Inspection visit
Health inspection
3 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 3 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0657
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed,
and revised by a team of health professionals.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interviews and record review the facility failed to reassess the effectiveness of the interventions and revise
the care plan to meet the needs of the resident for 2 (Residents #7 and #36) of 4 resident sampled for falls
and accidents.
The findings included:
Review of the facility's policy titled, Fall Interventions with an effective date of 08/2003 included in part the
following: 7. The care plan interventions are reviewed and revised accordingly to help minimize the risk of a
recurring fall or fall with injury. 8. The Falling Star program includes: any residents that have fallen twice in a
month or two consecutive months in a row; any resident may be added to the program at the discretion of
the interdisciplinary team. They will be identified by: a. Placing a star on the resident's name plate outside
their room b. Placing a star on their walker, wheelchair or any other assistive device c. Any resident
remaining free from falls for 90 days may be removed from the program. 9. Falls will be discussed at the
interdisciplinary team daily in the Morning Meeting and weekly at the Standards of Care Committee.
Record review for Resident #7 revealed the resident was admitted to the facility on [DATE] with diagnoses
that included in part the following: Unspecified Dementia, Type 2 Diabetes, and Muscle Weakness.
Review of the Quarterly Minimum Data Set (MDS) for Resident #7 with a target date of 1/6/25 documented
in Section C a Brief Interview of Mental Status (BIMS) score of 6 indicating severe cognitive impairment.
Review of Resident #7's care plan effective from 8/31/18 to present with an active (current) problem of
Resident needs assist with ADLs (activities of daily living) r/t (related to) diagnosis of Dementia and
decreased mobility. Potential for falls r/t hx (history) of falls and medication side effects of Psychotropic drug
use, vision impairment 01/01/21/25 fall in room - no injuries. At risk for impaired communication r/t hearing
loss, resident's daughter not fixing hearing aides at this time - per nursing. The goal was for the resident to
have no serious injury r/t falls with goal date of 05/03/25. The interventions included the following: Fall risk,
Fall precautions, Falling Star, Frequent safety checks, independent with mobility risk of fall/injury, keep
areas free of obstructions to reduce the risk of falls or serious injury, verbal reminders to call/ask for assist if
dizzy to avoid falls and or serious injury, monitor for side effects of psychotropic drug use (all interventions
listed as active (current) with no date when added to care plan.
(continued on next page)
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 8
Event ID:
105396
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
105396
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/30/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chateau at Moorings Park, The
130 Moorings Park Drive
Naples, FL 34105
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)
F 0657
Review of the facility fall log from 7/01/24 to 1/25/25 documented Resident #7 had the following falls:
Level of Harm - Minimal harm
or potential for actual harm
On 9/7/24 fall no injury.
On 9/8/24 fall no injury.
Residents Affected - Some
On 11/6/24 fall no injury.
On 12/24/24 fall no injury.
On 1/21/25 fall no injury.
During an interview conducted on 1/29/25 at 3:30 p.m., with the Director of Nursing (DON) who was asked
about falls for Resident #7, the DON stated the resident had a fall risk assessment on 7/6/24 which
indicated the resident was a high risk for falls. The DON stated on 9/7/24 Resident #7 had an unwitnessed
fall, slid from her recliner with no injury reported. Physician and family notified no diagnostic ordered. On
9/8/24 Resident #7 had a fall from her bed not witnessed with no injuries physician and family notified no
orders received. On 11/6/24 Resident #7 had an unwitnessed fall when she slid out of couch in her room
with no injuries, physician and family notified no orders received. On 12/24/24 Resident #7 had an
unwitnessed fall in her bathroom with no injuries, family and physician notified, no orders received. On
1/21/25 Resident #7 had an unwitnessed fall, found next to bed with no injuries, family and physician
notified no orders received. The DON was asked about the care plan for Resident #7 and what
interventions were implemented each time the resident had a fall, she acknowledged she could not see any
dates associated with the interventions and would have Minimum Data Set (MDS) Coordinator pull the care
plans.
During an interview conducted on 1/30/25 at 1:00 p.m., with Staff C MDS Coordinator who stated she has
worked at the facility for about two years. When asked about Resident #7's fall care plan, she stated every
time the resident has a fall they add the fall information and date to the care plan problem. When resident
has a fall, they do a risk management assessment and if they determine an intervention should be added
they will add the intervention. She stated that when a resident has a fall the MDS Coordinator, the Assistant
Director of Nursing (ADON) or the DON can put in an intervention into the care plan. They also have
standards of care (meeting) on Fridays to review falls for the previous week and they review the
interventions and can put in additional interventions as appropriate. She acknowledged the fall interventions
were not updated each time Resident #7 had a fall.
Record review for Resident #36 revealed the resident was admitted to the facility on [DATE] with diagnoses
that included in part the following: Alzheimer's Disease with Late Onset and Anxiety Disorder.
Review of the Significant Change in Status MDS for Resident #36 with a target date of 12/30/24
documented in Section C a BIMS was not performed due to the resident is rarely/never understood.
Review of Resident #36's care plan effective 11/8/24 to present with an active (current) problem of the
resident requires assist with ADLs due to impaired mobility following s/p (status post) hospitalization for
syncope (a temporary loss of consciousness, commonly known as fainting or passing out). Potential for
pain d/t (due to) decreased mobility. Potential for falls d/t weakness and medication side effects. Potential
for skin breakdown d/t medication side effects and decreased mobility. The
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105396
If continuation sheet
Page 2 of 8
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
105396
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/30/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chateau at Moorings Park, The
130 Moorings Park Drive
Naples, FL 34105
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)
F 0657
Level of Harm - Minimal harm
or potential for actual harm
goal was for the resident to be free from injury with a goal date of 02/08/25. The interventions included Fall
risk, Frequent checks, and Falling star. All interventions were active (current) with no date when they were
added to the care plan.
Review of the facility fall log from 7/1/24 to 1/25/25 documented Resident #36 had the following falls:
Residents Affected - Some
On 11/23/24 fall with injury.
On 12/14/24 fall.
On 12/22/24 fall.
On 12/23/24 fall.
On 1/26/25 fall with injury.
During an interview conducted on 1/29/25 at 3:40 p.m., with the DON who was asked about the falls for
Resident #36, the DON stated the resident had a fall risk assessment completed on 11/7/24 which
indicated she was a very high risk for falls.
On 11/23/24 she fell on floor next to bed, unwitnessed, resident complained of right should right knee pain.
The physician and family were notified, x-rays were ordered and were negative. Resident was treated for
pain.
On 12/14/24 the resident had an unwitnessed fall found on floor next to bed no apparent injuries. Family
and physician were notified, no orders received.
On 12/22/24 the resident had an unwitnessed fall. She was found kneeling next to bed. The resident stated
she lost her balance, no injuries. Family, physician and hospice services were notified. No orders received.
On 12/23/24 resident had fallen from bed unwitnessed with bruising to both knees and skin tears. Family,
physician and hospice were notified. Orders received for treatment to skin tears to bilateral lower
extremities.
On 1/26/25 resident had an unwitnessed fall. She was observed on floor in her room. She sustained skin
tears to the right knee and right shin. Family, physician and hospice were notified. Hospice came to
evaluate resident and gave treatment orders for skin tears.
The DON was asked about the care plan for Resident #36 and what interventions were implemented each
time the resident had a fall. She acknowledged she could not see any dates associated with the
interventions and would have the Minimum Data Set (MDS) Coordinator pull the care plans.
During an interview conducted on 1/30/25 at 1:20 p.m., with Staff D MDS Coordinator, she was asked
about the care plan for Resident #36, specifically the interventions added or updated in relation to the
residents falls. Staff D MDS Coordinator stated the interventions were not updated in the care plan each
time the resident had a fall and was not able to see the dates when the current interventions for falls were
added to the care plan.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105396
If continuation sheet
Page 3 of 8
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
105396
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/30/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chateau at Moorings Park, The
130 Moorings Park Drive
Naples, FL 34105
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)
F 0761
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
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.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, record review, resident and staff interviews, the facility failed to ensure all medications are
secured at all times for 1 (Resident #35) of 17 sampled residents.
The findings included:
Review of the facility's policy titled, Medications -Central Storage of with an effective date of [DATE]
included in part the following: All medication for which the facility is responsible for administering or
providing assistance are labeled with the resident's name and the manufacturers label with directions for
use kept with the medications. The resident may self-administer medications unless the health assessment
or physician's orders specifically requires medications to be administered. Self-administered medications
that the resident utilizes may be stored by the resident in his/her own room.
Record review for Resident #35 revealed the resident was admitted to the facility on [DATE] with the
diagnoses in part as follows: Influenza Due to Identified Novel Influenza A with Pneumonia, Acute
Bronchitis due to Hemophilus Influenzae, Influenza due to other identified Influenza Virus with other
Respiratory Manifestations, Atrial Fibrillation, Gastro-esophageal Reflux Disease with Esophagitis, Pain,
Edema, Disorder of Lipoprotein Metabolism, Insomnia, Chronic Systolic (Congestive) Heart Failure,
Retention of Urine, Essential (Primary) Hypertension, Heart Failure, Nausea, and Hyperkalemia (a higher
than normal level of potassium).
Review of the Minimum Data Set for Resident #35 dated [DATE] documented in Section C a Brief Interview
of Mental Status score of 15 indicating a cognitive response.
Review of the Physician's Orders for Resident #35 revealed no order for self-administration of medications.
Record review for Resident #35 revealed no assessment for self-administration of medications.
Review of the Care Plan for Resident #35 revealed no care plan for self-administration of medications.
On [DATE] at 10:52 a.m., an observation was conducted of Resident #35 sitting in chair in his room.
Several over the counter medications were observed on the table next to the resident.
During an interview conducted on [DATE] at 10:55 a.m., Resident #35 said some of the medications were
his and some were for his wife.
On [DATE] at 9:20 a.m., an observation was made of Resident #35 in his room with his wife and Staff B
Registered Nurse (RN). On the table between the husband and wife were four over the counter medications
(Vitamin D3 50,000 units, Saw Palmetto 450mg, Omega 3 Fish oil 1,200 mg, Motrin 200mg). On the table
between the bed and an empty chair were 11 additional over the counter medications (Magnesium, Cold
Crush, Hair Switch, Magnesium Glycinate, Golden Revive, ARNRA, Pro Dental, InflammaSelect,
Saccharomyces boulardii, BacilloSpore Select and L-glutamine).
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105396
If continuation sheet
Page 4 of 8
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
105396
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/30/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chateau at Moorings Park, The
130 Moorings Park Drive
Naples, FL 34105
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)
F 0761
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
On [DATE] at 9:20 a.m., in an interview Resident #35's wife said her husband took the four medications on
the table and the other ones on the other table were hers. RN Staff B was present during the interview.
During an interview conducted on [DATE] at 9:22 a.m., RN Staff B stated she has worked at the facility for
two and a half years. She acknowledged Resident #35 had 15 unsecured medications at the bedside . RN
Staff B said if residents are alert and oriented, some can have medications at the bedside and some
cannot. When asked if the medications at the bedside should be locked/secured, she said if it is a narcotic,
it needs to be locked up. When asked if it is not a narcotic does it need to be locked/secured, she stated it
just needs to be in a drawer. She clarified the drawer does not need to be locked. When asked about
Resident #35 having the medications at the bedside, she said the resident should have an order for the
medications at the bedside. RN Staff B acknowledged there was no order for the resident to have
medications at the bedside and also acknowledged the resident did not have any assessment to
self-administer medications. RN Staff B acknowledged the resident did not have a physician's order for the
medications that were at the bedside.
During an interview conducted on [DATE] at 9:40 a.m., the Director of Nursing stated residents should not
have medications at the bedside unless specifically assessed and able to administer their medications. If
they are able to self administer their medications, the medications would be on the medication
administration record (MAR). When asked, she said she was not sure if the medications stored at the
bedside needed to be secured.
During an interview conducted on [DATE] at 9:45 a.m., the Assistant Director of Nursing (ADON) stated all
medications at the bedside should be in a locked box, not just put in a drawer.
During in telephone interview conducted on [DATE] at 11:45 a.m., the Consultant Pharmacist for the facility
stated medications should be secured at all times, unless in use.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105396
If continuation sheet
Page 5 of 8
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
105396
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/30/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chateau at Moorings Park, The
130 Moorings Park Drive
Naples, FL 34105
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)
F 0812
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve
food in accordance with professional standards.
Based on observations and staff interviews, the facility failed to store, prepare, distribute, and serve food
according to professional standards for food service safety and sanitary conditions and to prevent
foodborne illnesses for 2 of the 2 observations of the main kitchen.
The findings included:
A review of the National Serve Safe dated September 2012, titled Cleaning and Sanitizing Practices That
Will Prevent Cross Contamination, showed the following: To prevent cross-contamination from surfaces, the
correct cleaning solution and sanitizing procedures must be followed. Cross-contamination can occur when
wiping clots are not stored in a sanitizer solution between uses, and the sanitizing solutions are not at the
required levels to sanitize objects.
https://www.servsafe.com/ServSafe/media/ServSafe/Documents/NFSEM_wk3_Actvy-Clean-Sanitize.
In the initial visit to the main kitchen conducted on 1/27/25 at 9:30 a.m., the following were noted:
1.The Senior General Manager of Dining Services was observed in the food production area with no facial
hair restraint.
2. The Director of dining was observed in the food production area with no facial hair restraint.
3. The Sous Chef was observed in the food production area with no facial hair restraint.
4. The facility's Clinical Dietitian was noted in the food production area, wearing a hair net. A large portion of
the left side of her hair was out of the hair net, touching her shoulder.
5. A large container of granulated sugar was noted, and the scoop inside the bin touched the sugar
particles.
6. A dirty used rag that was noted in a metal container and not in the designated red sanitation bucket.
Six of seven red solution buckets were measured for the concentration of sanitizing solutions ranging from
0 (parts per million) to 400 parts per million. A normal range of solutions is noted between 100 parts per
million to 400 parts per million.
The first red bucket showed a range of 0 which indicated that it did not have effective sanitizer in the bucket
and was not within guidelines.
The second red bucket showed a range of 0, which indicated that it did not have effective sanitizer in it and
was not within guidelines.
The third red bucket showed a range between 0 and 100, which indicated that it did not have the effective
sanitizer in the bucket and was not within guidelines.
The fourth red bucket showed a range of 100, which indicated that it did not have the effective
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105396
If continuation sheet
Page 6 of 8
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
105396
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/30/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chateau at Moorings Park, The
130 Moorings Park Drive
Naples, FL 34105
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)
F 0812
sanitizer in the bucket and was not within guidelines.
Level of Harm - Minimal harm
or potential for actual harm
The fifth red bucket showed a range of 0, which indicated that it did not have the effective sanitizer in the
bucket and was not within guidelines.
Residents Affected - Many
The sixth red bucket showed a range of 0, which indicated that it did not have the effective sanitizer in the
bucket and was not within guidelines.
8. A blue plastic personal bottle was noted in the food production area near a cutting board and a knife.
9. A metal container in the walk-in Refrigerator with pieces of raw fish dated 1/21/25 and a used-by date of
1/28/25.
10. A large metal container in the walk-in Refrigerator, with pieces of raw fish dated 1/21/25 and used by
date of 2/2/25.
11. Staff A, Dietary Staff, was observed attempting to calibrate a facility's thermometer. When asked about
acceptable ranges for the calibrated thermometer, she said she did not know. Another staff member
stepped in and took over the calibration of the thermometer.
In an observation conducted on 1/27/25 at 12:47 p.m., a large pink plastic personal cup with a straw was
found on the food production counter in the pantry/satellite kitchen room near the Banyan dining room.
In an observation conducted on 1/28/25 at 9:36 a.m., two undated Styrofoam round containers of ice cream
were found in the kitchen area of the Banyan Wing C unit.
In a follow-up visit to the main kitchen conducted on 1/29/25 at 11:22 a.m., during the lunch tray line, the
following was noted:
12. The Senior General Manager of Dining Services was observed in the food production area with no facial
hair restraint.
13. The Director of dining was observed in the food production area with no facial hair restraint.
14. Staff A was noted to wear a cloth hat that did not cover the back of her hair, and her ponytail was
exposed in the back.
15. Staff A was observed using a facility thermometer to take the temperature of a Chicken Salad Pecan on
the tray line (taken from the walk-in Refrigerator) that was to be served for the lunch meal. She proceeded
to take the temperature of the chicken salad without first calibrating the thermometer. The first reading
showed 44.3 degrees Fahrenheit and not the necessary 40 degrees and below Fahrenheit. The Executive
Chef moved the Chicken Salad Pecan to a smaller 4-inch metal container and placed it directly on an ice
bath in the tray line. He proceeded to take the temperature of the chicken salad without first calibrating the
thermometer. The second reading showed that the Chicken Salad was 46.3 degrees Fahrenheit and not the
necessary 40 degrees and below Fahrenheit. In this observation, the Executive Chef said that he would pull
another batch of Chicken Salad from the walk-in Refrigerator.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105396
If continuation sheet
Page 7 of 8
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
105396
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/30/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chateau at Moorings Park, The
130 Moorings Park Drive
Naples, FL 34105
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)
F 0812
Level of Harm - Minimal harm
or potential for actual harm
16. Continued observation of the lunch tray line showed Staff A using a facility thermometer to take the
temperature of the Pureed Chicken Salad Pecan on the tray line (taken from the walk-in Refrigerator) that
was to be served for the lunch meal. The reading showed 45.8 degrees Fahrenheit and not the necessary
40 degrees and below Fahrenheit.
Residents Affected - Many
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105396
If continuation sheet
Page 8 of 8
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Back to topCitations
3 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F657 - Comprehensive Care Plans
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F761 - Labeling of Drugs and Biologicals
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.
F812 - Food safety requirements
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FAQ · About this visit
Common questions about this visit
What happened during the January 30, 2025 survey of CHATEAU AT MOORINGS PARK, THE?
This was a inspection survey of CHATEAU AT MOORINGS PARK, THE on January 30, 2025. The surveyor cited 3 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at CHATEAU AT MOORINGS PARK, THE on January 30, 2025?
Yes, 3 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a t..."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.