| General |
| City |
| Cutler Bay |
Tampa |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 19590 Old Cutler Road |
2916 Habana Way |
| Zip Code |
| 33,157 |
33,614 |
| Phone |
| 7,864,663,500 |
8,138,765,141 |
|
Overall Star Rating |
| 2 |
2 |
|
Health Inspections Star Rating |
| 2 |
1 |
|
Nurse Staffing Star Rating |
| 3 |
4 |
|
Quality Measures Star Rating |
| 3 |
3 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 163 |
150 |
| Total Number of Residents |
| 143 |
144 |
|
Percent of Occupied Beds |
| 88 % |
96 % |
| Health Survey Date |
| 5/25/2012 |
3/24/2011 |
| Fire Survey Date |
| 5/22/2012 |
3/24/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Government - County |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 5 |
30 |
|
| Staff Information |
| Number of Residents |
| 143 |
144 |
| Number of RN Hours Per Resident Per Day |
| 0.64 |
0.69 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.52 |
0.89 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.16 |
1.58 |
| Number of CNA Hours Per Resident Per Day |
| 0.04 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
| 0.04 |
0.08 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 11/09/2010date Of Correction: 12/10/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 04/06/2012date Of Correction: 05/26/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 06/10/2010date Of Correction: 07/10/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 10/01/2009date Of Correction: 11/01/2009 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 10/01/2009date Of Correction: 11/01/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 04/06/2012date Of Correction: 04/18/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 04/06/2012date Of Correction: 04/18/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 06/28/2011date Of Correction: 07/18/2011 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.survey Date: 11/09/2010date Of Correction: 12/10/2010 |
Scope: Somelevel Of Harm: 3deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 06/15/2012date Of Correction: 07/31/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.survey Date: 11/09/2010date Of Correction: 12/10/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 06/15/2012date Of Correction: 07/31/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 06/15/2012date Of Correction: 07/31/2012 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 04/06/2012date Of Correction: 04/18/2012 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 03/20/2012date Of Correction: 04/18/2012 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.survey Date: 04/05/2010date Of Correction: 05/05/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 04/10/2012date Of Correction: 05/10/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 06/15/2012date Of Correction: 07/31/2012 |
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 11/09/2010date Of Correction: 12/10/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 06/15/2012date Of Correction: 07/31/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 03/20/2012date Of Correction: 05/26/2012 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.survey Date: 03/20/2012date Of Correction: 05/26/2012 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 03/20/2012date Of Correction: 04/18/2012 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 03/20/2012date Of Correction: 04/18/2012 |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/20/2012date Of Correction: 05/26/2012 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 06/15/2012date Of Correction: 07/31/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.survey Date: 03/20/2012date Of Correction: 04/18/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Doctors Orders For The Resident's Immediate Care, At The Time The Resident Was Admitted.survey Date: 03/20/2012date Of Correction: 04/18/2012 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 10/01/2009date Of Correction: 11/01/2009 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 10/01/2009date Of Correction: 11/12/2009 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 10/01/2009date Of Correction: 11/23/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 06/15/2012date Of Correction: 07/31/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 06/15/2012date Of Correction: 07/31/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 04/06/2012date Of Correction: 04/18/2012 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 04/06/2012date Of Correction: 04/18/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 21.1 % |
27.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.50 % |
1.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.3 % |
17.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 15.8 % |
5.4 % |
| Percent of long-stay residents who lose too much weight |
| 6.2 % |
4.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 42.2 % |
16.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.3 % |
3.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.5 % |
1.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
2.5 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 24.1 % |
35.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 84.6 % |
97.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 84.1 % |
96.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.8 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.9 (64.2) |
25.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.4 % |
2.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.8 % |
17 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 15.3 % |
7 % |
| Percent of long-stay residents who lose too much weight |
| 5.7 % |
7.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 40.8 % |
16.9-24 |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7 % |
4.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 4 % |
3.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
2.20 % |
| Percent of long-stay residents who were physically restrained |
| 0.8 % |
2.1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.5 % |
0.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 18.8 % |
40.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 85.3 % |
98.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 83.1 % |
95.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 4.5 % |
2.20 % |