Life Care Center Of Ocala

Based on interview and record review the facility failed to provide wound care and place dressing change orders for 2 of 3 residents, Residents #86 and #128, reviewed for skin conditions. Findings include: During an observation on 1/12/2026 at 11:38 AM Resident #86 was sitting in a wheelchair. There was a small border wound dressing on Resident #86's lower right leg visibly soiled and not dated. (Photographic evidence obtained)During an interview on 1/12/2026 at 11:38 AM Resident #86 stated, I got a skin tear, it happened while I was getting dressed and it was last changed during my shower.Review of Resident #86's physician orders did not document a treatment order for the skin tear on Resident #86's lower right leg.During an observation on 1/13/2026 at 4:07 PM with Staff L, Licensed Practical Nurse (LPN) Resident #86 was lying in bed. Staff L, LPN removed the covers and Resident #86's right leg had the same small border dressing with no date and soiled. Staff L asked Resident #86 what had happened and Resident #86 stated it was a skin tear and it had not been changed since last…

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 ensure respiratory care equipment was properly stored for 3 of 6 residents, Residents #65, #9 and #76) reviewed for respiratory care and services. Findings include: Review of Resident #65's medical record documented the resident was admitted on [DATE] with diagnoses to include chronic obstructive pulmonary disease (a progress, irreversible lung disease), diabetes mellitus type 2, atrial fibrillation (irregular heartbeat), heart failure, and asthma.Review of Resident #65's physician order dated 4/4/2024 read, Please ensure that the evening nurse ensures that the CPAP [continuous positive airway pressure] is in place every evening shift for decreased C02 [carbon dioxide].During an observation on 1/10/2026 at 9: 30 AM Resident #65's CPAP mask was in a plastic bag resting on top of the bedside table, the bag was dated 11/7. (Photographic evidence obtained)During an interview on 1/14/2025 at 2:45 PM Staff A Licensed Practical Nurse (LPN)…

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 interview and record review the facility failed to administer medication following physician ordered parameters for 2 of 6 residents, Resident #36 and #117, reviewed for medication management.Findings include: Review of Resident #36's physician order documented dated 12/8/2025, Percocet Oral Tablet 10-325 mg [milligrams], give one tablet by mouth every 12 hours as needed for breakthrough pain rated 6–10. Review of Resident #36's Medication Administration Record (MAR) for January 2026 documented Percocet was administered on 01/01/2026 at 3:08 PM, 01/02/2026 at 5:03 PM, 01/03/2026 at 5:24 PM, 01/04/2026 at 6:06 PM, 01/07/2026 at 5:30 PM, and 01/13/2026 at 6:37 PM and the resident was documented to have a pain level of 4 with each of these administrations. During an interview conducted on 1/15/2026 at 1:58 PM, Staff B, stated, I must have missed the parameters in the order. During an interview conducted on 1/15/2026 at 2:03 PM, Staff C stated, I did not see the parameters when I administered the medication. During an interview conducted on 1/15/2026 at 9:00 AM, the Director 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, interview, and record review, the facility failed to ensure medications were secured when unattended on 2 of 3 units. Findings include:During an observation on 1/12/2026 at 9:44 AM Resident #117 was lying in bed. There was a bottle of Biofreeze roll-on on top of the bedside table.During an interview on 1/12/2026 at 9:44 AM Resident #117 stated, I have a broken ankle. The Biofreeze is mine, I brought it from home. I apply it myself.During an interview on 1/13/2026 at 2:27 PM Staff H Licensed Practical Nurse (LPN) stated, I am not familiar with [Resident #117's name]. Medication should be locked not left unattended. If a resident is able to self-administer medication they are given a key to their drawer. Sometimes family will bring the medication and if we don't see it, we do not know they have it. During an observation on 1/12/2026 at 9:55 AM Resident #75 was lying in bed resting with eyes closed. On top of the dresser there was Cumarindine ointment for burns and skin conditions.During an observation on 1/13/2026 at 2:37 PM Staff H, LPN opened the Cumarindine…

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 and interview, the facility failed to maintain complete and accurately documented medical records for 1 of 10 residents, Resident #36, reviewed for medication management.Findings include:Review of Resident #36's physician order dated 12/15/2025 documented, Atenolol Oral Tablet 25 mg [milligrams], give one tablet by mouth one time daily for hypertension; hold for blood pressure less than 105/55. Lisinopril Oral Tablet 10 mg, give one tablet by mouth one time daily for hypertension; hold for systolic blood pressure less than 105. Xtampza ER [extended release] Oral Capsule ER 12 Hour Abuse-Deterrent 27 mg, give one capsule by mouth every 12 hours for chronic pain; hold for systolic blood pressure less than 90.Review of Resident #36's Medication Administration Record (MAR) for January 2026 documented Xtampza ER was administered on January 2, 2026, January 4, 2026, January 7, 2026, January 8, and January 9, 2026 at 8:00 PM. The MAR did not contain documentation of the resident's blood pressure values for the medication administration. During an interview conducted…

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, interview, and record review the facility failed to prevent the possible spread of infection when not donning appropriate personal protective equipment for 3 of 6 residents, Resident #48, reviewed for transmission-based precautions and Residents #95 and #126 reviewed for enhance barrier precautions.Findings include:During an observation on 1/12/2026 at 10:31 AM Resident #126's door had an enhance barrier precaution sign and there was personal protective equipment upon entering the room. The room door was open and Resident #126's privacy curtain was pulled. After knocking on the door to enter Staff J, Certified Nursing Assistant (CNA) presented from around the curtain and stated, Patient Care. Staff J was observed to be wearing gloves; Staff J was not wearing a gown. Staff J CNA retrieved clothing from Resident #126's drawer. Staff J removed the privacy curtain and Resident #126 was sitting in her wheelchair.During an observation on 1/12/2026 at 10:45 AM Staff J, CNA entered back into Resident #126's room and began to make Resident #126's bed. Staff J donned…

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, interviews and record reviews, the facility failed to ensure residents received an accurate assessment reflective of the resident's status at the time of the assessment for 5 of 7 residents reviewed (Resident #50, #111, #116, #118, #221). Findings include: 1). Review of Resident #50's Modification of Quarterly Minimum Data Set (MDS) Assessment, dated 5/27/2024, Section O, Special Treatments, Procedures, and Programs documented Resident #50 received tracheostomy care and used an invasive mechanical ventilator (ventilator or respirator) while a resident of the facility. Review of Resident #50's care plan, start date 7/8/2024, failed to reveal documentation Resident #50 received tracheostomy care and used an invasive mechanical ventilator (ventilator or respirator) while a resident of the facility. Resident #50 was observed on 8/6/2024 at 9:29 AM and again on 8/8/2024 at 8:26 AM. Resident #50 was not receiving tracheostomy care or using an invasive mechanical ventilator (ventilator or respirator). During an interview on 8/6/2024 at 9:37 AM, Staff D, Licensed…

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, interviews and record review, the facility failed to provide wound care and treatment in accordance with professional standards of practice for 1 of 3 residents reviewed for skin conditions, Resident #220. Findings include: During an observation on 8/6/2024 at 9:30 AM, Resident #220 was lying in bed with a dressing on her left arm dated 8/4/2024. During an interview on 8/6/2024 at 9:30 AM, Resident #220 stated, I have a skin tear in my arm; the nurse will change the dressing. During an observation on 8/7/2024 at 1:12 PM, Resident #220 was lying in bed with a dressing on her left arm dated 8/6/2024. Review of Resident #220's physician orders documented no orders for left arm wound care for skin tear. Review of Resident #220's Medical Certification for Medicaid Long-Term Care Services and Patient Transfer Form, dated 7/30/2024, documented skin tears on both arms. Review of Resident #220's Weekly Skin Integrity Data Collection, dated 8/6/2024, documented, Skin Condition: 1. Is resident available for skin inspection: yes. 2q1. Describe: abscess to abdomen,…

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, interviews, and record review, the facility failed to ensure the drugs and biologicals used in the facility were stored in accordance with currently accepted professional principles for unattended/secured medications in 1 of 3 units. Findings include: During an observation on 8/6/2024 at 9:23 AM in Resident #89's room, there were 3 clear plastic unit doses of Sodium Chloride 0.9% of 30 milliliters each inside a bed pan on top of the resident's drawer. (photographic evidence obtained) During an observation on 8/6/2024 at 9:30 AM in Resident #219's room, there was a Wixela inhaler on top of resident's bedside table. (photographic evidence obtained) During an interview on 8/6/2024 at 9:30 AM, Resident #219 stated, The nurse brings the inhaler and leaves it here and then she will come back and pick it up after I am done. During an observation on 8/7/2024 at 8:59 AM in Resident #111's room, there were 3 clear plastic unit doses of Sodium Chloride 0.9% of 30 milliliters each on top on dresser. (photographic evidence obtained) During an observation on 8/8/2024 at…

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, interviews, and record reviews the facility failed to use the appropriate infection control standards for residents with central catheters for 1 (Resident #68) of 4 residents reviewed for antibiotic medication and to sanitize reusable medical equipment. Findings include: 1) During an observation on 8/8/2024 at 8:42 AM, Staff A, Registered Nurse (RN) performed hand hygiene and donned personal protective equipment which included gown and gloves and entered Resident #68's room. Resident #68's IV (intravenous) pump was beeping. Staff A retrieved a normal saline syringe and heparin flush syringe that had been left in the room and disconnected Resident #68's IV tubing. Staff A, RN, without scrubbing the needleless connector, flushed the PICC (peripherally inserted central catheter) line with normal saline followed by the heparin lock flush. Staff A, RN, then placed a Curos (Trademark) port protector on the needless connector hub. During an interview on 8/8/2024 at 12:14 PM, Staff A, RN, stated, I would normally clean the needless connector at the beginning when I am…

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, interview, and record review, the facility failed to ensure the equipment was cleaned in accordance with professional standards for food safety. Findings include: During an observation on 3/27/2023 at 9:40 AM, the ice machine had a black/brownish dark substance around the inner rim of the door on the inside of the ice machine. During an interview on 3/27/2023 at 9:45 AM, the Certified Dietary Manager (CDM) confirmed the presence of a dark substance and stated that it should have been cleaned every night. Review of the facility policy and procedure titled Cleaning Schedule reviewed on 4/27/2022 read, Equipment and Utensil Cleaning and Sanitization- A potential cause of foodborne outbreaks is improper cleaning (washing and sanitizing) of equipment and protecting equipment from contamination via splash, dust, grease, etc.

Based on observation, interview, and record review, the facility failed to ensure respiratory care services were provided consistent with professional standards of practice for oxygen administration for 1 of 3 residents reviewed, Resident #25. Findings include: During an observation on 3/26/2023 at 10:00 AM, Resident #25 was lying in bed, with oxygen being administered via a nasal canula. The oxygen concentrator was set at 3 liters per minute (L/min). During an observation on 3/27/2023 at 9:01 AM, Resident #25 was lying in bed, with oxygen being administered at 3 L/min. During an observation on 3/28/2023 at 8:34 AM, Resident #25 was being administered oxygen at 3 L/min. Review of the physician order dated 8/17/2022 for Resident #25 reads, Oxygen at 2 liters/ minute continuously per nasal cannula. Document O2 Sats [oxygen saturation] q [every] shift. During an interview on 3/28/2023 at 11:30 AM, Staff A, Licensed Practical Nurse (LPN), confirmed the oxygen concentrator was set at 3 L/min. Staff A verified that the physician's order was for 2 liters/minute continuously per nasal…

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.