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Complaint Investigation

Palatka Center For Rehabilitation And Healing

February 27, 2026 · Palatka, FL · 110 Kay Larkin Dr
Citations 3
CMS Rating 2/5
Beds 180
Provider ID 105652
Healthcare Facility
Palatka Center For Rehabilitation And Healing
Palatka, FL  ·  View full profile →
Inspection Summary

PALATKA CENTER FOR REHABILITATION AND HEALING in PALATKA, FL — inspection on February 27, 2026.

Found 3 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

FF0694
Quality of Life and Care Deficiencies

practice for 1 of 5 residents, Resident #2, reviewed for intravenous therapy.Findings include:During an

central catheter) line inserted into the right upper arm.

The PICC line was covered with a transparent dressing dated 2/11.

During an interview on 02/27/2026 at 10:25 AM, Staff A, LPN (Licensed Practical Nurse) stated, It says 2/11 [the date on the PICC line dressing].

They are supposed to be changed weekly, I believe on Saturdays.

During an interview on 02/27/2026 at 10:37 AM, Staff C, LPN stated, I think the RN [Registered Nurse] supervisor changes all the PICC line dressings.

She works Monday through Friday, but she's not here today.

During an interview on 02/27/2026 at 10:41 AM, the Director of Nursing stated, The PICC dressings should be changed every week, it is the responsibility of the nurse on the cart. [Resident #2's name]'s dressing should have been changed.

There is no order for PICC dressing changes.

Review of the policy and procedure titled, Skin and Wound Management - Manage Wound Care read, The facility will manage wound care based upon current standards of practice. 1.

When skin impairment is identified, the nurse will review and select the appropriate treatment protocol for the wound. 2. A physician order will be documented on the Treatment Administration Record.

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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

105652 02/27/2026

Palatka Center for Rehabilitation and Healing 110 Kay Larkin Dr Palatka, FL 32177

in accordance with accepted professional standards.

and accurately documented for wound care treatments 1 of 5 residents, Resident #1, reviewed for

WOUND CARE: Cleanse abdominal staples with NSS [normal saline solution], pat dry, apply dry dressing every day shift.

End date 01/26/2026.Review of Resident #1's Treatment Administration Record, the record did not contain documentation wound care was completed as ordered by the physician for the abdominal wound on 01/18/2026, 01/19/2026, or 1/23/2026.

During an interview on 02/27/2026 at 12:40 PM, Staff A, LPN (Licensed Practical Nurse) stated, I changed [Resident #1's name]'s abdominal dressing every time I took care of her, so I must have just forgotten to document that I changed it on January 18th and 23rd.

During an interview on 02/27/2026 at 1:13 PM, Staff B, LPN stated, I cannot recall whether I changed [Resident #1's name]'s dressing on January 19th or not.

Review of the policy and procedure titled, Documentation, Clinical read, The facility clinical staff will document the provision of care and services according to nursing standards and regulatory requirements.

When completed, documentation will accurately reflect the clinical care and other services provided to the resident and ensure that the appropriate information is available to all interdisciplinary team members.

Documentation in the medical record of each resident should provide:

  • A complete account of the resident's care treatment and response to the care.

105652 02/27/2026

Palatka Center for Rehabilitation and Healing 110 Kay Larkin Dr Palatka, FL 32177

reviewed for intravenous therapy care.

Findings included:During an observation on 02/27/2026 at

(peripherally inserted central catheter) line dressing.

The LPN was not wearing a gown.During an interview on 02/27/2026 at 10:43 AM the Director of Nursing stated, [Resident #2's name] should be on enhanced barrier precautions due to her IV (intravenous) and her wound. [Staff A's name] should have worn a gown. [Resident #2's name] doesn't have an order for enhanced barrier precautions.

During an interview on 02/27/2026 at 10:48 AM, Staff A, LPN stated, I didn't think I needed to wear a gown to change a PICC line dressing.Review of Resident #2's care plan dated 02/02/2026 read, [Resident #2's name] is on IV Antibiotic Medications r/t [related to] Wound Infection.

Interventions: Provide enhanced barrier precautions per facility policy.

Review of the policy and procedure titled, Enhanced Barrier Precautions read, Enhanced barrier precautions (EBPs) are utilized to prevent the spread of multi-drug resistant organisms (MDROs) to residents. 2. EBPs employ targeted gown and glove use during high contact resident care activities when contact precautions do not otherwise apply. 3.

Examples of high-contact resident care activities requiring the use of gown and gloves for EBPs include: g. device care or use (central line, urinary catheter, feeding tube, tracheostomy/ventilator, etc.; and h. wound care (any skin opening requiring a dressing).

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 PALATKA, 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 PALATKA CENTER FOR REHABILITATION AND HEALING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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