Summer Springs Board & Care

Report specified resident events within seven days

87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below... This requirement was not met as evidence by: record review of special incident reports submitted to the Department. Incident reports were not reported for medication errors with R1 and R2. This poses a potential health safety and or person rights risk to residents in care.

Rapid-growth perishable foods must be covered

Based on LPA observation, the licensee did not comply with the section cited above in that food in the garage freezer was not stored properly and was undated. Food in the kitchen refrigerator/freezer was not stored properly and undated. This poses a potential health, safety or personal rights risk to persons in care.

Keep prescriptions in original containers

Based on LPA observation, the licensee did not comply with the section cited above in that medications are being pre-poured and not being stored in the original received container.Medications are being transferred between the containers for the day and stored in the kitchen cabinet. This poses a potential health, safety or personal rights risk to persons in care.

Resident record must include minimum required items

Based on records reviewed, the licensee did not comply with the section cited above in that Facility is not properly safeguarding resident cash. Facility has a "facility account" where all resident funds go into. Facility is not completing functional capabilities for residents in care. Pre-admission appraisals are not being completed. This poses a potential health, safety or personal rights risk to persons in care.

Store disinfectants separately from food supplies

Based on LPA observation, the licensee did not comply with the section cited above in that roach baits were observed under kitchen counter stored with food. This poses a potential health, safety or personal rights risk to persons in care.

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidence by: records reviewed and interviews completed. The licensee did not comply with the section cited above in that R1 was provided medication 2x in the am instead of 2x daily as prescribed and medication audit for R2 disclosed 4 medication errors. This poses an immediate health safety and or personal rights risk to residents in care.

87506 Resident Records (b)Each resident’s record shall contain at least the following information:... This requirement was not met as evidence by: records reviewed and interviews conducted. The licensee did not comply with the section cited above in that R1's file was reviewed and missing a Identification and Emergency Information (LIC 601), Pre-Placement Appraisal (LIC 603), updated Needs and Services Plan (LIC 625) , Release of Client/Resident Medical Information (LIC 605A), valid Admission Agreement. This poses a potential health safety and or personal rights risk to residents in care.

Food quality controls and rejected damaged goods

Based on observation, expired food was observed, which poses/posed an immediate health, safety or personal rights risk to persons in care.

Give PRN medication by physician order

Based on records review and observation, staff did not administer R1’s Aspirin 81 mg and Simvastatin 20mg medication and did not administer R2’s medication Aspirin 81mg and Melatonin 10 mg as directed by physician, which poses an immediate health and safety risk for the person in care.

Record dose details and resident medication response

Based on observations, records reviewed, and interviews conducted, staff administered R2’s Oxybutynin 5 mg on 04/05/25 and did not record in the resident’s MARs, which poses/ posed a potential health and safety risk for the person in care.

Maintain fire clearance before retaining specified persons

Based on observation, interview and record review, the licensee did not comply with the section cited above in having a staff room/office in the garage that is not fire cleared, which poses an immediate health, safety or personal rights risk to persons in care. LPA took photos.Cvil Penalty issued.

Handle syringes and needles under bloodborne pathogen rules

Based on observation, the licensee did not comply with the section cited above by licensee having a syringe box that is in R1's shared room with R2 accessible to R2, which poses an immediate health, safety or personal rights risk to persons in care.

Maintain records of centrally stored medication dosages

Based on observation interview record review, the licensee did not comply with the section cited above in Licensee did not have a bottle of oxycodone logged on centrally stored log which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation interview record review, the licensee did not comply with the section cited above by not having a plan for daily meals for residents with modified diets, facility staff could not answer what residents were eating for dinner which poses/posed a potential health, safety or personal rights risk to persons in care.

Store centrally held medications in locked secure place

Based on observation the licensee did not comply with the section cited above in by not having the medication cart locked and not having the medication refridgerator locked containing morphine and insulin which poses an immediate health, safety or personal rights risk to persons in care.

Required administrator qualifications listed in this subsection

Based on observation interview record review, the licensee did not comply with the section cited above due to the amount of citations Administrator is not meeting the requirements of this regulation, which poses an immediate health, safety or personal rights risk to persons in care.

Modified diets for medical necessity

Based on observation interview record review, the licensee did not comply with the section cited above by Licensee not having a diabetic diet for R1 and a low sodium diet for R3 which poses/posed a potential health, safety or personal rights risk to persons in care.

Food quality controls and rejected damaged goods

Based on observation, the licensee did not comply with the section cited above by having bags of expired carrots expiring 10/2023 which poses/posed a potential health, safety or personal rights risk to persons in care.

Agree in writing on agency and facility responsibilities

Based on observation interview record review, the licensee did not comply with the section cited above in Licensee did not have in writing the responsibilities of Home Health and the responsibilities of facility staff for R2 which poses/posed a potential health, safety or personal rights risk to persons in care.

Each terminal resident needs a written hospice care plan

Based on record review, the licensee did not comply with the section cited above in R4 not having a Hospice care plan which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above Licensee did not have training for R1's diabetic diet or for R4's medical conditions, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above by licensee not having an agreement signed by R2 for a shared room with R1 who is on Hospice which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation interview) record review, the licensee did not comply with the section cited above in Licensee did not have a home health care plan for R2 which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in 2 out of 2 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in 2 out of 2 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in 2 out of 2 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain fire clearance before retaining specified persons

Based on observation, the licensee did not comply with the section cited above by adding a staff room/office which was previously the garage, which poses an immediate health, safety or personal rights risk to persons in care.

Handle syringes and needles under bloodborne pathogen rules

Based on observation interview, the licensee did not comply with the section cited above by disposing used needles/syringes in an uncovered trash can in R1's room, which poses an immediate health, safety or personal rights risk to persons in care.

Requirement for building permit before construction

Based on interview and record review, the licensee did not comply with the section cited above by not obtaining a building permit to construct a staff bedroom/office in the garage, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 1 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 1 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 1 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain records of centrally stored medication dosages

Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 1 record which poses/posed a potential health, safety or personal rights risk to persons in care.

Report specified resident events within seven days

Reporting Requirements - A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence... Incident of resident being sent to hospital was not reported to the Department.

Grounds for eviction listed for residents

Eviction Procedures. The licensee may, upon thirty (30) days written notice to the resident, evict the resident for nonpayment of the rate for basic services, failure to comply with state or local law, failure to comply with the general policies of the facility, development of a need not previously identified, and/or a change of use of the facility. Facility did not accept R1 back from hospital & did not issue required 30 Day Notice.

Ensure hazardous items are locked and not unattended

Based on observation, the licensee did not comply with the section cited above when LPA observed a bleach bottle, laundry soap and other cleaning chemical bottles stored in an unlocked laundry cabinet in the laundry room accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care..