Vivo Healthcare St. Petersburg

Inspectors wroteBased on observations, interviews, and record reviews, the facility did not ensure Preadmission Screening and Resident Review (PASRR) Level I screens were updated and/or Level II's were submitted for seven residents (#37, #14, #11, #2, #63, #69, #47) out of seven reviewed for PASRRs to ensure they were appropriate to admit to the facility.

Inspectors wroteBased on observation, record review and interviews, the facility failed to post the Daily Nursing Staffing form appropriately for four out of four days. Findings Included: During multiple observations from 06/29/2025 thru 07/02/2025 revealed the Daily Nursing Staffing form was not posted on the 2nd floor. During an observation on 06/29/2025 at 9:15 a.m., the Daily Nursing Staffing form for Day Registered Nurse (RN) total Number and Actual Hours was blank. The Daily Staff Form for Evening Licensed Practical Nurse (LPN) was blank for total number and actual hours. (Photographic evidence obtained) During an observation on 07/01/2025 at 8:52 a.m., the Daily Nursing Staffing form for Evening Licensed Practical Nurse (LPN) was blank for total number and actual hours. [...]

Inspectors wroteBased on observations, interviews, and record review the facility did not maintain an effective pest control program to prevent pests on one floor (1st) out of two floors in the facility.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure reasonable accommodations were made to ensure three residents (#32, #11, & #2) of three residents reviewed were able to shower.

Inspectors wroteBased on interviews, observations, and record review, the facility failed to ensure the residents had a clean and homelike environment for two (1st and 2nd floors) of two floors toured.

Inspectors wroteBased on observations, record reviews and interviews, the facility failed to ensure the grievance process was followed for two residents (#4 and #47) out of 21 residents sampled and for the Resident Council members. Findings Included: 1. During an interview on 06/30/2025 at 10:29 a.m., Resident #4 stated she was supposed to have a Cat (CT) scan completed on Friday (06/27/2025) at 8:00 a.m. I spoke with the Administrator on Friday and this morning about it. I was told it would be rescheduled but no one has told me if it has been rescheduled. I’m afraid it will not be completed in time for my appointment with my surgeon on Wednesday. Review of Resident #4's admission record revealed an admission date of 06/04/2025. [...]

Inspectors wroteBased on observations and interviews the facility did not ensure one courtyard out of one was free from accident hazards.

Inspectors wroteBased on record review and interviews, the facility did not ensure medication reviews and recommendations from the pharmacy consultant were addressed and side effect/behavior monitoring was not in place for three residents (#3, #47 and #14) of five residents reviewed for unnecessary medications.

Inspectors wroteBased on observations, interviews, and record review, the facility did not ensure the medication error rate was below 5% for two residents (#85 and #27) out of five residents sampled for medication administration. This resulted in five errors out of 26 medication administration opportunities for a medication error rate of 19.23%.Findings Included: An observation was conducted on 6/29/25 at 9:16 a.m. of medication administration with Staff V, Licensed Practical Nurse (LPN). [...]

Inspectors wroteBased on observations, record review, and interviews, the facility did not follow professional standards for food service safety in the kitchen as evidenced by: a) staff did not add sanitizer solution to the three-compartment sink; b) refrigerator and freezer temperatures were not recorded; c) hand hygiene was not performed during a change of tasks; and d) fruits and vegetables were not maintained to prevent spoilage.

Inspectors wroteBased on observations and interviews, the facility did not follow requirements for food service safety in two of two dumpsters as evidenced by garbage was not properly contained and the area was not maintained in a sanitary condition.

Inspectors wroteBased on observation, record review and interviews, the facility failed to follow infection control practices related to staff with artificial nails, an ice scoop in the ice not in the holder, hand hygiene during medication distribution and transmission-based precautions were followed for Resident #82. Based on observation, record review and interviews, the facility failed to follow infection control practices related to staff with artificial nails, an ice scoop in the ice not in the holder, hand hygiene during medication distribution and transmission-based precautions were followed for Resident #82. Findings Included: During an observation on 06/29/2025 at 12:11 p.m., Staff Q, Certified Nurse Assistant (CNA) was observed with artificial nails protruding past the tips of her fingers. [...]

Inspectors wroteBased on observations, record reviews and interviews the facility failed to ensure dignity was provided related to residents having private access to a phone for two residents (#47 and #40) out of 21 sampled residents, and failed to ensure dignity was provided during meals in one of two dining rooms and failed to ensure dignity was provided related to standing while assisting one resident (#35) of 21 sampled residents. Findings Included: 1. During an interview on 07/01/2025 at 10:15 a.m., Resident #47 stated he had an issue last night with staff not allowing him to have a private phone call in the dining room. He stated he was on the phone when a staff member came in and told him he was not allowed to be in the dining room at that time. I had to hang up with the person I was speaking with and go back to my room. [...]

Inspectors wroteFindings included: 1. During an interview on 06/29/25 at 10:52 AM Resident #32 stated having concerns regarding not receiving medications as ordered by the physician. Review of the admission Record for Resident #32 revealed an admission on [DATE] and re-admitted on [DATE] with the following diagnosis: urinary tract infections (UTI), paraplegia, multi-drug-resistant infection, bell's palsy, low back pain, pain, other intervertebral disc displacement, lumbar region, female pelvic inflammatory disease, muscle spasm, need for assistance with personal care, hereditary idiopathic neuropathy, and other co-morbidities. Review of Resident #32's Minimum Data Set (MDS) assessment, dated 04/08/25, revealed Section C Cognitive Patterns, revealed a score of 14 out 15 on the Brief Interview for Mental Status (BIMS) assessment, indicating the resident was cognitively intact. [...]

Inspectors wroteBased on observations and interviews, the facility failed to ensure privacy of resident information on one floor (1st) out of two floors in the facility. Findings Included: An observation was conducted on 6/30/25 at 12:27 p.m. in the 100 [NAME] Hall of a medication cart with the computer screen unlocked. A resident's private information was visible to anyone in the hall and there was no staff member present. An interview was conducted on 6/30/25 at 12:29 p.m. with Staff M, Licensed Practical Nurse (LPN). Staff M, LPN returned to her medication cart and confirmed she left the screen unlocked with a resident's medical record displayed. Staff M, LPN said she only walked away to get a blood pressure cuff. She confirmed the screen should have been locked. An observation was conducted on 7/1/25 at 10:15 a.m. [...]

Inspectors wroteBased on observations, interviews, and record review, the facility did not ensure quality care and services were provided to one resident (#33) out of thirty-six residents reviewed related to physician orders for intravenous (IV) site dressing changes.

Inspectors wroteBased on observations, interviews, and record review the facility failed to provide appropriate bathing equipment for three residents (#32, #11, & #2) out of three sampled residents.

Inspectors wroteBased on interviews and record review the facility did not ensure monitoring and interventions were put in place related to a significant weight loss for one resident (#44) out of three residents reviewed for nutrition.

Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure a Calcium Tomography Angiography (CTA) was competed for one (Resident #4) out of 21 residents sampled. Findings Included: During an interview on 06/30/2025 at 10:29 a.m., Resident #4 stated she was supposed to have a cat (CT) scan completed on Friday (06/27/2025) at 8:00 a.m. When I asked transportation about the appointment on Friday, I was told he cannot just take me to appointments. The CT is supposed to be done before I see my Vascular Surgeon on Wednesday (07/01/2025) so that he can review it and schedule my surgery. Now I am afraid the CT is not going to be scheduled in time for my appointment on Wednesday. I was told it would be rescheduled but no one has told me if it has been rescheduled. Review of Resident #4's admission record revealed an admission date of 06/04/2025. [...]

Inspectors wroteBased on observation, interviews, and record review the facility failed to ensure menus were provided to one resident (#53) out of eight residents sampled.

Inspectors wroteBased on observations, interviews, and record review the facility failed to offer a snack to residents who want to eat at non-traditional times or outside scheduled meal service times for one resident (#439) out of 8 residents sampled for dining and the Resident Council.

Inspectors wroteBased on observation, record review and interviews, the facility did not ensure medical records were accurate, related to the location of a wound, for one resident (#33) of thirty-six residents reviewed.

Inspectors wroteBased on observation, record review and interview the facility failed to ensure equipment was functioning and timely follow-up and submission of work orders related to the automatic patio door, dish machine, walk-in freezer, and first floor nourishment room refrigerator.

Inspectors wroteBased on interview and record review, the facility failed to ensure care plans were accurate or developed for two residents (#2, #3) out of three sampled residents.

Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure adequate supervision was provided for two residents (#2, #3) of three residents sampled for fall accidents.

Inspectors wroteBased on record review, interview, and review of the facility's policy Abuse Investigation and Reporting the facility failed to immediately report an allegation of abuse, upon resident disclosure, for one resident (Resident #2) of three residents reviewed for abuse.

Inspectors wroteBased on observation, interview, policy review and photographic evidence the facility failed to store food in accordance with professional standards for food service safety. The facility failed to label and date food items in both the walk in freezer and dry storage area. The facility failed to ensure the refrigerator and freezer temperature logs were completed. The facility failed to ensure the dishwasher temperature gauges were in good working order in one of one kitchen with the potential to affect 73 out of a census of 75 residents.

Inspectors wroteBased on observation, interview and policy review the facility failed to ensure the call bell system was working and available on two of two floors for a census of 75 residents.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure shared communication between the facility and the dialysis facility for three residents (#203, #208 and #209) of three residents sampled for dialysis care.

Inspectors wroteBased on observation, interview, medical record review, and review of the policy for Drug Diversion, the facility failed to ensure the disposition of controlled medications reflected accurate accounting and record keeping for three residents (#52, #59, and #51) out of six residents sampled for pain.

Inspectors wroteBased on interviews, record review and policy review the facility failed to ensure a reported allegation of abuse was reported for one resident (#154) out of 31 one sampled residents.

Inspectors wroteBased on interviews, record review and policy review the facility failed to ensure a reported allegation of abuse was investigated for one resident (#154) out of 31 one sampled residents.

Inspectors wroteBased on medical record review, observation and staff interviews, the facility failed to ensure the Quarterly Minimum Data Set Assessment (MDS) accurately reflected the resident's status for the use of an opioid received for one resident (#51) of five sampled residents.

Inspectors wroteBased on observation, interview, and record review the facility failed to develop a comprehensive care plan related to smoking for two residents (#202 and #206) of three residents sampled for smoking.

Inspectors wroteBased on observation, interview, and medical record review the facility failed to follow professional standards of practice for pain management for two residents (#51 and #255) out of 6 residents sampled for pain as evidenced by not reordering a controlled substance in a timely manner.

Inspectors wroteBased on observation, interview, and medical record review the facility failed to ensure that outside services were collaborated for one resident (#56) out of one resident receiving hospice services.

Inspectors wroteBased on record reviews, interviews, and a review of the facility policy, the facility failed to ensure allegations related to verbal, physical, and sexual abuse were reported immediately to the governing agency in accordance with the State law for five residents (#133, #72, #3, #56 and #7) out of the sampled 40 residents.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that the plan of care for one resident (#61) out of 40 sampled residents was updated to reflect the use of a mechanical lift for transfers.

Inspectors wroteBased on observation, interview and record review, the facility did not ensure that the medication error rate was below 5.00%. A total of twenty-eight medications were observed administered and two errors were identified for two residents (#2 and #51) of three residents observed. These errors constituted a medication error rate of 7.14% percent.

Inspectors wroteBased upon observation, interview, and record review the facility failed to appropriately secure medications in two medication carts (2W and 2E) of four medication carts.