Inspection·August 19, 2025

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 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, review of facility policy, resident and staff interviews, the facility failed to provide the necessary care and services for personal hygiene and incontinent care for 2 (Resident #100 and #2) of 3 residents reviewed for activities of daily living.The findings included:Review of the facility's policy, Standards and Guidelines: ADL Care and Services, initiated 4/2020 (revised 1/24) revealed, Residents who are unable to carry out activities of daily living (ADL's) independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene . Appropriate care and services will be provided for residents who are unable to carry out ADLs independently, with the consent of the resident and in accordance with the plan of care, including appropriate support and assistance with including but not limited to:Hygiene (bathing/showers, dressing, grooming and oral care).Elimination (toileting).The resident has the right to refuse any and all ADL care. The refusal of care will be documented in the resident's medical record with appropriate notification including the physician and resident representative. 1. Review of the clinical record revealed Resident #100 was readmitted on [DATE]. Diagnoses included chronic kidney disease, major depressive disorder, type 2 diabetes mellitus, severe morbid obesity, and anxiety disorder.Review of the Quarterly Minimum Data Set (MDS), standardized assessment tool used in nursing homes to evaluate a resident's health and functional abilities with a target date of 6/29/25 revealed Resident #100 was always incontinent of bowel and bladder and was dependent for bathing. The MDS indicated the resident's cognitive skills for daily decision making were intact.On 8/18/25 at 9:25 a.m., Resident #100 was observed in her room in bed. She had very foul breath and a strong, offensive body odor noted from three feet away.In an interview, Resident #100 said the staff do not brush her teeth because she has too many broken teeth. The resident said the dentist wanted to extract her teeth, but she did not want that. Resident #100 said she rinses her mouth every morning with mouth wash. Resident #100 said the staff do not give her showers because she can't walk. They say it is too much work. The resident said, I get bed baths. No, I don't like bed baths but what can I do? They say I like to complain a lot but if I don't, no one pays attention to me. I am wet all the time because they are not changing me.A review of the certified nursing assistant (CNA) documentation for June 2025, July 2025 and August 2025 revealed no documentation incontinent care was provided:On the 7:00 a.m., to 3:00 p.m. shift on 6/7/25, 6/10/25, 6/11/25, and 6/25/25. 7/3/25, 7/9/25, 7/11/25, 7/20/25, 7/23/25, 7/26/25, 7/30/35, 7/31/25, 8/3/25, 8/6/25, 8/7/25 and 8/16/25.On the 3:00 p.m., to 11:00 p.m. shift on 6/1/25, 6/15/25, 7/3/25, 7/18/25, 7/20/25, 8/10/25 and 8/16/25.On the 11:00 p.m., to 7:00 a.m. shift on 6/1/25, 6/6/25, 6/8/25, 6/17/25, 6/18/25, 6/23/25, 6/29/25, 6/30/25. 7/3/25, 7/7/25, 7/8/25, 7/11/25, 7/12/25, 7/13/25, 7/21/25, 7/29/25, 7/31/25, 8/1/25, 8/4/25, 8/5/25, 8/8/25, 8/9/25, 8/10/25, 8/14/25, and 8/16/25.A review of the shower schedule revealed Resident #100's scheduled showers were on Mondays, Wednesdays and Fridays during the 7:00 a.m., to 3:00 p.m. shift.Review of the CNA documentation for Residents Affected - Some (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 2 Event ID: 105454 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 105454 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/19/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Creekside Health and Rehabilitation Center 5511 Swift Road Sarasota, FL 34231 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)