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Complaint Investigation

Ansley Cove Healthcare And Rehabilitation

February 15, 2025 · Maitland, FL · 1301 W Maitland Blvd
Citations 2
CMS Rating 2/5
Beds 39
Provider ID 105886
Healthcare Facility
Ansley Cove Healthcare And Rehabilitation
Maitland, FL  ·  View full profile →
Inspection Summary

ANSLEY COVE HEALTHCARE AND REHABILITATION in MAITLAND, FL — inspection on February 15, 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.

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Inspection Findings

FF600
Actual harm psychiatric medications, and cognitive deficits. The care plan revealed she fell at least four times between Few attempted to go to the bathroom. A revision dated 12/23/24 revealed the resident slid from her wheelchair affected

Review of the medical record revealed resident #4, a [AGE] year-old female, was admitted to the facility on [DATE].

Her diagnoses included atrial fibrillation, stroke, lack of coordination, repeated falls, generalized muscle weakness, unsteadiness on her feet, right knee contracture, anxiety disorder, paranoid schizophrenia, and Alzheimer's disease.

Review of the Minimum Data Set (MDS) Quarterly assessment with assessment reference date of 10/16/24 revealed resident #4 had a Brief Interview for Mental Status score of 6/15 which indicated she had severe cognitive impairment.

The document indicated she had fluctuating inattention which changed in severity, and continuously present disorganized thinking.

The resident had functional limitation in range of motion with impairment of one leg, used a wheelchair for mobility, and required substantial or maximal assistance for self-care and mobility.

The MDS assessment showed resident #4 received a high-risk drug, an anticoagulant or blood thinner, in the look back period.

A Fall Risk Screen dated 9/16/24 revealed a score of 16 which indicated resident #4 was at high risk for falls.

105886

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 105886 B.

Wing 02/15/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Ansley Cove Healthcare and Rehabilitation 1301 W Maitland Blvd Maitland, FL 32751

Review of the medical record revealed resident #4, a [AGE] year-old female, was admitted to the facility on [DATE].

Her diagnoses included atrial fibrillation, stroke, lack of coordination, repeated falls, generalized muscle weakness, unsteadiness on her feet, right knee contracture, anxiety disorder, paranoid schizophrenia, and Alzheimer's disease.

Review of the Minimum Data Set (MDS) Quarterly assessment with assessment reference date of 10/16/24 revealed resident #4 had a Brief Interview for Mental Status score of 6/15 which indicated she had severe cognitive impairment.

She had fluctuating inattention which changed in severity and continuous disorganized thinking. Resident #4 had functional limitation in range of motion with impairment of one leg and used a wheelchair for mobility.

She required substantial or maximal assistance for mobility and transfers and did not walk.

The MDS assessment showed resident #4 received a high-risk drug, an anticoagulant or blood thinner, in the look back period.

Resident #4's medical record revealed a care plan for fall risk, initiated on 2/07/23, which indicated she was unable to ambulate or transfer independently and had fall risk factors including decreased mobility, weakness, psychiatric medications, and cognitive deficits.

The goal was resident #4 would not sustain a major fall-related injury by utilizing fall precautions as evidenced by observation and documentation.

Interventions included participation in the fall risk program, remind to ask for help but recognize that the resident might not remember to ask, and escort to activity programs.

105886

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 105886 B.

Wing 02/15/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Ansley Cove Healthcare and Rehabilitation 1301 W Maitland Blvd Maitland, FL 32751

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MAITLAND, FL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ANSLEY COVE HEALTHCARE AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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