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Health Inspection

Oak Haven Rehab And Nursing Center

July 18, 2024 · Auburndale, FL · 919 Old Winter Haven Rd
Citations 2
CMS Rating 1/5
Beds 120
Provider ID 105302
Healthcare Facility
Oak Haven Rehab And Nursing Center
Auburndale, FL  ·  View full profile →
Inspection Summary

OAK HAVEN REHAB AND NURSING CENTER in AUBURNDALE, FL — inspection on July 18, 2024.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF761

F-F761) and 2.) failing to maintain an effective infection control and prevention program to prevent the spread of infection by failing to ensure staff donned appropriate personal protective equipment (PPE) before entering the rooms of residents under transmission based precautions for one (Resident #3) of 2 residents under transmission based precautions (

Findings included:

1.)

An observation on 09/11/2024 at 0917 AM revealed 3 treatment carts unlocked and unsecured across from the nurse's station.

There were no staff near the carts, and the carts contained prescription medications for treatments.

Photographic evidence was obtained.

An interview was conducted on 09/11/2024 at 01:45 PM with Staff C, Licensed Practical Nurse (LPN).

The LPN confirmed the treatment carts should not be left unlocked.

She also stated the nurse is assigned a treatment cart correlates with their medication cart and assignment.

An interview was conducted on 09/11/2024 at 02:02 PM the Director of Nursing, RN (DON).

The DON stated the nurse has the keys to the treatment cart and there was also an extra set for the wound care nurse.

She also stated all the carts should be locked when not being used.

The facility policy titled Standards and Guidelines: Medication Storage and Labeling reveals under the section titled Procedure Drugs and biologicals used in the facility are stored in locked compartments under proper temperature, light and humidity controls.

Only persons authorized to prepare and administer medications have access to locked medications.

2.)

A review of Resident #3's medical record revealed Resident #3 was admitted to the facility on [DATE] with a diagnosis of Methicillin-resistant Staphylococcus aureus (MRSA) infection.

A review of Resident #3's physician orders revealed an order dated 9/7/2024 for contact precautions for MRSA every shift until 9/19/2024 at 9:43 AM.

105302

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 105302 B.

Wing 07/18/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Oak Haven Rehab and Nursing Center 919 Old Winter Haven Rd Auburndale, FL 33823

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in AUBURNDALE, FL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from OAK HAVEN REHAB AND NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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