Treasure Isle Care Center
TREASURE ISLE CARE CENTER in NORTH BAY VILLAGE, FL — inspection on March 4, 2025.
Found 5 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
105408 03/04/2025
Treasure Isle Care Center 1735 N Treasure Drive North Bay Village, FL 33141
Review of the facility's survey history revealed, during a recertification survey with exit dated June 13, 2024, F-F880 Infection Prevention & Control was cited.
Review of the Quality Assurance and Performance Improvement (QAPI) Committee Meeting Sign-in Sheets dated 12/31/24, 01/30/25 and 02/27/25: documented the facility had a QAA Committee meeting monthly.
Attendees included: Administrator, Medical Director, Director of Nursing (DON) and other department heads.
Interview with the Administrator on 03/04/2025 at 11:15 AM. He revealed the QAPI (Quality Assurance and Performance Improvement) meetings are held on the last Thursday of each month or as needed. He stated that QAPI committee members are Administrator, Director of Nursing, Assistant Director of Nursing, Infection Preventionist, Risk Manager, Staff Development Coordinator, Clinical Reimbursement Director, Program Manager, Maintenance Director, Housekeeping/Laundry Supervisor, Social Services Director, Activity Director, Food Service Manager, Business Office Manager, Admissions Coordinator, Medical Records, Pharmacy, Registered Dietitian and Unit Managers. He stated, The purpose of the QAPI committee is to make sure that we are doing everything in our power so that to ensure quality care and the systems are remaining function and to identify anything we can improve where we failed.
Where we identify failures, we will implement a plan to correct and follow-up biweekly.
105408 03/04/2025
Treasure Isle Care Center 1735 N Treasure Drive North Bay Village, FL 33141
Review of the facility's Policy and Procedure topic titled: Infection Prevention and Control Program effective October 2021 indicate: The Infection Prevention and Control Program is a comprehensive program that addresses detection, prevention and control of infections and communicable diseases among residents, visitors, volunteers, those individuals providing services under contractual agreement and personnel.
The Infection Prevention and Control Program .
The goals of the Infection Prevention and Control Program are to: a.
Provision of a safe sanitary, and comfortable environment b.
Decrease the risk of infection and communicable diseases development and transmission to residents, volunteers, visitors, individuals providing services under a contractual arrangement and personnel. c.
Monitor for occurrence of infections and communicable diseases and implement appropriate prevention measures to reduce occurrences
105408 03/04/2025
Treasure Isle Care Center 1735 N Treasure Drive North Bay Village, FL 33141
F 0880 d.
The facility's Policy For Enhance Barrier Precautions with effective April 2024 Indicate:
Enhanced Barrier Precautions (EBP) refers to an infection control intervention designed to reduce transmission .that employ targeted gown and glove use during high contact resident activities .EBP is indicated for residents with any of the following . 2.
Wounds and/ or indwelling medical devices even if the resident is not known to be infected or colonized with a multi-drug-resistant organism.
105408 03/04/2025
Treasure Isle Care Center 1735 N Treasure Drive North Bay Village, FL 33141
from insects and other pests by controlling infestation through contracts with outside pest control
Evaluate effectiveness of services and contact pest control agency if additional services are needed.
Review of the Quality Assurance and Performance Improvement (QAPI) Committee Meeting Sign-in Sheets dated 12/31/24, 01/30/25 and 02/27/25: documented the facility had a QAA Committee meeting monthly.
Attendees included: Administrator, Medical Director, Director of Nursing (DON) and other department heads.
Interview with the Administrator on 03/04/2025 at 11:15 AM. He revealed the QAPI (Quality Assurance and Performance Improvement) meetings are held on the last Thursday of each month or as needed. He stated that QAPI committee members are Administrator, Director of Nursing, Assistant Director of Nursing, Infection Preventionist, Risk Manager, Staff Development Coordinator, Clinical Reimbursement Director, Program Manager, Maintenance Director, Housekeeping/Laundry Supervisor, Social Services Director, Activity Director, Food Service Manager, Business Office Manager, Admissions Coordinator, Medical Records, Pharmacy, Registered Dietitian and Unit Managers. He stated, The purpose of the QAPI committee is to make sure that we are doing everything in our power so that to ensure quality care and the systems are remaining function and to identify anything we can improve where we failed.
Where we identify failures, we will implement a plan to correct and follow-up biweekly.
105408
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 105408 B.
Wing 03/04/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Treasure Isle Care Center 1735 N Treasure Drive North Bay Village, FL 33141
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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.