Casa Mora Rehabilitation And Extended Care

information of the Grievance Official to include his / her name, business address (mailing and email address), and business phone number,b. A reasonable expected time for completing a review of the concern,c.

The right to obtain a written decision regarding the concern,d.

Reference to independent entities with whom concerns may be filed.3.

Residents and their representatives who are unable to complete a written concern will be assisted by staff to prepare and submit the form.4.

The NH.A is responsible for oversight of the concern process.5.

The Social Services representatives/ Grievance Official in collaboration with the NH.A will be responsible for assigning the concern to the appropriate department for investigation.

Social Services will monitor and document resident / representative satisfaction upon completion of the investigation and the summary of findings / conclusion.6.

Social Service Director in collaboration with the NH.A will be the Grievance Official at the facility7.

The facility leadership team will review and discuss concerns and the progress of an investigation(s) and resolution(s). 8.

The department involved will document the concern and record the resident/ resident representative's satisfaction with the resolution to the concern.9.

The Resident Council will be reminded of the name and location of the grievance officer; how to file a concern; that they may file verbally or in writing and may file anonymously.

This reminder will include where they can find the poster with the number where they can make an anonymous report of a concern.

The concern process will be reviewed at a minimum annually with the Resident Council.10.

Concern forms are confidential, protected Quality Assessment, Assurance and Compliance documents and are not copied.11.

Concerns are tracked, trended, and reported in the monthly Quality Assessment, Assurance and Compliance Committee Meeting.12.

Retain grievance concern report and logs for three (3) years.

Others will be shredded.13.

Complete a concern report investigation with summary and conclusion.14.

Social Services staff will provide information regarding compliance line information for unresolved concerns.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/11/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Casa Mora Rehabilitation and Extended Care

1902 59th St W Bradenton, FL 34209

SUMMARY STATEMENT OF DEFICIENCIES

abuse, neglect, and exploitation and misappropriation.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/11/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Casa Mora Rehabilitation and Extended Care

1902 59th St W Bradenton, FL 34209

SUMMARY STATEMENT OF DEFICIENCIES

Based on verification of the facility's Immediate Jeopardy removal plan the immediate jeopardy was determined to be removed on [DATE] and the non-compliance was reduced to a scope and severity of E.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/11/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Casa Mora Rehabilitation and Extended Care

1902 59th St W Bradenton, FL 34209

SUMMARY STATEMENT OF DEFICIENCIES

jeopardy to resident health or safety

facility elopement definition is as follows: Elopement occurs when a resident leaves the premises or a safe area without authorization (i.e., an order for discharge or leave of absence) and/or any necessary supervision to do so.

The facility's immediate actions to remove the Immediate Jeopardy included: F-F689 Removal Plan- Resident #1 was put on enhanced supervision on 7/26/25 and then moved to the secure unit on 9/3/25.- On 7/26/25 and 7/27/25 an audit was completed by the DON and the facility's clinical administration team for current residents to ensure accuracy of assessment for cognition and mobility.Through the course of the initial audit, identified variances were corrected regarding LOA status.- Staff were educated on the policy and procedures related to resident supervision, following procedures for residents leaving the facility for leave of absence, as well as the facility unauthorized exit protocols at 100% completion by 7/30/25. - Staff were educated by the DON and the facility clinical administration team on the door code process and the process to report unauthorized knowledge of the facility door codes at 100% completion by 7/30/25.- The remote door releases were deactivated on 7/27/25.- Code Silver drills were completed from 7/26/25 to 8/5/25 every shift.- Random audits were completed at 100% from 7/29/25 to 8/30/25 regarding unauthorized exit, resident LOA status, and resident elopement risk.- Ad hoc QA meeting was conducted on 7/27/25 to review the removal plan, which included the medical director.

Verification

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/11/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Casa Mora Rehabilitation and Extended Care

1902 59th St W Bradenton, FL 34209

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited CASA MORA REHABILITATION AND EXTENDED CARE in BRADENTON, FL for a deficiency under regulatory tag F-F0761 during a complaint investigation conducted on 2025-09-11.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of CASA MORA REHABILITATION AND EXTENDED CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.