St Andrews Bay Skilled Nursing And Rehabilitation
ST ANDREWS BAY SKILLED NURSING AND REHABILITATION in PANAMA CITY, FL — inspection on February 24, 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.
Inspection Findings
and pain.
Physical therapy evaluation states he is alert and disoriented, high risk of falls, weakness to
Myeloma, Hypertensive heart disease, and Cirrhosis of the liver. A minimum data set (MDS)
extremity, requiring a wheelchair for mobility, limited to moderate assistance neededfor ADLs and is frequently incontinent of bowel and bladder function. A plan of care was initiated for ADL self - care deficit related to impaired mobility and is at risk for complications due to incontinence of urine and bowel.A record review of Resident #9 revealed he was admitted to the facility on [DATE] with diagnoses of non-displaced fracture of lateral malleolus of left Fibula, urinary tract infection, metabolic encephalopathy, heart disease, and need for assistance with personal care. A MDS assessment was completed on 1/31/26, indicating moderate to dependent assistance from staff to perform ADLs. A plan of care was initiated for ADL self-care deficit related to left ankle fracture and that he is at risk for complications due to incontinent episodes of urine and bowel.
Upon reviewing CNA documentation of bathing task, Resident 9 received a bed bath on 2/21/26, 2/18/26, 2/14/26, 2/10/26, 2/7/26, 2/3/26, and 1/31/26, but has not received a shower as requested.A record review of Resident #10 revealed she was admitted to facility on 4/4/22 with the following diagnoses: hypertensive heart disease, personal history of transient ischemic attack (TIA) and cerebral infarction. A MDS assessment from 12/31/25 revealed that she utilizes a wheelchair for mobility due to impairment to one side of lower extremities and requires maximal assistance from staff to perform ADLs and is always incontinent of bowel and bladder function. A plan of care was initiated for decreased ability to perform ADLs, prefers not to be woken up at night for incontinent care.On 2/24/26 at 11:15 AM, an interview was conducted with Staff D, a Registered Nurse (RN), who states, [Resident #1] got changed on a regular basis during my shift, I can't say about the other shift. I work, day shift 7 am - 3 pm.
But I will tell you this, the CNAs do not provide proper care, they don't make their rounds like they are supposed to. I have written several CNAs up on a disciplinary form, but nothing happens and nothing changes.
The staff needs to provide better care to the residents. I have voiced my concerns and complaints to management but like I said nothing changes.
Yes, sometimes we do work short staff.A interview with the Director of Nursing (DON) was conducted on 2/24/26 at 02:00 pm.
She stated, Yes there have been several grievances filed in regard to call lights and care not being given in a timely manner.
But we have done training with the staff. We have done call light audits to ensure that they are being answered and interviewed residents to ensure that call lights were being answered. As far as the education and training for care not being done, I have spoken to the staff but did not do any formal training. I can't give you anything on paper to confirm that.
When asked to explain what her expectations are of her staff and she stated,Care should be done every two hours and as needed, more often if residents require it and call lights should be answered in a timely manner with 5-10 minutes.A review of facility policy for Incontinence was completed on 2/24/26 at 10:15 AM demonstrates, it is the policy of the facility to ensure that residents receive care and services to promote urinary continence of it residents.
105543 02/24/2026
St Andrews Bay Skilled Nursing and Rehabilitation 2100 Jenks Ave Panama City, FL 32405
of pressure as well as non-pressure related wounds. In the absence of treatment orders, the licensed
105543 02/24/2026
St Andrews Bay Skilled Nursing and Rehabilitation 2100 Jenks Ave Panama City, FL 32405
Nursing (DON) handled that on a 1:1 interaction.An interview with the Director of Nurses (DON) was
have done call light audits to ensure that they are being answered and interviewed residents to
done, I have spoken to the staff but did not do any formal training. I can't give you anything on paper to confirm that.
Asked DON to explain what her expectations are of her staff and she stated, care should be done every two hours and as needed, more often if residents require it and call lights should be answered in a timely manner with 5-10 minutes. I have done education and training in the town hall meetings in regard to call lights. I also expect if the CNAs are tied up in a resident's room, I expect my managers and nurses to assist with answering call lights.On 2/24/26 at 10:15 AM, a review of facility policy titled Call Lights: Accessibility and Timely response date implemented 11/2020 date revised 7/19/22 reveals the purpose of this policy is to assure the facility is adequately equipped with a call at each residents bedside, toilet, and bathing facility to allow residents to call for assistance.
All staff will be educated on the proper use of the resident call system, including how the system works and ensuring resident access to the call light.
Staff will ensure the call light is within reach of resident and secured, as needed.
The call system will be accessible to residents while in their bed, or other sleeping accommodations within the residents' room.