F 0825
Provide or get specialized rehabilitative services as required for a resident.
Level of Harm - Minimal harm
or potential for actual harm
Based on record review, staff interview, and policy review, the facility failed to provide specialized
rehabilitative services as indicated in the comprehensive plan of care and physician orders for 2 of 3
sampled residents reviewed for specialized rehabilitative services. (Resident #8 and #10) The findings
include: Resident #8A review of Resident #8's medical record revealed a physician order dated 6/16/25 for
physical therapy (PT) to be provided daily 6 times per week for 6 weeks for cerebral infarction due to
embolism of the left posterior cerebral artery and muscle weakness. Treatment includes therapeutic
exercise, therapeutic activities, neuromuscular reeducation, gait training to increase strength, balance and
endurance in order to improve bed mobility, transfers and gait. The mode of treatment is via individual,
group, and/or cotreat. A review of Resident #8's comprehensive plan of care dated 6/15/25 revealed a care
plan for Activities of Daily Living (ADL) decline related to cerebrovascular accident, recurrent urinary tract
infection, dizziness, mood disorder, depression, and generalized anxiety disorder with an intervention dated
6/15/25 for physical therapy/occupational therapy to evaluate and treat. A review of Resident #8's PT
evaluation and plan of treatment for certification period dated 6/16/25-6/17/25 indicated the resident was to
receive physical therapy 6 times a week daily times 6 weeks. Review of the treatment notes revealed a
missed physical therapy visit on 6/23/25 due to a staffing shortage, a missed physical therapy visit on
7/1/25 due to a staffing shortage, a missed physical therapy visit on 7/10/25 due to the resident eating
dinner at 5:50 PM, and a missed physical therapy visit on 7/11/25 due to a staffing shortage. Resident #10A
review of Resident #10's medical record revealed a physician order dated 8/5/25 for occupational therapy
(OT) to be provided daily 6 times per week, for 8 weeks for medical conditions and treatment diagnosis.
Treatment includes ADL retraining, therapeutic exercise, therapeutic activities, neuromuscular reeducation,
and wheelchair management. The mode of delivery is via individual, group, and/or cotreat therapy. The
medical record also revealed a physician order dated 8/4/25 for speech therapy (ST) to be provided daily, 5
times per week, for 6 weeks for treatment of receptive/expressive speech/language deficits due to aphasia.
Skilled treatments include therapeutic tasks, compensatory strategy training, patient/caregiver education,
graded speech/language tasks, and development/implementation of carryover activities. The mode of
delivery includes individual, concurrent, cotreatment, and group therapy. A review of the comprehensive
plan of care for activities of daily living decline related to recent hospitalization with left cerebrovascular
accident dated 8/1/25 revealed an intervention dated 8/1/25 for PT and OT to evaluate and treat and a
comprehensive plan of care for nutrition risk dated 8/1/25 with an intervention dated 8/1/25 for ST to
evaluate and treat. Review of the OT evaluation and plan of treatment for certification period 8/4/25 -9/2/25
revealed the resident was to receive OT daily, 6 times a week for 8 weeks. Review of the ST evaluation and
plan of treatment for certification period 8/4/25- 9/14/25 revealed the resident was to receive ST daily, 5
times a week for 6 weeks. Review of the occupational therapy visit documentation revealed a missed visit
on 8/23/25 due to staffing. Review
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:
106140
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
106140
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/16/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Pruitthealth - Southwood
2301 Bluff Oak Way
Tallahassee, FL 32311
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 0825
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
of the ST visit documentation revealed missed visits on 8/28/25 and 8/29/25 due to staffing issues. An
interview was conducted with Employee A (Physical Therapist) on 9/16/25 at 11:05 AM. Employee A stated
they were having a staffing shortage and using as needed (prn) therapists. The prn therapists would usually
come in the evening around 4-6 PM and at times the residents would be eating. An interview was
conducted with the Administrator on 9/16/25 at 4:16 PM. The Administrator stated he was not aware of
therapy missing visits due to staffing issues. He was aware therapy had hired some more staff. Review of
the facility policy for Therapy Evaluations (revised 5/13/2020 version 6) revealed, It is the policy of
Pruitthealth Therapy Services that all physician's orders for therapy evaluations be addressed in a timely
manner by Physical, Occupational and/or Speech Therapy as designated by the physician. The evaluation
will include discipline-specific findings related to the patient/resident's functional status and underlying
impairments and prior functional level.
Event ID:
Facility ID:
106140
If continuation sheet
Page 2 of 2