Desoto Health And Rehab

Based on record review and interview, the facility failed to have an arbitration agreement that explicitly grants the resident the right to rescind the agreement within 30 calendar days of signing it. This has the potential to affect all residents residing in the facility.The findings included: Review of the facility's arbitration agreement revealed that Each party to this agreement shall have three (3) business days from execution of this agreement to cancel the agreement by notifying the other party in writing, by certified mail return receipt or retractable overnight delivery, of its desire to cancel. Residents #35, #47 and #42 were sampled from the facility provided list of new admissions who had signed the arbitration agreement. During an interview on 2/26/26 at 8:50 a.m., Resident #35 said she was familiar with arbitration due to being in and out of facilities. Resident #35 was unable to say how long she has to rescind the arbitration agreement. During an interview 2/26/26 at 8:57 a.m., Resident #47 said he was explained the arbitration process when he entered the facility.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to have an arbitration agreement that provides the selection of a venue that it convenient for both parties when there is a dispute. This has the potential to affect all residents residing in the facility.The findings included:Review of the facility's arbitration agreement revealed, Venue: In the event that any litigation arises under, or in any manner in relation to this agreement, whether ex contractor, or ex delicto, the venue of same shall lie exclusively in [NAME] County, Florida and no other location.Residents #35, #47 and #42 were sampled for review from the facility provided list of newly admitted residents who signed the arbitration agreement.During an interview on 2/26/26 at 8:50 a.m. Resident #35 said she is familiar with arbitration due to being in and out of facilities. Resident #35 was unable to explain the facility arbitration process.During an interview 2/26/26 at 8:57 a.m. Resident #47 said he was explained the arbitration process when…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, facility policy review, staff, resident, and resident representative interviews, the facility failed to ensure dignity during dining for 18 of 22 residents observed in the dining room during meals. The findings included:Review of the facility provided Policy for Resident Rights revised March 2021 statement revealed, Employees shall treat all residents with kindness, respect, and dignity. Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to: a dignified existence; be treated with respect, kindness, and dignity; self-determination; be supported by the facility in exercising his or her rights; exercise his or her rights without interference, coercion, discrimination or reprisal from the facility; be informed about his or her rights and responsibility.On 2/23/26 at 11:43 a.m., 22 residents were observed sitting at tables in the dining room during the lunch meal. A staff member was observed going from resident to resident and applying a long clothing protector to approximately 18…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review, review of facility's policy and procedure, and interviews, the facility failed to ensure ongoing communication and collaboration with the dialysis center for 1 (Resident #5) of 2 residents reviewed for dialysis.The findings included:Review of the facility's undated policy and procedure for Dialysis Residents revealed the purpose was, To establish standardized clinical pathways for residents receiving dialysis services to ensure safe, coordinated, and high-quality care in compliance with federal and Florida state regulations . Dialysis Coordination . Communication with Dialysis Provider. Share clinical updates. Document dialysis treatment summaries. Participate in interdisciplinary care meetings.Review of the facility provided communication form used to coordinate with the dialysis center revealed a section to be completed by the Charge Nurse prior to dialysis which included vital signs, examination of shunt site, pain, concerns, time of last meal, fluid restrictions and amount. A section to be completed by a Dialysis Center Representative included…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, review of facility's policy and procedure, and interviews, the facility failed to provide nail care necessary to maintain good personal hygiene for 1(Resident #8) of 3 dependent residents reviewed for nail care.The findings included:Review of the facility Activities of Daily Living (ADL) policy revised December 2016 revealed, It is the policy of [NAME] Health and Rehab to ensure all residents receive needed assistance with Activities of Daily Living (ADLs) in a manner that promotes independence, dignity, and the highest practicable level of physical, emotional, and psychosocial well-being, consistent with state and federal long-term regulations.Dressing/Grooming . Support grooming tasks (hair care, shaving, nail care) per resident preference . All DDL care must be documented in the resident record . documentation must be completed by the end of each shift for nursing services and included in the ongoing care record.On 2/24/26 at 10:42 a.m., Resident #8 was observed in bed.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review, review of facility's policies and procedures, and staff interview, the facility failed to maintain a clean and sanitary environment in the kitchen and 2 of 2 nourishment rooms observed. The findings included: Review of the facility's policy titled Cleaning and Disinfection of Environmental Surfaces, last updated 8/19 indicated under 10. Environmental surfaces will be disinfected (or cleaned) on a regular basis (e.g. daily, three times per week) and when these surfaces are visibly soiled. On 4/9/25 from 9:00 a.m., to 10:30 a.m., the following observations were made during a tour of the kitchen and nourishment rooms: On 4/9/25 at 9:10 a.m., and 10:21 a.m., a milky, brown liquid with solid particles was observed on the floor behind the ice machine in the kitchen. Photographic evidence obtained On 4/9/25 at 9:11 a.m., and 10:22 a.m., the floor under the dry storage shelf near the bathroom door in the kitchen was dirty with debris. Photographic evidence obtained On 4/9/25 at 9:12 a.m. and 10: 23 a.m., a green film was observed in the top corner of…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review, review of facility's policy and procedure, staff and resident interview, the facility failed to ensure the safe storage of medications at the bedside for 1 (Resident #27) of 3 residents reviewed for storage of medications. The findings included: The facility policy for Self-Administration of Medications Revised February 2021 noted self-administered medications are stored in a safe and secure place, which is not accessible by other residents. Review of Resident #27's clinical record revealed two Medication Self-Administration Safety Screens dated 7/28/22 and 2/2/23 which noted Resident #27 may self administer respectively antacids and Velphoro (phosphate binder) medications unsupervised. The forms documented the medications were to be stored at bedside with the resident and Resident #27 was completely capable to demonstrate secure storage of medications kept in room. On 11/7/23 at 3:36 p.m., 11/8/23 at 10:13 a.m., and 10:37 a.m., observation of Resident #27's room revealed a bottle of nasal spray, a bottle of antacid tablets, and a bottle of…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review, review of facility's policy and procedure, and staff interviews, the facility failed to ensure proper sanitizing of manually washed cooking pots and pans, creating a potential for foodborne outbreak. The findings included: Review of the undated facility's policy titled, Equipment Sanitation and Safety noted, All cleaning and sanitizing compounds are used following manufacturer's instructions for concentration and precautions . On 11/6/23 at approximately 9:30 a.m., during the initial tour of the kitchen, observation of the three-compartment (wash, rinse and sanitize) sink revealed the facility used Quaternary (Multi-Quat) as their sanitizing agent. On 11/6/23 at 10:00 a.m., Dietary Staff B was observed washing cooking pots in the three-compartment sink. Staff B used the first sink to wash the pots with soapy water. She placed the pots in the middle sink to rinse them. The third sink was empty. It did not contain the sanitizing Quaternary solution. On 11/6/23 at 10:05 a.m., during interview the kitchen manager verified Staff B was using the three…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide adequate and appropriate health care to address the edema (swelling) for 1 (Resident #8) of 15 residents reviewed for treatments and care. The findings included: The facility policy titled Nursing admission Assessments and Orders with a revised date of 9/2017 read, . This initial or temporary plan of care is to address major medical needs/ concerns and total ADL [Activities of daily living] needs . The ADL needs of the resident and current care and treatment approaches shall be identified . on the MAR [Medication Administration Record] and TX [Treatment] records. Review of the admission Minimum Data Set (MDS) assessment with a target date of 1/20/22 showed Resident #8 was admitted to the facility on [DATE]. The active diagnoses included coronary artery disease (CAD), heart failure and hypertension (HTN). The Order Summary Report listed a physician's order with a start date of 1/20/22 for offloading boots to be placed to Resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.