Inspection·February 1, 2024

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interview, and record review, the facility failed to maintain privacy of residents' personal and medical records for two (Residents #113 and #1) of 34 sampled residents. Residents Affected - Few The findings include: 1. On 02/01/24 at 9:49 a.m., a computer on the nurse's medication cart on the west wing hallway was observed to be unlocked. The computer screen displayed the medical record for Resident #113. The record revealed the resident's physician's orders, physician, and room number. (Photographic evidence obtained) Licensed Practical Nurse (LPN) D was observed exiting Resident #113's room on 02/10/24 at 9:53 a.m. She stated she had to give the resident his medication and forgot to close the computer. 2. On 02/01/24 at 9:59 a.m., the door to room [ROOM NUMBER] was observed with a yellow poster indicating that the resident in 318 bed A was NPO (nothing consumed by mouth) on 02/01/24. The resident's name was also displayed on the door identifying the resident in 318 bed A as Resident #1. In an interview on 02/01/24 at 11:03 a.m. with LPN E, she stated Resident #1was having an abdominal ultrasound and needed to be NPO. When asked about the sign on the door, she stated it should not have been placed there. During an interview with the Director of Nursing (DON) on 02/01/24 at 11:07 a.m., she stated the computer should be locked while the nurse is away from it. When asked about the sign on the door for room [ROOM NUMBER], she stated it should not have been there. She added that the staff should communicate the residents' information during report and the morning huddle meeting. A review of the facility's policy and procedure titled Confidentiality of Medical Information, Policy Number NM 11-10, effective October 1, 2010, revealed that the policy's purpose indicated that the resident had the right to privacy and confidentiality of clinical information. The policy standard read: The facility should keep confidential all information contained in a resident's record, regardless of the form of storage or location of the record, except when release is required to another health care facility or by law. To maintain confidentiality of resident medical information, employees should exercise caution during discussion of a confidential nature with the resident, in using medical record information for documentation purpose, and in the use of signs or care reminder information sheets that may be posted in the resident's room. . Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 6 Event ID: 105311 Printed: 05/28/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 105311 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/01/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Daytona Beach Health and Rehabilitation Center 1055 3rd Street Daytona Beach, FL 32117 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)