West Volusia Healthcare and Rehabilitation Center

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Tag F0812 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Feb 23, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Tag F0842 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Feb 23, 2025

Provide and implement an infection prevention and control program.

Tag F0880 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Feb 23, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Tag F0600 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Feb 23, 2025

Provide and implement an infection prevention and control program.

Tag F0880 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Mar 14, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Tag F0657 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Apr 7, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Tag F0684 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Apr 7, 2023

Provide safe and appropriate respiratory care for a resident when needed.

Tag F0695 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Apr 6, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Tag F0725 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Mar 21, 2023

Post nurse staffing information every day.

Tag F0732 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Mar 21, 2023

Ensure medication error rates are not 5 percent or greater.

Tag F0759 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Apr 7, 2023

Ensure that residents are free from significant medication errors.

Tag F0760 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Mar 21, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Tag F0812 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Apr 6, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

Tag F0677 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Aug 22, 2021

Assist a resident in gaining access to vision and hearing services.

Tag F0685 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Aug 22, 2021

Provide safe and appropriate respiratory care for a resident when needed.

Tag F0695 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Aug 22, 2021

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Tag F0758 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Aug 22, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Tag F0812 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Aug 22, 2021

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Tag F0842 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Aug 22, 2021

Provide properly protected cooking facilities.

Tag K0324 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Feb 23, 2025

Have approved installation, maintenance and testing program for fire alarm systems.

Tag K0345 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Feb 23, 2025

Inspect, test, and maintain automatic sprinkler systems.

Tag K0353 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Feb 23, 2025

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Tag K0761 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Feb 23, 2025

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Tag K0914 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Feb 23, 2025

Have generator or other power source capable of supplying service within 10 seconds.

Tag K0918 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Feb 23, 2025

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Tag K0211 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 21, 2023

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Tag K0222 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 21, 2023

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Tag K0352 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Apr 3, 2023

Inspect, test, and maintain automatic sprinkler systems.

Tag K0353 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 21, 2023

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Tag K0362 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 21, 2023

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Tag K0741 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 21, 2023

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Tag K0761 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Mar 21, 2023

Have proper medical gas storage and administration areas.

Tag K0923 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Mar 21, 2023

Meet other general requirements.

Tag K0932 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Mar 21, 2023