Life Care Center Of Orlando

Based on observation and interview, the facility failed to ensure food service items were handled with accepted food-handling practices for meals served from the main kitchen.Findings: During tray line observation on 12/17/25 at 11:20 AM, Dietary [NAME] A dropped the thermometer used to take temperature of food items. He gave it to the Certified Dietary Manger (CDM), removed his gloves and obtained a new thermometer. Dietary [NAME] A placed a glove on his right hand, wiped the new thermometer probe with an alcohol pad and continued taking food temperatures. After cleaning the thermometer probe between food items, Dietary [NAME] A touched the metal probe as he turned to take the temperature of the cream corn. Dietary [NAME] A was stopped by surveyor just before he inserted the thermometer probe into the cream corn and made aware of the contaminated thermometer. Dietary [NAME] A stopped and turned to clean the thermometer again before continuing. After food temperatures were taken and tray line began, Dietary Aide B was observed in front of the steam table preparing trays for meal…

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 interview and record review, the facility failed to provide pharmaceutical services, consistent with professional standards of practice, to ensure medication administration for 1 resident reviewed for intravenous medications, out of a total sample of 25 residents, (#4). Findings:Review of the medical record revealed resident #4 was admitted to the facility on [DATE] with diagnoses including metabolic encephalopathy, type 2 diabetes, sepsis due to E. Coli, stage 3 chronic kidney disease, acute prostatitis, adult failure to thrive and prostate abscess.Review of the Order Summary Report revealed resident #4 had physician orders dated 11/19/25 for Piperacillin Sodium-Tazobactam Sodium Intravenous Solution Reconstituted 4.5 GM intravenously every 8 hours for urosepsis and prostatitis.A prostate abscess is a localized collection of purulent fluid (discharge from a wound which often indicates infection) within the prostate, often forming as a complication of acute prostatitis. A prostatic abscess can cause…

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 interview, the facility failed to provide Beneficiary Protection Notification to 3 of 3 residents reviewed for skilled nursing facility advanced beneficiary notice (SNF ABN) out of a total of 42 sampled residents, (#22, #52 & #88). Findings: 1. Resident #22 was admitted to the facility on [DATE] with diagnoses of acute kidney disease, diabetes, hypertension, osteoarthritis and heart disease. The resident was currently in the facility. 2. Resident #52 was admitted to the facility on [DATE] with diagnoses of chronic obstructive pulmonary disease, cellulitis of abdominal wall, diabetes, and kidney disease. The resident was currently in the facility. 3. Resident #88 was admitted to the facility on [DATE] with diagnoses of displaced fracture of right femur, heart failure, Alzheimer's disease, and hyperlipidemia. The Discharge summary dated [DATE] at 10:42 AM, showed he was discharged to an Assisted Living Facility. On 2/25/21 at 2:00 PM, review of Skilled Nursing Facility Advance…

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 appropriate rinse water temperature was maintained and rinse water pressure was monitored for the high temperature dish machine to ensure proper sanitation of dishes, silverware and glassware used by the residents. Findings: On 2/22/21 at 2:24 PM, the kitchen staff were in the dish room washing lunch dishware in the mechanical dishwashing machine. The wash temperature was 165-170° Fahrenheit (F). The rinse temperature was 195-200° F. Observation of the pressure gauge used to monitor the water pressure during the rinse cycle revealed the pressure was greater than 40 pound per square inch (PSI). Interview with the dietary aide who monitored the machine for temperature and functioning was not aware he had to monitor the PSI. During the observation, the Food Service Director also said he was not aware to monitor PSI. When questioned what the dial should register during the rinse cycle, he was not able to explain what the pressure should read during the rinse cycle. He confirmed they were not monitoring…

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 that recommendations from the Dietitian were implemented for nutritional status related to dialysis (#65) and failed to re-evaluate a resident readmitted from the hospital with significant weight loss, (#59) for 2 of 10 residents reviewed for nutritional status out of 42 total sampled residents, (#65 & 59). Findings: 1. Resident #65 was admitted to the facility on [DATE] and then re-admitted from an acute care hospital on 2/10/21 with diagnoses of end stage renal disease, dependent on dialysis, infected left below the knee amputation (BKA) stump, wound dehiscence with infection, protein, calorie malnutrition and diabetes. Review of the medical record revealed the Registered Dietitian's (RD) progress note dated 1/25/21 that read, his albumin level per dialysis was low at 2.9 (normal 3.2 to 5.5). Review of the 5 Day Minimum Date Set (MDS) assessment dated [DATE] revealed the resident was cognitively intact with Brief Interview for…

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 dressing changes for a midline intravenous (IV) catheter according to current professional standards of practice for 1 of 2 residents reviewed for IV care out of 42 sampled residents, (#209). Findings: Resident #209 was admitted to the facility on [DATE] with diagnoses of cellulitis to lower limbs. He had a Midline IV line insertion order dated 2/15/21 for administration of IV antibiotics (Zosyn) for wound infection through 2/22/21. He had additional nursing orders in effect dated 2/17/21 for IV Midline Catheter-Measure upper arm circumference 10 centimeters above antecubital every 2 days with gauze dressing present, and flushing IV with normal saline every shift (3 times per day). On 2/22/21 at 12:50 PM, resident #209 was observed in his room sitting up in chair eating lunch. He had a gauze dressing covering his right upper arm midline IV site dated 2/21/21. Due to the presence of gauze over IV site, visualization for any signs 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to follow physician's orders for oxygen therapy for 1 of 5 residents reviewed for respiratory care, out of 42 total sampled residents (#100). Findings: Resident #100 was re-admitted on [DATE] with diagnoses of chronic obstructive pulmonary disease, pneumonia, obstructive sleep apnea, dependence on supplemental oxygen (O2) and cognitive deficit disorder. Review of the Minimum Data Set (MDS) dated [DATE] revealed resident #100 received oxygen (O2) therapy. Resident #100 had a physician's orders dated 1/15/2021 for O2 at 2.5 liters/minute (LPM) continuously per nasal cannula (NC) every shift and keep the pulse oxygen levels >89%. Review of the care plan for resident #100, documented she had diagnosis of pneumonia with a goal to be free of symptoms of respiratory distress. There was no care plan for oxygen therapy nor any interventions to administer oxygen per physician's orders. On 02/25/2021 at 12:05 PM, the MDS Coordinator stated the process…

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 medications were administered as prescribed for 2 of 42 sampled residents, (#85, #87). Findings: Resident #85 was admitted to the facility on [DATE]. Her diagnoses included Gastro-Esophageal Reflux Disease, and compression fracture of vertebrae. On 02/22/21 at 2:56 PM, resident #85's roommate, resident #87 had medications in two stacked cups on his bedside table. The top cup contained a cream and the bottom cup had 2 pills. One pill was oval and the other round. Registered Nurse (RN) B came into the room and said she did not see the medications on resident #87's bedside table this morning. She took the medications, reviewed the Medication Administration Record for both residents. She determined the medications were for resident #85. She said the two medications were Synthroid, for hypothyroidism and Protonix for esophageal reflux. She added that resident #85 should have received these medications at 6 AM. A telephone interview was…

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 follow physician's order for weekly weights for 1 of 1 resident reviewed for edema out of 41 total sampled residents, (#21). Findings: Resident #21's medical record reflected an admission date of 10/26/18. Her diagnosis included atherosclerotic heart disease, atrial fibrillation, diabetes type II, hypertension, and cardiac pacemaker. The quarterly minimum data set (MDS) assessment with assessment reference date (ARD) 1/31/19 showed the resident required extensive assistance for bed mobility, transfers, dressing, eating, toilet use, and personal hygiene. The Significant Change MDS with ARD 5/02/19 showed improvement in the resident's functional ability. She now required limited assistance for bed mobility, transfers, dressing, eating, toilet use, and personal hygiene. The Physician's order, dated 6/27/19, was for weekly weight every night shift every Tuesday for edema, start date 7/02/19. Resident #21's medications included Bumex 0.5 milligrams (mg.) twice daily. Bumex is a diuretic that helps to rid the body of salt and…

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 a nourishment room was kept in a clean/sanitary manner and failed to ensure food items in the nourishment room refrigerator were labeled and dated in 1 of 2 nourishment rooms. Findings On 8/01/19 at 8:31 AM, the 300 and 400 unit nourishment room had dirty dessert cups, spoons and small plate. At this time, license practical nurse (LPN) A stated that the soiled dishes should not be in the nourishment room. LPN A then opened the refrigerator door and a white styrofoam box was observed on the second shelf. The box contained left over food brought into the facility from an outside source. On another shelf inside the refrigerator was a resealable zipper storage bag with sandwiches. The bag was not labeled or dated. LPN A stated, I must throw this out as it is not labeled and has no date. Review of the facility policy and procedure for Nourishment Storage Areas read, The areas where nourishments and snacks are stored for the residents outside of the food and nutrition services department are maintained…

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 keep the call light in residents' reach for those able to use it for 3 of 41 residents, (#104, 36 & 67). Findings 1. Resident #104's medical record reflected that the resident was admitted to the facility on [DATE] with diagnoses including chronic respiratory failure, muscle weakness, difficulty walking, dependence on supplemental oxygen and anemia. On 7/29/19 at 11:07 AM, resident #104 sat in a wheelchair with the overbed table in front of him. The table had magazines and a styrofoam cup with a straw. The wheelchair was between the resident's bed and the bathroom. The resident picked up his cup to drink water, he shook the bottle and said, It's empty, I need some water. The resident looked around to use his call light and said, It's way over there, I can't reach that. The call light was attached to opposite side on the side rail. On 7/30/31/19 at 9:40 AM, Certified Nursing Assistant (CNA) B stated residents should always be able to reach…

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 interview and record review, the facility failed to honor resident's food preference for 1 of 3 resident reviewed for choices, (#106). Finding: Resident #106 was admitted to the facility on [DATE], with her most recent readmission on [DATE]. Her diagnoses included pleural effusion, end stage renal disease, diabetes type II, atherosclerotic heart disease and chronic obstructive pulmonary disease. The Medicare 5-day minimum data set (MDS), with assessment reference date 7/21/19, showed resident #106's cognition was intact, with a brief interview of mental status of 12/15. The resident required extensive assistance of one person for bed mobility, transfers, dressing, toilet use, and personal hygiene, and supervision for eating. The food and beverage preference list for resident #106 was obtained on 3/27/18, and showed that her dislikes included pork chops, pork roast, ham, sausages, and bacon. On 7/30/19 at 10:09 AM, resident #106 said she did not eat pork, and was served pork for supper on 7/29/19, on her…

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 interview, the facility failed to provide a bed-hold notice upon transfer for 2 of 4 residents reviewed for hospitalization, (#216 & 106). Findings: 1. Resident #216 was admitted to the facility on [DATE] and transferred to the hospital on 7/07/19 for shortness of breath. Resident #216's medical record did not contain any documentation to indicate that the resident or the responsible party were provided with the bed-hold notice within 24 hours of transfer. On 8/01/19 at 3:48 PM, the Director of Nursing (DON) stated that it was the responsibility of the floor nurse to provide the bed hold notification to the resident or responsible party upon transfer to hospital. The DON confirmed that the facility did not have any evidence to indicate the resident or resident representative had been provided the bed hold information at the time of the transfer or within 24 hours of the transfer. 2. Resident #106's medical record reflected an admission to the facility on 3/23/18, with her most recent…

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.