Deficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Annual Inspection
Census: 33
Deficiencies: 4
Date: Jul 17, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements related to resident environment safety, timely resident assessments, and food safety practices.
Findings
The facility was found deficient in maintaining a safe, clean, and homelike environment due to rusted bathroom equipment in several rooms, failure to conduct timely comprehensive minimum data set (MDS) assessments and transmit them as required, and failure to ensure proper hand hygiene and food temperature controls in the kitchen.
Deficiencies (4)
Failed to maintain a safe, clean, comfortable homelike environment related to rusted bathroom equipment in three rooms (112, 113, & 116).
Failed to conduct timely comprehensive minimum data set (MDS) assessments and transmit assessments per required timeframes for three residents (#2, #35, #21).
Failed to ensure staff completed hand hygiene between soiled dish handling and receiving of clean dishes when operating the dish washing machine.
Failed to ensure liquids such as milk were held at a temperature of 40 degrees Fahrenheit and below prior to serving to residents.
Report Facts
Residents reviewed for MDS: 6
Residents in sample: 20
Residents affected by MDS deficiency: 3
Residents affected by rusted bathroom equipment: 3
Residents at facility: 33
Dishwashing machine wash temperature: 150
Dishwashing machine rinse temperature: 180
Observed milk temperature: 63.2
Observed milk temperature: 49.4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Dietary Manager | Interviewed regarding dishwashing machine operation and food safety practices |
| Staff D | Cook | Observed operating dishwashing machine and handling soiled and clean eating ware without hand hygiene |
| Staff B | Dietary Aide | Observed operating dishwashing machine and handling soiled and clean eating ware without hand hygiene |
| Staff C | Dietary Aide | Observed handling clean and soiled eating ware without proper hand hygiene |
| Director of Maintenance | Interviewed about maintenance work orders and room inspections related to rusted bathroom equipment | |
| MDS Coordinator | Interviewed regarding untimely and incomplete MDS assessments for residents |
Inspection Report
Routine
Deficiencies: 3
Date: Aug 10, 2023
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements related to care planning, medical record documentation, and infection prevention and control practices at Canterbury Towers Inc nursing home.
Findings
The facility failed to document revisions to the care plan for Resident #18 related to physically abusive behaviors and skin tears, failed to maintain accurate and complete medical records documenting skin tear occurrences, and failed to implement effective infection prevention and control practices including hand hygiene, proper glove use, and prevention of cross contamination during medication administration.
Deficiencies (3)
Failed to document revisions to the plan of care for Resident #18 regarding physically abusive behaviors and skin tears.
Failed to maintain accurate and complete medical records by failing to fully document occurrence of skin tears for Resident #18.
Failed to implement an effective infection prevention and control program including failure to perform hand hygiene during medication administration, failure to prevent cross contamination when administering eye drops, and improper storage and usage of personal protective equipment.
Report Facts
Residents sampled: 18
Residents observed during medication administration: 6
Residents affected: 1
Residents affected: 2
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Licensed Practical Nurse (LPN) | Named in findings related to skin tear treatment and infection prevention deficiencies during medication administration |
| Staff B | Licensed Practical Nurse (LPN) | Interviewed regarding Resident #18's combative behaviors and skin tear incidents |
| Staff C | Licensed Practical Nurse / MDS | Interviewed regarding care plan revision procedures |
| Director of Nursing (DON) | Director of Nursing | Interviewed regarding Resident #18's care plan and skin tear incidents |
| Risk Manager (RM) | Risk Manager | Interviewed regarding documentation of skin tear incidents |
| Infection Control Preventionist (ICP) | Infection Control Preventionist | Interviewed regarding infection prevention and control practices |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 19, 2021
Visit Reason
The document is an annual inspection report for Canterbury Towers Inc, summarizing the findings of the survey conducted on 08/19/2021.
Findings
No health deficiencies were found during the inspection.
Report
Reports Summary
Report
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