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Inspection visit

Health inspection

INDIAN BEACH NURSING AND REHAB CENTERCMS #1057741 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm Based on record review and facility staff interview, the facility failed to protect residents' rights to personal privacy for 2 (Residents #16 and #7) of 2 residents observed in unauthorized videos posted on staff personal social media account accessible to the public.The findings included:Review of the Employee Handbook, section E, Resident Confidentiality Policy, it stated In accordance with the Health Insurance Portability and Accountability Act (HIPAA) and the Patient [NAME] of Rights, employees must respect the resident confidentiality and may not divulge any information contained in a resident's record to any unauthorized persons, including co-workers. In addition, employees must refrain from discussing any protected health information (PHI) of a resident, which an unauthorized person may overhear, both on and off the worksite. Page 36 of the employee handbook stated .Disclosing information about residents, unless authorized to do so, can be very harmful .Everyone, particularly our residents, has a right to privacy. The employee handbook stated in the section titled, Social Media Activities .a) The personal use of social media is not allowed while employees are on working time or in working areas, regardless of the equipment used (e.g. either using personal or Company telephones or computers). b) Employees who use social media shall not post any proprietary Company data documents or photographs or any information which would violate any privacy laws applicable to the Company, regardless of whether the posting is done during working or non-working time.On 8/12/25 at 1:30 p.m., observation of Certified Nursing Assistant (CNA) Staff A's public social media account postings revealed an undated video where a facility resident could be seen singing in a microphone. Another resident could be seen self-propelling in his wheelchair. Both residents' faces were clearly visible. On 8/12/25 at 2:00 p.m., in an interview the Director of Nursing (DON) said upon admission to the facility, as part of the admission process the resident or their legal representative are asked if they would sign a Social Media Release Form to consent for the facility to use the picture and name in publications to include electronic publications, audio/visual presentations, promotional literature, advertising and media. She said the resident or their legal representative has the right to revoke the Social Media Release Form at any time and the facility would not be able to use the resident's picture and/or name from that point on. She said upon hire, as part of the onboarding education/in-services, facility staff are in-serviced that they are not allowed to take pictures and/or videos of residents without facility and/or resident permission and are not allowed to post a resident's picture and/or video on any social media website without prior permission from the resident and/or their legal representative. On 8/12/25 at 2:15 p.m., the DON reviewed CNA Staff A's public social media account postings. She identified the resident singing in the microphone as Resident #16 and the resident self-propelling in the wheelchair as Resident #7. The DON said the videos were from March 2024 during a facility activity in the dining room. She said Resident #16 passed away in November 2024. Due to cognitive impairment Resident #16 would not have been able to give CNA Staff A permission to post a video of himself on her personal social media account. After reviewing the videos, the DON said she was not Residents Affected - Few (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 2 Event ID: 105774 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 105774 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Indian Beach Nursing and Rehab Center 1755 18th St Sarasota, FL 34230 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 0583 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete aware that CNA Staff A had posted a video of Resident #16 singing on her personal social media account and the facility would not have given CNA Staff A permission to post a video of Resident #16 on her personal social media account. She said that CNA Staff A was hired on 12/2/23 and had received the education and the Employee Handbook specifying that facility staff were not allowed to disclose information including pictures and/or video of residents, unless authorized to do so by the facility, and by the resident or their legal representative. On 8/12/25 at 4:15 p.m., in an interview, the Administrator and DON said they reviewed CNA Staff A's social media account page and the confirmed the video where Resident #7 could be seen self-propelling in his wheelchair and the video where Resident #16 could be seen singing in a microphone were from March 2024. They said they did not find pictures or videos of any other resident on the staff's social media account. They said they reviewed Resident #16's medical record. A Social Media Release Form for Resident #16 was signed on 6/18/24, giving the facility permission to use a picture/video and/or name in facility publications. The Administrator and DON said they did not find documentation that Resident #16 or his legal representative had given CNA Staff A permission to post the video of Resident #16 singing during a facility event on her personal social media account.On 8/12/25 at 4:30 p.m. in an interview CNA Staff A confirmed she posted a video of Resident #16 during a facility karaoke activity event in March 2024 on her personal social media page. She verified Resident #7 also appeared in the videos and was easily identifiable. She verified she was in-serviced about residents' right to privacy and HIPAA (Health Insurance Portability and Accountability). She verified Resident #16 or his legal guardian did not give her permission to post the video of Resident #16 singing on her personal social media page.On 8/12/25 at 5:00 p.m., in an interview Human Resources Staff B said CNA Staff A was hired on 12/2/23. The CNA received education on HIPAA and Resident' Rights upon hire, on 2/15/24, 9/17/24 and 1/9/25 as part of the facility's reeducation to remind all staff that they were required to protect the residents' rights at all time, including not divulging the residents' personal health information and posting the resident's name, picture and/or video on non-facility approved publication. Event ID: Facility ID: 105774 If continuation sheet Page 2 of 2

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Citations

1 citation 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.

  • 0583GeneralS&S Dpotential for harm

    F583 - Privacy and Confidentiality

    Keep residents' personal and medical records private and confidential.

FAQ · About this visit

Common questions about this visit

What happened during the August 12, 2025 survey of INDIAN BEACH NURSING AND REHAB CENTER?

This was a inspection survey of INDIAN BEACH NURSING AND REHAB CENTER on August 12, 2025. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at INDIAN BEACH NURSING AND REHAB CENTER on August 12, 2025?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Keep residents' personal and medical records private and confidential."

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.

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.