Nursing & Rehabilitation Center Of New Port Richey

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Based on observations, interviews and record review the facility failed to maintain a safe, clean, comfortable and home-like environment related to bio growth on shower equipment in four communal shower rooms (B, C, E, and F) out of four communal shower rooms observed. Findings include:On 11/20/2025 at 12:01 p.m. an observation was made of the communal showers in B wing. Two of two shower equipment were observed to have brown, pink and black bio growth.On 11/20/2025 at 12:59 p.m. an

observation was made of the communal showers in C wing. Two of three shower equipment revealed pink, black and brown bio growth.On 11/20/2025 at 1:09 p.m. an observation was made of the communal shower

in E wing. Two of two shower chairs showed pink, brown and black bio growth.On 11/19/2025 at 1:14 p.m.

an observation was made of the communal shower room in F wing. One of two shower chairs showed pink and black bio growth.In an interview was conducted on 11/20/2025 at 4:01 p.m. with the Director of Maintenance (DOM). DOM stated showers are expected to be cleaned daily and after each use, and deep cleaning is done each month. Review of the policy titled, General Housekeeping , with a revision date of 01/2024, revealed the following: Policy: Purpose: To maintain a clean, safe, and sanitary environment for residents, staff, and visitors by outlining the procedures and standards for effective housekeeping in accordance with federal, state, and local health regulations, including Centers for Medicare & Medicaid Services (CMS) and CDC guidelines. Policy statement: It is the policy of the facility to ensure that all areas of the facility are maintained in a clean, sanitary, and orderly condition. The housekeeping department is responsible for daily and scheduled cleaning and sanitation services, promoting infection control and safety for all residents and staff.Procedures: A: 2. Shower rooms-Bathrooms, including showers, commodes, etc., will be cleaned daily in accordance with our established procedures.-Sweep and mop floors Photographic Evidence Obtained

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/20/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Nursing & Rehabilitation Center of New Port Richey

8417 Old County Rd 54 New Port Richey, FL 34653

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0609 Level of Harm - Minimal harm or potential for actual harm

the administrator of the facility and to other officials (including to the State Survey Agency and Adult Protective Service where state law provides for jurisdiction in long term care facilities), in accordance with State law through established procedure.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/20/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Nursing & Rehabilitation Center of New Port Richey

8417 Old County Rd 54 New Port Richey, FL 34653

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Level of Harm - Minimal harm or potential for actual harm

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

observations, interviews, and record review, the facility failed to maintain an effective pest control program

in the facility's common areas (nursing station and dining room); in four rooms (101, 106, 130, 230) located

in four wings (B, C, E and F) of four wings observed.Findings included:On 11/19/2025 at 9:15 a.m. an

observation of room [ROOM NUMBER]b revealed a small insect crawling on the wall.On 11/19/2023 at 10:52 a.m. an observation was made of the resident's dining area located outside of the kitchen. The

observation revealed numerous small flying insects, approximately 10, landing on countertop, cabinets, sink, and icemaker.On 11/19/2025 at 12:14 p.m. an observation was made of an insect flying around and landing on the nurse's station desk located between B wing and C wing.On 11/19/2025 at 3:00 p.m. an

observation was made of resident room [ROOM NUMBER] where a gnat was seen flying in the resident's room.An interview was conducted on 11/19/2025 at 1:00 p.m. with the kitchen manager (KM). He confirmed

the flying insects were gnats. He stated pest control comes in and sprays for the gnats which includes routine maintenance. The KM stated he did not put in a report and has seen these gnats since February of

1. 2025. He stated he pours bleach down the drains and buys the stuff himself to try and take care of this

issue as the gnat problem was ongoing. The KM stated the gnats were only located where there is water and in the drains.On 11/20/2025 at 10:08 a.m. an observation was made of resident room [ROOM NUMBER]. A cocoon in the bathroom was seen and when visiting the same bathroom later that day at 1:24 p.m., there was a bug moving and coming out from the cocoon.On 11/20/2025 at 10:14 a.m. an observation was made of room [ROOM NUMBER]. Approximately five flying gnats were seen flying around the room.An

interview was conducted on 11/20/2025 at 4:01 p.m. with the Director of Maintenance (DOM) and the Nursing Home Administrator (NHA). The DOM discussed their pest control procedures and practices. The DOM and NHA discussed the type of pests they had encountered at the facility. They mentioned palmetto bugs, occasional sugar ant, and ghost ants. They did not mention gnats and cocoons and expressed not being aware of these concerns until today. The DOM and NHA stated the staff are trained to report pest sightings, they stated everyone has been trained to report them to the DOM.Review of the policy titled, Pest Control with a revision date of 01/2024, revealed the following: Policy: Standard: It is the policy of this facility to maintain an effective pest control program to ensure the facility is free of pests and rodents. Procedure:

2. 2. Should a staff member observe a concern with the presence and/or sighting of a pest/rodent (e.g.,

whether alive, carcass, or evidence of presence via droppings, etc.), the same shall be reported to the department Head and/or Administrator for further action, as warranted. Photographic Evidence Obtained.

Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet