Health inspection·August 24, 2024

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based on observations, record reviews, and interviews, the facility failed to assess and obtain wound care orders for one (#12) of two residents reviewed for wound care. Residents Affected - Few Findings included: On 8/24/24 at 9:51 a.m., Resident #12 was observed sitting in a wheelchair inside the second floor activity room across from the nursing station. The observation revealed a tan-colored 4 x 4 shiny plastic-looking border dressing near the resident's right elbow. The dressing was undated with an approximate quarter-sized area of discoloration staining the near-center of the dressing. The resident's speech was non-sensical. An interview and observation of Resident #12's dressing was conducted with Staff A, Licensed Practical Nurse (LPN) on 8/24/24 at 9:57 a.m. Staff A stated when an area of (disrupted) skin integrity was observed, the area was assessed, a head-to-toe assessment was completed, and a physician order was obtained for treatment. The staff member viewed Resident #12's right elbow dressing and reported seeing the area also that morning. Staff A confirmed the dressing should be dated, there should be a physician order for the dressing, and an assessment of the area should have been done. Review of Resident #12's medical record, including progress notes, Interdisciplinary Team (IDT) Quick View notes, and Wound/Skin notes did not reveal an assessment or note was completed regarding the cause of the resident's right elbow injury. The record did not reveal a treatment order had been obtained from the physician (prior to the observation) or the resident's responsible party was notified of the injury. The record showed on 8/17/24 at 7:55 p.m., Resident #12's skin was intact. A IDT note dated 8/20/24 at 8:11 p.m. revealed the resident was status/post (s/p) fall with no delayed injuries. An interview was conducted with the Director of Nursing (DON) on 8/24/24 at 3:44 a.m. The DON stated when a skin issue was noted, staff were to obtain a physician order and let management know so they could investigate the cause and circumstances. The DON confirmed not knowing about Resident #12's skin injury. Review of the policy - Wound Care, dated October 2010, revealed The purpose of this procedure guidelines for the care of wounds to promote healing. The preparation instructed staff to 1. Verify that there is a physician's order for this procedure. The procedure portion of the policy included instructions for staff to 13. Dress wound. Pick up sponge with paper and apply directly to area. [NAME] tape with initials, time, and date and apply to dressing. The policy showed the following documentation should be recorded in the resident's medical record: (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 5 Event ID: 105616 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 105616 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/24/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Brighton Bay Center for Rehabilitation and Healing 10501 Roosevelt Blvd N Saint Petersburg, FL 33716 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)