SEAVIEW NURSING AND REHABILITATION CENTER FL DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
03/03/2011	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	Widespread	Potential for minimal harm
03/03/2011	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
03/03/2011	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Isolated	Minimal harm or potential for actual harm
03/03/2011	Provide needed housekeeping and maintenance.	Isolated	Minimal harm or potential for actual harm
03/03/2011	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
03/03/2011	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Actual harm
03/03/2011	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
03/03/2011	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	Isolated	Minimal harm or potential for actual harm
02/28/2011	properly maintained smoke detectors.	Widespread	Minimal harm or potential for actual harm
02/28/2011	an approved automatic sprinkler system connected to the fire alarm system.	Isolated	Minimal harm or potential for actual harm
02/28/2011	automatic sprinkler systems that have been maintained in working order.	Pattern	Minimal harm or potential for actual harm
02/28/2011	portable fire extinguishers.	Isolated	Minimal harm or potential for actual harm
02/28/2011	a fire alarm system that can be heard throughout the facility.	Widespread	Minimal harm or potential for actual harm
02/28/2011	approved construction type or materials.	Isolated	Minimal harm or potential for actual harm
02/28/2011	corridor and hallway doors that block smoke.	Widespread	Minimal harm or potential for actual harm
02/28/2011	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	Pattern	Minimal harm or potential for actual harm
02/28/2011	smoke barrier doors that can resist smoke for at least 20 minutes.	Widespread	Minimal harm or potential for actual harm
02/28/2011	construction that can resist fire for one hour or an approved fire extinguishing system.	Isolated	Minimal harm or potential for actual harm
02/28/2011	exits that are accessible at all times.	Widespread	Minimal harm or potential for actual harm
02/28/2011	properly located and lighted "Exit" signs.	Isolated	Minimal harm or potential for actual harm
02/28/2011	did not have a written emergency evacuation plan.	Isolated	Minimal harm or potential for actual harm
02/28/2011	record of quarterly fire drills for each shift under varying conditions.	Widespread	Minimal harm or potential for actual harm
02/28/2011	posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed.	Isolated	Minimal harm or potential for actual harm
02/28/2011	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Widespread	Minimal harm or potential for actual harm
02/28/2011	properly protected cooking facilities.	Isolated	Minimal harm or potential for actual harm
02/28/2011	exits that are free from obstructions and can be used at all times.	Pattern	Minimal harm or potential for actual harm
02/28/2011	proper medical gas storage and administration areas.	Widespread	Minimal harm or potential for actual harm
02/28/2011	proper construction of ducts through walls designed to prevent smoke passage.	Widespread	Minimal harm or potential for actual harm
02/28/2011	no-smoking signs where oxygen is used.	Isolated	Minimal harm or potential for actual harm
02/28/2011	weekly inspections and monthly testing of generators.	Widespread	Minimal harm or potential for actual harm
02/28/2011	a separate and independent backup electrical power source.	Widespread	Minimal harm or potential for actual harm
02/28/2011	properly installed electrical wiring and equipment.	Widespread	Minimal harm or potential for actual harm
01/22/2010	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
01/22/2010	Give enough notice to the resident before changing the resident's room or roommate.	Isolated	Minimal harm or potential for actual harm
01/22/2010	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
01/22/2010	Keep adequate and comfortable lighting in all areas.	Isolated	Minimal harm or potential for actual harm
01/22/2010	Get doctor orders for the resident's immediate care when admitted.	Isolated	Minimal harm or potential for actual harm
01/22/2010	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
01/22/2010	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
01/22/2010	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Minimal harm or potential for actual harm
01/22/2010	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.	Isolated	Minimal harm or potential for actual harm
01/22/2010	Make sure that each resident's nutritional needs were met.	Isolated	Minimal harm or potential for actual harm
01/22/2010	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
01/22/2010	Make sure that a working call system is available in each resident's room or bathroom and bathing area.	Isolated	Minimal harm or potential for actual harm
01/22/2010	Get services outside the nursing home that meet professional standards.	Isolated	Minimal harm or potential for actual harm
01/21/2010	an approved installation, maintenance and testing program for fire alarm systems.	Widespread	Minimal harm or potential for actual harm
01/21/2010	automatic sprinkler systems that have been maintained in working order.	Isolated	Minimal harm or potential for actual harm
12/03/2008	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Pattern	Potential for minimal harm
12/03/2008	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	Isolated	Minimal harm or potential for actual harm
12/03/2008	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
12/03/2008	Do a new assessment after any major change in a resident's physical or mental health.	Isolated	Minimal harm or potential for actual harm
12/03/2008	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
12/03/2008	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
12/03/2008	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern	Minimal harm or potential for actual harm
12/03/2008	Develop/implement required procedures for the administration of immunizations.	Widespread	Potential for minimal harm
12/03/2008	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
12/03/2008	Get rid of garbage properly.	Widespread	Potential for minimal harm
12/03/2008	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
12/03/2008	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Pattern	Minimal harm or potential for actual harm
12/02/2008	did not have a written emergency evacuation plan.	Widespread	Minimal harm or potential for actual harm
12/02/2008	record of quarterly fire drills for each shift under varying conditions.	Widespread	Minimal harm or potential for actual harm
12/02/2008	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Widespread	Minimal harm or potential for actual harm
12/02/2008	proper construction of ducts through walls designed to prevent smoke passage.	Widespread	Minimal harm or potential for actual harm
12/02/2008	weekly inspections and monthly testing of generators.	Widespread	Minimal harm or potential for actual harm

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Where does this data come from?

The data on this website describes nursing home characteristics, quality measures, inspection results, and nursing staff information.

The data come from 2 sources:

1. Centers for Medicare & Medicaid Services (CMS) have an Online Survey, Certification, and Reporting (OSCAR) database - Includes the nursing home characteristics and health deficiencies issued during the three most recent state inspections and recent complaint investigations.

   The survey inspection results are collected by the state survey agencies, who perform onsite visits to nursing homes . The inspections occur at least once during a 15-month period, or any time in between as a result of a complaint received by the state. The inspections ensure that the nursing home residents receive quality care and services in a safe and comfortable environment in accordance with rules established by CMS. Complaints may be reported and inspected during the year (outside of the 9-15 month survey cycle). Inspections about a complaint that result in the citation of a health deficiency are reported to CMS and included in this website. Sometimes the inspection finds a problem that the nursing home identified and corrected before the inspection occurred. The fact and the nature of these prior problems (deficiencies) may be included in this website.

   The information on the nursing homes' characteristics derived from OSCAR are prepared by each nursing home at the beginning of the regular State inspection. This information is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure data accuracy. In addition, this information changes frequently as residents are discharged and admitted, or resident conditions change.

2. National database known as the Minimum Data Set (MDS) Repository

   The data for the quality measures come from the MDS Repository. The MDS is collected on regular intervals for every resident in a Medicare or Medicaid certified nursing home. Information is collected on the resident's health, physical functioning, mental status, and general well-being. These data are used by the nursing home to access the needs and develop a plan of care unique to each resident.

   Regulations require that a MDS assessment be performed at admission, quarterly, annually, and whenever the resident experiences a significant change in status. For residents in a Medicare Part A stay, the MDS is also used to determine the Medicare reimbursement rate. These assessments are performed on the 5th, 14th, 30th, 60th and 90th day of admission.

   All of this data is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure that it is accurate. Every attempt is made to assure the accuracy and timeliness of this information. However, this information changes frequently as residents are discharged and admitted, or resident conditions change. We advise interpreting this information cautiously and supplementing it with information from the Ombudsman's office, the State Survey Agency, or other sources.

   Some MDS items used to calculate the quality measures consider the resident's condition during previous days prior to the assessment date. The following table provides these "observation" or "look back" time frames.

Signs of Nursing Home Abuse:

• Unexplained injuries or bruises
• Over or under medication
• Visible cuts, bruises, or welts
• Rapid weight loss or weight gain
• Dehydration, malnutrition, and bedsores
• Unsanitary living conditions
• Infections
• Broken bones
• Sudden death