Inspection·May 18, 2023

F 0687 Provide appropriate foot care. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to show effective coordination to ensure 1 resident (#94) of 2 residents reviewed received podiatry services to maintain good foot health for identified foot concerns. Residents Affected - Few The findings included: Review of the facility policy on Foot Care effective 10/17/22: It is the policy (of the facility) to ensure residents receive care and treatment to maintain good foot health. 1b. If necessary, the facility will assist the resident in making appointments with a qualified person, arranging for transportation to and from such appointments. 2b. A comprehensive assessment process is used for identifying conditions that increase the risk for impaired skin integrity of the foot. 2c. The comprehensive assessment will include an assessment of the feet for disorders which may require treatment including but not limited to corns, neuromas, calluses, bunions, hammertoes, heel spurs, and nail disorders. 3aiii. Referrals to podiatrists will be made when appropriate. Review of the clinical record for Resident #94 revealed an admission date of 5/11/23. Review of the Interdisciplinary Note dated 5/11/23 at 5:38 p.m. revealed Resident 94's heels and toes were dry, flaky, red, and blanchable. Resident may need to see the podiatrist. Review of the Skin Evaluation for Resident #94 dated 5/11/23 at 5:39 p.m. revealed the term Inapplicable for Foot problems, Infections of the foot, Open Lesions of the Foot, and Nails/Calluses Trimmed Last 90 days. The nurse documented, She may need to be seen by the podiatrist . Assistant Director of Nursing (ADON) was present during skin assessment. Review of the second Skin Evaluation for Resident #94 dated 5/11/23 at 6:56 p.m. revealed the term Inapplicable for Foot problems, Infections of the foot, Open Lesions of the Foot, and Nails/Calluses Trimmed Last 90 days. Review of the Baseline care plan dated 5/12/23 did not include interventions for foot care or podiatry. On 5/15/23 at 3:02 p.m., observed Resident 94 in her room sitting in recliner. Resident #94 said her toes were pretty bad and would like the toenails to be cut because she was not able reach them. The resident said they had not been done in a while. The resident was wearing sandals and her toes were visible. The toes on each foot overlapped. The toenails on both feet were thick and extending approximately half an inch from the nail bed. The nail (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 3 Event ID: 106104 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 106104 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/18/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Renaissance at the Terraces 26475 South Tamiami Trail Bonita Springs, FL 34135 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)