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Apopka Health And Rehabilitation Center

2001 Alston Bay Blvd, Apopka, FL 32703 · For profit - Corporation · 180 certified beds · (407) 565-5990 Medicare & Medicaid certified

Call the home — (407) 565-5990 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0607) — cited Apr 2022
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1541 Marden Meadows Ct · (407) 886-3183 · Call to confirm hours
Pharmacy
2100 Ocoee Apopka Rd Fl 1 · (407) 609-7209 · Call to confirm hours
Grocery
Publix0.4 mi
2411 Ocoee Apopka Rd
Park
Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 2 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased5.0%8.7%15.4%better
Long-stay residents who lose too much weight3.2%5.5%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.3%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.7%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms0.0%4.6%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury0.6%2.5%3.3%better
Long-stay residents whose ability to walk worsened5.9%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication14.5%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers5.2%4.5%4.7%worse
Long-stay residents with worsening bladder/bowel control3.7%10.5%21.2%better than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table2.9%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication0.9%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine95.3%94.7%79.4%better
Short-stay residents rehospitalized after admission28.8%26.1%22.6%worse
Short-stay residents with an outpatient ER visit10.5%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days2.382.131.67worse
Long-stay outpatient ER visits per 1,000 resident days1.451.151.80better

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

51.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 172 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

51.4%U.S. median 51.5%
Got home and stayed home
10.5%U.S. median 10.7%
Went back to hospital
52.5%U.S. median 56.6%
Met the expected recovery
0.62U.S. median 0.31
Therapy hours / resident / day
0.27hours / resident / day
Physical therapy
0.27hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 52.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 139 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.62 therapist hours per resident per day in 2026Q1 — more than 89% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF51.4%CMS range 43.7–58.451.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.5%CMS range 8.2–13.910.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge52.5%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge58.3%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge36.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting96.6%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge97.4%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.5%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization9.8%CMS range 6.5–13.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.301.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.62
RN hours/ resident / day
0.85
LPN hours/ resident / day
2.11
Aide hours/ resident / day
3.58
Total nurse hours/ resident / day
0.40
RN hoursweekends
48.2%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 180 beds and averages 169.8 residents a day — about 94% occupied, or roughly 10 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.58 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.62 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.11 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.30 hrs/resident/day on weekends vs 3.69 on weekdays — 11% thinner on weekends. RN hours go from 0.71 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

6
deficiencies at the latest standard inspection (2026-01-29)
10
at the previous standard inspection (2024-04-05)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

  • Potential for harm · E2026-01-29 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to maintain sanitary conditions during dishwashing operations when the dishwasher was malfunctioning; and failed to ensure hot food was served at safe temperatures.Findings:1.On 1/26/26 at 10:02 AM, during the initial tour of the kitchen, the Certified Dietary Manager (CDM) demonstrated the process of dish sanitization by operating the commercial dishwasher. The temperature gauge reached a maximum of 120 degrees Fahrenheit (F), and he stated that in addition, they do a litmus paper check to ensure optimal sanitization with chlorine, at 50-100 parts per million (PPM). After about four attempts to check the sanitizer, there was no change in the color of the litmus paper, indicating the proper sanitizer solution level had been reached. The CDM verified the litmus paper was not expired, then proceeded to use another set of litmus paper strips. After two more attempts with the new litmus strips, there was still no change in the color of the strips to indicate the correct PPM of chlorine was present.A few minutes…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-29 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to notify resident guardian of missing dentures for 1 of 1 residents reviewed for dental, of a total sample of 56 residents, (# 139).Findings:Resident #139 was admitted to the facility on [DATE] with diagnoses to include dementia with behavioral disturbances. Review of the resident's electronic medical record revealed a court determination of the resident's total incapacity dated 10/26/23 related to her diagnosis of Dementia and showing signs of a lack of awareness. On 8/8/24 the court appointed a legal guardian of person and property of resident #139.The admission Record included resident # 139's court appointed legal guardian's name with her associated telephone number and email address.Review of resident's inventory list dated 7/29/24 indicated the resident had upper dentures listed with her belongings.Review of the resident's clinical record revealed a monthly summary progress note on 1/19/26 at 8:05 PM, that stated the resident wears dentures or…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-29 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to timely complete Comprehensive Minimum Data Set (MDS) Assessments for 2 of 6 residents reviewed for Resident Assessment, of a total of 56 residents, (#77, #162).Findings:1. Review of the medical record revealed resident #77, an [AGE] year-old female was admitted to the facility on [DATE] and re-admitted from an acute care hospital on 1/15/25 with diagnoses that included dementia, malnutrition, gastrostomy (feeding tube) status, convulsions, and abnormality of gait (walking) and mobility.Resident #77's most recent MDS Comprehensive Annual Assessment with an Assessment Reference Date (ARD) of 12/27/25 showed a completion date of 1/13/26, 3 days late.2. Review of the medical record revealed resident #162, a [AGE] year-old male was admitted to the facility from another nursing home on 9/05/23 with diagnoses that included gastrostomy status, seizures, encephalopathy (brain dysfunction), hemiplegia and hemiparesis (paralysis) after stroke, right lower leg…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-29 · tag F0638 — isolated
    Assure that each resident’s assessment is updated at least once every 3 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to timely complete Quarterly Minimum Data Set (MDS) Assessments for 4 of 6 residents reviewed for Resident Assessment, of a total of 56 residents, (#2, #127, #142, #151).Findings:1. Review of the medical record revealed resident #2, a [AGE] year-old male was admitted to the facility from an acute care hospital on 9/18/25 with diagnoses that included acute osteomyelitis (bone infection), absence of right toe(s), dysphagia (difficulty swallowing), type 2 diabetes mellitus, history of stroke, peripheral (arms/legs) vascular (veins/arteries) disease, abnormalities of gait (walking) and mobility, major depressive disorder, hypertension (high blood pressure), and unspecified fall.Resident #2's most recent MDS Quarterly Assessment with an Assessment Reference Date (ARD) of 12/26/25 showed a completion date of 1/12/26, 3 days late.2. Review of the medical record revealed resident #127, a [AGE] year-old male was admitted to the facility from an acute care hospital…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-29 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a resident with a positive Preadmission Screening and Resident Review (PASRR) level I who required a level II, was evaluated for required specialized services for 1 of 1 residents (#82) reviewed for mood and behavior out of a total sample of 56 residents.Findings:A Level I PASRR screen identified whether an individual applying for admission into a skilled nursing facility (SNF) had or was suspected of having a serious mental illness (SMI), intellectual disability (ID), or both. The Level II PASRR confirmed or ruled out an SMI, ID or both. It was an in-depth evaluation of the individual and a determination of the need for SNF services. If an SNF was the most integrated setting appropriate to meet the individual's long-term care needs, the Level II PASRR would also evaluate what specialized services, if any, would be recommended for the individual during their SNF stay, retrieved from(…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-29 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure medications were administered per physician orders and according to professional standards of practice for 1 of 56 residents reviewed for medication administration, (#71).Findings: Review of resident #71's medical record revealed she was admitted to the facility on [DATE] with diagnoses including type 2 diabetes, foot ulcer, neuropathy, skin infection, lower limb cellulitis, abnormality gate/mobility, and depression.The Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented she had a Brief Interview for Mental Status (BIMs) score of 15 out of 15 that indicated she was cognitively intact.Review of resident #2's Medication Administration Record (MAR) for January 2026 revealed physician orders for the following medications: Voltaren External Gel 1 % (Diclofenac Sodium (Topical)) apply 4 grams to left hip topically three times a day for left hip pain do not apply more than 16 grams daily to any one affected joint, with an…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-29 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, facility staff failed to use appropriate personal protective equipment (PPE) when providing high contact care to a resident per enhanced barrier precautions (EBP), for one of seven residents reviewed for infection control, of a total sample of 56 residents, (#194).Findings:Enhanced Barrier Precautions are an infection control intervention utilized by nursing homes to reduce transmission of multidrug-resistant organisms (MDROs). Enhanced Barrier Precautions involve use of PPE, for example, a gown and gloves, during high-contact resident care activities for residents known to be colonized or infected with a MDRO. EBP is also recommended for residents of nursing homes who are at increased risk of MDRO acquisition e.g., residents with wounds or indwelling medical devices, (retrieved on 2/06/26 from www.cdc.gov).Resident #194 was admitted to the facility on [DATE] with diagnoses that included sepsis, chronic viral hepatitis C, encephalopathy (brain dysfunction) and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-04-05 · tag F0623 — pattern
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to ensure a copy of the notice for transfer/discharge to the hospital was sent to a representative of the Office of the State Long-Term Care Ombudsman for 1 of 3 residents reviewed for hospitalization, of a total sample of 48 residents, (#136). Findings: Resident #136 was admitted to the facility on [DATE] and readmitted on [DATE] after an acute care hospitalization. Her diagnoses included metabolic encephalopathy, hemiplegia/hemiparesis following cerebral infarction (stroke) affecting the left non-dominant side, acute and chronic respiratory failure, dysphagia following cerebral infarction, tracheostomy status, gastrostomy status, diabetes type II, major depressive disorder, and hypertension. Review of the resident census revealed resident #136 was hospitalized on [DATE], and readmitted to the facility on [DATE]. The eInteract Change in Condition Evaluation form dated 2/29/24 indicated the resident was sent to the Emergency Department for further…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-04-05 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure medical records were accurate pertaining to splint application for 1 of 1 resident reviewed for Range of Motion (ROM)/Mobility, (#66), and failed to ensure medical records were accurate, and systematically organized for 1 resident (#136), of a total sample of 48 residents. Findings: 1. Resident #66, a [AGE] year-old male was admitted to the facility on [DATE] and readmitted on [DATE]. His diagnoses included hemiplegia and hemiparesis following cerebral infarction (stroke) affecting his right dominant side, aphasia (inability to speak), major depressive disorder, conversion disorder with seizures or convulsions, and weakness. The resident's physician's order dated 10/23/23 directed staff to apply a splint to his right wrist following morning care, and to doff the splint prior to bedtime. Instructions were, Monitor skin integrity when applying and removing, discontinue wear if skin becomes red or pt (patient) is in pain. Review of the resident's…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-05 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to promote the right to self-administer medication for 2 of 7 residents reviewed for choices, out of a total sample of 48 residents, (#87 and #161). Findings: 1. Review of the medical record revealed resident #87 was admitted to the facility on [DATE] with diagnoses including accidental poisoning by unspecified drugs, spinal stenosis, abnormality of gait and mobility, and weakness. The Minimum Data Set (MDS) Significant Change in Status assessment with assessment reference date (ARD) of 2/01/24 revealed resident #87 had a Brief Interview for Mental Status (BIMS) score of 12, which indicated he had moderate cognitive impairment. The document revealed the resident had no behavioral symptoms and did not exhibit inattention, disorganized thinking, or altered level of consciousness in the look back period. The MDS assessment showed resident #87 received scheduled and as needed pain medication for occasional, moderate pain. Review of the medical…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 13 citations
  • Potential for harm · D2024-04-05 · tag F0561 — failed to honor residents' choices — isolated
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to honor resident's rights to choose their preferred shower days and time for 1 of 9 residents reviewed for choices, of a total sample of 48 residents (#21). Findings: Review of the medical record revealed resident #21 was admitted to the facility on [DATE] and readmitted on [DATE] from the hospital. Her diagnosis included hemiplegia and hemiparesis following cerebral infarction (stroke) affecting left non-dominant side, morbid (severe) obesity, abnormalities of gait and mobility, heart failure, and type 2 diabetes. Resident #21's Quarterly Minimum Data Set (MDS) with an assessment reference date of 3/15/24 revealed the resident scored 15 out of 15 on the Brief Interview for Mental Status which indicated she did not have cognitive impairment. The MDS assessment also indicated resident #21 required maximal assistance with bathing and participated in her assessment and goal setting. The MDS assessment dated [DATE] revealed it was very…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-05 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure resident's wishes for a Do Not Resuscitate Order (DNRO) were honored for 1 of 3 residents reviewed for hospice, of a total sample of 48 residents (#151) . Findings: Resident #151 was admitted to the facility on [DATE] and readmitted on [DATE]. Her diagnoses included cerebral infarction (stroke), acute kidney failure, idiopathic pulmonary fibrosis (lung scarring of unknown origin), acute respiratory failure, repeated falls, weakness, anxiety, depression, and dysphagia (difficulty swallowing). The admission Minimum Data Set assessment with Assessment Reference date [DATE], revealed the resident's cognitive status was intact with a Brief Interview of Mental Status score of 14/15. The assessment indicated she required partial to moderate assistance with her activities of daily living. Review of the resident's physician orders on [DATE] revealed an Advanced Directive order dated [DATE] for full code. This order conflicted with an order…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-05 · tag F0637 — isolated
    Assess the resident when there is a significant change in condition
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to complete a significant change in status assessment within the required timeframe of 14 days for 1 of 3 resident reviewed for Hospice services, of a total sample of 48 residents, (#151). Findings: Resident #151 was admitted to the facility on [DATE] and readmitted on [DATE]. Her diagnoses included cerebral infarction (stroke), acute kidney failure, idiopathic pulmonary fibrosis (lung scarring of unknown origin), acute respiratory failure, repeated falls, weakness, anxiety, depression, and dysphagia (difficulty swallowing). The admission Minimum Data Set assessment with assessment reference date (ARD) 1/23/24, revealed the resident's cognitive status was intact with a Brief Interview of Mental Status score of 14/15, and she required partial to moderate assistance with her activities of daily living. The assessment did not indicate resident #151 received Hospice services. Although the physician order in the electronic medical record for Hospice services…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-05 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to develop comprehensive person-centered plan of care for end-of-life care for 1 of 3 residents reviewed for Hospice, of a total sample of 48 residents, (#151). Findings: Resident #151 was admitted to the facility on [DATE] and readmitted on [DATE]. Her diagnoses included cerebral infarction (stroke), acute kidney failure, idiopathic pulmonary fibrosis (lung scarring of unknown origin), acute respiratory failure, repeated falls, weakness, anxiety, depression, and dysphagia (difficulty swallowing). The admission Minimum Data Set (MDS) assessment with Assessment Reference date 1/23/24, revealed the resident's cognitive status was intact with a Brief Interview of Mental Status score of 14/15, and she required partial to moderate assistance with her activities of daily living. Review of the medical record showed a Hospice Medicare Election form signed and dated by the resident on 2/15/24 and a certification of terminal illness for 2/15/24 to…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-05 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide adequate assistance with activities of daily living (ADLs) related to bathing, skin care, and shaving for 2 of 3 residents reviewed for ADLs, out of a total sample of 48 residents, (#134 and #87). Findings: 1. Review of the medical record revealed resident #134 was admitted to the facility on [DATE] with diagnoses including Parkinson's disease, recurrent depressive disorder, and weakness. The Minimum Data Set (MDS) Quarterly assessment with assessment reference date (ARD) of 3/07/24 revealed resident #134 had clear speech and a Brief Interview for Mental Status (BIMS) score of 13 which indicated he was cognitively intact. The document showed during the look back period, resident #134 had no behavioral symptoms and did not reject evaluation or care that was necessary to achieve his goals for health and well-being. The MDS assessment revealed the resident depended on staff for assistance with self-care as his performance was either…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-05 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure a right-hand resting splint was applied per physician order and the resident's plan of care, for 1 of 1 resident reviewed for range of motion/mobility, of a total sample of 48 residents, (#66). Findings: Resident #66, a [AGE] year-old male was admitted to the facility on [DATE] and readmitted on [DATE]. His diagnoses included hemiplegia and hemiparesis following cerebral infarction (stroke) affecting his right dominant side, aphasia, major depressive disorder, conversion disorder with seizures or convulsions, and weakness. Review of the quarterly Minimum Data Set assessment with Assessment Reference date of 1/22/24, revealed resident #66 was rarely/never understood, and was assessed with functional limitation in range of motion (ROM) to one side of his upper and lower extremities. The resident's physician's order dated 10/23/23 directed staff to apply splint to his right wrist following morning care, and doff the splint prior to…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-05 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to provide care and services for an intravenous (IV) access site according to professional standards of practice to prevent infection for 1 of 1 resident reviewed for IVs, of a total sample of 48 residents, (#18). Findings: Review of the medical record revealed resident #18 was admitted to the facility on [DATE] and re-admitted on [DATE]. His diagnoses included ischemic cardiomyopathy, moderate protein-calorie malnutrition, type 2 diabetes, and dementia. Review of the Minimum Data Set (MDS) Medicare Part A Discharge assessment with assessment reference date of 3/12/24 revealed resident #18 received antibiotic medication during the seven day look back period. Review of the medical record revealed an Infectious Disease Consultant Provider Note dated 3/26/24. The specialist physician assessed resident #18 and noted a non-healing right heel wound with osteomyelitis or a bone infection. The note read, Plan: Will start Ertapenem as the wound had a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-05 · tag F0660 — isolated
    Plan the resident's discharge to meet the resident's goals and needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure an effective discharge planning process to prevent a delay in provision of necessary care and services after discharge from the facility for 1 of 4 residents reviewed for discharge planning, out of a total sample of 48 residents, (#166). Findings: Review of the medical record revealed resident #166 was admitted to the facility on [DATE] with diagnoses including left hip fracture, abnormal gait and mobility, weakness, stroke with left side weakness and paralysis, and brain cancer. The face sheet indicated the resident was discharged home with family on 1/23/24, with no Home Health Care (HHC) services. The Minimum Data Set (MDS) Discharge - return not anticipated assessment, with assessment reference date of 1/23/24, revealed resident #166 required supervision or touching assistance for bathing and lower body dressing, and set up assistance for placing or removing footwear and completing personal hygiene tasks. Review of the medical record…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-04-28 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to follow physician orders for medication administration and failed to provide an explanation for medications not administered for 7 of 11 residents reviewed for medication administration of a total sample of 47 residents, (#57, #54, #46, #521, #60, #109, #520). Findings: 1. Resident #57 was admitted to the facility on [DATE] with diagnoses including Parkinson's Disease, type 2 Diabetes, hypertension, anxiety and major depressive disorder. Review of the Minimum Data Set admission assessment with assessment reference date of 3/09/22 revealed resident #57 had a Brief Interview for Mental Status score of 13 which indicated she was cognitively intact. Review of the physician orders revealed resident #57 had orders for Amantadine Hydrochloride (HCL) Extended Release (ER) 129 milligrams (mg) at bedtime for Parkinson's Disease; Clonazepam 1 mg at bedtime for anxiety; Fluoxetine HCL 40 mg at bedtime for major depressive disorder; Insulin Glargine Solution 18…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-04-28 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to conduct a thorough investigation after a fall with major injury for 1 of 3 residents reviewed for accidents of a total sample of 47 residents, (#106). Findings: Resident #106 was admitted to the facility on [DATE] and most recently readmitted from an acute care hospital on 3/25/22 with diagnoses that included advanced dementia, depression, polyarthritis and displaced right hip fracture with corrective surgery. Review of the Minimum Data Set (MDS) discharge-return anticipated assessment with reference date 3/07/22, revealed resident #106 had memory problems and severely impaired cognitive skills for daily decision making. The assessment noted the resident had intermittent disorganized thinking, required extensive assistance with bed mobility and transfers and had one fall with major injury since admission or last assessment. Review of a care plan for at risk for falls related to impaired cognition, impaired safety awareness, impaired…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-04-28 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure Minimum Data Set (MDS) assessments accurately reflected health conditions regarding weight loss for 1 of 3 sampled residents reviewed for nutrition (#88) and failed to accurately assess antipsychotic drug use on a routine basis for 1 of 5 residents reviewed for unnecessary medications, (#51) of a total sample of 47 residents. Findings: 1. Resident #88 was admitted to the facility on [DATE] with diagnoses that included dementia with Lewy Bodies, Parkinson's disease, congestive heart failure and anemia. On 12/9/2021, the resident weighed 145 pounds (lbs.). On 03/3/2022, the resident weighed 130 lbs. which was a 10.34% weight loss. Review of the Quarterly MDS assessment dated [DATE], revealed Section K: Swallowing/Nutritional Status question K 0300 titled Weight Loss was coded with the number 0. This code inaccurately indicated resident #88 had no or unknown weight loss of 5% or more in the last month or loss of 10% or more in last 6 months. The…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-04-28 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide an on-going activity program for 1 of 2 residents reviewed for activities, of a total sample of 47 residents, (#516). Findings: Resident #516 was admitted to the facility on [DATE] with diagnoses including Parkinson's Disease, Alzheimer's Disease and cognitive communication deficit. The Minimum Data Set admission assessment with assessment reference date 4/15/22 revealed resident #516 had a Brief Interview for Mental Status score of 4 which indicated he had severe cognitive impairment. He required extensive assistance with transfers and locomotion. The assessment indicated the resident's preferred language was Spanish and he had interest in listening to music and participating in favorite activities. A care plan for activities initiated 4/26/22 indicated resident #516 had expressed interest in both self-directed independent and formal group activities. The goal was for him to have all needed items and materials to fully engage in…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-04-28 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to prevent medication errors greater than 5 per cent for 1 of 4 residents sampled for medication administration, (#26). There were 3 errors in 26 opportunities on 1 of 2 units by 1 of 4 nurses observed, for a medication error rate of 11.54%. Findings: Resident #26 was admitted on [DATE] with diagnoses that included hemiplegia and hemiparesis, major depressive disorder, rheumatoid arthritis and conversion disorder with seizures or convulsions. The quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated resident #26 had moderately impaired cognition. She was able to eat independently with minimal help and was on mechanically altered diet. The resident's physician orders read, 07/27/21, Carbamazepine tablet Chewable 100 milligrams (mg), give 2 tablets by mouth three times a day for seizures; 10/14/21, Hydroxychloroquine Sulfate 200 mg. tablet, give 400 mg by mouth one time a day for rheumatoid arthritis; and 07/28/21, Prednisone 2.5…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to VENTURA SERVICES — 14 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 53.2-0.2 vs chain
Health inspection 3 of 52.8+0.2 vs chain
Staffing 3 of 53.6-0.6 vs chain
Quality measures 4 of 54.4-0.4 vs chain
The other 13 homes this chain runs (chain average 3.2★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
APOPKA HOLDCO LLCOrganizationDIRECT OWNERSHIP INTERESTsince 10/01/2024
APOPKA OPCO INVESTCO LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 10/01/2024
APOPKA VENTURA OPCO INVESTCO LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 10/01/2024
COPPER FL TRUST IIOrganizationINDIRECT OWNERSHIP INTERESTsince 07/19/2024
GOLD FL TRUST IIOrganizationINDIRECT OWNERSHIP INTERESTsince 07/19/2024
PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 10/01/2024
SILVER FL TRUST IIOrganizationINDIRECT OWNERSHIP INTERESTsince 07/19/2024
BENGIO, JACOBIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 10/01/2024
PARITZKY, JEREMIEIndividualINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 10/01/2024
AGARD, TANYAIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2024
STOUTJESDIJK, WENDYIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 10/01/2024

CMS files one row per role, so the 16 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

7 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$20.5M
Net patient revenuemost recent cost report
-9.2%
Operating marginrevenue minus expenses
$1.0M
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 60%Medicare 12%Other / private 28%

This home reported $1.0M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$380per resident / day
operating cost
$11,564per month
≈ monthly operating cost
$348per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in FL

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Florida Medicaid page.

Typical monthly cost in Florida
$10,342/mo
Nursing home (semi-private)
$12,167/mo
Nursing home (private)
$5,610/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 106144. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-29, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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