Vivo Healthcare Gandy
Vivo Healthcare Gandy in TAMPA, FL — inspection on March 27, 2026.
Found 1 citation. 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
on the following:Medical Emergency response/Communication of advance directives code
jeopardy to resident health or code status/ Advance Directives)On [DATE] Director of Clinical Services and/or designee educated safety all staff on the following:Abuse, Neglect, and ExploitationResident Rights with focus on honoring Advance DirectivesOn [DATE]- 100% Honoring Advance Directives attestation was completed with
percentOn [DATE] Licensed nurse staff -Medical Emergency response/Communication of advance directives code status Education- 100 percentOn [DATE] ANE/Resident Rights Education was completed with all staff-100 percentOn [DATE]-Advance directives posttest was completed with licensed staff -100 percentOn [DATE] ANE/Resident Rights posttest was completed with all staff-100 percentOn [DATE]- Licensed nursing staff- Code blue process/ It takes Two Education- 100 percentOn [DATE] the facility began code blue drills every shift and 97.1% completed of licensed staff with one remaining nurse who has not worked and will not work until she attends a blue drill. 100% completed of C.N.A roles in a code blue.Licensed Nurse will not work prior to attending a mock code blue quality assurance drill.-26 quality reviews were completed with 146 facility staff members validating competencies of education completed.-11 quality reviews were completed of 25 residents newly admitted to the facility to verify completion of advance directive discussion form-Director of Clinical services completes a chart review of residents who expire at the facility or residents who are transferred to the hospital after a cardiac event to verify advance directives were followed.Verification of the facility's removal plan was conducted by the survey team on [DATE] and included the following: Interviews were conducted with 48 staff, 11 licensed nurses, 24 CNAs and 14 ancillary staff.
All staff members were able to state that they had been trained and were knowledgeable about the new policies.
Record review of education provided by the facility revealed the following:On [DATE] code status orders and care plan review was completed for all residents.
This was verified.On [DATE] transfers and death review, to verify advanced directives were honored, was Verified.Reviewed facility audit for [DATE], which showed CPR cards were reviewed for all nurses.
This was verified.Between [DATE] and [DATE] education for abuse, neglect, and exploitation was completed. 232 signatures were verified.Reviewed resident rights and advanced directives education sign in sheets were completed for [DATE] through [DATE]. 182 signatures were verified.Reviewed it takes 2, sign in sheets were completed for [DATE] through [DATE], (includes verifying code status). 164 signatures were verified.Reviewed education and competency for CPR, dated [DATE] to [DATE]. 68 signatures were verified.Reviewed education and competency for Medical Emergency Response/Communication of Code Status, dated [DATE] to [DATE]. 69 signatures were verified.Reviewed education and competency for Physician Orders, dated [DATE] to [DATE]. 54 signatures were verified.Reviewed education and competency for Honoring Advanced Directives Attestation, dated [DATE] to [DATE]. 43 signatures were verified.Licensed Nurse Post test - 38 signatures were verified.Code blue drills: - 15 between [DATE] and [DATE], different shifts, were verified.On [DATE] at 10:25 AM, the facility conducted a code blue drill.
Staff arrived promptly, with laptops, and a crash cart. A sign on the crash cart showed stop, check physician order prior to starting CPR.
Staff confirmed the resident's code status as a full code.
The staff started CPR and a staff member documented a timeline.
Multiple staff members confirmed if EMS had been contacted.
Staff continued CPR, until EMS arrived and took over.
Multiple staff members were observed performing CPR and checking the resident's code status.Based on verification of the facility's Immediate Jeopardy removal plan the Immediate Jeopardy was determined to be removed on [DATE] and the non-compliance was reduced to a scope and severity of D.