Health inspection·February 19, 2025

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Based on observation interview and record review the facility failed to follow pharmaceutical procedures as per facility policy. As evidenced by during observations of one of two Medication storage rooms reviewed, the narcotics lock box in the medication refrigerator was noted unlocked. and Resident #180's medication was being given in tablet form and the order documented capsule. There were 74 residents residing at the facility at the time of the survey. The findings included: On 02/17/25 at 10:00 AM during observation of the medication storage room on the facility's second floor with the Assistant Director of Nursing (ADON); the narcotic lock box in the medication refrigerator was left unlocked. The lock box contained an emergency kit with 5 vials of insulin and one (1) vial of Ativan The ADON, attempted to close the lock box with several keys available and was unsuccessful unable to close the lockbox. Interview on 2/17/25 at 10:00 AM, the ADON stated: The lock for the narcotic lock box in the refrigerator is warped (unable to be locked), I will need to put a work order in for it to be repaired, this issue was not reported to me prior to today. On 2/17/25 at 9:20 AM during medication administration observation for Resident #180 with Licensed Practical Nurse (LPN), (Staff B) the Electronic Medication Administration Record (EMAR) documented Meloxicam 7.5 Milligram (MG), give 1 capsule twice a day for pain. Review of Resident #180's Bingo Card for Meloxicam 7.5 MG documented Meloxicam 7.5 MG, give 1 tablet twice a day for pain. Interview on 02/17/25 at 10:32 AM regarding the Meloxicam 7.5 MG tablet, Staff B, LPN stated: I will call pharmacy to verify the order, if the order should be capsule or tablet. The resident has been administered tablets since 2/7/25 twice a day. Interview on 02/17/25 at 10:32 AM; the facility's Consultant Pharmacist stated: The Meloxicam 7.5 MG tablet can be given to the resident with physician authorization because it is the same dose, and we can get an order to correct the EMAR, chances are the documentation is human error. Review of the facility's policy and procedure titled Storage of Medications revised April 2007 states: The facility shall store all drugs and biologicals in a safe, secure, and orderly manner. Policy Interpretation and Implementation 7. Compartments (including, but not limited to, drawers, cabinets, rooms, refrigerators, carts, and (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 3 Event ID: 105508 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 105508 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/19/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE East Ridge Rehabilitation and Nursing Center 19225 SW 87th Ave Cutler Bay, FL 33157 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)