Regents Park At Aventura
REGENTS PARK AT AVENTURA in AVENTURA, FL — inspection on August 1, 2024.
Found 4 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.
Inspection Findings
Review of the Center for Disease Control (CDC) guidelines documented, in part, that for residents on EBPs that PPE (gowns and gloves) are to be located at the residents' doors.
The CDC website is CDC_Implementation_Of_Personal_Protective_Equipment_(PPE _Use_In_Nursing_Homes_To_Prevent_Spread_Of_Multidrug-resistant_Organisms_(MDROs).
1) On 07/29/24 at 12:15 PM an observation was made of Resident #177 lying in bed, resident has EBP sign on door and above her bed, there were no isolation gowns in the room.
On 07/29/24 at 3:50 PM a second observation was made of Resident # 177 lying in bed awake, resident has EBP sign on door and above her bed, there were no isolation gowns in the room.
During an interview conducted on 07/29/24 at 3:55 PM with Staff M Registered Nurse/Unit Manager (RN/UM) in Resident #177's room, she acknowledged the resident was on EBP for a wound, when asked where the PPE is kept, specifically the gowns, she said they are right next to the inside of the door to the room and as she pointed the area next to the door, she said they must have run out.
When asked where additional isolation gowns are kept, she said they are at the nursing station.
When asked to show surveyor the extra isolation gowns at the nursing station, she leads the surveyor to the nursing station at the other end of the hallway where they were out of gowns and handed the surveyor off to Staff H Registered Nurse (RN) who proceeded down another hallway almost to the very end across from room [] to an unlocked storage room with the extra isolation gowns.
Staff H RN said the room is normally locked.
2) On 07/29/24 at 11:50 AM an observation was made of Resident #69 lying in bed with tube feeding bottle full and not infusing, the resident has EBP sign on door and above her bed, there was no isolation gowns in the room.
3) On 07/30/24 at 9:55 AM an observation was made of an uncovered meal tray cart containing 10 dirty trays being pushed through the hallway on the 3rd floor by Staff I Dietary Aide.
105596
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 105596 B.
Wing 08/01/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Regents Park at Aventura 18905 NE 25th Ave Aventura, FL 33180
F-F761 under Pharmacy Services, F 812 under Food and Nutrition Services, and
F-F812, the Administrator said that they had identified the condensation issue in the central kitchen but had yet to have a chance to start a QAPI.
She discussed sanitation concerns and staff education completed by the kitchen manager but could not provide this Surveyor with any tracking and trending QAPI.
Continuing the interview on 08/01/24 at 10:00 AM with the facility's Administrator, she stated that they had issues regarding
During the QAPI review conducted with the Administrator on 08/01/24 at 9:20 AM, she stated that they meet monthly and review past deficiencies from prior surveys.
They will start a QAPI and will reevaluate after the first three months. If a QAPI is not meeting its set goal, it will investigate the root cause analysis and change the action plans until it meets the goal rate, usually at 100%.
When asked about the repeated deficiency of