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Health Inspection Summary
Bedrock Rehabilitation and Nursing Center at Winte
1700 Monroe Ave
Maitland, FL 32751
(407) 647-2092

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Deficiency Category
Inspection Date:
8/30/24
Complaint Reporting Period:
3/1/24 - 2/28/25
Inspection Date:
10/20/22
Complaint Reporting Period:
3/1/23 - 2/29/24
Inspection Date:
2/18/21
Complaint Reporting Period:
3/1/22 - 2/28/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies220
Quality of Life and Care Deficiencies335
Infection Control Deficiencies011
Resident Assessment and Care Planning Deficiencies624
Nursing and Physician Services Deficiencies000
Resident Rights Deficiencies330
Nutrition and Dietary Deficiencies030
Pharmacy Service Deficiencies212
Environmental Deficiencies211
Administration Deficiencies220

Detailed result for inspection on 8/30/24
Date of last standard health inspection:8/30/24Read the full report (PDF)
Date(s) of complaint inspection(s) between 3/1/24 - 2/28/25
Date(s) of infection control inspection(s) between 3/1/24 - 2/28/25
No infection control inspections
Total number of Health Deficiencies for this nursing home:20
Average number of Health Deficiencies in Florida:7
Average number of Health Deficiencies in the United States:9.6
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

10/23/2411/23/24
2 - Minimal harm or potential for actual harm
Few

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

10/23/2411/23/24
2 - Minimal harm or potential for actual harm
Few
Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

8/30/249/30/24
2 - Minimal harm or potential for actual harm
Few

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

10/23/2411/23/24
2 - Minimal harm or potential for actual harm
Few

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

8/30/249/30/24
2 - Minimal harm or potential for actual harm
Few
Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.
Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

8/30/249/30/24
2 - Minimal harm or potential for actual harm
Some

Ensure each resident receives an accurate assessment.

8/30/249/30/24
2 - Minimal harm or potential for actual harm
Few

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

8/30/249/30/24
2 - Minimal harm or potential for actual harm
Few

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

12/13/241/15/25
2 - Minimal harm or potential for actual harm
Few

PASARR screening for Mental disorders or Intellectual Disabilities

8/30/249/30/24
2 - Minimal harm or potential for actual harm
Few

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

12/13/241/15/25
2 - Minimal harm or potential for actual harm
Few
Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure that residents are fully informed and understand their health status, care and treatments.

10/23/2411/23/24
2 - Minimal harm or potential for actual harm
Few

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

8/30/249/30/24
2 - Minimal harm or potential for actual harm
Few

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

8/30/249/30/24
2 - Minimal harm or potential for actual harm
Few
Nutrition and Dietary Deficiencies
No Nutrition and Dietary Deficiencies were found during this inspection period.
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

6/25/247/23/24
2 - Minimal harm or potential for actual harm
Few

Ensure that residents are free from significant medication errors.

8/30/249/30/24
2 - Minimal harm or potential for actual harm
Few
Environmental Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Make sure that a working call system is available in each resident's bathroom and bathing area.

8/30/249/30/24
2 - Minimal harm or potential for actual harm
Few

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

12/13/241/15/25
2 - Minimal harm or potential for actual harm
Some
Administration Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

8/30/249/30/24
2 - Minimal harm or potential for actual harm
Some

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

1/14/251/15/25
2 - Minimal harm or potential for actual harm
Few

Detailed result for inspection on 10/20/22
Date of last standard health inspection:10/20/22Read the full report (PDF)
Date(s) of complaint inspection(s) between 3/1/23 - 2/29/24
Date(s) of infection control inspection(s) between 3/1/23 - 2/29/24
No infection control inspections
Total number of Health Deficiencies for this nursing home:18
Average number of Health Deficiencies in Florida:6.2
Average number of Health Deficiencies in the United States:9.4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2/15/243/15/24
2 - Minimal harm or potential for actual harm
Some

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2/15/243/15/24
2 - Minimal harm or potential for actual harm
Few
Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

6/14/237/14/23
2 - Minimal harm or potential for actual harm
Few

Provide safe and appropriate respiratory care for a resident when needed.

10/20/2211/28/22
2 - Minimal harm or potential for actual harm
Few

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

10/20/2211/28/22
2 - Minimal harm or potential for actual harm
Few
Infection Control Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

10/20/2211/28/22
2 - Minimal harm or potential for actual harm
Few
Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

6/14/237/14/23
2 - Minimal harm or potential for actual harm
Few

Ensure each resident receives an accurate assessment.

10/20/2211/28/22
2 - Minimal harm or potential for actual harm
Some
Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

10/20/2211/28/22
2 - Minimal harm or potential for actual harm
Some

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

6/14/237/14/23
2 - Minimal harm or potential for actual harm
Few

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

10/20/2211/28/22
2 - Minimal harm or potential for actual harm
Many
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

6/14/237/14/23
2 - Minimal harm or potential for actual harm
Few

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

10/20/2211/28/22
2 - Minimal harm or potential for actual harm
Some

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

6/14/237/14/23
2 - Minimal harm or potential for actual harm
Some
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

10/20/2211/28/22
2 - Minimal harm or potential for actual harm
Few
Environmental Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

6/14/237/14/23
2 - Minimal harm or potential for actual harm
Few
Administration Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2/15/243/15/24
2 - Minimal harm or potential for actual harm
Some

Employ staff that are licensed, certified, or registered in accordance with state laws.

2/15/243/15/24
2 - Minimal harm or potential for actual harm
Few

Detailed result for inspection on 2/18/21
Date of last standard health inspection:2/18/21Read the full report (PDF)
Date(s) of complaint inspection(s) between 3/1/22 - 2/28/23
Date(s) of infection control inspection(s) between 3/1/22 - 2/28/23
Total number of Health Deficiencies for this nursing home:13
Average number of Health Deficiencies in Florida:5.8
Average number of Health Deficiencies in the United States:8.7
Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.
Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2/18/213/19/21
2 - Minimal harm or potential for actual harm
Few

Provide care and assistance to perform activities of daily living for any resident who is unable.

2/18/213/19/21
2 - Minimal harm or potential for actual harm
Few

Provide safe, appropriate pain management for a resident who requires such services.

2/18/213/19/21
2 - Minimal harm or potential for actual harm
Few

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

12/29/221/20/23
2 - Minimal harm or potential for actual harm
Some

Provide safe and appropriate respiratory care for a resident when needed.

2/18/213/19/21
2 - Minimal harm or potential for actual harm
Few
Infection Control Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure staff are vaccinated for COVID-19

12/5/221/6/23
1 - Potential for minimal harm
Many
Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure services provided by the nursing facility meet professional standards of quality.

2/18/213/19/21
2 - Minimal harm or potential for actual harm
Few

Ensure each resident receives an accurate assessment.

2/18/213/19/21
2 - Minimal harm or potential for actual harm
Few

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2/18/213/19/21
2 - Minimal harm or potential for actual harm
Few

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2/18/213/19/21
2 - Minimal harm or potential for actual harm
Some
Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.
Resident Rights Deficiencies
No Resident Rights Deficiencies were found during this inspection period.
Nutrition and Dietary Deficiencies
No Nutrition and Dietary Deficiencies were found during this inspection period.
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

2/18/213/19/21
2 - Minimal harm or potential for actual harm
Few

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2/18/213/19/21
2 - Minimal harm or potential for actual harm
Few
Environmental Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Keep all essential equipment working safely.

2/18/213/19/21
2 - Minimal harm or potential for actual harm
Some
Administration Deficiencies
No Administration Deficiencies were found during this inspection period.
Complaints and facility-reported incidents in the past 3 years
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

10/23/2411/23/24
2 - Minimal harm or potential for actual harm
Few

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

10/23/2411/23/24
2 - Minimal harm or potential for actual harm
Few

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

8/30/249/30/24
2 - Minimal harm or potential for actual harm
Few

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

10/23/2411/23/24
2 - Minimal harm or potential for actual harm
Few

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

12/13/241/15/25
2 - Minimal harm or potential for actual harm
Few

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

12/13/241/15/25
2 - Minimal harm or potential for actual harm
Few

Ensure that residents are fully informed and understand their health status, care and treatments.

10/23/2411/23/24
2 - Minimal harm or potential for actual harm
Few

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

6/25/247/23/24
2 - Minimal harm or potential for actual harm
Few

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

12/13/241/15/25
2 - Minimal harm or potential for actual harm
Some

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

1/14/251/15/25
2 - Minimal harm or potential for actual harm
Few

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2/15/243/15/24
2 - Minimal harm or potential for actual harm
Some

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2/15/243/15/24
2 - Minimal harm or potential for actual harm
Few

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

6/14/237/14/23
2 - Minimal harm or potential for actual harm
Few

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

6/14/237/14/23
2 - Minimal harm or potential for actual harm
Few

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

6/14/237/14/23
2 - Minimal harm or potential for actual harm
Few

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

6/14/237/14/23
2 - Minimal harm or potential for actual harm
Few

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

6/14/237/14/23
2 - Minimal harm or potential for actual harm
Some

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

6/14/237/14/23
2 - Minimal harm or potential for actual harm
Few

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2/15/243/15/24
2 - Minimal harm or potential for actual harm
Some

Employ staff that are licensed, certified, or registered in accordance with state laws.

2/15/243/15/24
2 - Minimal harm or potential for actual harm
Few

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

12/29/221/20/23
2 - Minimal harm or potential for actual harm
Some
Infection control inspection deficiencies in the past 3 years
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure staff are vaccinated for COVID-19

12/5/221/6/23
1 - Potential for minimal harm
Many
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