Health inspection·October 4, 2024

F 0687 Provide appropriate foot care. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to follow podiatry treatment plan and ensure a timely follow-up appointment with a podiatrist for 1 of 1 residents reviewed for podiatry, of a total sample of 4 residents, (#1). Residents Affected - Few Findings: Review of resident #1's medical record revealed diagnoses of type 2 diabetes mellitus, peripheral vascular disease, hemiplegia (severe loss of strength) and hemiparesis (weakness) following stroke affecting left non-dominant side. The American Diabetes Association's in the section titled, Foot Complications described, People with diabetes can develop many different foot problems. Even ordinary problems can get worse and lead to serious complications (retrieved from www.diabetes.org on 10/02/24). Review of resident #1's medical record revealed a podiatry visit report with a date of service of 8/22/24. The report detailed on physical exam the podiatrist noted resident #1 was unable to differentiate sharp/dull sensations in both feet. Resident #1 had three nonpalpable (could not be felt by hand) and one diminished pulse, regarding four pulse points, in her foot and ankle area indicating her blood circulation was diminished to these areas. Resident #1's diagnoses on this evaluation were: type 2 diabetes with other diabetic neurological complication, ingrowing nail, tinea unguium (toenail fungus), and nail dystrophy (abnormal changes in shape, color, texture and growth of nails). In the section of the note titled Follow-up indicated a partial nail avulsion (removal) was performed on the medial nail plate of the left great toe. Wound care orders were to apply a topical antibiotic ointment and band-aid to the left great toe for 10 days. The report listed a follow-up visit for podiatry in 2-3 months, or sooner should any concerns or problems arise. Review of resident #1's Treatment Administration Record (TAR) revealed that from 8/22/24 through 10/02/24 nursing staff had signed they had cleansed resident #1's left great toe with normal saline, applied Bactroban (a topical antibiotic) ointment, covered with dry gauze, and secured with tape daily. This treatment was 32 days longer than the podiatrist had recommended on 8/22/24. On 10/03/24 at 1:40 PM, the Director of Nursing (DON) reviewed resident #1's podiatry wound care report dated 8/22/24 for the left great toe and compared it to the TAR wound care orders for the left great toe which continued until 10/02/24. She could not explain why treatment was done longer than the 10 days recommended by the podiatrist, and confirmed the order on the TAR should have been discontinued. On 10/04/2024 at 10:56 AM, the DON stated resident #1's assigned nurse had asked her to have the (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 4 Event ID: 105480 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 105480 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/04/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Aviata at Rosewood 3920 Rosewood Way Orlando, FL 32808 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)