Inspection·June 19, 2025

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews and record review, the facility failed to provide access to a functional call light for one resident (#3) out of three residents reviewed for call lights. Residents Affected - Few Findings included: On 06/19/25 at 10:16 a.m. an observation and interview with Resident #3 was conducted. She was observed sitting in her wheelchair next to her bed dressed in appropriate day clothes. She stated things are ok. Her call light was observed next to her within reach on her left side, but she stated her call light doesn't work. She stated it is a squeeze call light and has not worked for one week or more. She stated they gave her a ringing hand bell to use but when she uses it, nobody comes. She stated has to wait until she sees someone to receive the care she needs. She stated it scares her. She stated she doesn't get back into bed when she wants to because she is just left in her room and cannot do it herself. She stated she doesn't know if they are doing anything about her call light and feels afraid that something may happen if they don't fix it. Resident #3 was observed to squeeze her call light for demonstration. The light outside her room not did not illuminate to notify staff she was calling. There were no staff observed in the hall. The room adjacent to her room was being deep cleaned and a loud vacuum sound was heard. She demonstrated using her hand ringing the hand bell. There were no staff observed in hall and a faint ringing sound was heard from the hall. A review of Resident #3's admission record revealed she was admitted to the facility on [DATE] with diagnoses to include; type 2 diabetes, chronic kidney disease, reduced mobility, muscle weakness, need for assistance with personal care, repeated falls, and weakness. A review of Resident #3's Quarterly Minimum Data Set (MDS), dated [DATE] revealed in Section C- Brief Interview for Mental Status (BIMS) score of 12, indicating she is cognitively intact. Section GG showed -functional abilities an impairment on both sides of her upper extremities. A review of Resident #3's active Care Plan showed a focus of participating in physical, occupational or speech therapy with a goal to improve their functional level. Interventions included - Report and document PRN {as needed} . Change in ability to perform ADLs {Activities of Daily Living}, Decline in mobility. On 06/19/25 an interview with Staff C, Occupational Therapist (OT) was conducted. She stated Resident #3's right upper extremity functions better than her left upper extremity She stated her fine motor skills are intact but he does have normal decreased sensation in her hands. On 06/19/25 at 11:30 a.m. an interview with Staff A, Licensed Practical Nurse, LPN, was conducted. (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: 105459 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 105459 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/19/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Nursing & Rehabilitation Center of New Port Richey 8417 Old County Rd 54 New Port Richey, FL 34653 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)