105308
11/09/2022
Avante at Inverness Inc
304 S Citrus Ave Inverness, FL 34452
F 0732
Post nurse staffing information every day.
Level of Harm - Minimal harm or potential for actual harm
Based on observation, interview, and record review, the facility failed to ensure nurse staffing information was posted on a daily basis.
Residents Affected - Few
Findings include: During an observation on 11/7/2022 at 6:30 AM, upon entrance to the facility, the nurse staffing posted on the table in the front lobby was dated 11/4/2022. During an interview on 11/9/2022 at 9:55 AM, the Acting Administrator stated it was his expectation to have the staffing information posted and readily available with the correct information at the beginning of each shift. Review of the facility policy and procedures titled Nursing Services- Nurse Staffing Information issued on 3/2/2019 and revised and reviewed on 12/18/2021, reads, It is the policy of the facility to make staffing information readily available in a readable format to residents and visitors at any given time. Procedure: 1. The facility will post the following information daily: a. Facility name. b. The current date.
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105308
11/09/2022
Avante at Inverness Inc
304 S Citrus Ave Inverness, FL 34452
F 0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Level of Harm - Minimal harm or potential for actual harm
Based on record review and interview, the facility failed to ensure the binding arbitration agreements explicitly granted the resident or his or her representative the right to rescind the agreement within 30 calendar days of signing it for to 3 of 3 reviewed residents, Residents #29, #100, and #152.
Residents Affected - Many
Findings include: Review of Voluntary Binding Arbitration Agreement presented to Resident #29 on 10/10/2022 reads, F. RIGHT TO CHANGE YOUR MIND: This Agreement may be cancelled by written notice sent certified mail, return receipt requested, to the Facility's Administrator within fifteen (15) calendar days of the Resident's date of admission. If alleged acts underlying the dispute are committed prior to the cancellation date, this Agreement shall be binding with respect to said alleged acts. If not cancelled in writing, this Agreement shall be binding on this admission and all of the Resident's other admissions to Avante without any need for further renewal. Review of Voluntary Binding Arbitration Agreement presented to Resident #100 on 10/10/2022 reads, F. RIGHT TO CHANGE YOUR MIND: This Agreement may be cancelled by written notice sent certified mail, return receipt requested, to the Facility's Administrator within fifteen (15) calendar days of the Resident's date of admission. If alleged acts underlying the dispute are committed prior to the cancellation date, this Agreement shall be binding with respect to said alleged acts. If not cancelled in writing, this Agreement shall be binding on this admission and all of the Resident's other admissions to Avante without any need for further renewal. Review of Voluntary Binding Arbitration Agreement presented to Resident #152 on 11/2/2022 reads, F. RIGHT TO CHANGE YOUR MIND: This Agreement may be cancelled by written notice sent certified mail, return receipt requested, to the Facility's Administrator within fifteen (15) calendar days of the Resident's date of admission. If alleged acts underlying the dispute are committed prior to the cancellation date, this Agreement shall be binding with respect to said alleged acts. If not cancelled in writing, this Agreement shall be binding on this admission and all of the Resident's other admissions to Avante without any need for further renewal. During an interview on 11/8/2022 at 12:51 PM, the Acting Administrator confirmed the facility's arbitration agreement had not yet been revised to include explicitly granting the resident or his or her representative the right to rescind the agreement within 30 calendar days of signing it.
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105308
11/09/2022
Avante at Inverness Inc
304 S Citrus Ave Inverness, FL 34452
F 0851
Level of Harm - Minimal harm or potential for actual harm
Residents Affected - Few
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Based on record review and interview, the facility failed to comply with mandatory submission of staffing information based on payroll data in a uniform format at least quarterly for Quarter 3 2022 (April 1- June 30).
Findings include: Review of the facility's Payroll Based Journal report dated 11/3/2022 revealed the facility failed to submit staffing information within the timeline requirements for Quarter 3 of 2022 (April 1- June 30). During an interview on 11/9/2022 at 12:32 PM, the Acting Administrator confirmed that the Payroll Based Journal data was not submitted by the corporate office for Quarter 3 of 2022 (April 1- June 30).
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