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Inspection visit

Inspection

OLIVE BRANCH HEALTH AND REHABILITATION CENTERCMS #1061174 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

This survey cited 4 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0732 Post nurse staffing information every day. Level of Harm - Minimal harm or potential for actual harm Based on observations and interviews, the facility failed to maintain posting of the daily staffing requirements at the beginning of the shift in a prominent place visible to residents and visitors for 2 of 4 days observed. Residents Affected - Few The findings include: Upon tour of the facility on 4/6/25 and 4/7/25, there was no daily posting of the staff names in a prominent place for visitors and residents. On 4/7/25 at approximately 9:15 AM, an interview was conducted with the Staffing Coordinator, who indicated that she prints the staffing data to post daily on the counter behind the receptionist desk in the front lobby. The Staffing Coordinator further indicated that she lays it face up on the counter. When asked if the placement of the staffing posting is visible to residents and visitors, the staffing coordinator confirmed that placement would not be visible. She also stated that they used to keep it in a stand but they had stopped doing that for an unknown reason, but going forward it will be placed in the stand at the desk and will also place them at the nursing stations. On 4/7/25 at approximately 9:30 AM, an interview was conducted with the Administrator, who indicated that it was his expectation that the daily staffing requirement be placed in a stand up at the receptionist desk so that it would be visible to residents and visitors. 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: 106117 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 106117 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/09/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Olive Branch Health and Rehabilitation Center 8325 University Parkway Pensacola, FL 32514 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 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on observation, interviews, and policy review, the facility failed to ensure safe injection practices of intravenous medications by swabbing the rubber septum of the vial prior to accessing the medication for 1 of 12 residents sampled for medication administration. (Resident #71) Residents Affected - Few The findings include: During a medication administration observation on 04/06/2025 at 1:03 pm, Staff A, a Registered Nurse (RN), administered Ertapenem (an antibiotic), 1 gram in 100 milliliters of normal saline, to Resident #71. The Ertapenam was contained in a glass vial with a rubber septum covered by a plastic cap. Staff A performed hand hygiene and popped the plastic cap off the vial using her bare hand. She then attached the vial to the 100 milliliter bag of normal saline without swabbing the rubber septum of the vial first. Staff A then administered the medication to Resident #71. In an interview afterwards, she acknowledged did not swab the top of the medication vial with alcohol before mixing with the bag of normal saline. In an interview on 4/06/25 at 3:16 PM, the Director of Nursing said the facility does not use multi-dose vials. During this interview, she was unable to recall if there was a policy which specifically included swabbing the rubber septum of the vial of medication with alcohol prior to accessing the medication and administering the medication. Review of the facility policy titled Parenterals/Intravenous Solutions dated October 2019 did not include language about wiping the rubber septum of a vial with alcohol swab prior to piercing the septum. The Centers for Disease Control and Prevention (CDC) Injection Safety Checklist dated February 7, 2024 and accessed on 04/06/2025 at 3:43PM included in the checklist The rubber septum on a medication vial is disinfected with alcohol prior to piercing. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106117 If continuation sheet Page 2 of 3 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 106117 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/09/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Olive Branch Health and Rehabilitation Center 8325 University Parkway Pensacola, FL 32514 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 0920 Level of Harm - Minimal harm or potential for actual harm Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Based on observation, resident interviews, and staff interview, the facility failed to provide a dining room to dine in for 1 out of 4 days observed. Residents Affected - Few The findings include: A tour of the facility's dining area was conducted on Sunday, 4/06/25 at approximately 10:40AM. During this tour, the dining area was observed clean with dim lighting, and the tables were not set up to accommodate residents for lunch. An interview was conducted on 4/6/25 at approximately 12:15 PM, with the Certified Dietary Manager (CDM) concerning the fact that no one was eating in the dining room on Sunday during lunch. She stated that they were waiting for the facility to increase staffing for the weekend and that a plan is in the works. On 04/08/25 at approximately 11:25 AM, an interview was performed with Resident # 227 who was sitting at a dining room table reviewing the lunch menu to place an order. The resident stated, I have more options available here in the dining room then I do in my room. On Tuesday 04/08/25 at approximately 11:45AM, the dining area with was being used by about 15 residents throughout the dining area. Several dietary staff were tending to the resident's needs. On 04/09/25 at 11:00 AM, Dietician Tech C stated, I have been here since June 2022 and the dining room has not been open on the weekends as long as I have worked here. An interview was conducted on 4/09/25 at approximately 2:45PM, with the Administrator. The Administrator stated that the dining room was closed on the weekends due to short staffing, which was a result of the Center of Disease Control (CDC) COVID guidelines. However, it was shown that the CDC changed the guidelines 3 months ago. The Administrator stated that there was a meeting a couple of weeks ago to discuss the reopening of the dining room in two months. This would allow time to hire more staff, for the new food vendor to be in place, and new menus to be created. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 106117 If continuation sheet Page 3 of 3

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Citations

4 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.

  • 0732GeneralS&S Dpotential for harm

    F732 - Nurse Staffing Information

    Post nurse staffing information every day.

  • 0880GeneralS&S Dpotential for harm

    F880 - Infection Control

    Provide and implement an infection prevention and control program.

  • 0920GeneralS&S Dpotential for harm

    F920 - Dining and Resident Activities

    Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

  • 0020GeneralS&S Dpotential for harm

    Establish policies and procedures including evacuation.

FAQ · About this visit

Common questions about this visit

What happened during the April 9, 2025 survey of OLIVE BRANCH HEALTH AND REHABILITATION CENTER?

This was a inspection survey of OLIVE BRANCH HEALTH AND REHABILITATION CENTER on April 9, 2025. The surveyor cited 4 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at OLIVE BRANCH HEALTH AND REHABILITATION CENTER on April 9, 2025?

Yes, 4 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Post nurse staffing information every day."

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.