Rehabilitation Center Of Winter Park
REHABILITATION CENTER OF WINTER PARK in MAITLAND, FL — inspection on August 30, 2024.
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
Review of the Quarterly MDS assessment with Assessment Reference Date (ARD) of 6/02/24 revealed resident #42's Brief Interview for Mental Status was not obtained because she was rarely or never understood.
The MDS incorrectly showed she needed partial/moderate assistance for eating.
Review of the previous Quarterly MDS assessment with ARD dated 3/02/24 also showed resident #42 needed partial/moderate assistance for eating.
Review of the Certified Nursing Assistant (CNA) Kardex dated 8/30/24 revealed for eating, resident required extensive assistance by one staff for participation to eat.
Review of the Follow Up Question Report from 5/26/24 to 6/02/24 in which CNA responses were recorded for Activities of Daily Living (ADL) abilities revealed resident #42 was dependent on staff for eating 16 of 19 times, (with three responses recorded as not applicable or refused).
Review of the Follow Up Question Report from 2/25/24 to 3/02/24 in which CNA responses were recorded for ADL abilities revealed resident #42 was dependent on staff for eating on 6 out of the 7 days. CNAs documented 8 times out of the 13 documented responses that resident #42 was dependent on staff or needed maximum assistance from staff to eat, (with six responses recorded as not applicable).
Resident #42 had a Care Plan for ADL Self Care Performance Deficit dated 10/23/23.
Interventions included for eating resident required extensive staff assistance from one staff for participation to eat. An additional Care Plan for Risk for Malnutrition dated 10/25/23 included an intervention for staff to, Provide adequate supervision/assistance as indicated with meals, supplements and snacks.
105430
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 105430 B.
Wing 08/30/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Rehabilitation Center of Winter Park 1700 Monroe Ave Maitland, FL 32751
Review of #71's medical record revealed he was admitted on [DATE] with diagnoses including type 2 diabetes mellitus with neuropathy, morbid obesity, repeated falls, dementia, muscle weakness and anxiety disorder.
The resident's mobility status revealed he was dependent on staff to roll side to side, as well as a two person assist with a mechanical lift for transfers.
Review of #95's medical record revealed the resident was admitted on [DATE] with diagnoses including chronic kidney disease stage 3, cognitive communication deficit, type 2 diabetes, orthostatic hypotension and muscle weakness.
The resident's mobility status revealed he needed supervision to roll side to side, as well as a minimum assist of one person with transfers.
Review of the facility's call bell policy dated 4/01/22 titled, Call Bells revealed that, . all residents are to have access to call bells at all times, even if it is generally believed that the resident is unable to use it.
Staff are expected to be as vigilant as possible in keeping the call bell within reach of the residents.
The call system must be accessible to the residents while in their bed.
105430