Morton Plant Rehabilitation Center
400 Corbett St, Belleair, FL 33756 · Non profit - Corporation · 126 certified beds · (727) 462-7600 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (5/5)
- lower-than-typical staff turnover (26% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0610) — 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 (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 5 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's staffing and quality-measure ratings run 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 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 4 to 5 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 8.9% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 0.6% | 5.5% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.5% | 0.3% | 0.9% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 1.0% | 0.7% | 2.0% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 1.9% | 4.6% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 1.5% | 2.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 9.5% | 9.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 23.4% | 14.4% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 99.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.6% | 4.5% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 16.1% | 10.5% | 21.2% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 5.0% | 8.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.7% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 96.3% | 94.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 26.7% | 26.1% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 9.2% | 9.1% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.44 | 2.13 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 0.28 | 1.15 | 1.80 | better |
‡ 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.
58.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 436 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 57.7% 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 123 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 1.07 therapist hours per resident per day in 2026Q1 — more than 97% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 27% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 58.2%CMS range 53.9–62.6 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 13.0%CMS range 9.9–15.4 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 57.7% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 67.5% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 56.1% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 98.3% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS 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 discharge | 98.3% | 98.7% | Oct 2024–Sep 2025 | CMS 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 stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 2.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.3%CMS range 4.4–8.3 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.88 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 126 beds and averages 104.1 residents a day — about 83% occupied, or roughly 22 beds typically open. It usually has some room. 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 4.33 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.30 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.30 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 3.74 hrs/resident/day on weekends vs 4.57 on weekdays — 18% thinner on weekends. RN hours go from 1.45 to 0.93 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 26% is below the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.
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
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.
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.
18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.
- Potential for harm · F2025-02-06 · tag F0732 — widespreadPost nurse staffing information every day.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation interview and policy review, the facility failed to ensure federal staff posting dates were accurate for two (02/03/25 and 02/04/25) of four days of survey. Findings included: During a facility tour on 02/03/25 at 9:00 a.m. and on 02/04/25 at 8:32 a.m. an observation was made of the federal staff posting located outside of the front entrance door dated 02/02/25. During an interview on 02/05/25 at 2:00p.m., with the Interim Director of Nursing (DON). She stated the Unit Managers on the night shift are supposed to ensure the staffing numbers are correct and posted daily. She stated she was not aware the federal staff posting on the front entrance door had the wrong date for two days. Review of the facility policy titled, Staffing Data dated 12/5/2023 showed Policy: To provide guidelines and outlines responsibilities for maintaining compliance with State and Federal mandated staffing data. This includes the completion of the AHCA Staffing Compliance Form, the posting of daily staffing information, and submission of Payroll Based Journal (PBJ) data. Procedure:…
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.
- Potential for harm · Ecited before2025-02-06 · tag F0645 — patternPASARR 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 record review, interview, and review of the facility's policy titled Pre-admission Screening for Mental Disorders (MD)/Intellectual Disability (ID) Patients, the facility failed to ensure Level I Preadmission Screening and Resident Review (PASARRs) were accurate upon admission for three Residents (#27, #75, and #297) of six residents sampled for PASARRs. Findings included: 1. Review of the admission record showed Resident #75 was admitted to the facility on [DATE] with diagnoses that included but not limited to anoxic brain damage, not elsewhere classified, major depressive disorder (4/11/24), moderate, cognitive communication deficit, obsessive compulsive disorder, bipolar disorder and generalized anxiety disorder. Review of the Preadmission Screening and Resident Review (PASARR) dated 10/29/24 revealed Section 1 A. MI [Mental Illness] or suspected MI check all that apply showed Anxiety Disorder, Bipolar Disorder and Depressive Disorder was checked. Section 1 B. ID [Intellectual Disability] 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.
- Potential for harm · E2025-02-06 · tag F0695 — failed to provide proper breathing / tracheostomy care — patternProvide safe and appropriate respiratory care 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 ensure posting of cautionary and safety signs indicating the use of oxygen in resident rooms for eight residents (#298, #33, #4, #56, #80, #81, #147 and #148) out of ten residents reviewed for oxygen use. Findings included: On 02/03/2025 at 10:02 AM Resident #298 was observed in her room with an oxygen concentrator sitting next to the wall on the opposite side of the bed. Upon exiting the resident's room an observation was made and there was no oxygen in use sign on the outside of the resident's room door. On 02/03/2025 at 3:09 PM an observation was made of the outside of Resident #298's room door and there was no oxygen in use sign posted on the door. Review of the admission record showed Resident #298 was admitted on [DATE] with diagnoses including acute respiratory failure with hypoxia, pulmonary fibrosis, dyspnea, emphysema and chronic obstructive pulmonary disease (COPD). Review of a physician order dated 02/04/2025 showed Resident…
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.
- Potential for harm · Ecited before2025-02-06 · tag F0759 — failed to keep medication error rate low — patternEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation record review and interview the facility failed to ensure the medication error rate was less than 5.00%. Thirty-seven medication administration opportunities were observed, and 15 errors were identified for three residents (#56, #43, and #45) of six residents observed. These errors constituted a 40.54% medication error rate. Findings included: 1. On 2/4/25 at 4:55 p.m. an observation was made of Staff A, Licensed Practical Nurse (LPN) obtain a capillary blood glucose level of Resident #56. The staff member cleansed the resident's left ring finger with an alcohol pad, lanced the finger, and obtained a level of 116. The staff member returned to the medication cart and reported the resident's sliding scale of Humalog insulin was not needed, however, the resident would receive the scheduled dosage of Humalog (Insulin Lispro). Staff A uncapped the Insulin Lispro Kwikpen, wiped the end with an alcohol pad, a needle was placed and uncapped, the staff member dialed the dosage selector to 2 units and depressed with insulin seen from end of needle. Staff A dialed 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.
- Potential for harm · D2025-02-06 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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 record review and interview the facility failed to assess and obtain physician orders for a skin injury for one (#7) of one resident sampled for non-pressure related skin conditions, failed to remove a topical pain patch per documentation for one (#149) of two residents observed during medication administration receiving topical patches, and failed to obtain blood pressure measurement for one (#20) of one observed resident receiving anti-hypotensive medication per physician ordered parameters. Findings included: 1. An observation was made on 2/3/25 at 3:23 p.m. of Resident #7 sitting in resident room with spouse. A 1.5 x 1.5-inch foam dressing had been applied to the area below the resident's right elbow. The dressing was not dated, and the dressing appeared to have a dried-looking brown discoloration. The spouse notified the resident of the dressing then resident stated the dressing had been applied 4 days ago. An observation was made on 2/5/25 at approximately 10:30 a.m. of Resident #7…
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.
- Potential for harm · Ecited before2022-12-22 · tag F0758 — failed to limit and justify psychotropic drugs — patternImplement 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.
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 behavioral monitoring related to psychotropic medications was performed for three residents (#19, #26, and #183) of five residents reviewed for unnecessary medications. Findings included: A review of admission records indicated Resident #19 was admitted on [DATE] with diagnoses including dementia, anxiety disorder, and major depressive disorder. A review of the Medication Administration Record (MAR) and the Physician Order Summary as of 12/21/22 indicated the following: Buspirone HCL tablet 5 milligrams(mg.) Give 1 tablet by mouth two times a day related to anxiety disorder. Start date: 9/8/22 A review of the MAR and the Treatment Administration Record (TAR), dated 12/2022, revealed no behavioral monitoring, or monitoring for medication side-effects, or effectiveness. A review of Resident #19's care plan revealed a focus area, created 6/17/21 and revised 2/4/22, for psychotropic medication. The interventions included: Monitor for…
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.
- Potential for harm · Ecited before2022-12-22 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 observations, interviews, and record review, the facility failed to 1) Ensure one of one kitchen dish washing machine was running effectively during one of four days observed on (12/19/2022); and 2) Ensure three of three walk in/reach in freezers with food items inside, were free from heavy ice and frost build up during two of four days observed (12/19/2022, and 12/21/2022). Findings included: 1) On 12/19/2022 at 9:20 a.m. the kitchen was toured with the facility's Registered Dietitian. The Registered Dietitian revealed the Dietary Manager would not be available during the length of survey and she would be the contact person for all kitchen and dietary questions. The Registered Dietitian was asked to tour the kitchen and she accommodated. The Registered Dietitian was asked if they were in process of washing dishes and she indicated they had already started using the machine this morning and was currently still in process of washing dishes. The Registered Dietitian revealed the facility had a High Temp dish washing machine and the staff to include Kitchen aides N, O, and P…
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.
- Potential for harm · E2022-12-22 · tag F0925 — failed to control pests — patternMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews and record review, the facility failed to ensure it had an effective pest control program during four of four days observed (12/19/2022, 12/20/2022, 12/21/2022, and 12/22/2022). It was observed the kitchen and first floor main hallways near resident rooms 121 - 134 had many small knat-like insects flying around. Findings included: On 12/19/2022 at 9:30 a.m. during the initial kitchen tour, on 12/21/2022 at 1:30 p.m. during the comprehensive kitchen tour, the dish washing machine area and near food preparations stations near the hand washing sink were observed with ten to fifteen small knat like flying insects flying around the room. The area in the dish washing machine room near the floor drain and near the soiled dishes were observed with many flying knat like flying insects. Interview with Kitchen Staff N, and while he was swatting the insects away from his face, confirmed the insects and indicated they have been there a few days but could not remember when they were first spotted. Kitchen Staff O, and P, as well as the Registered Dietitian…
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.
- Potential for harm · D2022-12-22 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
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 observations, interviews, and record review the facility failed to maintain confidentiality of personal health information (PHI) for two residents (#52 and #282) out of 25 residents sampled. Findings included: An observation was made on 12/21/22 at 9:26 a.m. of a computer on top of a medication cart on the lower 100 hall. The computer screen was unlocked with multiple resident's names and pictures on the screen. The nurse was nowhere in site. There was one resident sitting in a wheelchair in the hallway as well as one Certified Nursing Assistant (CNA). Photographic evidence was obtained. An observation was made on 12/21/22 at 11:58 a.m. of an unlocked computer screen on a medication cart in the 100 hall. The screen displayed Resident #282's name, picture, room number, date of birth , allergies, code status, and medications. No staff members were present in the hall at the time of the observation. This hallway was used by residents and visitors. Photographic evidence was obtained. A review of admission…
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.
- Potential for harm · D2022-12-22 · tag F0641 — isolatedEnsure 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 record reviews, and interviews, the facility failed to ensure the discharge Minimum Data Set (MDS) assessment was completed within the Resident Assessment Instrument (RAI) manual within the required timeframe for one resident (#54) out of 25 residents sampled for accuracy of assessments. Findings included: A review of the medical record on 12/20/22 for Resident #54's revealed the resident was admitted to the facility on [DATE] and discharged to the hospital on [DATE]. The last completed MDS in the medical record revealed a Medicare-5 Day assessment dated [DATE]. There was not a completed discharge assessment listed in the MDS for Resident #54. The MDS Summary page in Resident #54's medical record indicated a discharge assessment was due on 12/07/22. Photogenic evidence obtained. During an interview on 12/20/22 at 2:15 p.m., Staff C stated the discharge MDS had not been completed. Staff C stated the discharge MDS was not completed because the responsible employee was out on vacation. Employee C stated…
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.
Show the remaining 8 citations
- Potential for harm · D2022-12-22 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
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 observations, interviews, and record review the facility failed to ensure services were provided to meet professional standards related to 1) a failure to assess skin conditions for one resident (#233), and 2) a failure to obtain oxygen orders for one resident (#283) out of 25 resident sampled. Findings included: 1) Resident #233 was admitted to the facility on [DATE] with diagnoses to include spinal stenosis, lumbosacral region, repeated falls, and Type 2 Diabetes Mellitus. A review of a Medical Certification for Medicaid Long-Term Care services - Form 3008 for Resident #233, indicated the resident was admitted to the facility with skin tears on arms from falls. On 12/19/22 at 9:38 a.m. and on 12/20/22 at 11:47 a.m., Resident #233 was observed in his room. The resident stated he fell at home, was hospitalized , and discharged to the facility for recovery. Resident #233 was noted with undated bandages on the left and right hand, two undated dressings on the upper right arm, and one undated dressing on…
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.
- Potential for harm · D2022-12-22 · tag F0676 — failed to keep up residents' daily-living abilities — isolatedEnsure residents do not lose the ability to perform activities of daily living unless there is 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 observations, record reviews and interviews, the facility failed to ensure one resident (#27), who required Eating supervision, 1) was supervised timely by staff out of twenty-five sampled residents, and 2) failed to ensure the resident received eating utensils in a manner where they could be reached during three (12/19/22 and 12/20/22) of four meals observed. Findings included: On 12/19/2022 at 12:58 p.m. Resident #27 was observed in her room lying in bed under the covers with the over the bed table placed in front of her. Staff H, Certified Nurse Aide (CNA) brought in a meal tray and placed it on the table in front of the resident. The aide picked up the lids on the plates, positioned a plate guard at the back end of the plate, and left the room within two minutes. The plate guard device was positioned on the left side of the plate, allowing the resident to scoop away from her rather than scoop towards her. The silverware, to include a metal fork and metal spoon, were placed on the table on 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.
- Potential for harm · Dcited before2022-12-22 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews, the facility failed to ensure the medication error rate was less than 5.00%. Twenty-five medication administration opportunities were observed, and two errors were identified for two residents (#25, #7) of five residents observed. These errors constituted an 8.0 % medication error rate. Findings Included: On 12/21/2022 a 9:18 a.m. medication observation was conducted alongside Staff L, Registered Nurse (RN). She prepared and administered the following medications to Resident #25 Gas relief 80 mg one tablet, Miralax 17 gram, Lorazepam 0.125 mg, Aspirin enteric coated 81 mg, Docusate 100 mg, Fluoxetine 10 mg, Lasix 40 mg, Metformin 500 mg, Spironolactone 100 mg, Lovastatin 40 mg, and Flonase. Medication reconciliation revealed Physician order for Simethicone tablet chewable 125 mg give 1 tablet by mouth with meals for gas dated 07/28/2022. On 12/21/2022 at 11:00 a.m. an interview was conducted with Staff L, RN, she confirmed she had administered Resident #25 Gas relief 80 mg tablet. She stated, It was the only dose available On…
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.
- Potential for harm · Ecited before2021-04-16 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 observations, record review, and interviews, the facility failed to ensure a staff member (M) used sanitary practices to prevent cross contamination when taking food temperatures and failed to perform hand hygiene in one of one kitchen. Findings included: On 04/15/21 at 11:19 a.m. an observation was conducted in the kitchen of Staff M, Cook, taking the temperature of the foods to be served for the lunch meal with the same thermometer. After taking the temperature of the hamburgers, Staff M used a dry paper towel to clean the thermometer. She then took the temperature of the fish and used a dry paper towel to clean the thermometer. Staff M then took the temperature of the chicken, and used a dry paper towel to clean the thermometer. She took the temperature of the turkey gravy and used a dry paper towel to clean the thermometer. Staff M took the temperature of the beef gravy and used a dry paper towel to clean the thermometer. She took the temperature of the ground turkey gravy and used a dry paper towel to clean the thermometer. Staff M took the temperature of the squash…
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.
- Potential for harm · D2021-04-16 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
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 prevention of further potential abuse or mistreatment while an investigation was in process for one resident (#241) out of two sampled residents. The facility failed to ensure that the alleged perpetrator, a facility employee, remained under suspension until completion of the investigation, and failed to identify that they were in fact working in the facility and providing care to other residents while the investigation was on-going. Findings included: Resident #241 was interviewed on 04/13/21 at 4:16 p.m. She was alert, oriented, and engaged freely. Regarding care received at the facility, the resident said, Someone hurt me .they got rid of them. She reported that the person who had hurt her was a staff member, an aide, who's name she did not know, but who had cared for her on multiple shifts since the resident's admission to the facility. The resident reported that this aide had transported her in a wheelchair to her room when…
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.
- Potential for harm · Dcited before2021-04-16 · tag F0645 — isolatedPASARR 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 record review and interviews the facility failed to ensure that the Preadmission Screening and Resident Review (PASRR) was completed accurately related to requirement for Level II PASRR evaluation for one resident (#55) out of two sampled residents. Resident #55 was newly admitted to the facility, had a diagnosis of a serious mental disorder as defined in 42 CFR §483.102(b)(1), and was not a provisional admission. Findings included: Review of the medical record for Resident #55 revealed that she was admitted to the facility on [DATE]. The diagnoses documented in her record included the following: bipolar disorder; epilepsy; major depressive disorder and dementia. Review of the PASRR completed by a provider at the hospital where the resident was admitted from had a completion date of [DATE]. Section I: PASRR Screen Decision-Making included a selection of mental illness diagnoses, intellectual disability, related conditions, functional criteria, and services. The diagnoses listed included bipolar disorder…
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.
- Potential for harm · D2021-04-16 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide 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 observations, interviews, and record review, the facility failed to ensure that the necessary services required for eating to maintain good nutrition were provided in a timely manner for one resident (#230) for three of three meals observed for two of two days out of four sampled residents. Findings included: Observation of a lunch tray pass was conducted on the second floor on 04/13/21 from 12:00 p.m. to 12:45 p.m. At 12:19 p.m. Resident #230 was observed in her room in bed. Her roommate had been served their lunch tray and was eating independently. Resident #230 did not have her lunch tray. She appeared frail and spoke in a soft hoarse-sounding voice. She was alert and oriented and engaged freely. The resident reported that she had come to the facility after a long hospitalization, during which she had lost significant weight and strength. She reported she was unable to use her arms or move her legs on her own and was dependent on facility staff for everything including eating; she could not feed…
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.
- Potential for harm · Dcited before2021-04-16 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement 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.
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 record review, interviews, and policy review the facility did not ensure PRN (as needed) psychotropic medication had a stop or renewal date after fourteen days, for two residents (#1 and #5) of five residents reviewed. Findings included: 1. Resident #1 was admitted to the facility with a diagnosis of anxiety disorder, according to the admission Record. A review of the Minimum Data Set (MDS) assessment, dated 4/2/21, reflected a Brief Interview of Mental Status (BIMS) score of 15, indicating Resident #1 was cognitively intact. A review of the active physician's orders as of 4/16/21 in the medical record revealed an order dated 3/27/21 for Lorazepam tab 1 mg (milligram) every 12 hours as needed for anxiety. A review of the interim medication regimen review (MRR) dated 3/29/21 reflected there were no pharmacist recommendations. A review of the consultant pharmacist note dated 4/8/21 indicated no recommendations. On 4/16/21 at 12:36 p.m. an interview was conducted with the Director of Nursing (DON). She…
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.
“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.
- 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.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| AMIN, JAY | Individual | CORPORATE DIRECTOR | since 01/23/2024 |
| BRETHAUER, JON | Individual | CORPORATE DIRECTOR | since 01/28/2025 |
| BUCK, JENNIFER | Individual | CORPORATE DIRECTOR | since 02/01/2022 |
| BURWELL, ROBERT | Individual | CORPORATE DIRECTOR | since 02/01/2022 |
| COLE, KATHERINE | Individual | CORPORATE DIRECTOR | since 02/01/2022 |
| DAMSKER, BENJAMIN | Individual | CORPORATE DIRECTOR | since 02/01/2022 |
| ENTEL, ROBERT | Individual | CORPORATE DIRECTOR | since 02/01/2022 |
| FERRARA, VINCENT | Individual | CORPORATE DIRECTOR | since 02/01/2022 |
| FISHER, WILLIAM | Individual | CORPORATE DIRECTOR | since 01/23/2024 |
| INTERTHAL, WILLIAM | Individual | CORPORATE DIRECTOR | since 10/09/2016 |
| LANCASTER, DONNA | Individual | CORPORATE DIRECTOR | since 01/23/2024 |
| LATVALA, SUSAN | Individual | CORPORATE DIRECTOR | since 02/01/2022 |
| MASSON, JOHN | Individual | CORPORATE DIRECTOR | since 01/23/2024 |
| MCFARLAND, LORI | Individual | CORPORATE DIRECTOR | since 11/21/2016 |
| MILBY, JAMES | Individual | CORPORATE DIRECTOR | since 01/28/2025 |
| MUCHOWSKI, PATRICE | Individual | CORPORATE DIRECTOR | since 02/01/2022 |
| REDDY, MAHATHI | Individual | CORPORATE DIRECTOR | since 01/23/2024 |
| RICH, MARION | Individual | CORPORATE DIRECTOR | since 02/01/2022 |
| ROTH, ROBERT | Individual | CORPORATE DIRECTOR | since 01/23/2024 |
| WILLIAMS, RICHARD | Individual | CORPORATE DIRECTOR | since 01/23/2024 |
| GUY, KIMBERLY | Individual | CORPORATE OFFICER | since 03/30/2025 |
| SAIFI, ALI | Individual | CORPORATE OFFICER; ADP OF THE SNF | since 01/01/2000 |
| MORTON PLANT HOSPITAL ASSOCIATION INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | since 10/19/1992 |
| FELICIONE, THERESA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/24/2025 |
CMS files one row per role, so the 26 rows in the source record cover these 24 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.
1 organizational owner 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.
What families pay in FL
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.
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 105128. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-02-06, 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.