Viera Healthcare And Rehabilitation Center
VIERA HEALTHCARE AND REHABILITATION CENTER in VIERA, FL — inspection on February 12, 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
According to the National Library of Medicine, Rapidly progressive glomerulonephritis (RPGN) is a clinical syndrome manifested by features of nephritic syndrome and rapid loss of the kidney function over a period of a few weeks to months. (Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC4720204/ on 2/21/25).
Review of resident #3's physician orders revealed an order dated 2/04/25 for Sevelamer Carbonate 800 milligrams (mg) 3 tables before meals for hypocalcemia related to ESRD.
Sevelamer administration was scheduled for 6:30 AM, 11:30 AM, and 4:30 PM daily.
Review of resident #3's MAR showed Sevelamer was administered on 2/05/25 at 6:30 AM, 2/06/25 at 6:30 AM and 4:30 PM, 2/07/25 at 6:30 AM, and 2/10/25 at 6:30 AM, 11:30 AM and 4:30 PM for a total of 7 doses.
Review of the Progress Note revealed Sevelamer was not available to resident #3:
*2/05/25 at 6:06 PM - on order, awaiting for pharmacy and the physician was aware.
*2/06/25 at 12:17 PM - pending pharmacy delivery.
*2/07/25 at 5:17 PM read, Medication is not available, Medication has been reordered from pharmacy.
Awaiting delivery from pharmacy. MD (physician) notified.
* 2/08/25 at 7:47 AM read, Medication is not available.
Contacted pharmacy.
Awaiting approval.
*2/08/25 at 10:40 AM read, Pharmacy states they have to go through dialysis to send pill, awaiting delivery.
*2/09/25 at 6:29 AM read, Medication is not available.
Contacted pharmacy.
Awaiting approval.
*2/09/25 at 11:03 AM read, Awaiting pharmacy delivery.
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 02/12/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Viera Healthcare and Rehabilitation Center 8050 Spyglass Hill Rd Viera, FL 32940
Review of the medical record revealed resident #3 was admitted to the facility on [DATE].
Her diagnoses included aneurysm of artery of upper extremity, end-stage renal disease (ESRD), and rapidly progressive nephritic syndrome with diffuse crescentic glomerulonephritis.
According to the National Library of Medicine, Rapidly progressive glomerulonephritis (RPGN) is a clinical syndrome manifested by features of nephritic syndrome and rapid loss of the kidney function over a period of a few weeks to months. (Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC4720204/ on 2/21/25).
Review of resident #3's physician orders revealed an order dated 2/04/25 for Sevelamer Carbonate 800 milligrams (mg) 3 tables before meals for hypocalcemia related to ESRD.
Sevelamer administration was scheduled for 6:30 AM, 11:30 AM, and 4:30 PM daily.
Review of resident #3's Medication Administration Record (MAR) showed Sevelamer was administered on 2/05/25 at 6:30 AM, 2/06/25 at 6:30 AM and 4:30 PM, 2/07/25 at 6:30 AM, and 2/10/25 at 6:30 AM, 11:30 AM and 4:30 PM for a total of 7 doses.
Review of the Progress Note revealed Sevelamer was not available to resident #3 from 2/4/25 to 2/12/25:
*2/05/25 at 6:06 PM - on order, awaiting for pharmacy, physician aware
*2/06/25 at 12:17 PM - pending pharmacy delivery
*2/07/25 at 5:17 PM read, Medication is not available, Medication has been reordered from pharmacy.
Awaiting delivery from pharmacy. MD (physician) notified.
* 2/08/25 at 7:47 AM read, Medication is not available.
Contacted pharmacy.
Awaiting approval.
*2/08/25 at 10:40 AM read, Pharmacy states they have to go through dialysis to send pill, awaiting delivery.
*2/09/25 at 6:29 AM read, Medication is not available.
Contacted pharmacy.
Awaiting approval.
*2/09/25 at 11:03 AM read, Awaiting pharmacy delivery.
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 02/12/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Viera Healthcare and Rehabilitation Center 8050 Spyglass Hill Rd Viera, FL 32940