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Deficiency Records for Largo Nursing and Rehabiliation Center
A list of the most recent deficiencies for Largo Nursing and Rehabiliation Center. 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 Largo Nursing and Rehabiliation Center. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-28 | 2024-07-26 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2024-05-28 | 2024-06-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-02-06 | 2024-05-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-06 | 2024-05-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-06 | 2024-05-31 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2024-02-06 | 2024-05-31 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-02-06 | 2024-05-31 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-17 | 2024-04-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-17 | 2024-04-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-17 | 2024-04-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-17 | 2024-04-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-17 | 2024-04-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-17 | 2024-04-09 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-02-06 | 2024-03-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-06 | 2024-03-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-06 | 2024-03-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-06 | 2024-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-06 | 2024-03-27 | N |
| Provide activities to meet all resident's needs. | Health | 2024-02-06 | 2024-03-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-06 | 2024-03-27 | 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 | 2024-02-06 | 2024-03-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-06 | 2024-03-27 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-02-06 | 2024-03-27 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-02-06 | 2024-03-27 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-02-06 | 2024-03-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-02-06 | 2024-03-27 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-02-06 | 2024-03-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-06 | 2024-03-27 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-02-06 | 2024-03-27 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-02-06 | 2024-03-27 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-02-06 | 2024-03-27 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-02-06 | 2024-03-27 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-02-06 | 2024-03-27 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-02-06 | 2024-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-06 | 2024-03-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-02-06 | 2024-03-27 | N |
| Keep all essential equipment working safely. | Health | 2024-02-06 | 2024-03-27 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-02-06 | 2024-03-27 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-02-06 | 2024-03-27 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-02-06 | 2024-03-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-06 | 2024-03-27 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-02-06 | 2024-03-27 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-02-06 | 2024-03-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-06 | 2024-03-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-06 | 2024-03-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-06 | 2024-03-27 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-02-06 | 2024-03-27 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-06 | 2024-03-27 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-02-06 | 2024-03-27 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-02-06 | 2024-03-27 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-02-06 | 2024-03-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-06 | 2024-03-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-06 | 2024-03-27 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-02-06 | 2024-03-27 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-02-06 | 2024-03-27 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-02-06 | 2024-03-27 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-02-06 | 2024-03-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-06 | 2024-03-27 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-17 | 2024-03-18 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-01-17 | 2024-03-18 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-01-17 | 2024-03-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-01-17 | 2024-03-18 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-17 | 2024-03-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-17 | 2024-03-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-17 | 2024-03-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-17 | 2024-03-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-01-17 | 2024-03-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-17 | 2024-03-18 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-03-08 | 2022-06-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-08 | 2022-06-27 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-08 | 2022-06-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-08 | 2022-06-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-08 | 2022-06-27 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-03-08 | 2022-06-27 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-03-08 | 2022-06-27 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-03-08 | 2022-06-27 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-08 | 2022-06-27 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-03-08 | 2022-06-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-08 | 2022-06-27 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-03-08 | 2022-06-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-08 | 2022-06-27 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-08 | 2022-06-27 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-08 | 2022-06-27 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-08 | 2022-04-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-08 | 2022-04-22 | Y |
| Post nurse staffing information every day. | Health | 2022-03-08 | 2022-04-22 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-03-08 | 2022-04-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-08 | 2022-04-22 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-03-08 | 2022-04-22 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-03-08 | 2022-04-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-02-26 | 2019-04-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-26 | 2019-04-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-26 | 2019-04-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-02-26 | 2019-04-10 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-02-26 | 2019-04-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-26 | 2019-04-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-02-27 | 2019-03-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-27 | 2019-03-30 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-02-27 | 2019-03-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-02-27 | 2019-03-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-27 | 2019-03-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-10-17 | 2018-01-08 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-10-19 | 2017-11-30 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-10-19 | 2017-11-30 | N |
| Provide housekeeping and maintenance services. | Health | 2017-10-19 | 2017-11-30 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-10-19 | 2017-11-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-19 | 2017-11-30 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-19 | 2017-11-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-19 | 2017-11-30 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2017-10-19 | 2017-11-30 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2017-10-19 | 2017-11-30 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-19 | 2017-11-30 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-10-17 | 2017-11-30 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-10-17 | 2017-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-17 | 2017-11-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-10-17 | 2017-10-30 | N |
| Post nurse staffing information every day. | Health | 2024-02-06 | Not Fixed | N |
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