| Survey Date | Inspection Type | Track ID | Deficiency | Severity and Scope | Class | Requirement Description | Correction Date |
| 09/08/2023 | Complaint | 55LX | F0656 | E | | DEVELOP/IMPLEMENT COMPREHENSIVE CARE PLAN | 09/28/2023 |
| 09/08/2023 | Complaint | 55LX | N0054 | E | 3 | FOLLOW PHYSICIAN ORDERSAll physician orders must be followed as prescribed, and if not followed, the reason must be recorded on the resident's medical record during that shift.
| 09/28/2023 |
| 06/08/2023 | Standard | Z59Q | F0636 | D | | COMPREHENSIVE ASSESSMENTS & TIMING | 07/08/2023 |
| 06/08/2023 | Standard | Z59Q | F0638 | D | | QRTLY ASSESSMENT AT LEAST EVERY 3 MONTHS | 07/08/2023 |
| 06/08/2023 | Standard | Z59Q | F0641 | D | | ACCURACY OF ASSESSMENTS | 07/08/2023 |
| 06/08/2023 | Standard | Z59Q | F0657 | D | | CARE PLAN TIMING AND REVISION | 07/08/2023 |
| 06/08/2023 | Standard | Z59Q | F0679 | D | | ACTIVITIES MEET INTEREST/NEEDS EACH RESIDENT | 07/08/2023 |
| 06/08/2023 | Standard | Z59Q | F0695 | D | | RESPIRATORY/TRACHEOSTOMY CARE AND SUCTIONING | 07/08/2023 |
| 06/08/2023 | Standard | Z59Q | N0071 | D | 3 | COMPONENTS OF CARE PLAN(1) Each resident admitted to the nursing home facility must have a plan of care. The plan of care must consist of:
(a) Physician's orders, diagnosis, medical history, physical exam and rehabilitative or restorative potential.
(b) A preliminary nursing evaluation with physician's orders for immediate care, completed upon admission.
(c) A complete, comprehensive, accurate and reproducible assessment of each resident's functional capacity which is standardized in the facility, and is completed within 14 days of the resident's admission to the facility and every twelve months, thereafter. The assessment must be:
1. Reviewed no less than once every 3 months;
2. Reviewed promptly after a significant change, which is a need to stop a form of treatment because of adverse consequences (e.g., an adverse drug reaction), or commence a new form of treatment to deal with a problem, in the resident's physical or mental condition; and,
3. Revised as appropriate to assure the continued accuracy of the assessment.
| 07/08/2023 |
| 06/08/2023 | Standard | Z59Q | N0072 | D | 3 | COMPREHENSIVE CARE PLANS59A-4.109 FAC
(2) The nursing home licensee develop a comprehensive care plan for each resident that includes measurable objectives and timetables to meet a resident's medical, nursing, mental and psychosocial needs that are identified in the comprehensive assessment. The care plan must describe the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental and social well-being. The care plan must be completed within 7 days after completion of the resident assessment.
| 07/08/2023 |
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