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GARDENS AT TERRACINA HEALTH & REHABILITATION Inspection Report, Violations & Safety Grade (NAPLES, Florida)

6869 DAVIS BOULEVARD, NAPLES, Florida 34104

Phone: 2393486000

CMS Overall:5/5

Overview & Bed Count

Certified Beds
30
Avg Residents/Day
25.4
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Collier
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing4/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityFlorida AvgDifference
RN Hours per Resident per Day1.800.73+1.08
Total Nurse Hours per Resident per Day4.863.86+1.00
CMS Staffing Rating4/53.3/5-
Nursing Staff Turnover51.4%41.5%-

Health Citation History

4 health citations on record

DateCategoryDescriptionSeverity
2024-05-30Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2023-02-16Resident Rights DeficienciesHonor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.D – Moderate Harm Potential
2023-02-16Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2023-02-16Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential

Fire Safety Citation History

22 fire safety citations on record

DateCategoryDescriptionSeverity
2024-05-30Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-05-30Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-05-30Emergency Preparedness DeficienciesEstablish procedures for tracking staff and patients during an emergency.D – Moderate Harm Potential
2024-05-30Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2024-05-30Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2024-05-30Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.D – Moderate Harm Potential
2024-05-30Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2023-02-16Smoke DeficienciesHave properly installed hallway dispensers for alcohol-based hand rub.F – Moderate Harm Potential
2023-02-16Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2023-02-16Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2023-02-16Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.F – Moderate Harm Potential
2023-02-16Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).D – Moderate Harm Potential
2023-02-16Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2023-02-16Gas, Vacuum, and Electrical Systems DeficienciesHave proper power supply for life support equipment.D – Moderate Harm Potential
2023-02-16Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2021-06-17Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2021-06-17Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2021-06-17Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2021-06-17Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2021-06-17Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2021-06-17Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2021-06-17Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential

Total Penalties & Fines

$10,881
Total Fine Amount (CMS)
2
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2024-05-30Fine$4,085-
2024-05-30Fine$6,796-

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