Page Rehabilitation And Healthcare Center
PAGE REHABILITATION AND HEALTHCARE CENTER in FORT MYERS, FL — inspection on January 10, 2025.
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.
Inspection Findings
During random observations in the facility conference room on 1/2/25, 1/3/25 and 1/6/25, small flying insects were observed.
Review of the pest control Service Inspection Reports dated 12/18/24, 12/4/24, 11/6/24, 10/16/24, and 10/3/24 revealed the exterminator documented, Today I applied a liquid insecticide around the foundation of your building to control any type of bugs crawling around or trying to get inside.
Review of the facility Pest Sighting Log from July 2024 through December 2024 documented pests were observed on the units, and in residents' rooms each month.
On 1/6/25 at 12/29 p.m., in an interview the Maintenance Director said there were pest logbooks at each nursing station.
The pest control company checks the logbooks when they are here.
Residents come to us and notify us if they see anything or have a problem with pests.
The Pest Control company is here monthly but if needed they will come when notified.
The Maintenance Director said he checks the logbooks to see if he needs to spray as well and said the residents have not reported any pest sightings to him. If anyone sees anything they notify him. He said no one from maintenance goes around the facility to check if there are pests in the building, the Pest Control company does that.
105864
Review of the clinical record revealed Resident #999 was a vulnerable [AGE] year old admitted to the facility on [DATE] following hospitalization for altered mental status.
Diagnoses included unspecified Dementia without behavioral disturbance, Psychotic disturbance, mood disturbance, Major Depressive Disorder, Anxiety, Bipolar II disorder (mood swings ranging from depressive lows to manic highs), and Generalized Muscle Weakness.
The Admission Minimum Data Set (MDS) assessment with a target date of [DATE] noted Resident #999's cognition was moderately impaired with a Brief Interview for Mental Status of 09 (Moderate level of cognitive impairment).
The resident was ambulatory with supervision or touching assistance.
The care plan initiated on [DATE] noted the resident had impaired cognitive function/dementia or impaired thought processes related to dementia.
The interventions included to monitor, document and report as needed any changes in cognitive function, specifically changes in decision making ability, memory, recall and general awareness, mental status.
On [DATE] and [DATE] two physicians evaluated the resident and signed an incapacity statement noting Resident #999 lacked the capacity to give informed consent and make healthcare decisions based on advanced stage dementia and confusion.
The elopement evaluations completed on [DATE], [DATE], and [DATE] noted the resident was ambulatory or able to self-propel in a wheelchair.
The potential risk factors for elopement, such as history of elopement, desire to return home, expressed desire to leave, attempted elopement, and psychiatric history were not checked off on the elopement evaluation forms.
Each time the facility determined Resident #999 was not at risk for elopement.
The Physician's orders dated [DATE] included to consult Psychiatry Service to evaluate and treat the resident.
105864
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 105864 B.
Wing 01/10/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Page Rehabilitation and Healthcare Center 2310 N Airport Road Fort Myers, FL 33907