Inspection visit
Inspection
7 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 7 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
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
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview and record review, the facility failed to obtain physician orders and provide
appropriate treatment and care for two lacerations in accordance with professional standards of practice for
1 of 1 resident reviewed for non-pressure skin conditions, of a total sample of 51 residents, (#28).
Residents Affected - Few
Findings:
Resident #28 was admitted to the facility on [DATE]. Her diagnoses included heart failure, chronic kidney
disease, dementia, and long term use of anti-coagulants.
Review of resident #28's Quarterly Minimum Data Set assessment with an assessment reference date of
2/12/21 revealed a Brief Interview for Mental Status score of 4, indicating severe cognitive impairment. The
assessment indicated there were no skin impairments.
On 4/19/21 at 10:17 AM, resident #28 was seated in a recliner in her room. Her lower legs were discolored
and she had two dressings on her right lower leg which were not dated or initialed. On 4/20/21 at 11:37 AM,
and again on 4/21/21 at 10:59 AM resident #28 was seated in a recliner in her room. The same dressings
were in place to her right lower leg. They were not dated or initialed.
On 4/21/21 at 11:40 AM, Certified Nursing Assistant (CNA) E stated she regularly cared for resident #28.
She said resident #28 had periods of confusion and scratched her skin often. CNA E recalled on the
previous Saturday, five days before, resident #28 had scratched her legs and the lacerations were bleeding.
She stated a nurse then put dressings on resident #28's right lower leg.
On 4/21/21 at 1:18 PM, Licensed Practical Nurse (LPN) F acknowledged resident #28 had dressings on her
right lower leg. She recalled during shift change report, the off-going night nurse told her of an
injury/scratch to resident #28's right leg. LPN F was not sure if an incident report was made and could not
recall which day the injury happened. LPN F explained, after change of shift report, a CNA informed her
there were no dressings on resident #28's lacerations. The CNA also informed her the resident continued to
scratch the area. LPN F stated she cleaned the lacerations with normal saline, and applied a dry dressing
to them. She validated there should be an order for a treatment or dressing. LPN F stated she again
cleaned the lacerations to resident #28's right lower leg and re-applied a dressing to them on 04/19/21.
On 4/21/21 at 1:25 PM, resident #28's right leg lacerations were observed with LPN F. She said the
physician should have been notified of resident #28's lacerations and a treatment order obtained. LPN F
stated the dressings should be dated so staff would know how long they had been there.
(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 8
Event ID:
105734
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
105734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
04/22/2021
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Solaris Healthcare Osceola
4201 W New Nolte Road
Saint Cloud, FL 34772
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)
F 0684
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
On 4/21/21 at 1:34 PM, resident #28's right lower leg was observed with the North Wing Unit Manager
(UM). The UM measured the lacerations at 0.5 centimeters (cm) x 0.2 cm on the right outer calf and 3.0 cm
x 0.5 cm to the right shin. The right outer calf wound was partially scabbed. The wound to the right shin was
not healed, and had a visible wound bed. The peri-wound area was red and the wound started bleeding
during observation. The UM stated his expectation was that nurses would notify the physician of any skin
injury, obtain an order, document the incident in a progress note and complete an incident report if
indicated. He noted there were no standing orders for wound treatments, and said, there should absolutely
be an order for a dressing.
Review of the medical record revealed physician orders dated 12/12/19 to check resident #28's skin every
week on Tuesday on 11:00 PM to 7:00 AM shift. The Physician Order report dated 3/18/21 to 4/22/21
revealed no active treatment orders for resident #28's right leg wounds until they were brought to the
facility's attention on 4/21/21. A physician's wound treatment order was discontinued on 4/11/21 for a
resolved right lower leg skin tear.
Review of the nursing progress notes revealed no documentation of new skin injuries, lacerations or
treatments for resident #28 between 4/11/21 and 4/21/21.
Review of the Observation Detail List Report revealed the Monthly Nursing Summary dated 4/11/21
showed no skin impairments. The Weekly Skin assessment dated [DATE] showed no skin impairments. No
further skin impairments were documented from 4/11/21 to 4/21/21.
Review of the medical record revealed resident #28 had a care plan dated 6/5/19 for skin integrity.
Interventions directed nurses to see the current physician's orders and Treatment Administration Record for
treatments and to conduct weekly skin checks.
Review of the facility's incident reports for April 2021 revealed no documentation of skin impairment or
scratches for resident #28 between 4/11/21 and 4/21/21.
On 04/21/21 at 2:01 PM, the Wound Nurse stated any new skin issues or incidents should be reported to
the UM. She said nurses should initiate an incident report, notify the physician and the family, even for a
scratch. The Wound Nurse said, There is no such thing as not having an order for a dressing.
On 04/22/21 at 12:40 PM, resident #28's hospice physician stated she was never notified by the facility that
resident #28 had lacerations to her right lower leg. The hospice physician said, I will have to look at it.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105734
If continuation sheet
Page 2 of 8
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
105734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
04/22/2021
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Solaris Healthcare Osceola
4201 W New Nolte Road
Saint Cloud, FL 34772
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)
F 0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview and record review, the facility failed to provide dressing changes for a Peripherally
Inserted Central Catheter (PICC) according to current professional standards of practice for 1 of 4 residents
with intravenous (IV) access sites, of a total sample of 51 residents, (#44).
Residents Affected - Few
Findings:
Resident #44 was admitted to the facility on [DATE] from an acute care hospital with a diagnosis of wound
infection and sepsis.
Sepsis is a body's extreme response to an infection. It is a life-threatening medical emergency which
without timely treatment can rapidly lead to tissue damage, organ failure and death. (retrieved 4/23/21 from
www.cdc.gov).
Review of the medical record revealed a physician's order dated 2/16/21 for insertion of a PICC line for
administration of IV antibiotics. Physician's orders dated 2/23/21 included PICC line dressing change as
needed, ensure dressing is dated and initialed, once daily on Monday at 8:00 AM. An additional physician's
order dated 2/23/21 directed nurses to observe the PICC line dressing every shift, ensure the dressing was
dated, initialed, adherent and intact.
A peripherally inserted central catheter .is a long, thin tube that's inserted through a vein in your arm and
passed through to the larger veins near your heart . It's generally used to give medications . A PICC line
requires careful care and monitoring for complications, including infection and blood clots .(retrieved
4/26/21 from www.mayoclinic.org)
On 4/19/21 at 10:00 AM, resident #44 stated she currently received IV antibiotics for a severe wound
infection. Resident #44 had a PICC line in her left upper arm with a clear dressing dated 4/08/21. The
dressing was loose on the bottom edge near the PICC line insertion point. Resident #44 stated she thought
the dressing needed to be changed.
A review of the Treatment Administration Record (TAR) dated 4/01/21 to 4/22/21 revealed that nurses
documented every shift that the PICC site dressing was observed as ordered. The PICC dressing change
scheduled every week on Mondays was initialed by nurses to verify it was completed as ordered on
4/05/21, 4/12/21, and 4/19/21. There was no documentation on the TAR of a dressing change on 4/08/21.
Review of progress notes by the Advance Practice Registered Nurse dated 4/09/21, 4/12/21, and 4/16/21
revealed PICC line care was included in resident #44's plan of care.
Review of the admission Minimum Data Set with assessment reference date of 2/23/21 revealed resident
#44 had a Brief Interview for Mental Status score of 14 indicating she was cognitively intact. The
assessment showed she was receiving IV medications.
Resident #44 had a care plan dated 2/17/21 for risk of developing complications to the IV line. The care
plan goal was for resident #44 not to develop signs or symptoms of complications related to the IV.
Interventions directed nurses to change the IV dressing as ordered and as needed if loose or soiled, and to
observe the IV site every shift.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105734
If continuation sheet
Page 3 of 8
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
105734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
04/22/2021
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Solaris Healthcare Osceola
4201 W New Nolte Road
Saint Cloud, FL 34772
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)
F 0694
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
On 04/19/21 at 10:25 AM, the North Wing Unit Manager (UM) stated that IV dressings were ordered to be
changed once a week. He stated that IV sites should be checked every shift, and the dressing changed as
needed.
On 4/19/21 at 10:32 AM, resident #44's PICC line dressing was observed with the North Wing UM. He
validated the dressing was dated 11 days ago on 4/08/21. Resident #44 informed the UM that the dressing
had not been changed in a while and she had asked the nurse to tape it down last night because the
dressing was loose. The North Wing UM confirmed the dressing edge was rolled back leaving the insertion
site partially exposed. He stated the IV dressing should be changed weekly and remain intact to prevent
infection at the IV site.
On 4/21/21 at 1:08 PM, Licensed Practical Nurse (LPN) F stated she checked resident #44's IV every shift.
She said, I'm not IV certified. I looked at it but did not notice the date on it. LPN F explained she usually
asked a nurse who was IV certified to perform care for her assigned residents with IV's. She did not recall
who she asked to do resident #44's dressing change, and said she did not remember if she actually
followed up. LPN F acknowledged she signed the TAR to indicate the dressing was changed. She said, I
don't do anything with it. I was educated not to sign off on it since I am not IV certified. She stated she saw
a piece of tape was placed to secure the loose edge of the dressing, but never reported it.
On 4/22/21 at 12:17 PM, the North Wing UM confirmed LPN F documented the PICC line dressing change
was performed on 4/05/21, 4/12/21, and 4/19/21, although she was not certified to care for the IV. He could
not explain why she did what she did, and said the document is not accurate. He said the expectation was
that a non-IV certified nurse should find someone who is certified to perform and document any IV care. He
further clarified that all dressings should be initialed and accurately dated. He acknowledged resident #44's
IV dressing dated 4/08/21 was not initialed.
Review of the facility's policy and procedure, Midline Dressing Changes revised April 2016, read, The
purpose of this procedure is to prevent catheter-related infections associated with contaminated, loosened
or soiled catheter site dressings. Guidelines included, change dressing every five to seven days or if wet,
dirty, not intact or compromised in any way. The policy noted the dressing should be labeled with initials,
date and time, to report any signs or symptoms and intervene as necessary.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105734
If continuation sheet
Page 4 of 8
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
105734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
04/22/2021
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Solaris Healthcare Osceola
4201 W New Nolte Road
Saint Cloud, FL 34772
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)
F 0695
Provide safe and appropriate respiratory care for a resident when needed.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview and record review, the facility failed to ensure a physician's order was obtained for
oxygen therapy for 1 of 1 resident reviewed for respiratory care of a total sample of 51 residents, (#164).
Residents Affected - Few
Findings:
Resident #164 was admitted to the facility on [DATE]. Her diagnoses included acute embolism and
thrombosis of right lower extremity, chronic obstructive pulmonary disease (COPD), and chronic respiratory
failure.
The Medical Certification For Medicaid Long-Term Services And Patient Transfer Form( AHCA Form 3008)
revealed the resident was discharged from the hospital on 4/16/21 with Treatment Devices listed as,
Oxygen 4% PRN (as needed).
The resident's Observation Report dated 4/16/21 read, Respiratory equipment uses: Oxygen while at rest
.Oxygen is delivered: Per nasal cannula.
Nursing progress note dated 4/16/21 read, no c/o (complaint of ) pain/discomfort upon arrival via stretcher
.O2 (oxygen) at 4 (Liters) NC (Nasal cannula).
A review of the resident's progress note documented by the Advance Practiced Registered Nurse dated
4/19/2, revealed the resident had a history of COPD, chronic respiratory failure, and was on home oxygen.
The APRN's plan included, oxygen via nasal cannula.
Review of the resident's physician orders revealed no orders for O2 therapy.
On 04/19/21 at 11:17 AM, resident #164 had O2 via NC at 4 liters per minute (LPM).
On 04/21/21 at 1:31 PM, the Licensed Practical Nurse (LPN)/ Infection Preventionist (IP) stated she was
working on a medication cart, and resident #164 was on her assignment. The LPN/IP stated resident #164
received O2 but was not sure of the LPM. The resident's physician orders were reviewed with LPN/IP. An
order for O2 could not be found.
On 04/21/21 at 1:49 PM, observation conducted with LPN/IP showed resident #164 received O2 via NC at
3 LPM. The LPN/IP stated she would double check the resident's physician orders. She verbalized that O2
should only be administered by physician orders. She acknowledged that an order for O2 for resident #164
could not be identified.
On 04/21/21 at 2:08 PM, the North Wing Unit Manager (UM) stated O2 could be placed in an emergent
situation, if a resident was having respiratory distress, but a physician order had to be obtained for
continued O2 therapy. The UM reviewed the resident's physician's orders, and verbalized that an order for
O2 was not identified until the order was placed by LPN/IP during her interview with the surveyor.
On 04/21/21 at 2:28 PM, the Interim Director of Nursing (DON) stated that O2 administration was by
physician's orders. She noted that resident #164 had O2 on the 3008 transfer form and O2 should have
been placed on the facility's physician's orders.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105734
If continuation sheet
Page 5 of 8
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
105734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
04/22/2021
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Solaris Healthcare Osceola
4201 W New Nolte Road
Saint Cloud, FL 34772
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)
F 0695
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
On 04/22/21 at 12:55 PM, the LPN/IP indicated the resident's admitting nurse should have placed the order
for O2 in the resident's clinical record. She added that nurses who cared for the resident should have
ensured an order was in place for the resident's O2 therapy.
On 04/22/21 at 12:57 PM, the North Wing UM said nurses should follow up to ensure orders for treatment
were in place. He stated the Interdisciplinary Team reviewed the resident's physician orders and noted the
oxygen orders fell through the cracks.
The facility's policy Oxygen Administration revised 2/10/2019 read, Verify that there is a physician's order
for this procedure. Review the physician's orders or facility protocol for oxygen administration.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105734
If continuation sheet
Page 6 of 8
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
105734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
04/22/2021
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Solaris Healthcare Osceola
4201 W New Nolte Road
Saint Cloud, FL 34772
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)
F 0761
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted
professional principles; and all drugs and biologicals must be stored in locked compartments, separately
locked, compartments for controlled drugs.
Based on observation, interview, and record review, the facility failed to store medications in appropriate
and properly labeled containers on 1 of 2 medication carts of a total of 4 medication carts, (South Wing 200
hall).
Findings:
On 4/19/21 at 8:27 AM, Licensed Practical Nurse (LPN) G prepared to administer medications on the South
Wing. LPN G did not have the medication Acidophilus in her medication cart and asked LPN A, who stood
at a nearby medication cart if she had any. LPN A pulled a transparent plastic cup out of the drawer from
the 200 hall medication cart and shook a pill out of the plastic cup into the medication cup held by LPN G.
Acidophilus is a probiotic supplement commonly used to promote the growth of good bacteria in the body
(retrieved on 4/26/21 from www.Mayoclinic.org).
On 4/19/21 at 8:29 AM, LPN A showed the container from which she had provided the Acidophilus capsule
to LPN G. The clear plastic cup contained 5 capsules and read, probiotic, handwritten in black marker. LPN
A acknowledged she poured a capsule from the clear plastic cup into the medication cup held by LPN G.
LPN A said there was no bottle of Acidophilus in the 200 hall medication cart. She noted it was not good
practice to store and administer any medication that was not in its original container as nurses could not be
sure what the medication was.
On 4/19/21 at 8:33 AM, the Risk Manager (RM) was informed Acidophilus capsules were stored in an
uncovered clear plastic cup on the 200 hall medication cart. LPN A handed the plastic cup with the
Acidophilus capsules to the RM. The RM said, No, the nurse should not give medications out of a cup. She
said medications should only be stored and dispensed from their original containers.
On 4/19/21 at 8:36 AM, LPN G said nurses should not administer medications stored in a clear plastic cup.
She acknowledged she should not have taken the Acidophilus capsule that was dispensed from a cup by
LPN A. LPN G could not explain why she did.
On 4/19/21 at 12:45 PM, the Director of Nursing stated nurses should not have used medications that were
stored in a plastic cup. She said medications were only to be dispensed from original containers.
On 4/20/21 at 1:33 PM, the South Wing Unit Manager (UM) verbalized that capsules kept in a uncovered
plastic cup were not properly stored. She explained that nurses could not be certain of what the medication
was, and the medication could become contaminated if uncovered. The South Wing UM said, Medication
stored in a cup shouldn't happen.
Review of the policy and procedure Medication Storage in the Facility revised 2018, read, Medications and
biologicals are stored safely, securely, and properly, following manufacturer's recommendations or those of
the supplier. The provider pharmacy dispenses medications in containers that meet regulatory
requirements, including standards set forth by the United States Pharmacopoeia (USP). The document
revealed medications were to be kept in those containers and nurses may not transfer
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105734
If continuation sheet
Page 7 of 8
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
105734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
04/22/2021
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Solaris Healthcare Osceola
4201 W New Nolte Road
Saint Cloud, FL 34772
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)
F 0761
medications from one container to another.
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105734
If continuation sheet
Page 8 of 8
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Back to topCitations
7 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F684 - Quality of care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F694 - Parenteral Fluids
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F695 - Respiratory care, including tracheostomy care and tracheal suctioning
Provide safe and appropriate respiratory care for a resident when needed.
F761 - Labeling of Drugs and Biologicals
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- 0353GeneralS&S Dpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0355GeneralS&S Dpotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0363GeneralS&S Dpotential for harm
Install corridor and hallway doors that block smoke.
FAQ · About this visit
Common questions about this visit
What happened during the April 22, 2021 survey of SOLARIS HEALTHCARE OSCEOLA?
This was a inspection survey of SOLARIS HEALTHCARE OSCEOLA on April 22, 2021. The surveyor cited 7 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at SOLARIS HEALTHCARE OSCEOLA on April 22, 2021?
Yes, 7 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.