Inspection Results » Adventhealth Care Center Zephyrhill North

Health Inspection on June 8, 2018 ^[1]

1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide and implement an infection prevention and control program. (Corrected 2018-07-16)

2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-08-10)
   • 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. (Corrected 2018-07-16)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-07-16)
   • Provide doctor's orders for the resident's immediate care at the time the resident was admitted. (Corrected 2018-07-16)
   • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2018-07-16)
   • 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 ne (Corrected 2018-07-16)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-07-16)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-07-16)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-08-10)
   • 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. (Corrected 2018-07-16)