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Deficiency Records for Solaris Healthcare Zephyrhills
A list of the most recent deficiencies for Solaris Healthcare Zephyrhills. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Solaris Healthcare Zephyrhills. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-02-22 | 2024-03-23 | Y |
Ensure each resident receives an accurate assessment. | Health | 2023-04-06 | 2023-05-06 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-06 | 2023-05-06 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-06 | 2023-05-06 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-04-06 | 2023-05-06 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-06 | 2023-05-06 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-06 | 2023-05-06 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-06 | 2023-05-06 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-06 | 2023-05-06 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-04-06 | 2023-05-06 | N |
Provide and implement an infection prevention and control program. | Health | 2023-04-06 | 2023-05-06 | N |
Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2023-04-05 | 2023-05-06 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-05 | 2023-05-06 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-05 | 2023-05-06 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-05 | 2023-05-06 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-06-17 | 2021-07-17 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-06-17 | 2021-07-17 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-17 | 2021-07-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-17 | 2021-07-17 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-16 | 2021-06-17 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-16 | 2021-06-17 | N |
Provide and implement an infection prevention and control program. | Health | 2019-09-19 | 2019-12-08 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-09-19 | 2019-10-19 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-19 | 2019-10-19 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-19 | 2019-10-19 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-19 | 2019-10-19 | N |
Install proper backup exit lighting. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-20 | 2019-10-19 | N |
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