Inspection visit
Inspection
9 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 9 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Level of Harm - Minimal harm
or potential for actual harm
Based on record review, resident and staff interview the facility failed to provide the necessary services to
maintain continence for 1 (Resident #32) of 2 Residents sampled requiring assistance with Activities of
Daily Living.
Residents Affected - Few
The findings included:
The facility policy NSG200 Activities of Daily Living (ADLs) revised date 11/1/19, documented a patient who
is unable to carry out activities of daily living, receives the necessary services to maintain good grooming
and hygiene.
On 12/16/19 at 10:41 a.m., during an interview Resident #32 said, you hurry up and wait here, waiting to be
changed. I asked them to change me yesterday at 6:00 p.m., and no one came to do it until 7 p.m. If I am
up in the wheelchair, I don't get changed all day until bedtime because I don't want to go bed until 8 p.m.
My buttocks is sore.
On 12/18/19 at 9:41 a.m., Resident #32 said, they don't toilet me or change me when I am out of bed. If I
ask, they tell me I have to go to bed to do it and then they won't get me back up. Once I am in the
wheelchair, I don't see them. They serve me lunch and that is it, they don't come and ask me if I need to be
changed. If I put the light on, it takes an hour, they come and say they will return, and they don't do it. I
should not have to go to bed to be changed.
On 12/17/19 at 10:10 a.m., a review of Resident #32's medical record, the care plan documented the
resident required maximum assistance with transfers, bathing and dressing, and required assistance with
incontinent care. The interventions included to check and change the resident per protocols and assist with
incontinence care.
On 12/17/19 at 2:21 p.m., in an interview Certified Nursing Assistant (CNA) Staff K said Resident #32 was
incontinent of bowel and bladder but would tell you when she needed to be changed. The CNA said the
resident does not have a toileting schedule, we just change her when needed, she can tell you what she
wants. I get her up at 10 or 11 a.m., she does not go back to bed until the next shift. She can stand with
help and she will hold onto the side of the bed while I get her ready. I don't change her, there is no need.
On 12/17/19 at 2:25 p.m., in an interview CNA Staff L said she did not know when Resident #32 required
toileting and said, the resident would tell her.
A review of the CNA documentation in the ADL Record, the section Bladder scheduled toileting was not
documented for the night shift from 12/6/19 through 12/16/19. The day shift was not documented on
(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 9
Event ID:
105439
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
105439
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/19/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Naples Health and Rehabilitation Center
2900 12th Street N
Naples, FL 34103
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 0677
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
12/6/19 through 12/9/19 and 12/11/19 through 12/17/19. There was no documentation on the evening shift
12/6/19, 12/8/19, and 12/12/19 through 12/16/19.
On 12/18/19 at 2:33 p.m., the Unit Manager confirmed the CNA documentation in the ADL Record was
incomplete. The Unit Manager said he had no additional documentation Resident #32 was offered
incontinent or toileting care.
Event ID:
Facility ID:
105439
If continuation sheet
Page 2 of 9
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
105439
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/19/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Naples Health and Rehabilitation Center
2900 12th Street N
Naples, FL 34103
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 0679
Provide activities to meet all resident's needs.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, staff interviews and record review the facility failed to provide individual activities to meet the
assessed needs of 1 (Resident #105) of 1 Resident identified with emotional and psychological needs. This
has the potential to cause social isolation, boredom, agitation and frustration.
Residents Affected - Few
The findings included:
The facility policy Recreation Services Policies and Procedures (revised 7/1/14), purpose documented to
plan care that enables the patient to reach his/her highest practicable level of physical, mental, and
psychological functioning.
A review of the resident's medical record revealed Resident #105 had a diagnosis of Alzheimer's disease
with memory deficits. The resident's care plan initiated on 9/12/19 indicated it was important for Resident
#105 to have the opportunity to engage in activities that were meaningful.
On 12/16/19 at 10:38 a.m., Resident #105 was observed in her room in bed, no TV or music was on.
On 12/16/19 at 2:30 p.m., Resident #105 was observed in her room in bed, no TV or music was on.
On 12/17/19 at 11:00 a.m., Resident #105 was observed in her room in bed, no TV or music was on.
On 12/17/19 at 2;00 p.m., Resident #105 was observed in her room in bed, no TV or music was on. No
meaningful activity was being provided to her. Resident #105 was able to make eye contact and smile but
was not verbal during visits.
On 12/17/19 at 12:00 p.m., in an interview Registered Nurse Staff M said Resident #105 had extensive
swelling in her right leg due to a blood clot and was not able to tolerate being up in her current wheelchair.
The Staff M said she notified the Hospice to deliver a different wheelchair for the resident and confirmed
the resident had not been out of bed on 12/16/19 to 12/17/19.
On 12/18/19 at 12:15 p.m., in an interview the Activity Director said Resident #105 enjoys coming to all
activities and was very involved in activity programs. The Activity Director said she visits the resident daily
and provides the list of activities scheduled for the day. The Activity Director confirmed Resident #105 was
not able to independently come to activities and was not able to read the the activity schedule.
A review of the Activity Participation Record of group, individual and independent engagement,
documented Resident #105 participated in looking out window/lying down/thinking, daily from 12/1/19
through 12/15/19.
On 12/18/19 at 2:16 p.m., in an interview the Activity Director said the activity of looking out of the window
meant the resident participated by lying in bed and looking out of the window with verbal prompts. The
activity director said there were no specialized activities for dementia residents. The Activity Director
confirmed the resident was not able to participate in activities since her return from the hospital on [DATE].
On 12/19/19 at 10:56 a.m., in an interview Certified Nursing Assistant Staff N said Resident #105
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105439
If continuation sheet
Page 3 of 9
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
105439
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/19/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Naples Health and Rehabilitation Center
2900 12th Street N
Naples, FL 34103
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 0679
had not been out of bed this week and had not been to activity programs.
Level of Harm - Minimal harm
or potential for actual harm
On 12/19/19 at 10:46 a.m., in an interview the Activity Director confirmed the Participation Record
documented Resident #105 participated in activities on 12/1/19 through 12/5/19 when the resident was
hospitalized and not at the facility.
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105439
If continuation sheet
Page 4 of 9
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
105439
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/19/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Naples Health and Rehabilitation Center
2900 12th Street N
Naples, FL 34103
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 0693
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and
provide appropriate care for a resident with a feeding tube.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, record review, and staff interview the facility failed to ensure 1 (Resident #161) of 3 Residents
receiving nutrition through a feeding tube, received the ordered care and services to maintain adequate
nutrition and hydration. The failure to provide sufficient amount of nutrition and hydration places the resident
at risk for complications including metabolic abnormalities, malnutrition, and dehydration.
The findings included:
Review of the clinical record revealed resident #161 was admitted to the facility on [DATE] and suffered
from dysphasia (difficulty swallowing due to abnormal nerve or muscle control). The resident received
nothing by mouth and was fed through a gastric tube inserted directly into the stomach through the
abdominal wall. The physician's orders with a start date of 12/10/19 were to administer Nepro with Carb
Steady continuously via pump at 65 milliliters per hour for 18 hours every day. Downtime: 12:00 p.m., to
6:00 p.m.
On 12/16/19 at 10:00 a.m., 11:00 a.m., and 12:00 p.m., Resident #161 was observed in his room. He was
not receiving any nutrition or water through the tube.
The same observation was made on 12/17/19 at 10:00 a.m., and 12/18/19 at 10:30 a.m.
On 12/19/19 at 11:00 a.m., Resident #161 was observed in the therapy department. He was not receiving
any nutrition or water through the tube.
On 12/19/19 at 10:00 a.m., during an interview, Licensed Practical Nurse (LPN) Staff R verified she has
been disconnecting the tube at approximately 10:00 a.m., each day each day instead of 12:00 p.m. as per
the physician's order. She said she was aware the feeding was supposed to come down at 12:00 p.m., but
residents were not allowed to go to therapy while the feeding is infusing.
On 12/19/19 at 11:15 a.m., during an interview, Physical Therapist Assistant Staff P said Resident #161
gets 60 minutes (1 hour) of therapy 5 times a week, typically around 9:30 a.m., to 10:00 a.m. She said the
feeding was not infusing at the time of therapy.
On 12/19/19 at 11:25 a.m., during an interview, Occupational Therapist Assistant Staff Q said she typically
sees the resident when the feeding was off for 60 minutes (1 hour). The time of the therapy varies but the
feeding was usually off when she sees him. She said the resident leaves the facility to go to the dialysis
center in the afternoon, so she typically sees him in the morning.
Review of the post dialysis weight record for Resident #161 revealed on 12/9/19 the weight was 194.7 lbs
(pounds) and on 12/16/19 the weight was 190.74 lbs. which indicates a 4 lbs weight loss.
On 12/19/19 at 12:20 p.m., during a telephone interview with the facility Registered Dietician (RD) she said
the nurses should not disconnect the tube before the time it was scheduled to come off. She said she was
not aware of it and would address it on 12/20/19 when she comes to the facility. She said although the
volume of feeding the resident did not receive amounts to approximately 1/3 of a lb, it was still a concern to
her. The RD said she spoke to the dietician at the dialysis center and
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105439
If continuation sheet
Page 5 of 9
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
105439
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/19/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Naples Health and Rehabilitation Center
2900 12th Street N
Naples, FL 34103
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 0693
Level of Harm - Minimal harm
or potential for actual harm
they reported on 12/18/19 the resident's weight was 193.3 lbs. The dietician said the goal was the keep the
resident weight between 190 to 191 lbs post dialysis. She verified the practice of disconnecting the feeding
2 hours ahead of the scheduled time represents a potential for weight loss for Resident #161.
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105439
If continuation sheet
Page 6 of 9
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
105439
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/19/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Naples Health and Rehabilitation Center
2900 12th Street N
Naples, FL 34103
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 0867
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop
corrective plans of action.
Based on record review and staff interview the facility failed to have an effective on-going quality assurance
and performance improvement program that implement corrective actions to address quality deficiencies
that pose a risk to residents' health and well-being. The failure to maintain an effective quality assurance
program caused ongoing deficient practices with a potential for negative consequences to the residents.
The findings included:
Review of the facility's policy and procedure OPS103 titled Center Quality Assurance Performance
Improvement (QAPI) Process with a revision date of 2/13/17 revealed The responsibilities of the QAPIC are
to: .Assess, evaluate, and identify potential improvement opportunities based on: .All current regulatory
on-site assessments, including plans of correction, both state/federal surveys and peer review surveys
including a review of the plan of correction; .Results and activities of the Infection Prevention and Control
Program; .
During a review of the QAPI program on 3/3/20 at 2:25 p.m., the Administrator recognized the ongoing
noncompliance in the areas of infection control and the lack of toileting for dependent residents. (Cross
reference to F 677 and F 880).
She said a lot of the QAPI process was based on inspection reports. After the last survey, they developed a
tool and conducted partner rounds with a checklist addressing the items that were mentioned. She said she
discovered today during the follow up survey what she thought was very clear was actually not clear to the
staff. She said she would revise the tool for infection control to make sure it's a usable functional tool.
The Administrator said the QAPI committee did the same thing in regards with the activities of daily living
(ADL) and toileting for dependent residents. The nurses were monitoring the documentation in the ADL
books. The unit managers had the ultimate responsibility to ensure the documentation in the books was
complete. She also explained to the CNAs by not signing the books, they could not take credit for the work
done.
She verified the measures implemented to correct the deficient practice identified during the last
recertification survey completed on 12/9/19 were not effective.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105439
If continuation sheet
Page 7 of 9
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
105439
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/19/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Naples Health and Rehabilitation Center
2900 12th Street N
Naples, FL 34103
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 0880
Provide and implement an infection prevention and control program.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, review of policy and procedure, and staff interview the facility failed to maintain, handle, and
process linen in a sanatory manner and failed to maintain a clean and sanitary environment in residents'
rooms. The facility failed to maintain infection control practices for 1 (Resident #9) of 1 resident sampled
with an indwelling urinary catheter.
Residents Affected - Many
The findings included:
The facility policy IC204 Linen Handling (revision date 3/1/18), documented all linen will be handled, stored,
and processed to contain and minimize exposure to waste products. The policy includes to keep clean linen
covered.
1. On 12/16/19 at 11:00 a.m., during the initial tour of the laundry room, the clean side of the laundry room
was cluttered with clean linen piled against the wall. There were bins of clean clothing under the folding
table with clothing spilling out onto the floor. There was a shelf with 2 clothes baskets containing clean
laundry, uncovered against the wall. There was a rack with the residents' personal laundry that was not
covered, and the clean laundry was touching the wall.
On the soiled side of the laundry room there was a mask shield and gloves for the employees use, hanging
on a hook against the wall. The gloves and shield were covered with debris.
On 12/16/19 at 11:15 a.m., in an interview the Housekeeping Supervisor said the clean linen in the laundry
room should have been covered.
2. On 12/16/19 at 9:07 a.m., during an observation and initial tour on the South Wing B hall in room [ROOM
NUMBER] there was a bathroom shared by 4 residents and the trash can was over flowing with the
garbage spilling over the side of the trash can. There was an unlabeled, uncovered wash basin lying on the
floor next to the toilet. There was an open, unlabeled package of personal wipes sitting on the top of the
toilet tank. In the resident's room there was a clear, plastic bag of soiled linen sitting on the night stand and
the soiled linen was overflowing from the plastic bag, with soiled linen spilling out on the nightstand. There
was a stack of clean linen that was uncovered and piled on the bedside table.
In room [ROOM NUMBER]A there was a large clear plastic bag containing soiled linen.
In room [ROOM NUMBER]A, there was a clear covered plastic bin of wound care supplies on the night
stand. There was a clear plastic bag containing wound care supplies lying on the floor next to the night
stand.
In room [ROOM NUMBER]B the foot board was missing from the bed and the control box for the air
mattress was lying on the floor. The footboard was on the floor and resting against the dresser of the
resident in bed A.
In room [ROOM NUMBER] the clean linen was uncovered, piled on top of a cart, resting against room wall.
In the bathroom of room [ROOM NUMBER], shared by 2 residents, there were open uncovered drinks and
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105439
If continuation sheet
Page 8 of 9
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
105439
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/19/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Naples Health and Rehabilitation Center
2900 12th Street N
Naples, FL 34103
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 0880
food on the counter.
Level of Harm - Minimal harm
or potential for actual harm
3. The facility policy Catheter: Indwelling Urinary-Care of (revised 11/1/19), instructed to secure the catheter
tubing to keep the drainage bag off the floor.
Residents Affected - Many
On 12/16/19 at 9:16 a.m., Resident #9 was observed in her bed. There was a urinary catheter (a thin sterile
tube inserted into the bladder to drain urine), bag with the tubing and drainage bag in contact with the floor.
The bag not covered for privacy.
On 12/16/19 at 9:29 a.m., an empty bed in room [ROOM NUMBER]A, had a urinary catheter drainage bag
and tubing attached to the side of the bed touching the floor. There was a brown substance on the side of
the bedframe and on the bed sheets.
photographic evidence obtained
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105439
If continuation sheet
Page 9 of 9
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Back to topCitations
9 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.
F677 - A resident who is unable to carry out activities of daily living receives
Provide care and assistance to perform activities of daily living for any resident who is unable.
F679 - Activities
Provide activities to meet all resident's needs.
F693 - Assisted nutrition and hydration
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
F867 - Program feedback, data systems and monitoring
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F880 - Infection Control
Provide and implement an infection prevention and control program.
- 0032GeneralS&S Cno actual harm
Provide primary/alternate means for communication.
- 0033GeneralS&S Cno actual harm
Establish methods for sharing information.
- 0035GeneralS&S Cno actual harm
Provide family notifications of emergency plan.
F712 - Frequency of physician visits
Have simulated fire drills held at unexpected times.
FAQ · About this visit
Common questions about this visit
What happened during the December 19, 2019 survey of NAPLES HEALTH AND REHABILITATION CENTER?
This was a inspection survey of NAPLES HEALTH AND REHABILITATION CENTER on December 19, 2019. The surveyor cited 9 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at NAPLES HEALTH AND REHABILITATION CENTER on December 19, 2019?
Yes, 9 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Provide care and assistance to perform activities of daily living for any resident who is unable."
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.