FLORIDA BAPTIST RETIREMENT CENTER

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/02/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 06/05/2008 Correction Date: 07/14/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/02/2010 Correction Date: 10/03/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 06/05/2008 Correction Date: 07/14/2008

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 06/05/2008 Correction Date: 07/14/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/05/2008 Correction Date: 07/14/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/02/2010 Correction Date: 10/03/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 06/05/2008 Correction Date: 07/14/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 06/05/2008 Correction Date: 07/14/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 07/24/2009 Correction Date: 09/08/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 07/24/2009 Correction Date: 09/08/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 09/02/2010 Correction Date: 10/03/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/24/2009 Correction Date: 09/08/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 07/24/2009 Correction Date: 09/08/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 09/02/2010 Correction Date: 10/03/2010

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 06/05/2008 Correction Date: 07/14/2008

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 06/05/2008 Correction Date: 07/14/2008
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 06/05/2008 Correction Date: 07/14/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 06/05/2008 Correction Date: 07/14/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 06/05/2008 Correction Date: 07/14/2008
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Inspection Date: 06/05/2008 Correction Date: 07/14/2008
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 07/24/2009 Correction Date: 09/08/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 07/24/2009 Correction Date: 09/08/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 09/02/2010 Correction Date: 10/03/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 09/02/2010 Correction Date: 10/03/2010

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Florida Baptist Retirement Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/02/2010.

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 06/05/2008 Correction Date: 07/30/2008

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 06/05/2008 Correction Date: 07/30/2008

Smoke Compartmentation and Control

At Least Two Compartments on Every Floor to Protect Residents from Smoke. Inspection Date: 07/20/2009 Correction Date: 09/03/2009