Inspection Reports for
Pines of Sarasota
1251 NORTH ORANGE AVENUE, SARASOTA, FL, 34236
Back to Facility ProfileCitations (last 8 years)
Citations (over 8 years)
2.5 citations/year
Citations are regulatory findings recorded during state inspections.
46% better than Florida average
Florida average: 4.6 citations/yearCitations per year
8
6
4
2
0
Inspection Report
Citations: 0
Date: Jul 15, 2024
Visit Reason
State-compiled facility profile showing 17 inspections from 2013 to 2024 with deficiency history.
Findings
The inspections over the years show a mix of deficiencies cited, corrected, and no deficiencies found, with several monitoring visits reporting no deficiencies and multiple standard inspections citing deficiencies.
Report Facts
Inspections on page: 17
Inspection Report
Routine
Citations: 0
Date: Jul 15, 2024
Visit Reason
No deficiencies noted during this inspection.
Findings
No deficiencies noted during this inspection.
Inspection Report
Complaint Investigation
Citations: 1
Date: May 2, 2024
Visit Reason
The inspection was conducted following a complaint related to an incident where Resident #19 sustained a burn from overheated food served by staff.
Complaint Details
The complaint investigation found that Resident #19 was burned by overheated soup due to staff not following reheating procedures. The incident was substantiated with documentation and interviews confirming inadequate staff training and failure to check food temperature.
Findings
The facility failed to ensure staff training on reheating food was appropriate and effective, resulting in a resident burn injury. Several staff members were unable to explain the proper reheating procedure, prompting plans for retraining.
Citations (1)
F 0943: The facility failed to ensure staff followed the reheating food policy, resulting in Resident #19 sustaining a burn from overheated soup. Staff training was inadequate as multiple CNAs could not explain the reheating procedure.
Report Facts
Residents Affected: 1
Date of Incident: Apr 21, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Licensed Practical Nurse Unit Manager (LPN) | Reported details of the burn incident involving Resident #19. |
| Director of Nursing | Director of Nursing (DON) | Reported on staff training deficiencies and corrective actions. |
| Assistant Director of Nursing Risk Manager | Assistant Director of Nursing Risk Manager (ADONRM) | Provided training and conducted audits on reheating food procedures. |
Inspection Report
Annual Inspection
Citations: 4
Date: Jan 12, 2023
Visit Reason
The inspection was conducted as a routine annual survey to assess compliance with healthcare regulations and standards at Pines of Sarasota nursing home.
Findings
The facility was found deficient in multiple areas including improper catheter care, incorrect oxygen therapy administration, lack of assessment and consent for bed rail use, and unsecured medication carts. All deficiencies were noted to have minimal harm or potential for actual harm affecting a few residents.
Citations (4)
F 0690: The facility failed to store a urinary catheter drainage bag in a sanitary manner for 1 resident, risking infection.
F 0695: The facility failed to provide oxygen therapy as ordered for 1 resident, administering oxygen at 4 liters instead of the prescribed 2 liters.
F 0700: The facility failed to assess alternatives and obtain informed consent before using bed rails for 2 residents and lacked documentation of routine maintenance of bed rails.
F 0761: The facility failed to ensure a medication cart remained secured when unattended, exposing medications and residents' private information.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 2
Medication carts: 1
Medication carts total: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Certified Nursing Assistant (CNA) | Named in catheter care deficiency |
| Staff B | Licensed Practical Nurse (LPN) | Named in catheter care deficiency |
| Staff W | Registered Nurse (RN) | Verified oxygen therapy order and administration |
| Staff Q | Registered Nurse | Verified medication cart unsecured and privacy breach |
| Director of Nursing | Verified lack of documentation for bed rail consent and alternatives | |
| Maintenance Director | Confirmed lack of maintenance documentation for bed rails |
Inspection Report
Routine
Citations: 7
Date: Feb 15, 2022
Visit Reason
Multiple Class 3 and Class 4 deficiencies related to resident care, staffing, training, and background screening.
Findings
Multiple Class 3 and Class 4 deficiencies related to resident care, staffing, training, and background screening.
Citations (7)
Tag A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag CZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION
Inspection Report
Annual Inspection
Citations: 2
Date: May 27, 2021
Visit Reason
The inspection was conducted as a routine annual survey to assess compliance with healthcare regulations regarding medication management and food safety in the nursing home.
Findings
The facility failed to ensure medications were properly secured, expired medications were removed, and opened medication vials were dated. Additionally, the kitchen and food preparation areas were found to be heavily soiled, equipment was broken or malfunctioning, and food was not maintained at safe temperatures.
Citations (2)
F 0761: The facility failed to ensure medications were secured and locked, expired medications were removed from active supply, and opened multi-dose vials were properly dated.
F 0812: The facility failed to maintain food preparation equipment in a clean and sanitary manner and failed to maintain food at safe internal temperatures and dishwasher wash temperatures.
Report Facts
Expired medications: 6
Medication cart staff observed: 4
Medication cart medication left unsecured: 11
Dishwasher wash temperature: 140
Dishwasher rinse temperature: 90
Food temperatures on steam table: 110
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN Staff A | Licensed Practical Nurse | Observed leaving medications unsecured during administration |
| LPN Staff B | Licensed Practical Nurse | Conducted random audit of medication cart with expired medications |
| LPN Staff C | Licensed Practical Nurse | Conducted random audit of medication refrigerator with undated insulin vial |
| Director of Nursing | Director of Nursing | Interviewed regarding medication security and expiration policies |
| Director of Dietary Services | Director of Dietary Services | Interviewed and observed regarding kitchen sanitation and food temperature issues |
Inspection Report
Complaint Investigation
Citations: 0
Date: Dec 14, 2020
Visit Reason
No deficiencies noted during this complaint investigation.
Findings
No deficiencies noted during this complaint investigation.
Inspection Report
Routine
Citations: 1
Date: Apr 17, 2019
Visit Reason
Class 3 deficiency related to physical plant safety and maintenance.
Findings
Class 3 deficiency related to physical plant safety and maintenance.
Citations (1)
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER
Inspection Report
Citations: 1
Date: Dec 18, 2017
Visit Reason
Class 4 deficiency related to licensure change of ownership requirements.
Findings
Class 4 deficiency related to licensure change of ownership requirements.
Citations (1)
Tag A0003 — LICENSURE - CHANGE OF OWNERSHIP (CHOW)
Inspection Report
Routine
Citations: 3
Date: Jul 13, 2017
Visit Reason
Multiple Class 3 deficiencies related to staffing and training.
Findings
Multiple Class 3 deficiencies related to staffing and training.
Citations (3)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Inspection Report
Routine
Citations: 1
Date: Oct 10, 2013
Visit Reason
Class 4 deficiency related to unlicensed activity.
Findings
Class 4 deficiency related to unlicensed activity.
Citations (1)
Tag AZ827 — UNLICENSED ACTIVITY
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