Adult Family Care Home Top Ten Health Deficiency Citations Statewide March 15, 2017 Year Date Range: January 1, 2016 through December 31, 2016
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1 Adult Family Care Home Top Ten Health Deficiency Citations 1 F Staff Records Standards (58A (2)(A)1, 58A (1)(A), F.A.C.) 2 F Admission And Appropriateness Of Placement (58A (2), F.A.C.) 3 F Staffing Standards (58A (4)(D), F.A.C.) 4 F Medication Standards (58A (1)(B), F.A.C.) 5 F Resident Records Standards (58A (2), (2), (1)(A), F.A.C.) 6 F Resident Records Standards (58A (1)(A)2, (1) & (3), F.A.C.) 7 F Facility Records Standards (58A (3)(F), F.A.C.) 8 F Staffing Standards (58A (4)(C), F.A.C.) 9 F Resident Care Standards (58A (3), F.A.C.) 10 F Staff Records Standards (58A (2)(a)4), F.A.C)
2 Ambulatory Surgical Center Top Ten State Life Safety Deficiency Citations 1 K Electrical Safety (NFPA LSC; NFPA ; NFPA 9) 2 K Generator Maintenance & Testing (NFPA LSC; NFPA ) 3 K Emergency Lighting (NFPA LSC; NFPA ) 4 K Fire Alarm (NFPA LSC) 5 K Medical Gas (NFPA LSC; NFPA 99 (2012)) 6 K Fire Extinguishers (NFPA LSC) 7 K Medical Gas-piped In (NFPA LSC; NFPA 99 (2012)) 8 K AFSS & Standpipe-Inspect, Test, & Maintain (NFPA LSC) 9 K Hazardous Areas (NFPA LSC) 10 K HVAC Equipment (NFPA ; NFPA 90a-2012; NFPA 90b-2)
3 Assisted Living Facility Top Ten Health Deficiency Citations 1 A Staffing Standards - Staff (58A-5.019(2), F.A.C.) Resident Care - Rights & Facility Procedures (58A (6), F.A.C.; , 2 A F.S.) 3 A Training - Staff In-service (58A (2), F.A.C.) 4 A Food Service - Dietary Standards (58A-5.020(2), F.A.C.) 5 A Physical Plant - Safe Living Environ/other (58A-5.023(3), F.A.C.) 6 A Admissions - Continued Residency (429.26(1&9) F.S.; 58A (4), F.A.C.) 7 A Resident Care - Supervision (429.26(7), F.S.; 58A (1), F.A.C.) 8 A Medication - Records (58A (5), F.A.C.) 9 A Admissions - Health Assessment (429.26(4-6), F.S.; 58A (2), F.A.C.) 10 A Medication - Assistance With Self-admin (58A (3), F.A.C.)
4 Birthing Centers Top Ten State Life Safety Deficiency Citations 1 K Fire Plan/Drills/Local AHJ Insp/Fire Ext Svc (59A-11, F.A.C.) 2 K Disaster Plan (59A-11, F.A.C.) 3 K Oxygen Safety (59A-11, F.A.C.) 4 K Fire Extinguishers (NFPA LSC) 5 K Emergency Lighting (NFPA LSC) 6 K Egress Signage (NFPA LSC) 7 K Fire Alarm (NFPA LSC) 8 K Utilities (NFPA LSC) 9 K Automatic Fire Sprinkler System (NFPA LSC) 10 K Extinguisher Training (NFPA LSC) 11 K Unobstructed Egress (NFPA LSC)
5 Health Care Clinics Top Ten Health Deficiency Citations Clinic Responsibilities-Systematic Bill Review ( (1)(G), F.S., 59A- 1 U (5)(M), F.A.C.) 2 U Clinic Responsibilities-Record Sign Off (59A (5)(Q), F.A.C.) 3 U Clinic Responsibilities-Med Dir Oversight (59A (5)(i), F.A.C.) 4 U Right Of Inspection; Provider On Site ( (7)(D), F.S.) 5 U Clinic Responsibilities-Organizational Chart (59A (5)(P), F.A.C.) 6 U Clinic Responsibilities-Log Of Level 2 Bkgd Ck (59A (5)(R), F.A.C.) 7 U Clinic Responsibilities-Compliance By Med Dir (59A (5)(S), F.A.C.) 8 U Clinic Responsibilities-Recordkeeping ( (1)(F), F.S., 59A (5)(E), F.A.C.) 9 U Clinic Responsibilities-Sign Identify Med Dir ( (1)(A), F.S.) 10 U Clinic Responsibilities-Equipment Certified (59A (5)(O), F.A.C.)
6 Home Health Agency Top Ten State Health Deficiency Citations 1 H Treatment Orders ( (2), F.S.; 59A (2), F.A.C.) 2 H Plan Of Care (59A (1), F.A.C.; (2), F.S.) 3 H Personnel - Registered Nurse (59A (3)(A), F.A.C.) 4 H Clinical Records ( (1), F.S.) 5 H Acceptance Of Patients Or Clients (59A-8.020(1), F.A.C.; (2), F.S.) 6 H Plan Of Care ( (6), F.S.) 7 H Written Agreement ( (1), F.S.; 59A-8.020(2) F.A.C.) 8 HZ Background Screening; Prohibited Offenses ( , (2), , F.S.) 9 H Termination Of Services (59A-8.020(4), F.A.C.) 10 H Emergency Management Plan Review ( (8), F.S.; (1), F.S.; 59A (2-3), F.A.C.)
7 Hospice Top Ten State and Federal Health Deficiency Citations 1 T Plan Of Care ( (5-6), F.S.) 2 L Coordination Of Services (418.56(E)(2), C.F.R.) 3 T Staff Training Requirements-Alzheimer's ( (1)(C-I), F.S., 58A (1)(B), F.A.C.) 4 L Exercise Of Rights/Respect For Property/Person (418.52(B)(1), C.F.R.) Staff Training Requirements- Alzheimer's ( (1)(B), F.S.; 58a- 5 T (1)(A), F.A.C.) 6 L Coordination Of Services (418.56(E)(3), C.F.R.) 7 T Administration & Mgmt Of A Hospice ( (3), F.S.) 8 T Discharge Or Transfer ( (7), F.S.) 9 T Patient's Medical Record ( (1), F.S.) 10 L Plan Of Care (418.56(B), C.F.R.) 11 L Nursing Services (418.64(B)(1), C.F.R.) 12 L Clinical Records ( , C.F.R.) 13 TZ818 3 Minimum Licensure Requirement - Client Notice ( (5) F.S.)
8 Hospital Top Ten State Health Deficiency Citations 1 H Nursing Service - Care Process (59A (5)(E)1-3, F.A.C.) 2 H Approp Measure - Education & Training ( (1)(B)1, F.S.) 3 H Patient Safety Officer And Committee ( (2), F.S.) 4 H Nursing Service-Std Of Practice & Policy/Procedure (59A (5)(D), F.A.C.) 5 H Patient Rights & Care - Add'L Policy/Procedure (59A-3.254(4)(C)-(H) And (5), F.A.C.) 6 H Maintenance - Preventive Plan (59A-3.276(1)(A)-(G), F.A.C.) 7 H Patient Rights & Care - Reassessment (59A-3.254(1)(C)-(D), F.A.C.) 8 H Health Information Mgmt - Medical Records (59A-3.270(3)(A)-(X), F.A.C.) 9 H Incident Reporting System - Reports (59A (2)(C)-(E), F.A.C.) 10 H RM Prog - Incident Reporting System ( (1)(E), F.S.)
9 Hospital Top Ten State Life Safety Deficiency Citations 1 K Electrical Safety (NFPA LSC) 2 K AFSS & Standpipe-inspect, Test, & Maintain (NFPA LSC) 3 K Cooking Equipment ( NFPA LSC) 4 K Medical Gas ( NFPA LSC) 5 K Fire Drills & Staff Familiarization ( NFPA LSC) 6 K Firestop Systems And Devices (NFPA LSC) 7 K Smoke Barriers (NFPA LSC) 8 K Corridor Doors (NFPA LSC) 9 K Generator Maintenance & Testing (NFPA LSC, NFPA LSC) 10 K Sprinkler System (NFPA LSC)
10 Intermediate Care Facility for the Developmentally Disabled Top Ten Federal Health Deficiency Citations 1 W Program Implementation ( (D)(1), C.F.R.) 2 W Infection Control ( (L)(1), C.F.R.) 3 W Drug Administration ( (K)(2), C.F.R.) 4 W Qualified Mental Retardation Professional ( (A), C.F.R.) 5 W Drug Administration ( (K)(1), C.F.R.) 6 W Services Provided With Outside Sources ( (D)(3), C.F.R.) 7 W Active Treatment ( (A)(1), C.F.R.) 8 W Nursing Services ( (C), C.F.R.) 9 W Space And Equipment ( (G)(2), C.F.R.) 10 W Staff Training Program ( (E)(4), C.F.R.) 11 W Active Treatment Services ( , C.F.R.) 12 W Meal Services ( (B)(2)(iii), C.F.R.)
11 Laboratory Top Ten State and Federal Health Deficiency Citations 1 D Successful Participation ( (A)(B)(C), C.F.R.) 2 L Participation In Proficiency Testing (59A-7.025(3)(A), F.A.C.) 3 L General Quality Control Requirements (59A-7.029(1), F.A.C.) 4 L General Quality Control Requirement (59A-7.029(2), F.A.C.) 5 D Laboratory Director ( , C.F.R.) 6 D Evaluation Of Proficiency Testing Performance ( (C)(1), C.F.R.) 7 D Hematology ( (G), C.F.R. ) 8 L Quality Assurance (59A-7.031(1), F.A.C.) 9 D Control Procedures ( (E)(4)(G), C.F.R.) 10 L Quality Assurance (59A-7.031(5)(B), F.A.C.)
12 Nursing Home Top Ten Federal Health Deficiency Citations 1 F Infection Control, Prevent Spread, Linens ( C.F.R.) 2 F Services By Qualified Persons/Per Care Plan (483.20(K)(3)(Ii) C.F.R) 3 F Food Procure, Store/Prepare/Serve - Sanitary (483.35(I) C.F.R.) 4 F Drug Records, Label/Store Drugs & Biologicals (483.60(B), (D), (E) C.F.R.) 5 F Housekeeping & Maintenance Services (483.15(H)(2) C.F.R.) 6 F Provide Care/services For Highest Well Being (483.25, C.F.R.) 7 F Res Records-Complete/Accurate/Accessible (483.75(L)(1) C.F.R.) 8 F Dignity And Respect Of Individuality (483.15(A) C.F.R.) 9 F Free Of Accident Hazards/Supervision/Devices (483.25(H) C.F.R.) 10 F Drug Regimen Is Free From Unnecessary Drugs (483.25(L) C.F.R.)
13 Nursing Home Top Ten State Life Safety Deficiency Citations 1 K AFSS & Standpipe-inspect, Test, & Maintain (NFPA LSC) 2 K Electrical Safety (NFPA LSC, NFPA LSC, NFPA 99- LSC) 3 K Corridor Doors (NFPA LSC) 4 K Firestop Systems And Devices (NFPA LSC) 5 K Medical Gas (NFPA LSC) 6 K Cooking Equipment (NFPA LSC) 7 K Smoke Barrier Door - Vision Panels (NFPA LSC) 8 K Fire Alarm Testing (NFPA 101- LSC 2012, NFPA ) 9 K Generator Maintenance & Testing (NFPA LSC, NFPA LSC) 10 K Smoking Regulations ( NFPA LSC)
Adult Family Care Home Top Ten Health Deficiency Citations Statewide January 7, 2018 Year Date Range: July 1, 2016 through June 30, 2017
Adult Family Care Home Top Ten Health Deficiency Citations 1 F0401 59 Freedom From Communicable Disease (58A-14.0085(2)(a)1, 58A-14.008(1)(a)) 2 Z814 29 Background Screening Clearinghouse (435.12(2)(b-d),
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