Lake Bennet Center For Rehabilitation & Healing
LAKE BENNET CENTER FOR REHABILITATION & HEALING in OCOEE, FL — inspection on May 17, 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.
Inspection Findings
Review of the Medication Administration Record (MAR) showed a physician's order dated [DATE] for Urinalysis/Urine Culture was signed as completed by Licensed Practical Nurse (LPN) A on [DATE] at 5:20 AM. On [DATE] at 10:11 AM, LPN D signed that resident #1 was administered Tylenol 650 MG for a temperature of 100.2 F and at 1:43 PM, the nurse administered Tramadol 50 MG for pain.
105967
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 105967 B.
Wing 05/17/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Lake Bennet Center for Rehabilitation & Healing 1091 Kelton Ave Ocoee, FL 34761
Review of the Medication Administration Record (MAR) for [DATE] revealed a physician's order dated [DATE] for Urinalysis/Urine Culture was signed as completed by LPN A on [DATE] at 5:20 AM. A week later on [DATE] at 10:11 AM, LPN D documentation revealed resident #1 was administered Tylenol for a temperature of 100.2 F and at 1:43 PM, he was administered Tramadol for pain.
On [DATE] at 3:11 PM, in a telephone interview, LPN A recalled on [DATE] during the 11:00 PM to 7:00 AM shift, resident #1 had an order pending completion for a UA/CS.
The nurse remembered she attempted to collect a specimen in the early morning hours of [DATE] and was unable, so she re-attempted unsuccessfully later in the shift.
She said she marked, refused on the MAR but did not complete a progress note nor contact the physician.
She could not recall if she passed on the information to the oncoming 7:00 AM to 3:00 PM nurse.
She explained in early April, she was informed by the Director of Nursing (DON) that the resident's wife had called for the UA/CS results and the facility found the test was marked in the MAR as completed but it was never done.
The LPN said the facility's normal practice was for night shift to obtain labs, but it was difficult to get urine specimens overnight or in the early morning when residents were sleeping.
She acknowledged she should have written a progress note to document the refusal and contacted the physician. LPN A confirmed when a resident refused a procedure she should promptly notify the DON and the physician.
Review of resident #1's medical record revealed there were no nursing progress notes documented on [DATE] by LPN A regarding the physician's order for the UA/CS not being performed, nor that the physician or anyone else was notified the test was not done.
105967
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 105967 B.
Wing 05/17/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Lake Bennet Center for Rehabilitation & Healing 1091 Kelton Ave Ocoee, FL 34761