Viera Healthcare And Rehabilitation Center
VIERA HEALTHCARE AND REHABILITATION CENTER in VIERA, FL — inspection on August 6, 2024.
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
jeopardy to resident health or safety *By [DATE], skin evaluations for residents with a BIMS score of 11 or lower were evaluated to identify abuse or neglect.
*By [DATE], residents with a BIMS score of 12 or higher were interviewed to identify abuse or neglect.
From [DATE] to [DATE], interviews were conducted with 28 staff members who represented all shifts.
Staff included 8 CNAs, 8 LPNs, 4 RNs, 2 Housekeepers, 1 Receptionist, 1 MDS Coordinator, 2 Dietary personnel, 1 Maintenance Director, and 1 Physical Therapy Assistant who verbalized their understanding of the education provided.
The resident sample was expanded to include all 8 additional residents identified as at risk for elopement/neglect.
Interviews with 3 alert and oriented residents regarding interviews conducted by facility staff regarding feeling safe and no neglect and chart reviews for 9 residents to ensure elopement risk evaluations and skin checks were completed on [DATE].
Observations, interviews, and record reviews revealed no concerns related to elopement for the expanded sample residents.
105885 08/06/2024
Viera Healthcare and Rehabilitation Center 8050 Spyglass Hill Rd Viera, FL 32940
Review of the facility Abuse, Neglect, Exploitation and Investigation policy and procedure issued 4/01/22, read, The facility will conduct their own internal investigation including but not limited to staff.resident, and family/resident representative interviews, medical records.
105885 08/06/2024
Viera Healthcare and Rehabilitation Center 8050 Spyglass Hill Rd Viera, FL 32940
jeopardy to resident health or safety f.
Response to a missing resident
h.
Proactive interventions for residents at risk for wandering/elopement i. In an abundance of caution, abuse and neglect education completed. * On 7/20/24, DON/designee carried out elopement drills.
Education provided as indicated based on Elopement Drill findings.
The facility has completed 35 elopement drills that includes 185 staff members out of 186 (the staff member not included is out of the State). * By 7/24/24, 167/186 facility staff members were re-educated. * By 7/26/24, 186/186 facility staff members were re-educated, no staff worked without receiving in-person education.
Newly hired employees will receive education on above in orientation. * On 7/20/24, the facility removed the automatic door opener. * On 7/20/24, the facility adjusted the alarm delay from 15 seconds to 5 seconds to prevent tailgating. * Beginning 7/20/24, the facility Administrator/designee/DON/designee will ensure that the safety and well-being as it relates to elopement is maintained by continued participation, evaluation, and intervention through: a.
Clinical standup review of the 24-hour report to identify change in condition. b.
Monitoring of egress systemic changes c.
Maintaining QAPI process. * On 7/26/24, anti-tailgate device was added to the front door along with antennae moved to improve field of frequency.
From 8/03/24 to 8/06/24, interviews were conducted with 28 staff members who represented all shifts.
Staff included 8 CNAs,8 LPNs, 4 RNs, 2 Housekeepers, 1 Receptionist, 1 MDS Coordinator, 2 Dietary personnel, 1 Maintenance Director, and 1 Physical Therapy Assistant who verbalized their understanding of the education provided.
The resident sample was expanded to include all eight residents identified as at risk for elopement currently in the facility.
Interviews with three alert and oriented residents regarding interviews conducted by facility staff regarding feeling safe and no neglect and chart reviews for the other 8 residents to ensure elopement risk evaluations and skin checks were completed on 7/20/24.
Observations, interviews, and record reviews revealed no concerns related to Elopement.
Review of the medical record revealed resident #1 had a physician order for an electronic wander monitoring bracelet to be applied beginning [DATE].
105885
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 105885 B.
Wing 08/06/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Viera Healthcare and Rehabilitation Center 8050 Spyglass Hill Rd Viera, FL 32940
b.
Elopement Policy and Procedure
c. 1:1 supervision
d.
Door/Egress checks
e.
Responding to an alarm
f.
Response to a missing resident
g.
Elopement Triggers
h.
Proactive interventions for residents at risk for wandering/elopement
i. In an abundance of caution, abuse and neglect education completed.
* On [DATE], DON/designee carried out elopement drills.
Education provided as indicated based on Elopement Drill findings.
The facility has completed 35 elopement drills that includes 185 staff members out of 186 (the staff member not included is out of the State).
* By [DATE], ,d+[DATE] facility staff members were re-educated.
* By [DATE], ,d+[DATE] facility staff members were re-educated, no staff worked without receiving in-person education.
Newly hired employees will receive education on above in orientation.
* On [DATE], the facility removed the automatic door opener.
* On [DATE], the facility adjusted the alarm delay from 15 seconds to 5 seconds to prevent tailgating.
* Beginning [DATE], the facility Administrator/designee/DON/designee will ensure that the safety and well-being as it relates to elopement is maintained by continued participation, evaluation, and intervention through:
a.
Clinical standup review of the 24-hour report to identify change in condition.
105885
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 105885 B.
Wing 08/06/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Viera Healthcare and Rehabilitation Center 8050 Spyglass Hill Rd Viera, FL 32940
Frequently Asked Questions
More Reports
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.