Health inspection·November 15, 2024

F 0641 Ensure each resident receives an accurate assessment. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to ensure the Minimum Data Set (MDS) assessment was accurate for 1 of 2 residents reviewed for mood and behavior, Resident #74. Residents Affected - Few Findings include: Review of Resident #74's Quarterly MDS dated [DATE] showed the resident was not taking antiplatelet medication under Section N0415- High Risk Drug Classes Use and Indication. Review of Resident #74's physician orders showed the resident had a current order for Plavix 75 milligrams by mouth once daily ordered on 5/22/2022. During an interview on 11/13/2024 at 10:00 AM, the Minimum Data Set (MDS) Coordinator verified Resident #74 had an order for Plavix 75 milligrams one tablet one time per day ordered on 5/22/2022. The MDS Coordinator stated that it should have been documented in section N of the current MDS. Page 1 of 3 105638 105638 11/15/2024 Parklands Care Center and Rehab 1000 SW 16th Ave Gainesville, FL 32601

F 0644 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to ensure an accurate Level I Preadmission Screening and Resident Review (PASRR) screen was completed for 1 of 4 residents who were diagnosed with serious mental disorder, Resident #24. Findings include: Review of Resident #24's Level I PASRR dated 9/19/2023 showed no mental illness documented in Section I: PASRR Screen Decision-Making. Review of Resident #24's admission record showed the resident was initially admitted on [DATE], with diagnoses that included generalized anxiety disorder (onset date 9/28/2023) and unspecified psychosis not due to a substance or known physiological condition (onset date 9/19/2023). Review of Resident #24's clinical records showed no documentation that Resident #24's diagnoses of generalized anxiety disorder and unspecified psychosis not due to a substance or known physiological condition had been included on an updated Level I PASRR. During an interview on 11/14/2024 at 10:24 AM, the Director of Nursing confirmed Resident #24's mental health diagnoses had not been included on the PASRR completed 9/19/2023. She confirmed that a revised PASRR that documented Resident #24's mental health diagnoses and had not been completed. 105638 Page 2 of 3 105638 11/15/2024 Parklands Care Center and Rehab 1000 SW 16th Ave Gainesville, FL 32601

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and policy and procedure review, the facility failed to ensure staff used proper personal protective equipment (PPE) for administration of medications through subcutaneous injection to prevent the possible spread of infection and communicable diseases. Residents Affected - Few Findings include: During an observation on 11/13/2024 at 6:00 AM, Staff A, Licensed Practical Nurse (LPN), began to prepare Resident #13's medications without performing hand hygiene. Staff A entered the resident's room with Tresiba FlexTouch 100 unit/ml Solution Pen Injector. Staff A proceeded to clean injection site with an alcohol pad and administered the medication. Staff A did not don gloves while administering the medication. During an interview on 11/13/2024 at 6:10 AM, Staff A, LPN, stated, I should have worn gloves. During an interview on 11/13/2024 at 7:30 AM, the Director of Nursing (DON) stated, They should perform hand hygiene, don gloves, perform the injection, and then perform hand hygiene. Review of the facility policy and procedure titled Medication Administration via Injection last reviewed on 12/19/2023, read, Procedure . 5. Perform hand hygiene and don gloves prior to administration of medication. 105638 Page 3 of 3