Health inspection·April 26, 2024

F 0573 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Let each resident or the resident's legal representative access or purchase copies of all the resident's records. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure residents received copies of their medical records in a timely manner for 1 of 3 residents reviewed, Resident #1. Findings include: During an interview on 4/26/2024 at 11:26 AM, Resident #1's Daughter stated, I still have not received the medical records. I requested them in January 2024 and still get excuses. Review of the Durable Power of Attorney signed by Resident #1 on 7/28/2004 showed the resident appointed Resident #1's Daughter as the attorney-in-fact to manage all her affairs. Review of the email communication between Resident #1's Daughter and the Admissions Assistant dated 3/4/2024 read, I am touching base back with you since I had the meeting with the care plan staff on [DATE]. I discussed a few things and asked some questions that I have not gotten a response to yet . 2. Where are the copies of my dad's medical records that I have already requested to you since there has not been a medical records staff person yet? Review of email communication between Resident #1's Daughter and the Director of Nursing dated 3/19/2024 read, I am just checking to find out what is happening with getting the copies of my dad's records to me . I still do not know who is responsible for medical records since I first requested them back in January. Can you get all that together for me soon? During an interview on 4/26/2024 at 10:52 AM, the Administrator stated, I accept responsibility. There was a delay in providing medical record. Once the request is made, we should provide the medical records within 48 hours. When a record is requested, we have to send the request to corporate, and the legal team will review, and we provide the records. During an interview on 4/26/2024 at 11:18 AM, the admission Assistant stated, [Resident #1's name] daughter did request medical records. The request was made probably at the beginning of this year. She requested the record from me personally and I send the request to medical record and forwarded the email to the department she really needed to talk. She asked again about the medical records. I then told her to go to the receptionist desk and get a paper and do a medical records request. I left a note with reception, and she did pick up the medical record request form. I assume she did because she sent an email weeks later wanting an update. I have not heard from her this month. Maybe a couple of months ago that she sent them. Page 1 of 2 106046 106046 04/26/2024 Terrace Healthcare & Rehabilitation Center 7207 SW 24th Ave Gainesville, FL 32608

F 0573 Level of Harm - Minimal harm or potential for actual harm Review of the facility policy and procedure titled Resident Identifiable Information/Medical Records issued on 4/1/2022 read, Policy: It is the policy of this facility to maintain a medical record for each resident in accordance with applicable federal and state guidelines. Procedure . 3. Medical Records on each resident will be accurately documented; readily accessible; and systematically organized. Residents Affected - Few 106046 Page 2 of 2