The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.

ADVENTHEALTH DADE CITY 13100 FT KING RD DADE CITY, FL 33525 May 11, 2011
VIOLATION: RN SUPERVISION OF NURSING CARE Tag No: A0395
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on record review and staff interview it was determined the facility failed to ensure a registered nurse supervised and evaluated the nursing care related to Activities of Daily Living for one (#1) of seven records reviewed. This practice does not ensure patient goals are met.

Findings include:

Review of the record for patient #1 revealed the patient was admitted on [DATE]. Nursing admission data revealed the patient had a history of dementia, was confused, and needed complete assistance with ADL's (Activities of Daily Living). Further review of the nursing admission assessment revealed the patient had a stage II pressure ulcer on the coccyx.

Review of the patient's plan of care revealed impaired skin integrity was identified on the plan of care and initiated on admission. Nursing interventions revealed the patient would be turned and repositioned every two hours. Review of the daily nursing shift assessments and the nursing notes revealed the patient was not assisted to turn and reposition every two hours from admission to discharge on 4/9/11 with the exception of 4/07/11 from 7:00 a.m. to 7:00 p.m.

On 5/10/11 at 3:45 p.m. an interview with the Chief Nursing Officer confirmed the above findings.