Health inspection·July 25, 2024

F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to ensure that resident records were complete and accurate for 3 of 3 residents reviewed, Residents #1, #5 and #6. Findings include: 1) Review of Resident #1's admission record showed the resident was admitted on [DATE] and readmitted on [DATE] with diagnoses that included stage 4 pressure ulcer of right heel, need for assistance with personal care, spastic hemiplegia affecting left nondominant side, lower leg contracture of muscle, left elbow contracture, and dementia. Review of Resident #1's physician order dated 6/26/2024 read, Cleanse open area of the left lateral foot with normal saline, apply piece of Derma Blue foam with silver to open area, and cover with a silicone foam dressing three times per week, every day shift Mon [Monday], Wed [Wednesday], Fri [Friday] for wound healing for 30 days. Review of Resident #1's TAR for July 2024 revealed no entry documented for the left lateral foot wound care on Friday, 7/5/2024. Review of Resident #1's physician order dated 6/26/2024 read, Cleanse open area of the right medial ankle with normal saline, apply piece of Derma Blue with silver to open area, and cover with a foam dressing three times per week, every day shift Mon, Wed, Fri for wound healing for 30 days. Review of Resident #1's TAR for July 2024 revealed no entry documented for the right medial ankle wound care on Friday, 7/5/2024. Review of Resident #1's physician order dated 6/26/2024 read, Cleanse open area of right heel with wound cleanser, apply Derma Blue foam with silver, foam dressing, ABD [abdominal] pad, and wrap with kerlix three times per week, every day shift every Mon, Wed, Fri for wound healing. D/C [Discontinue] Date: 07/11/2024. Review of Resident #1's TAR for July 2024 revealed no entry documented for the right heel wound care on 7/5/2024. Review of Resident #1's physician order dated 7/12/2024 read, Cleanse open area of the left lateral foot with normal saline, apply Anasept gel, and cover with island gauze dressing daily, every day shift for wound healing for 30 days. (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: 105638 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 105638 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/25/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Parklands Care Center and Rehab 1000 SW 16th Ave Gainesville, FL 32601 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)