents requiring some or total assistance in toileting.

77.5

/ O.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

77.5

/ O.O

77 0

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

76.1

70 n

\j0.c.

Residents on individually written bowel and bladder retraining program.

7.0

A Q

Eating

Residents receiving tube feedings or requiring assistance with eating.

28.2

oo.o

^7 7

uompieieiy oeaiasT resioenis.

7.0

3.0

3.4

Residents confined to chairs.

35.2

49.3

50.8

Residents requiring restraints.

7.0

40.4

41.3

Confused or disoriented residents.

16.9

61.2

58.4

Residents with bed sores.

8.5

7.0

7.1

Residents receiving special skin care.

0.0

31.2

Medicaid Residents:

685

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

686

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MFT

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning

cilIU lUUC (tj^c^Ulfiy.

NU 1 Mt 1

7 ft

11 P'^

1 1

1 1 Q

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

Ivlb 1

1 f\p.
1 UD

01 Q

91 P.

c. 1 .0

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

687

MIAMI FL

NURSING HOME PROFILE

PACT Dinmr dctic

itlvltlM 1 VILLAuit

Street Address:

19301 SW 87TH AVE

City and State:

MIAMI FL 33157

Participation:

MEDICARE SNF

# Of Beds:

Type of Ownership:

NON-PROFIT OTHER

Survey Date:

10/27/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

hinhK/ cno/**isili7oH /^aro arvH cor\/ir'oc

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

81.5

Dressing

Residents requiring some or total assistance in dressing.

81.5

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

59.3

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

■frills r\r 't'/'tllot
lUU (Jl IvJIICl.

81.5

75.8

77.2

Continence

RociHontc \A/ith oathotorc r\r nfirtiQl f\r total Irtcc r\i Ki^\A/ol r\r hlssHHor oontrrvl
Rcoiucius Willi Odlllclclo Ul |Jcti lldl (Jl lUlctI lUoo (Jl U(JWc;l (Jl Ula(J(Jcl o(Jllll(JI.

68.5

70.0

68.2

ncoKJciiia (jii II i(jivi(juaiiy wiiiicii ucjwcji diKj uidUvjci icirdiriiriy pruyidiii.

5.6

4.9

4.6

Eating

rmoi(j(7iiib icuciviiiy iuu(^ rc;c^(jiriyb oi icquiiiny dobioidiioc wiiii cdiiiiy.

31.5

36.9

37.7

ComDietelv bedfast residents

0.0

3.0

3.4

Residents confined to chairs.

46.3

49.3

50.8

Residents requiring restraints.

31.5

40.4

41.3

Confused or disoriented residents.

75.9

61.2

58.4

Residents with bed sores.

1.9

7.0

7.1

Residents receiving special skin care.

13.0

31.2

Medicaid Residents:

688

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

689

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on
the recommended dietary allowances of the Food and Nutrition Board of the
iNdiiunai ncocdroii v-'UuncM, iNaiioriai MOdUciiiy or ooiciimo.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

690

MIAMI FL

NURSING HOME PROFILE
EL PONCE DE LEON CONVALESCENT CTR

street Address:

City and State:

335 SW 12TH AVE

MIAMI FL 33130

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

147

PROPRIETARY

10/15/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

144

[\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

hinhlv ^nppiflliypfi rarp anH Qprvipp^

1 M^l liy OfJC7^IClil^C7U LfCli C7 Ql l\J VIUC70.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

52.1

81.5

Dressing

Residents requiring some or total assistance in dressing.

114

79.2

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

102

70.8

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

102

70.8

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

114

79.2

70.0

68.2

Residents on individually written bowel and bladder retraining program.

12.5

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

56.3

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

102

70.8

49.3

50.8

Residents requiring restraints.

31.9

40.4

41.3

Confused or disoriented residents.

108

75.0

61.2

58.4

Residents with bed sores.

2.8

7.0

7.1

Residents receiving special skin care.

26.4

31.2

Medicaid Residents:

136

691

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Thie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1E0UIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

692

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functionina to orevent loss of abilitv to walk or move freelv deformities and oaralvsis

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21 .2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

NOT MET

6.4

1389

A A ^

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 .9

C O ~7

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

1 5.5

816

8.D

MET

14.U

1 uyy

n .D

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

■\C\~7

lU./

A'i A

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

1 d

1 oi ft

1 O Q

All common resident areas are clean, sanitary and free of odors.

MET

7 A

1 A

\ U41

1 1 .U

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

O 1

ft A

^A^'i

1 'I- 1 v3

Resident care equipment is clean and maintained in safe operating condition.

MET

^ 1

Q 7

1 HUO

14 Q

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13 2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

693

MIAMI FL

NURSING HOME PROFILE
FLORIDA CLUB CARE CENTER

street Address:

City and State:

220 SIERRA DRIVE

MIAMI FL 33179

Participation:

# of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

180

PROPRIETARY

05/12/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

169

(Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirino some or total assistance in bathina

138

81.7

81.5

Dressing

Residents rpnuirina somp or total assistance in dressina

142

84.0

84.3

83.2

Toileting

Rpsidpnts reniiirinn some or total assistance in toiletinn

1 i^OIU^I 1 to 1 ^UUII II lU wVi/l 1 Iw \JI IwWCII dwOlOlCll II 1 Iwll^ill IM>

117

69.2

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
xuD or loiiei.

121

71.6

75.8

77.2

Continence

RpQiHpntQ with pJithPtPTQ nr nArti^l nr tr>tfll Ihqq nf hnwpl nr hlflHHpr pontrnl

117

69.2

70.0

68.2

r\oofUc;itLo Ui 1 II lUlvlUUdliy Wllllt^ll UUWc;1 dllU UldUUc;! 1 c^U dll III ly piuyidiii.

10.1

4.9

4.6

Eating

DociHontc ro/^oi\/ion ti iK\o fooHinnc i^r ram lirion sccictsnr^o VA/ith ostinn

ncoiuciiio icociViiiy luuc iccuiiiys ui icLjuiiiiiy aooioiciiiuc wiiii caiiiiy.

49.1

36.9

37.7

CoiriDletelv bedfast residents.

3.6

3.0

3.4

Residents confined to chairs.

29.0

49.3

50.8

Residents requiring restraints.

42.6

40.4

41.3

Confused or disoriented residents.

47.9

61.2

58.4

Residents with bed sores.

7.7

7.0

7.1

Residents receiving special skin care.

33.1

31.2

l\/ledicaid Residents:

126

694

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

695

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=iEOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostonny/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

696

MIAMI FL

NURSING HOME PROFILE
FLORIDEAN NH

street Address:

City and State:

47 NW 32ND PLACE

MIAMI FL 33125

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

PROPRIETARY

07/02/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

87.2

81.5

Dressing

Residents requiring some or total assistance in dressing.

87.2

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

59.6

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

66.0

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

53.2

70.0

68.2

Residents on individually written bowel and bladder retraining program.

4.3

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

23.4

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

34.0

49.3

50.8

Residents requiring restraints.

40.4

41.3

Confused or disoriented residents.

80.9

61.2

58.4

Residents with bed sores.

2.1

7.0

7.1

Residents receiving special skin care.

61.7

31.2

Medicaid Residents:

697

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

NOT MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

698

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leadinq to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
Tauiiiiy or uy rcicrrdi lo an dpprupriaie social aycncy.

MET

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident It is desianed to oromote ODOortunities for enaaaina
in normal pursuits, including religious activities of the resident's choice, if any.

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean sanitarv and free of odor's

NOT MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

699

MIAMI FL

NURSING HOME PROFILE

GRAMERCY PARK NURSING CTR

street Address:

City and State:

17475 S DIXIE HWY

MIAMI FL 33157

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

180

PROPRIETARY

02/24/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

170

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
nicjniy speciaiizeQ ca.\Q ana ssrvicss.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

127

74.7

81.5

Dressing

Residents requiring some or total assistance in dressing.

143

84.1

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

123

72.4

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

tiih ciT tnilpt

118

69.4

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

126

74.1

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

1 I \^ wl VI 1 1 V w II III VI i V 1 VI VI V&l 1 y TT 1 1 V i 1 tiJ^^ WW \^ i VVl I VI k/ 1 Vl vl Vl \^ i i \^ Vi VCI 1 1 1 1 ' V4 ■ c3 Vi^l 1 i ■

8.2

4.9

4.6

Eating

Resldpnts receivina tuhp fppdincis or rpnuirina assistance with satina

1 1 w vl w 1 1 1 w V wl VII 1^ 1 ^ 1 1 1^ W w ! 1 V VI U II 1 1 1^ Uwwl w iVll 1 Will 1 ^ VI il 1 ' g •

36.5

36.9

37.7

Completely bedfast residents. '

2.9

3.0

3.4

Residents confined to chairs.

114

67.1

49.3

50.8

Residents requiring restraints.

30.0

40.4

41.3

Confused or disoriented residents.

102

60.0

61.2

58.4

Residents with bed sores.

8.2

7.0

7.1

Residents receiving special skin care.

34.7

31.2

Medicaid Residents:

151

700

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

NOT MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

701

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

702

MIAMI FL

NURSING HOME PROFILE
GREEN BRIAR NH INC

Oil Mavirt^oo.

Oily ana oiaie.

9820 N KENDALL DRIVE

MIAMI FL 33176

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE SNF

203

PROPRIETARY

08/06/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

153

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

130

85.0

81.5

Dressing

Residents requiring some or total assistance in dressing.

137

89.5

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

144

94.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

133

86.9

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

122

79.7

70.0

68.2

Residents on individually written bowel and bladder retraining program.

1.3

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

54.2

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

39.2

49.3

50.8

Residents requiring restraints.

35.3

40.4

41.3

Confused or disoriented residents.

60.8

61.2

58.4

Residents with bed sores.

7.8

7.0

7.1

Residents receiving special skin care.

29.4

31.2

Medicaid Residents:

703

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REOUIREMENTS

NATION

The facility ensures tliat its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

704

SELECTED PERFORMANCE INDICATORS

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^EOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through

luuc^o, ^.^uivjoiui iiy/iicuoiuiiiy, it;o|jiictiuiy ^uicduiiiiy^ ctiiu ii aui icuiui iiy udi c;, ouuuui liny

and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
laciiiiy or uy reierrai lo an appropriate social agency.

MET

15.5

816

8.6

An ongoing program of meaningful activities is provided, based on identified needs
and interests of each resident It is desianed to nromote oDoortunities for enaaaina
in normal pursuits, including religious activities of the resident's choice, if any.

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean sanitarv and free of odors

MET

2.5

1216

12.9

All Pnmmon rp^iripnt atppiq ^itp plp^n Qanitarv anH frpp nf nrlnrQ
/III iiiii\^ii i^oiu^iii di cii c 1, oai II icLi y di IvJ i i cc? kji uuwi o.

NOT MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

705

MIAMI FL

NURSING HOME PROFILE

GREYNOLDS PARK MANOR REHAB CTR

street Address:

City and State:

17400 W DIXIE HIGHWAY

MIAMI FL 33160

Participation:

# Of Beds:

Type of Ownersliip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

324

PROPRIETARY

12/09/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

253

Medicare Residents:

Medicaid Residents:

177

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

148

58.5

81.5

Dressing

Residents reauirina some or total assistance in dressina

191

75.5

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

193

76.3

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

179

70.8

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

170

67.2

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

■ 1 v^ wi VI v« ■ 1 K*tj \^ 11 III VI i V 1 vf VI v4i 1 y Will i i ii^^^ w v i vti i vi i vavi vi v/ i i \^ ii v«i i 1 1 ■ ■ \a ■ i v*i ■ i ■

29.2

4.9

4.6

Eating

Residents rerpivinn tiihp fppHinn^ or rpniiirinn a^^i^tanrp with patina

28.1

36.9

37.7

Comoletelv bedfast residents

2.4

3.0

3.4

Residents confined to chairs.

163

64.4

49.3

50.8

Residents requiring restraints.

31.2

40.4

41.3

Confused or disoriented residents.

198

78.3

61.2

58.4

Residents with bed sores.

13.8

7.0

7.1

Residents receiving special skin care.

121

47.8

31.2

706

SELECTED PERFORMANCE INDICATORS

"Facility" column Indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient In the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

707

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

NOT MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Nfltinn^il RpQparf^h (^niinpil Natinnjil ApflHpmw r»f ^pipnf*PQ

NOT MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

708

MIAMI FL

NURSING HOME PROFILE

HEALTHSOUTH REG

ONAL REHAB CTR

street Address:

City and State:

20601 OLD CUTLER ROAD

MIAMI FL 33189

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

180

PROPRIETARY

10/07/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

118

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

82.2

81 .5

OH C

81 .5

Dressing

Residents requiring some or total assistance in dressing.

102

86.4

Q.A O

OO.d

Toileting

Residents requiring some or total assistance in toileting.

78.8

1 D.O

7*5 R

( ^J.O

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

75.4

/ O.O

77 0

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

72.0

/ u.u

Residents on individually written bowel and bladder retraining program.

6.8

A. C\

Eating

Residents receiving tube feedings or requinng assistance with eating.

36.4

of .1

Completely bedfast residents.

1.7

O.H

Residents confined to chairs.

59.3

49.3

50.8

Residents requiring restraints.

43.2

40.4

41.3

Confused or disoriented residents.

61.0

61.2

58.4

Residents with bed sores.

10.2

7.0

7.1

Residents receiving special skin care.

72.9

31.2

Medicaid Residents:

709

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 lie idC/iMiy Uses a system max assures tun ana compieie accounting oi resiuents
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

710

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functionino to orpvent loss nf ahilitv tn walk or move frppiv dpfnrmitie'? and naralv<5i'5

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on

thp rprnmmpnHpd Hiptarv allnwanrp^ nf thp FnnH and Niitritinn Roard nf thp

National Research Council, National Academy of Sciences.

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
accordina to the in'itruction'; nf the attpndinn nhv«iirlan

dV^V^WI IVJ IV./ 11 t\i II lOll LJ\^LIWI 10 \J 1 11 17 dll7l l\_lll 1^ 1.^1 lyOIV.'Idl 1.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

NOT MET

7.4

1041

1 1.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

isolation techniques to prevent the spread of infection are followed by all personnel.

MET

1 0.^

94 7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

Mb 1

2.5

700

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

711

MIAMI FL

NURSING HOME PROFILE

MF ArsFn OF M nAnF

Street Address:

1800 NE 168TH ST

City and State:

MIAMI FL 33162

Participation:

MEDICARE/MEDICAID SNF/ICF

# of Beds:

Type of Ownership:

NON-PROFIT PRIVATE

Survey Date:

08/19/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
hinhlv ^r)Priflli7Pfi rarp anri ^prvirp^

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

100

81.5

Dressing

Residents requiring some or total assistance in dressing.

100

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

82.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

100

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

88.0

70.0

68.2

Residents on individually written bowel and bladder retraininq program.

0.0

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

20.0

36.9

37.7

Completely bedfast residents.

4.0

3.0

3.4

Residents confined to chairs.

18.0

49.3

50.8

Residents requiring restraints.

86.0

40.4

41.3

Confused or disoriented residents.

96.0

61.2

58.4

Residents with bed sores.

14.0

7.0

7.1

Residents receiving special skin care.

100

31.2

Medicaid Residents:

712

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and connplete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

713

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

NOT MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

714

MIAMI FL

NURSING HOME PROFILE
HERITAGE NURSING AND REHAB CENTER

street Address:

City and State:

2201 NE 170TH ST

MIAMI FL 33160

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

02/03/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:
1

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring sonne or total assistance in bathing.

62.2

81.5

Dressing

Residents requiring some or total assistance in dressing.

82.2

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

80.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

71.1

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

65.6

70.0

68.2

Residents on individually written bowel and bladder retraining program.

5.6

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

20.0

36.9

37.7

Completely bedfast residents.

1.1

3.0

3.4

Residents confined to chairs.

33.3

49.3

50.8

Residents requiring restraints.

28.9

40.4

41.3

Confused or disoriented residents.

28.9

61.2

58.4

Residents with bed sores.

2.2

7.0

7.1

Residents receiving special skin care.

13.3

31.2

l\/ledicaid Residents:

715

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1E0UIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

716

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes colostomv/ileostomv resoiratorv fbreathina^ and tracheotomv care suctionina
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to pronnote maxinnunn physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
wnn accepieo proiessionai praciices uy CjuaiiTieu xnerapisis or quaiiiisu assisianxs.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comton OT resiaents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

717

MIAMI FL

NURSING HOME PROFILE
HUMAN RESOURCES HEALTH CENTER

street Address:

City and State:

2500 NW 22ND AV

MIAMI FL 33142

Participation:

# Of Beds:

Type of Ownerstiip:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

150

LOCAL GOVERNMENT

01/06/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

135

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

hinhlv/ cr\of^i3 li7oH r*aro 3nH cor\/ipoc
1 111.^1 II y opc^uictii^cu ocii c; diiu oci viuco.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

101

74.8

81.5

Dressing

Residents requiring some or total assistance in dressing.

106

78.5

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

108

80.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih nr tnilpt

103

76.3

75.8

77.2

Continence

Rp^irjpnt^ with r^thptpr^ nr nartipil nr tntal In^^ nf hnwpl or hlfldripr rontrnl

104

77.0

70.0

68.2

RociH^ntQ nn inHi\/iHi iall\/ \A/ritton hn\A/ol anH hlisHHor rotraininn nrnnr^im

ri^OlU^I 1 lO KJl I IllUIVIUUClliy Wl 1 lid 1 UU Wt7l Cll lU UlClUUC^I IC^UdllllM^ |JI dl 1 1-

3.0

4.9

4.6

Eating

rit7olUt7l ilo 1 t^LrCJlVII ly LUUt? lt:;t:;UII lyo Ul loLjUlllliy Cloololcti Willi C7Ctllliy.

43.0

36.9

37.7

ConiDletelv bedfast residents

2.2

3.0

3.4

Residents confined to chairs.

108

80.0

49.3

50.8

Residents requiring restraints.

36.3

40.4

41.3

Confused or disoriented residents.

62.2

61.2

58.4

Residents with bed sores.

15.6

7.0

7.1

Residents receiving special skin care.

135

100

31.2

Medicaid Residents:

119

718

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: Th6S6 32 selected Derformance indicators do not reoresent all the reauirements a
facility must nneet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACII ITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1E0UIREMENTS

NATION

The facility ensures ttiat its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

NOT MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

719

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
REOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

NOT MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21 9

2045

21 6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

NOT MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

720

MIAMI FL

NURSING HOME PROFILE
JACKSON HEIGHTS NH

street Address:

City and State:

1404 NW 22ND ST

MIAMI FL 33142

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

298

PROPRIETARY

06/10/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

280

Medicare Residents:

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

240

85.7

81.5

Dressing

Residents requiring some or total assistance in dressing.

222

79.3

84.3

83.2

Toileting

Residents requinng some or total assistance in toileting.

174

62.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

177

63.2

75.8

*7"7 0

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

172

61.4

—7r\ r\

70.0

68.2

Residents on individually written bowel and bladder retraining program.

4.6

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

109

38.9

36.9

37.7

Completely bedfast residents.

4.3

3.0

d.4

Residents confined to chairs.

169

60.4

49.3

50.8

Residents requiring restraints.

31.4

40.4

41.3

Confused or disoriented residents.

148

52.9

61.2

58.4

Residents with bed sores.

10.0

7.0

7.1

Residents receiving special skin care.

20.7

31.2

IVIedicaid Residents:

278

721

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=iEOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

NOT MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

722

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1 123

11.9

Each resident receives rehabilitative nursing care to pronnote nriaximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

i no
1 Uo

ti.\ .d

H ceo
IDD<::

1 V ft
1 I.O

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

A r\r\r\

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1 .9

oo7

c o

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

1 5.5

olb

O.O

MET

14.0

1099

1 1 .6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

H O

1 Oi C

1 O Q

All common resident areas are clean, sanitary and free of odors.

MET

7 A
1 A

\ U41

1 1 n
1 1 .u

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

ft A

1410
1 'f 1 o

14 Q

Resident care equipment is clean and maintained in safe operating condition.

MET

Q 7

1 dOR

1 4 Q

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

Mb 1

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

723

MIAMI FL

NURSING HOME PROFILE
JACKSON MANOR NH

street Address:

City and State:

1861 NW 8TH AVE

MIAMI FL 33152

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

174

PROPRIETARY

06/12/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

143

Medicare Residents:

FACILITY

STATE

NATION

Bathing

ncblUclllo icLjUiririy bUlIlc Ui lUlal abololalloc; III UdUlliiy.

123

86.0

O 1 .Q

O 1 ,sj

Dressing

RpQiHpnt^ rpniiirinn Qomp or tntal ^^QQiQt^^npp in Hrp^^inn

ri\7ol\JC7l 1 lo iOLJUIilllU OVJI 1 IC \J\ WJKdl dOOlO Idl 1 vv7 III LllwOOIIlU*

139

97.2

84.3

83.2

Toileting

Rp<iiHpnt<5 rpniiirinn <;nmp nr tntal fi<5<ii<5tanpp in tnilptinn

1 i^oivi^i 1 lo I ^uLJii II lu o^i 1 1^ wi iwim ciooioicii iww ii i i^iiwiii iM-

102

71.3

76.6

73.8

Transferring

Residents requiring sonne or total assistance moving from bed to chair or to
TUD or loiiei.

112

78.3

75.8

77.2

Continence

neoiQenio wiui caineierb or parxiai or loiai loss ot DOwei or uiauoc;r coruroi.

67.8

70.0

68.2

nesiuents on inuiviauaiiy wrinen Dowei ana Diauoer reiraining program.

5.6

4.-9

4.6

Eating

riesiaents receiving tuoe teeoings or requiring assistance witn eating.

24.5

36 9

37 7

v^ompieieiy ueuiasi resiaems.

2.8

3.0

3.4

Residents confined to chairs.

42.7

49.3

50.8

Residents requiring restraints.

26.6

40.4

41.3

Confused or disoriented residents.

67.1

61.2

58.4

Residents with bed sores.

11.2

7.0

7.1

Residents receiving special skin care.

39.2

31.2

Medicaid Residents:

138

724

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Me\" means that the facility is in compliance with the specific requirement, "Not Met" means the facility
was deficient In the indicated area at the time of the survey.

Reminder: These 32 selected perfornnance indicators do not represent all the requirements a

f iiPiliK/ mi i^t mppt ThprA arp n\/pr ^00 cpn^r^to roni liromontc XHp infr\rmatir\n nrocpntoH
lat-iiiiiy Miuoi iiicci. Micio ctic uvci %j\J\j oc^cti die i oLf uii ciiidiio. iiic iiii<.,/iiiiclt.iL/M l/i c^ot^i i lUU

below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
IvIET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=IEOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

Thp fj5pilit\/ MQPQ 3 Qv/Qtpm thflt aq^iitpq fiill ^*nH pnmnlptp flf^pniintinn r»f rPQiHpntQ'
1 1 1 civ^ni ly uoco ci oy oic^i 1 1 ii icii oooui C70 i uii cti lu owi i ipic? lo civ^w^^ui i iii lu \j\ i c^oiuoi i lo

personal funds. An accounting report is nnade to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

tacn resiaeni wno nas proDiems wiin oowei ana uiaaaer conxroi is proviaea wiin
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

725

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

NOT MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

NOT MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

NOT MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

726

MIAMI FL

NURSING HOME PROFILE
LA POSADA CONVALESCENT CENTER

street Address*

Citv and State*

5271 SW 8TH ST

MIAMI FL 33134

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

PROPRIETARY

12/08/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
resident*? are receivino aDDrooriate or inannroDriate care It mav reflect the f^5cilitv'<^ ahilitv to ornvirie
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

100

81.5

Dressing

Residents requiring some or total assistance in dressing.

94.3

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

81.1

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

94.3

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

81.1

70.0

68.2

Residents on individually written bowel and bladder retraining program.

0.0

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

54.7

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

71.7

49.3

50.8

Residents requiring restraints.

60.4

40.4

41.3

Confused or disoriented residents.

84.9

61.2

58.4

Residents with bed sores.

1.9

7.0

7.1

Residents receiving special skin care.

100

31.2

Medicaid Residents:

727

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
^EOUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a systenn that assures full and connplete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three nnonths.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supen/ision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

728

SELECTED PERFORMANCE INDICATORS

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=iEOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes colostomv/ileostomv resoiratorv fbreathina^ and trachsotomv care «;uctinnina
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the

idLfiii ly ui uy 1 ci c;i 1 cii lu di i ctpfJi UfJi iciic; ouuicti cty loy.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean sanitarv and free of odors

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

729

MIAMI FL

NURSING HOME PROFILE

MIAMI JEWISH HOME HOSP FOR THE AGED

street Address:

City and State:

151 NE 52ND ST

MIAMI FL 33137

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

454

NON-PROFIT PRIVATE

02/17/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

450

Medicare Residents:

Caution: A large number of residents with ttiese cliaracteristics does not indicate whetlier those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents reauirina some or total assistance in bathina

389

86.4

81.5

Dressing

Residents requiring some or total assistance in dressing.

326

72.4

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

279

62.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

271

60.2

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

228

50.7

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

3.8

4.9

4.6

Eating

Residents receivina tubs fsedinas or reauirina assistance with eatina

1 1 w wl vl w 1 11^ I www 1 V 1 1 lU fcU U w 1 w wvll 1 1 g w w 1 1 wUU 1 III lU Ctwwl w Ivll 1 w w VV 1 il 1 wwl III 1 g •

206

45.8

36.9

37.7

ComDl6telv bedfast residents.

0.4

3.0

3.4

Residents confined to chairs.

193

42.9

49.3

50.8

Residents requiring restraints.

4.9

40.4

41.3

Confused or disoriented residents.

181

40.2

61.2

58.4

Residents with bed sores.

2.7

7.0

7.1

Residents receiving special skin care.

125

27.8

31.2

Medicaid Residents:

250

730

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at ttie time of survey. Jhe Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in otfier facilities in ttie State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not IVlet" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirennents a

fpirilitv mii^t mppt Thprp ?irp n\/pr SOD ^pn^rptp rpniiirpmpntc: Thp infnrm^itinn nrAcontoH

below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

Tho foi^ilitx/ 1 icoc a cv/ctom that qcci iroc fi ill anrl r*/^m r\loto orT'Oi intinn r\f r^ciH^nto'
\ Wk:^ IciL'Mliy Uo^o ct oyolc;!!! UlciL aooUlt;o lull ctl lU OUI 1 IfJIt^lo d^L/UUI III! ly Ul lt;olUt;lllD

personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three inonths.

NOT MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

731

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET,

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostonny, respiratory (breathing) and tracheotonny care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

NOT MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

732

MIAMI FL

NURSING HOME PROFILE
NORTH SHORE NH

street Address:

City and State:

9380 NW 7TH AV

MIAMI FL 33150

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

07/15/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

iliLJiMy o|Jc7UlclllZcU Uctit; cliiU ocfVICtro.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

72.9

81.5

Dressing

Residents requiring some or total assistance in dressing.

80.2

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

74.0

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet

Willi/ K\^*t\^%.t

79.2

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

75.0

70.0

68.2

Residents on individually written bowel and bladder retraining program.

2.1

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

24.0

36.9

37.7

Completely bedfast residents.

4.2

3.0

3.4

Residents confined to chairs.

77.1

49.3

50.8

Residents requiring restraints.

45.8

40.4

41.3

Confused or disoriented residents.

74.0

61.2

58.4

Residents with bed sores.

10.4

7.0

7.1

Residents receiving special skin care.

9.4

31.2

Medicaid Residents:

7_33

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and connplete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

NOT MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

734

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

NOT MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

NOT MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

735

MIAMI FL

NURSING HOME PROFILE
PALMS CONVALESCENT HOME

street Address:

City and State:

14601 NE 16TH AVE

MIAMI FL 33161

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICAID SNF/ICF

PROPRIETARY

06/05/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

RGSidents requiring sonriG or total assistance in bathing.

21.3

81.5

Dressing

Residents reauirlna some or total assistance in dressina

100

84.3

83.2

Toileting

Resident"? reauirlna some or total assistance in toiletina

74.7

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
lUD or loiiei.

72.0

75.8

77.2

Continence

nesiuenis wiin caineters or pantcii or loiai loss ot dowgi or uiaQQ^r coniroi.

74.7

70 0

68.2

nesiaenis on inaiviauaiiy wrinen uowei ano uiauuer reiraining program.

0.0

4 9

4.6

Eating

nesiuenis receiving luue leeoings or requiring assisiance witn eating.

48.0

36.9

37.7

Comnlptplv bprifAQt rp^iripntQ

2.7

3.0

3.4

Residents confined to chairs.

48.0

49.3

50.8

Residents requiring restraints.

33.3

40.4

41.3

Confused or disoriented residents.

64.0

61.2

58.4

Residents with bed sores.

4.0

7.0

7.1

Residents receiving special skin care.

14.7

31.2

l\/ledicaid Residents:

736

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Mei" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Tho fa/"*ilit\/ onci troc that itc \A/ritton r^roocHi ir^o rar\^rr\'tr\r% tK^ rinhto anH

I lie laUMiiy criiouico uidi iio wiiiicii |jiuct;uuruo rt^ydruiiiy iiiu riyriio anu
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

NOT MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

urugs lo coniroi uenavior anu pnysicai resiraints are oniy usea wnen auinorizeu uy a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

cacn resiaeni is aiioweu lo cornrnunicdie, abbuciaic ariu nicci privaiciy wiiii
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Clacri rcsiueni is aiiuweci lo reiain ano use nis/ricr personal possessions anci cioining
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

737

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

Mfltinnal Rpcparph C^.rw inpil Nstinnf)! ApaHpmv nf ^r*ipn*^PQ

1 NCI LI ^1 ICll riCOCCll 1 v^L/UI l^^ll , 1 NdllL/l idl r^OClvJC7l 1 ly KJl \J\^ls^t IK^sS^r

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

NOT MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

738

MIAMI FL

NURSING HOME PROFILE
PERDUE MEDICAL CENTER

street Address:

City and State:

19590 SW OLD CUTLER ROAD

MIAMI FL 33157

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

163

LOCAL GOVERNMENT

02/29/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

153

Medicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Rp^irlpnt<? rpniiirinn <5nmp or tntai fl<?9i<;tanrp in hathina

1 l^OlvJ^lliw IwUUIIIIIU OVylll^ \Jt \\J well dOOIOiClllw^ III k/C%illlllU>

144

94.1

81.5

Dressing

RpQiripnt^ rpniiirinn ^nmp nr tntai a^^i^tanrp in Hrp^^inn

1 i^OlvJ^I I iO 1 ^UUil 11 lU OV^I 1 \JI IV./ICII ClOOIOiCII l\^w II 1 \JI wOOII IM>

129

84.3

83.2

Toileting

RpQiHpntQ rpniiirinn Qomp nr tnt^il ^iQQi^tpnpp in tnilptinn

riODiLJC?! 1 LD ICLiUiilllu Owl 11 C? \Jl IKJKCLi ClOOlOlCll IV,/C III IV./IIC71II lU.

126

82.4

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

TUu or IUII61.

142

92.8

75.8

77.2

Continence

RpciHpntc \A/ith r'athptprc r\T nsrtisi r\T total Ir^cc K/^\a/pI r\T hlarlHpr pnntrn!

flC^DlUC;! llO WILII UCllll^lC7lO \J\ pell lid 1 Ul lUlCll lUOO Ul UUWt7l \J\ UldUUC?! UwllUwI.

126

82.4

70.0

68.2

RpciHpntc r^n inHi\/iHi i^lK/ ui/rittpn hr*vA/pl anH hIaHHpr rptraininn nrnnram
FlColUc^l llo UM II lUI VlUUdliy WillL^ll UUVVc^l dl lU UldUUc7i 1 c;u dll III ly [Jiuyidlll<

2.6

4.9

4.6

Eating

RpciHpntc rp*^pi\/inn ti iKp fpoHinnc r\T rpmtirinn accictanr^p \A/ith potinn
iic;oiu^iiio i^oc^iviiiy luut/ i^^uiiiyo Ul i^^uiiiiiy dooioidiiu^ Willi c^diiiiy<

51.0

36.9

37.7

ConiDletelv bedfast residents

0.0

3.0

3.4

Residents confined to chairs.

117

76.5

49.3

50.8

Residents requiring restraints.

43.1

40.4

41.3

Confused or disoriented residents.

112

73.2

61.2

58.4

Residents with bed sores.

6.5

7.0

7.1

Residents receiving special skin care.

11.1

31.2

Medicaid Residents:

129

739

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the Indicated area at the time of the survey.

Reminder: These 32 selected perfornnance indicators do not represent all the requirements a
lacMiiy [iiubi rntici. i iiyre are over ouu separate requiremenis. i ne iniormaiion preseniea
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 ho T£l/^llit\/ 1 icoc Q c\yctom thcit occiiroc fiill onrt /^/^molQto o/^/^rti intin/i f\f rod/HAnto'
1 1 IctUliliy Uot;o d oyololll llldl dooUicjo lUH dllU CUBIipiolc; dC/CUUlUlliy UI r^olQc^rUb

personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

NOT MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

740

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING 1

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

NOT MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

NOT MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
opeciTic seiT-neip aevices are avaiiaDie wnen necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance

Willi dLrOc^picu }ji uioooiui icti pi auiiLfCo uy ^ucniii^u uioidf-'ioio \ji ^uciiiiicu dooioiciMio.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facilitv or bv referral to an aoDroDriate social aaencv

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
uuiiiiun UT rcoiucriio.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

741

MIAMI FL

NURSING HOME PROFILE

PINECREST CONVALESCENT HOME

street Address:

City and State:

13850 NE 3RD COURT

MIAMI FL 33161

Participation:

# Of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

100

PROPRIETARY

04/20/88

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
nicjniy sp6CiaMZ€Q Care ano Services.

FACILITY

STATE

NATION

Bathing

RGsidents requiring some or total assistance in bathing.

88.0

81.5

Dressing

Residents reauirina some or total assistance in dressina

86.7

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

1 1 wi VI w 1 1 1 VII 1 1 1 1 u III \^ v^i vv^ h v%i v( w wi w vvAi 1 111 hv^i 1 hi 1 '24 *

75.9

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

68.7

75.8

77.2

Continence

Rp«iidpnt9 with rathpfpr^ or nnrtifll or total lo<j<» of howpl or hiarldpr pontrol

65.1

70.0

68.2

Rp^lHpnt^ on inHi\/irliiall\/ writtpn howpl anH hlaHHpr rptrfiininn nronrflm

niCOIvl^lllO wl 1 II IVJIVI\JLiClliy VVIIllC^II U\JWV\Sl Cll IVJ L/ICI\JLJC7I I C71I Clll III IM ^Iw^lCllll*

8.4

4.9

4.6

Eating

Rp^lHpnt^ rpppi\/inn tiihp fppHinriQ or rpniiirinn AQQi^tanop with p?itinn

llC70lvlC7l 1 lO 1 C7l,/OI VII lU lUUO IOC7UII lUO ^1 1 tSVJUII 11 IM ClOOIOlCll l\^C7 Willi OCllll

26.5

36.9

37.7

Comoletelv bedfast residents.

3.6

3.0

3.4

Residents confined to chairs.

56.6

49.3

50.8

Residents requiring restraints.

38.6

40.4

41.3

Confused or disoriented residents.

61.4

61.2

58.4

Residents with bed sores.

4.8

7.0

7.1

Residents receiving special skin care.

27.7

31.2

IVIedicaid Residents:

742

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. Tfie Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected witfiin a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in othier facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
^lEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
ifacility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

743

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY

MET/
" NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=iEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

NOT MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

744

MIAMI FL

NURSING HOME PROFILE
PINES NH

Street Address:

City and State:

301 NE 141ST ST

MIAMI FL 33161

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

02/26/88

SELECTED RESIDENT CHARACTERISTICS

Totai Residents on Day of Survey:
44

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Battling

Residents requiring some or total assistance in bathing.

88.6

81.5

Dressing

Residents requiring some or total assistance in dressing.

100

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

90.9

76.6

73.8

Transferring

nuoiuciiio icquiiiiiy ouiiic< ur luicii asbioidi lOc iiKjviiiy iiuiii ucu lu oiiaii ui lu
tub or toilet.

97.7

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

88.6

70.0

68.2

Residents on individually written bowel and bladder retraining program.

0.0

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

11.4

36.9

37.7

Completely bedfast residents.

9.1

3.0

3.4

Residents confined to chairs.

54.5

49.3

50.8

Residents requiring restraints.

68.2

40.4

41.3

Confused or disoriented residents.

36.4

61.2

58.4

Residents with bed sores.

4.5

7.0

7.1

Residents receiving special skin care.

27.3

31.2

Medicaid Residents:

745

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a ^
idciiiiy musi meei. i nere are over ouu separate requirements, i ne iniormation presenteo
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING

STATE

NT OF FACILITIES
=1EQUIREMENTS

NATION

The facility ensures tliat its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 lie idC/iiiiy ubcb a aybiem iriax assures tun ana compieie accouniing oi resiuenis
personal funds. An accounting report is nnade to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

NOT MET

9.3

1665

17.6

746

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirennents a
facility must meet. There are over 500 separate requirements. The information presented
uciuw uuco itui lyiicLi iiic ocvciiiy ui iiit? uufctuuii ui iiiy piuuiciiib K^auiriy lu a uciioiency. m
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drua«; are admini«;terpd arcordina to the written orders of the attendina Dhvsician

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

1 oiiei ana Ljain Taciiiiies are ciean, saniiary, ana iree ot oaors.

NOT MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

nesiaeni care Gquiprneni is ciean ana maintainea in sate operaiing conaiiion.

MET

9.7

1408

14.9

louictuui 1 icoi II iiLf uco lu picvciii u ic opicdU UI iiiio^uuii cti c luiicwcu uy cii) pci o^^i ii ic^i.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

747

MIAMI FL

NURSING HOME PROFILE
RIVERSIDE CARE CENTER

street Address:

City and State:

899 NW 4TH ST

MIAMI FL 33128

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

PROPRIETARY

12/11/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

IVIedicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
nicjniy speciaiizcu care ano services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

98.7

81.5

Dressing

Residents requiring some or total assistance in dressing.

94.9

84.3

83.2

Toileting

Residents reauirina some or total assistance in toiletina

85.9

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to

ti ih r»r toilpt
luu yji iVi/iic7i>

92.3

75.8

77.2

Continence

Residents with catheters or oartial or total loss of bowel or bladder control

82.1

70.0

68.2

Residents on individuallv written bowel and bladder retrainina oroaram

I 1 w wl Vi 1 1 W II II lU 1 V lU U V(l 1 y VV 1 1 i fcw 1 1 \J\J V V ^ 1 Ml lU *J 1 dVI 1 1 w 11 Wll 1 III i W 1^1 V VJ 1 WAI I 1 ■

9.0

4.9

4.6

Eating

Residents rpfpivinn tuhp fppdinn^ or rpniiirinn a<?<;i<;tanrp with eatina

1 I^OIU^I 1 1 ^^^1 VII lU iUk^^ I^WVJII IM^ ^-'l 1 ^VIVJII II IM dOOIOidl Iv^^ Will 1 ^aill IM*

88.5

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

56.4

49.3

50.8

Residents requiring restraints.

76.9

40.4

41.3

Confused or disoriented residents.

83.3

61.2

58.4

Residents with bed sores.

1.3

7.0

7.1

Residents receiving special skin care.

16.7

31.2

IVIedicaid Residents:

748

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities In the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Iviet" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

1 lie Taoiiiiy uocb d bybicrn uiai asbuics Tuii ano compieie accouniing oi resiuenis
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

749

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person?

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
=tEQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

750

MIAMI FL

NURSING HOME PROFILE
SNAPPER CREEK NH

street Address:

City and State:

9200 SW 87 AVE

MIAMI FL 33156

Participation:

# of Beds:

Type of Ownershiip:

Survey Date:

MEDICARE SNF

115

PROPRIETARY

07/15/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide
highly specialized care and services.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

96.5

81 .5

81.5

Dressing

Residents requiring some or total assistance in dressing.

96.5

o4.d

oo o
oo.^

Toileting

Residents requiring some or total assistance in toileting.

83.7

1 D.D

7^ ft

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

86.0

7^ ft

77 P

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

67.4

Residents on individually written bowel and bladder retraining program.

3.5

4 Q

4 6

Eating

Residents receiving tube feedings or requiring assistance with eating.

33.7

0 I m f

coiTipi6ieiy DGaf8Si rosiGGnts.

2.3

3 0

3.4

Residents confined to chairs.

81.4

49.3

50.8

Residents requiring restraints.

41.9

40.4

41.3

Confused or disoriented residents.

70.9

61.2

58.4

Residents with bed sores.

4.7

7.0

7.1

Residents receiving special skin care.

48.8

31.2

l\/ledicaid Residents:

751

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at the time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

752

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING f

STATE

NT OF FACILITIES
^EOUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, coiostomy/ileostomy, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical

iUI I^Uwl III ILJ \.\J [JlK^VsIilM lUOO VJI CtUlllly LfJ WCtliN VJI IIIUVO iiody, 1 Ul 11 II LltZ^O cti lU |Jal ciiy olo.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

MET

107

22.1

2739

29.0

Menus are planned and followed to meet the nutritional needs of each resident in
accordance with physicians' orders, and to the extent medically possible, based on

thp rppnmmpnH^H Hiptarv/ flllriVA/sinppc r\i thp PnnH anH Niitrition R/^arH thp

11 IC7 1 C^L/l 1 1 1 1 1 CI lUCU LJIC? lAi y dllVJVVCll IL/\?0 KJi Lf lO H L'L/U ul lU INUlllllk^ll LJWul \J KJi 11 lO

National Research Council, National Academy of Sciences.

NOT MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
flrcordinn tn thp in^triirtinn^ nf thp flttpnHinn nhv/^ipian

dww^/l \JII 1^ l^.^ 11 1^ II loll UV^ll^^l lO \JI LI IC Cllld lull iU L^l ly olvldl I.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating

pnnHitinn
^wi 1.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

1 o.^

OA 7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

l.A

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

753

MIAMI FL

NURSING HOME PROFILE
SOUTH DADE CATHOLIC NURSING HOME INC

street Address:

City and State:

11855 QUAIL ROOST DRIVE

MIAMI FL 33177

Participation:

# of Beds:

Type of Ownership:

Survey Date:

MEDICARE/MEDICAID SNF/ICF

180

NON-PROFIT RELIGIOUS

08/07/87

SELECTED RESIDENT CHARACTERISTICS

Total Residents on Day of Survey:

l\/ledicare Residents:

Caution: A large number of residents with these characteristics does not indicate whether those
residents are receiving appropriate or inappropriate care. It may reflect the facility's ability to provide

1 liyi iiy opc;OlaliZc;U Lait; dilU bci VIOcb.

FACILITY

STATE

NATION

Bathing

Residents requiring some or total assistance in bathing.

90.7

81.5

Dressing

Residents requiring some or total assistance in dressing.

94.7

84.3

83.2

Toileting

Residents requiring some or total assistance in toileting.

85.3

76.6

73.8

Transferring

Residents requiring some or total assistance moving from bed to chair or to
tub or toilet.

84.0

75.8

77.2

Continence

Residents with catheters or partial or total loss of bowel or bladder control.

80.0

70.0

68.2

Residents on individually written bowel and bladder retraining program.

1.3

4.9

4.6

Eating

Residents receiving tube feedings or requiring assistance with eating.

52.0

36.9

37.7

Completely bedfast residents.

0.0

3.0

3.4

Residents confined to chairs.

33.3

49.3

50.8

Residents requiring restraints.

49.3

40.4

41.3

Confused or disoriented residents.

68.0

61.2

58.4

Residents with bed sores.

14.7

7.0

7.1

Residents receiving special skin care.

26.7

31.2

Medicaid Residents:

754

SELECTED PERFORMANCE INDICATORS

"Facility" column indicates deficiencies found at tfie time of survey. The Federal Government requires facilities to correct deficiencies immediately or to submit a
plan indicating deficiencies will be corrected within a reasonable period of time. "State" and "Nation" columns Indicate number and percentage of occurrence of
deficiencies in other facilities in the State and Nation. "Met" means that the facility is in compliance with the specific requirement. "Not Met" means the facility
was deficient in the indicated area at the time of the survey.

Reminder: These 32 selected performance indicators do not represent all ttie requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING F

STATE

NT OF FACILITIES
=IEQUIREMENTS

NATION

The facility ensures that its written procedures regarding the rights and
responsibilities of residents are followed.

MET

1.9

201

2.1

The facility uses a system that assures full and complete accounting of residents'
personal funds. An accounting report is made to each resident in a skilled nursing
facility every three months.

MET

5.6

518

5.5

Each resident is free from mental and physical abuse.

MET

0.6

168

1.8

Drugs to control behavior and physical restraints are only used when authorized by a
physician in writing for a specified period of time or in emergencies.

MET

8.5

806

8.5

Each resident is given privacy during treatment and care of personal needs.

MET

10.3

1618

17.1

Each resident is allowed to communicate, associate and meet privately with
individuals of his/her choice unless this infringes upon the rights of another resident.

MET

0.0

0.4

Each resident is allowed to retain and use his/her personal possessions and clothing
as space permits.

MET

0.2

205

2.2

MET

0.0

0.3

The facility ensures that the health care of each resident is under the continuing
supervision of a physician.

MET

0.2

145

1.5

Emergency services from a physician are available and provided to each resident
who requires emergency care.

MET

0.4

0.5

Nursing services are provided at all times to meet the needs of residents.

MET

2.3

508

5.4

MET

19.6

2816

29.8

Each resident receives care necessary to prevent skin breakdown.

MET

17.3

1733

18.3

Each resident with a bed sore receives care necessary to promote the healing of the
bed sore including proper dressing.

NOT MET

10.3

1052

11.1

Each resident who has problems with bowel and bladder control is provided with
care necessary to encourage self control, including frequent toileting and
opportunities for rehabilitative training.

NOT MET

118

24.3

1512

16.0

Each resident with a urinary catheter receives proper routine care, including periodic
evaluation.

MET

9.3

1665

17.6

755

SELECTED PERFORMANCE INDICATORS

Reminder: These 32 selected performance indicators do not represent all the requirements a
facility must meet. There are over 500 separate requirements. The information presented
below does not reflect the severity or the duration of the problems leading to a deficiency. A
deficiency may represent an ongoing problem or a one-time failure of a single staff person.

FACILITY
MET/
NOT
MET

NUMBER & PERCE
NOT MEETING (

STATE

NT OF FACILITIES
REQUIREMENTS

NATION

Each resident receives proper care for injections (shots), fluids supplied through
tubes, colostomy/ileostonny, respiratory (breathing) and tracheotomy care, suctioning
and tube feeding.

MET

7.8

1123

11.9

Each resident receives rehabilitative nursing care to promote maximum physical
functioning to prevent loss of ability to walk or move freely, deformities and paralysis.

MET

106

21.9

2045

21.6

Each resident needing assistance in eating or drinking is provided prompt assistance.
Specific self-help devices are available when necessary.

NOT MET

103

21.2

1662

17.6

Drugs are administered according to the written orders of the attending physician.

NOT MET

107

22.1

2739

29.0

MET

6.4

1389

14.7

Therapy is provided according to orders of the attending physician in accordance
with accepted professional practices by qualified therapists or qualified assistants.

MET

1.9

587

6.2

Services are provided to meet the residents' social and emotional needs by the
facility or by referral to an appropriate social agency.

MET

15.5

816

8.6

NOT MET

14.0

1099

11.6

Appropriate staff develop and implement a written health care plan for each resident
according to the instructions of the attending physician.

MET

10.7

1270

13.4

Toilet and bath facilities are clean, sanitary, and free of odors.

MET

2.5

1216

12.9

All common resident areas are clean, sanitary and free of odors.

MET

7.4

1041

11.0

All essential mechanical and electrical equipment is maintained in safe operating
condition.

MET

6.4

1413

14.9

Resident care equipment is clean and maintained in safe operating condition.

MET

9.7

1408

14.9

Isolation techniques to prevent the spread of infection are followed by all personnel.

MET

13.2

2340

24.7

The facility has available at all times a quantity of linen essential for proper care and
comfort of residents.

MET

2.5

700

7.4

Food is stored, refrigerated, prepared, distributed, and served under sanitary
conditions.

NOT MET

215

44.3

4050

42.8

Reminder: The results of the full survey are available
from the State survey agency or the State ombudsman.

756

*U.S. GOtfERNfntNT PRINTING OFF ICE :1988-222-99e

DATE DUE

H 1 GHSMI TH 45-220

HD 7102 .U5N76 1987/88
Flor ida I

Medicare/Medicaid nursing home
information.

HD 7102 .U5N76 1987/88
Florida I

Medicare/Medicaid nursing home
information.

ens LIBRSRV

3 flDTS 0D0157L1 L

■ . t,

f, ■'

Internet Archive Audio

Featured

Top

Images

Featured

Top

Software

Featured

Top

Books

Featured

Top

Video

Featured

Top

Mobile Apps

Browser Extensions

Archive-It Subscription

Save Page Now

Full text of "Medicare/Medicaid nursing home information, 1987-1988"

See other formats