BONITA SPRINGS CARE HOME

Official classification

Type B

Official code

87457(c)(3)

Regulation authority

CCR

What the official deficiency says

87457 Pre-Admission Appraisal (c)(3) The prospective resident, or his/her responsible person, if any, shall be involved in the development of the appraisal. This requirement was not met as evidenced by: Based on review of resident records, R1-R3's Apraisal/ Needs and Services Plan was created but it was not signed by the resident or his/her responsible party which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator stated to submit a written plan of action understanding regulation and will ensure resident's Appraisal/Needs and Services Plan is signed by resident or his/her responsible person by POC due date. Administrator agreed and understood.

Deadline recorded: Mar 25, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record. This requirement was not met as evidenced by: Based on review of resident's records, R1's LIC 602A Physician's Assessment for Residential Care Facilities for the Elderly was completed on 02/16/2026 and R1 was moved into the facility prior to the assessment on 01/09/2026 which poses/

Official plan of correction

Administrator stated to submit a written plan of action understanding regulation and will ensure prior to resident's acceptance to the facility a medical assessment shall be obtained by POC due date. Administrator agreed and understood. (con't) posed a potential health, safety or personal rights risk to persons in care.

Deadline recorded: Mar 25, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidenced by: Deficient Practice Statement Based on obseration, the licensee did not comply with the section cited above wherein the hot water temperature in the hallway and master bedroom was measured at 135.6 and 136.5 degrees F which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/12/2025 Plan of Correction Licensee will adjust the hot water temperature today. Licensee states going forward, they will create a hot water log for staff to monitor the hot water temperature daily. Licensee will submit the hot water log and temperature of the water for the evening of 08/11/2025 to LPA Kabariti via email by POC due date of 08/12/2025.

Official classification

Type A

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

(a) ... Postural supports may be used under the following conditions. (5) Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above wherein 2 residents who are not receiving hospice care utilizes full bed rails which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/12/2025 Plan of Correction Licensee states a plan to remove the full bed rails today and obtain a physician's order for the bed rails. Licensee will submit a photograph of the bed after the rails have been removed and submit a written plan for going forward to LPA Kabariti via email by POC due date on 08/12/2025.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above in wherein there was no record to show that emergency drills were completed this year as the last documented drill was completed in December 2024 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/18/2025 Plan of Correction Licensee will complete the emergency drills for this month. Licensee will send the emergency drill log to LPA Kabariti via email by POC due date of 08/18/2025.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

(a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above wherein 1 resident who was admitted to the facility did not have a physician's report on file prior to admission which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/18/2025 Plan of Correction Licensee will submit a copy of the resident's physician's report as part of the plan of correction, to LPA Kabariti via email by POC due date of 08/18/2025.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review the licensee did not comply with the section cited above wherein 3 resident's centrally stored medications records (CSMR) were not maintained as there was a total of 10 medications that was not written in the CSMR which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/18/2025 Plan of Correction During visit, the designated Administrator inputted all the medications that was missing in the 3 residents centrally stored medication record. To hold the licensee accountable, the licensee will correct the deficiency by conducting a staff training on medications with a licensed professional. Licensee will submit the staff training to LPA Kabariti via email by POC due date 08/18/2025.