Provider Name: THE GARDENS AT DEPUGH
Address: 550 W MORSE BLVD, WINTER PARK, FL 32789
Phone: (407) 644-6634
County: Orange (470)
Ownership Type: Non profit - Corporation
Certified Beds: 40
Average Residents Per Day: 36.0 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: MARY LEE DEPUGH NURSING HOME ASSOCIATION, INC
First Approved Date: March 1, 1993
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 3 ()
QM Rating: 4 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.11763, LPN Staff Hours Per Day: 0.5710, RN Staff Hours Per Day: 1.3184, Licensed Staff Hours Per Day: 1.8895
Total Nurse Staff Hours Per Day, per resident: 5.00714
Weekend Nurse Staff Hours: 4.33375, Weekend RN Staff Hours: 1.2102
PT Staff Hours Per Day, per resident: 0.0170
Nurse Staff Turnover: 51.1, Nurse Turnover Note:
RN Turnover: 76.5, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0489, Case Mix LPN Hours Per Day: 0.6840, Case Mix RN Hours Per Day: 0.3214
Adjusted Nurse Aide Hours Per Day, per resident: 3.09977, Adjusted LPN Hours Per Day: 0.6160, Adjusted RN Hours Per Day: 1.5456
Total Adjusted Nurse Hours Per Day, per resident: 5.16705
Adjusted Weekend Nurse Hours Per Day, per resident: 4.47215
Health Survey Dates and Scores: Cycle 1: 2023-12-20 (Score: 8), Cycle 2: 2022-07-07 (Score: 95), Cycle 3: 2020-12-23 (Score: 16)
Total Weighted Health Score: 38.333
Reported Incidents: 1, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 8, Total Fines in Dollars: 25906.28, Payment Denials Number: 0, Total Penalties Number: 8
Location and GPS: 550 W MORSE BLVD,WINTER PARK,FL,32789 (28.5977, -81.356)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2024-01-19
Type: Health, Deficiency: Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-16
Type: Health, Deficiency: Ensure each resident receives an accurate assessment.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-16
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-16
Type: Health, Deficiency: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-07-29
Type: Health, Deficiency: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-01-21
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-01-21
Type: Health, Deficiency: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-01-21
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-01-21
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: