Lehigh Acres Healthcare & Rehab Center
LEHIGH ACRES HEALTHCARE & REHAB CENTER in LEHIGH ACRES, FL — inspection on August 25, 2025.
Found 1 citation. 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
front of the wheelchair. He said after the incident, the facility placed him back in training.
Driver Staff A said he knew what he was doing, he just didn't have the right equipment. He confirmed he received training and did not properly secure Resident #900's wheelchair.On 8/22/25 at 10:30 a.m., in an interview the Administrator said the facility investigated the incident. He said tie-down straps were available to secure the wheelchairs.
The driver did not use them properly, he failed to follow the process in his training.
The transport drivers are responsible to make sure the tie-down straps are there and in proper working order.
Review of the Compliance Training Attendance Log revealed Driver Staff A attended a 2 hour training on 8/14/25.
The training consisted of a lecture, a written posttest, general compliance, and job specific.On 8/22/25 at 2:05 p.m., observation of the van with Driver Staff B revealed 7 removable tie-down straps in the wheelchair tracks.
Driver Staff B demonstrated how to move the tie-down straps and place them where needed to ensure the wheelchairs are properly secured.
Review of the facility provided investigation revealed Driver Staff A provided a written statement which noted on 8/18/25 at about 10:00 a.m., he was leaving a red light turned green. He heard the resident yell and saw the resident' s wheelchair had gone backwards on the floor. He pulled over, released the tie-downs and safety belt and slid the chair out from under her. 911 was called but the resident refused to go to the hospital.The Assistant Director of Nursing documented in a statement Resident #900 said she was in the van and the chair was all strap down and so we thought.
The resident said the driver went to take off when a light changed and she went backward.
The resident said a police officer stopped to help and they called EMS.
She refused to go to the hospital.
They picked her up and placed her in a regular seat in the van, then drove back to the facility.The investigation noted Resident #900 sustained a large skin tear to the left shin, a medium size laceration to the right lower leg, a skin tear to the right elbow and a small skin tear to the right 3rd toe.The facility determined the root cause of the incident was the third strap was missing and was not available, Maintenance to order and not available yet.On 8/22/25 at 3:09 p.m., during a second interview, Driver Staff A said on 8/18/25, there were tie-down straps available to secure Resident #900's wheelchair. He verified the tie-down straps can be moved and placed where needed to secure the wheelchairs.
When asked the reason for not moving tie-down straps to ensure Resident #900's wheelchair was properly secured, he said, This would have been an option. He said the straps were really hard to move, fidgety and hard to get back in the track.
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