Medicana Nursing And Rehab Center
MEDICANA NURSING AND REHAB CENTER in LAKE WORTH, FL — inspection on January 16, 2025.
Found 10 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
asked about providing privacy for resident during med pass, she said we always close the door and
105259 01/16/2025
Medicana Nursing and Rehab Center 1710 Lake Worth Road Lake Worth, FL 33460
will complete that portion.
Staff E was asked about care plans for Post-Traumatic Stress Disorder
Assistant, who stated she has worked at the facility for 3 years.
When asked if she has any residents that have diagnoses of Post-Traumatic Stress Disorder (PTSD), she said she did not really understand the question.
When asked if she knows what PTSD is, she said not really.
After it was explained to her, she was asked how she would know what, if any, triggers the resident may have and where she could find them.
She said by how the resident acts, by what they tell you they remember, and their attitude.
When asked if she would find anything in the resident's chart, she said maybe the chart or [NAME].
An interview was conducted on 01/15 25 at 2:00 PM with Staff C Registered Nurse (RN) / Staff Develop Coordinator who stated she has worked at the facility for 3 years.
When asked if a resident has PTSD, where she could find out what the triggers are, she said it would be in the care plan.
105259 01/16/2025
Medicana Nursing and Rehab Center 1710 Lake Worth Road Lake Worth, FL 33460
Review of Resident #60's orders revealed an order dated 12/03/24 for Ertapenem (antibiotic) 1 gram intravenously (IV) every 24 hours for a multi drug resistant organism (MDRO) in the urine for 9 days.
The antibiotic order was reduced to 7 days (until 12/10/24) on 12/05/24 per antibiotic stewardship suggestion.
Review of Resident #60's medication administration record (MAR) revealed the resident received 8 doses of antibiotics in 7 days (given twice on 12/04/24). b). An order dated 12/15/24 for Ceftriaxone (an antibiotic) was ordered for 1 gram every 24 hours for 5 days for an elevated white blood cell (WBC) count.
Review of Resident #60's MAR revealed the antibiotic was administered one time on 12/15/24. No documentation was found regarding the other 4 doses ordered. c). An order dated 12/19/24 for Zyvox (an antibiotic) was ordered for 600 milligrams 2 times a day for Bacteriuria (urine infection) for 7 days.
A review of Resident #60's MAR revealed the antibiotic was administered 10 out of 14 times over the 7 day period.
Further record review revealed no evidence of the physician notified of the discrepancies of the administration of antibiotics.
105259 01/16/2025
Medicana Nursing and Rehab Center 1710 Lake Worth Road Lake Worth, FL 33460
Review of the Minimum Data Set for Resident #66 dated 01/03/2025 documented in Section C, a Brief Interview of Mental Status score of 15, indicating a cognitive response.
A review of the smoking evaluations for Resident #66 revealed evaluations for 11/01/23, 05/13/24, 09/14/24, and 09/27/24.
The resident was hospitalized on [DATE]-[DATE].
The resident did not have a smoking evaluation completed in February 2024 and December 2024.
105259 01/16/2025
Medicana Nursing and Rehab Center 1710 Lake Worth Road Lake Worth, FL 33460
During an interview conducted on 01/15/25 at 4:00 PM with Resident #66 who was asked how often Staff F Primary Physician visits him, he said he does not recognize the name, and asked do you have a picture of him to look at.
When asked how often Staff I APRN visits him, he said that name is also not familiar to him and asked do you have a picture of her to look at.
When asked how often Staff G Advanced Practice Registered Nurse (APRN) visits, he said he knows her well she comes to see him all of the time.
During an interview conducted on 01/15/25 at 4:20 PM with Resident #66 who was shown a photograph of Staff F Primary Physician, the resident said I may have seen him once when I was in the hospital but have not seen him here (in the facility).
When Resident #66 was shown the photograph of Staff I APRN, he said he has never seen her. (The photographs shown to the reisdent, were verified by the Administartor on 01/15/25 at 4:15 PM).
105259 01/16/2025
Medicana Nursing and Rehab Center 1710 Lake Worth Road Lake Worth, FL 33460
will arrange for the provision of hospice services.
record review and interview, the facility failed to coordinate care with hospice services for 1 of 1
The findings included: Record review revealed Resident #13 was admitted to the facility on [DATE]. A comprehensive assessment dated [DATE] documented the resident had mild cognitive impairment and was dependent for activities of daily living.
The assessment further documented the resident was receiving hospice services.
A review of Resident #13's orders revealed the resident was admitted to hospice services on 11/15/24. Resident #13 was care planned for hospice services. An intervention included to work cooperatively with hospice team to ensure the resident's spiritual, emotional, intellectual, physical and social needs are met.
A review of Resident #13's hospice record, located in the facility's hospice binder at the nurse's station, revealed missing hospice documentation. Resident #13's binder only included the initial certification for hospice and a plan of care.
The binder lacked assessments, visitation notes, and services provided.
An interview was conducted with the Nurse Manager (NM) on 01/16/25 at 10:00 AM.
The NM stated when hospice personnel visit Resident #13, they usually leave documentation in the binder.
The NM acknowledged there was no documentation of services received.
The NM stated she would look in medical records to see if any documentation was to be uploaded.
An interview was conducted with the Director of Nursing (DON) on 01/16/25 at 12:00 PM.
The DON stated she called hospice to get copies of Resident #13's records/visits.
105259 01/16/2025
Medicana Nursing and Rehab Center 1710 Lake Worth Road Lake Worth, FL 33460
Review of the facility's survey history revealed the facility was cited at F-F656, (Comprehensive Resident Centered Care Plan), during the Recertification and Relicensure survey with an exit date of 09/14/23.
Review of the QAPI program with the Administrator revealed the lack of an effective corrective action plan for the above deficiency.
During an interview with the facility's Administrator on 01/16/25 at 2:43 PM, the Administrator was apprised that this deficiency would be cited on the current survey.
This was acknowledged by the Administrator.
105259 01/16/2025
Medicana Nursing and Rehab Center 1710 Lake Worth Road Lake Worth, FL 33460
#71's left foot, and a large wound with drainage was observed to the left heel, during that time, Staff
On 01/16/25 at 12:37 PM, a phone call was placed to Staff K to inquire about the facility's Enhanced
procedure.
She acknowledged she didn't wear a gown while providing direct care to the resident.
On 01/16/25 at 1:30 PM an interview was held with the Director of Nursing (DON) and she was informed of the breach of infection control by Staff K.
105259 01/16/2025
Medicana Nursing and Rehab Center 1710 Lake Worth Road Lake Worth, FL 33460
The surveyor questioned the ICP if she includes/informs the attending physician of the ordered antibiotic use, and the ICP stated no.
An interview was conducted with Resident #60's attending physician on 01/16/25 at 10:00 AM.
The physician stated he did not know Resident #60 had tested positive and was treated for ESBL and VRE.
The physician stated he would look into it. 2).
Record review revealed Resident #62 was admitted to the facility on [DATE]. A comprehensive assessment dated [DATE] documented the resident was cognitively intact and was dependent for activities of daily living.
Record review revealed an order dated 11/29/24 for Ceftriaxone (antibiotic)1 gram intramuscularly one time only for abnormal labs (elevated white blood cell count).
An antibiotic stewardship note dated 11/29/24 documented McGreer not met.
An interview was conducted with Resident #62's attending physician on 01/16/25 at 10:00 AM.
The physician stated he was not aware of the one time dose of antibiotics the resident received for an elevated white blood cell count.
Review of the QAPI program with the Administrator revealed the lack of an effective corrective action plan for the above deficiency.
During an interview with the facility's Administrator on 01/16/25 at 2:43 PM, the Administrator was apprised that this deficiency would be cited on the current survey.
This was acknowledged by the Administrator.
105259
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 105259 B.
Wing 01/16/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Medicana Nursing and Rehab Center 1710 Lake Worth Road Lake Worth, FL 33460
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.