F 0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Level of Harm - Minimal harm
or potential for actual harm
Based on interview and record review, the facility failed to provide the necessary care and services for
hygiene for 1 (Resident #1) of 3 residents reviewed.
Residents Affected - Few
The findings included:
On 7/26/23 at 2:04 p.m., Resident #1 said she has not been getting two showers a week like she is
supposed to. She said her hair has not been washed either. She said one day last week she was taken to
the shower, but there was no hot water, so it was just a quick rinse without a hair shampoo. She said this
bothers her because her hair is thick and greasy. She said the lack of showers required her son to pay for
shampoo at the salon and that was unacceptable. She said they offered the hair wash with a dry cap, but
that does nothing for her hair. She said no one had offered her a bed bath or shower today.
On 7/26/23 at approximately 2:10 p.m., in an interview, the Unit Manager, Licensed Practical Nurse Staff S
said each resident gets two showers a week. The schedule is in the shower book. If the resident refuses,
the nurse is notified, and it is documented. The resident's hair is washed during the shower, but they can
also have their hair washed at the salon for a monetary charge.
Record Review of the shower schedule for Resident #1 indicated showers were twice weekly on Mondays
and Thursdays.
Record review of the shower sheets for Resident #1 indicated in the month of July the resident was given a
sponge bath on 7/24/23, bed bath on 7/18/23, and a bed bath on 7/10/23.
Review of the Certified Nursing Assistant (CNA) Documentation Survey Report v2 for June 2023 for
Bathing revealed Resident #1 was given a sponge bath on 6/3/23, 6/9/23, and 6/29/23. There was no
indication Resident #1 received a shower with hair shampoo during the month of June 2023.
Review of the CNA Documentation Survey Report v2 for July 2023 for Bathing revealed Resident #1 was
given a sponge bath on 7/3/23, and a full bed bath on 7/10/23. There was no indication Resident #1
received a shower with hair shampoo during the month of July 2023.
On 7/26/23 at 3:53 p.m., in an interview, the Regional Representative said she recognized there was an
opportunity for staff improvement regarding bathing and showers at the facility. She said the Director of
Nursing provided in-service education to the staff on 6/21/23.
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:
105842
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
105842
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/26/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Crescent Health and Rehabilitation Center
5401 Sawyer Rd
Sarasota, FL 34233
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 0812
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve
food in accordance with professional standards.
Based on observation, record review and staff interview, the facility failed to maintain the kitchen in a clean,
safe, and sanitary manner that is in good repair by not having a dishwasher that effectively maintained the
minimum wash and rinse temperatures to ensure effective sanitization.
The findings included:
Facility policy titled Dishwashing Machine Operation- High Temperature (04/07/06) indicated under Bullet
#8: Check and record temperatures of wash and rinse water Wash temperatures are to be 150 degrees
Fahrenheit for single tank machines and 160 degrees Fahrenheit for conveyor type machines. Rinse
temperatures must be at least 180 degrees Fahrenheit. Temperatures should not exceed 170 degrees
Fahrenheit for wash or 200 degrees Fahrenheit for rinse. Bullet #9 indicated: Record wash and rinse
temperatures on the Dishwasher Temperature Log Form.
On 7/26/23 at 11:25 a.m., during a tour of the kitchen dishwashing area, it was noted the facility had a
conveyor type high temperature dishwashing machine. The Dishwasher Temperature/Chemical Record had
no recorded temperatures for breakfast for 7/13/23-7/16/2023 and 7/26/23, and no recorded temperatures
for breakfast, lunch, or dinner on 7/19/23-7/25/23.
On 7/26/23 at 11:28 a.m., the high temp dishwasher cycle was observed. The wash cycle reached a
temperature of 150 degrees Fahrenheit, and the rinse temperature did not move at all.
On 7/26/23 at 11:36 a.m., a second dishwasher cycle was observed with the Regional Director of
Maintenance. The wash cycle reached 158 degrees Fahrenheit, and the rinse cycle did move at all. The
Regional Director of Maintenance said temperatures did not meet specifications and the rinse cycle did not
seem to be cycling on. He said all dishes will have to be re-washed and paper will need to be used for now.
On 7/26/23 at 12:19 p.m., the Administrator said the facility currently had no Certified Dietary Manager. She
said the dietitian had been going in the kitchen but was unaware if she had been monitoring the
dishwasher. The Administrator said it was not good that the temperature log for the dishwasher had not
been monitored and documented. She said it was a concern that the dishes weren't sanitized properly.
Class III
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105842
If continuation sheet
Page 2 of 2