Harborview Sarasota

Inspectors wroteBased on observation, review of facility policy, resident and staff interview, and record review, the facility failed to provide the necessary assistance as outlined in the resident's care plan and according to residents' preferences for 4 (Residents #1, # 2, #55 and #90) of 7 residents reviewed for activities of daily living (ADL's).

Inspectors wroteBased on interview, record review and facility policy the facility failed to ensure that 5 (Licensed Practical Nurses Staff H, Staff N, Staff O, Staff P, and Staff Q) of 5 Licensed Practical Nurses reviewed had appropriate skill sets, and certifications to administer intravenous antibiotic therapy (IV) for 2 (Residents #73 and #66) of 3 residents reviewed for IV Therapy.

Inspectors wroteBased on record review, review of facility's policy and procedure and staff interviews, the facility failed to have documentation that 2 (Residents #73 and #66) of 3 residents reviewed, received intravenous antibiotics as ordered. Missed dosages of antibiotics could jeopardize the residents' health and safety.

Inspectors wroteBased on record review and interview, the facility failed to offer and/or administer the flu and/or pneumonia vaccine for 5 (Residents #8, #2, #92, #49, and #66 ) of 5 residents reviewed for vaccinations.

Inspectors wroteBased on record review and interview, the facility failed to ensure that 5 (Residents #8, #2, #92, #49, and #66 ) of 5 residents reviewed for vaccinations were offered and administered the COVID-19 vaccine unless the immunization was medically contraindicated.

Inspectors wroteBased on observations, review of facility policy and staff interviews, the facility failed to ensure a safe, clean, sanitary and homelike environment that emphasizes and enhances resident comfort for the residents in the 100, 200, and 400 halls.

Inspectors wroteBased on observation, record review, review of facility's policies and procedures and staff interviews, the facility failed to have documentation of fall investigations and failed to implement care planned interventions to reduce the risk of avoidable accidents for 1 (Resident #999) of 3 residents reviewed with multiple falls at the facility.

Inspectors wroteBased on observations, record review and interviews, the facility failed to maintain an effective pest control program to contain and eradicate common household pests.

Inspectors wroteBased on observation, review of the clinical record, review of facility policy and procedure, and resident, family and staff interviews, the facility failed to provide the necessary care and services to maintain personal hygiene for 1(Resident #999) of 3 residents reviewed for activities of daily living.

Inspectors wroteBased on review of the clinical record, review of policy and procedures and resident and staff interviews, the facility failed to protect vulnerable residents' rights to be free from abuse by failing to ensure residents were protected from mental and verbal abuse for 4 (Residents #699, # 700, #800 and #850) of 4 residents reviewed for allegations of abuse.

Inspectors wroteBased on review of policies and procedures, clinical record review, and staff interview, the facility failed to provide the necessary interventions to prevent the development of avoidable pressure ulcers for 1(Resident #799) of 3 residents identified as at risk for developing pressure ulcers.

Inspectors wroteBased on record review, review of the facility's policies and procedures, staff and resident interview the facility failed to implement their policies and procedures and demonstrate ongoing coordination to promote residents' rights and ensure 1 (Resident #45) of 25 residents reviewed for Advanced Directives accurately reflected their expressed wishes.

Inspectors wroteBased on observation, record review, staff, and resident interviews the facility failed to identify and promptly notify the physician of a rapid significant weight gain for 1 (Resident #67) of 1 with a diagnosis of congestive heart failure and observed with swelling of the abdomen, legs, and feet.

Inspectors wroteBased on observation, review of facility's policies and procedures, resident and staff interviews, the facility failed to maintain respiratory care equipment in accordance with manufacturer's specification for 1 (Resident #59) of 16 residents reviewed with oxygen therapy.

Inspectors wroteBased on observation, review of facility's policy and procedure, and staff interview the facility failed to safely store medications to prevent unauthorized access.

Inspectors wroteBased on record review, staff and resident interview, the facility interview and record review the facility failed to implement policies and procedure and assist 1 (Resident #130) of three sampled residents with transportation arrangement to scheduled medical practitioner's appointments.

Inspectors wroteBased on observations, staff and resident interviews and record review the facility failed to ensure they stored smoking materials and obtained a signed agreement, from each resident, attesting they will abide by the facility smoking policies and procedures for 4 Residents (#18, #53, #39 and #47) of 4 residents reviewed who smoke at the facility.

Inspectors wroteBased on staff interviews and staff record reviews, the facility failed to ensure 4 (Staff E, H, I, and J) of 4 Certified Nursing Assistant (CNA)'s employee records reviewed had a performance review completed at least once every 12 months. The facility failed to ensure staff had in-service education based on the outcome of their performance reviews by not having annual competency evaluations.

Inspectors wroteBased on review of the facility records and staff interviews the facility failed to provide documentation of an updated, written agreement for the provision of hospice services to reflect current ownership for 3 (Resident #16, #46, and #60) of 3 residents reviewed for hospice services.

Inspectors wroteBased on staff interview and record review, the facility failed to ensure 5 (Staff L, M, N, O and P) of 10 staff reviewed had the required education and training in abuse, neglect, and exploitation. Failure to provide staff with abuse, neglect, and exploitation training prior to working with facility residents could lead to staff not knowing how to prevent and report abuse, neglect, and exploitation.

Inspectors wroteBased on observations, review of the clinical records, review of facility policies and procedures, and staff interviews, the facility failed to implement meaningful resident centered activities to meet the interest and wellbeing of one (Resident #15) of one resident reviewed for activities. The lack of an individualized activity program has the potential to cause social isolation, boredom, agitation, and frustration.

Inspectors wroteBased on observations, facility policy review, and staff interviews, the facility failed to secure medication by leaving two loose pills on top of an unlocked, unattended medication cart and secure a computer screen from view on the 400-hallway for 1 of 2 medication carts observed.