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Boca Raton Rehabilitation Center

755 Meadows Road, Boca Raton, FL 33486 · Non profit - Corporation · 120 certified beds · (561) 391-5200 Medicare & Medicaid certified

Call the home — (561) 391-5200 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Resident-funds citation (F0565)
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (30% vs 45% nationally) — better care continuity
Worth asking about
  • it has a citation for mishandling residents’ money or property (F0565)
  • a high number of inspection citations overall (26) — 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
  • its independent health-inspection rating is low (2/5)

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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 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

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
800 Meadows Rd · (561) 588-4844 · Call to confirm hours
Pharmacy
701 NW 13th St · (561) 955-2995 · Call to confirm hours
Grocery
Publix0.8 mi
1339 W Palmetto Park Rd · (561) 362-5305 · Call to confirm hours
Park
540 NW 7th St · Typically dawn to dusk
Place of worship
935 NW 5th Ave · (561) 827-3175

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 3 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 fell from 3 to 2 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 rating2★
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 increased7.4%8.7%15.4%better
Long-stay residents who lose too much weight8.2%5.5%5.4%worse
Long-stay residents with a catheter left in their bladder0.4%0.3%0.9%worse 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 injury0.0%2.5%3.3%check this — see note marked star below the table
Long-stay residents whose ability to walk worsened6.3%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication12.7%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers7.5%4.5%4.7%worse
Long-stay residents with worsening bladder/bowel control1.8%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 table7.9%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication2.2%1.5%1.4%worse
Short-stay residents given the seasonal flu vaccine97.6%94.7%79.4%better
Short-stay residents rehospitalized after admission23.1%26.1%22.6%typical
Short-stay residents with an outpatient ER visit8.6%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days1.792.131.67typical
Long-stay outpatient ER visits per 1,000 resident days0.821.151.80better

* 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.

33.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 95 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

33.7%U.S. median 51.5%
Got home and stayed home
12.7%U.S. median 10.7%
Went back to hospital
65.2%U.S. median 56.6%
Met the expected recovery
0.67U.S. median 0.31
Therapy hours / resident / day
0.29hours / resident / day
Physical therapy
0.31hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 65.2% 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 89 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 0.67 therapist hours per resident per day in 2026Q1 — more than 91% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 56% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. 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 SNF33.7%CMS range 24.8–46.051.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.7%CMS range 9.3–16.810.7%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 discharge65.2%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 discharge61.8%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 discharge43.8%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 identified92.6%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 setting98.4%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 discharge94.3%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 worsened4.7%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 hospitalization7.6%CMS range 3.7–11.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.181.02Oct 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

0.76
RN hours/ resident / day
0.51
LPN hours/ resident / day
2.01
Aide hours/ resident / day
3.28
Total nurse hours/ resident / day
0.53
RN hoursweekends
30.4%
Total nursing turnover
47.6%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 101.6 residents a day — about 85% occupied, or roughly 18 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 3.28 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.76 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.01 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 3.10 hrs/resident/day on weekends vs 3.35 on weekdays — 8% thinner on weekends. RN hours go from 0.85 to 0.53 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% is below the national median of 45%.

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

7
deficiencies at the latest standard inspection (2025-06-05)
7
at the previous standard inspection (2024-03-07)

Deficiencies are unchanged from the previous inspection. 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.

26 citations, most serious first. The 10 most serious are shown; the remaining 16 are one tap away and print in full.

  • Potential for harm · Dcited before2026-03-13 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide 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, interview and record review, the facility failed to clarify and confirm an order for leg wraps with the ordering physician, and failed to document the physician order for the leg wraps for 1 of 3 sampled residents (Resident #2). Findings included:A review of the facility's policy titled, Physician Orders, with an effective date of 02/2026, documented under procedure to:Clarify unclear written orders by reviewing with the physician and documenting clarification on the physician's telephone order form, or in the electronic medical record as clarification order.Notify the resident/resident representative.Confirm the accuracy of orders. Review orders daily in the clinical meeting to confirm accuracy in transcription and identify errors of omission.Records review documented Resident #2 was admitted to the facility on [DATE] with diagnoses which included Chronic Venous Hypertension (Idiopathic) without Complications of Bilateral Lower Extremities, and Chronic Embolism and Thrombosis of…

    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 · E2025-12-03 · tag F0940 — failed to train staff — pattern
    Develop, implement, and/or maintain an effective training program for all new and existing staff members.
    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 follow State Law and the professional standards of practice for Intravenous (IV) therapy, for 1 of 4 sampled residents (Resident #1). The findings included: In the State of Florida, for an LPN to administer IV Therapy, they must meet the requirements of the Florida Board of Nursing (FBON) and Rule 64B9-12 Florida Administration Code (Administration of Intravenous Therapy by Licensed Practical Nurses). The required course to become IV Certified is no less than 30-hours, and administered by a FBON approved provider. Resident #1 was admitted to the facility on [DATE] with diagnoses that included Infection and Inflammatory Reaction due to Internal Right Knee Prosthesis, subsequent encounter; Muscle Wasting and Atrophy; Methicillin Resistant Staphylococcus Aureus (MRSA) Infection of the Unspecified Site; and Encounter for Other Orthopedic Care. A review of Minimum Data Set (MDS) assessment dated [DATE], under Section C of the Brief Interview of Mental…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-03 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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 provide maintenance services necessary to maintain a sanitary, safe, clean, and homelike environment for residents. The findings included: During entrance to the facility on [DATE] at 9:10 AM, it was observed that the back area visible to residents who smoke, had old furniture, metal filing cabinets, tarp covered boxes of paraphernalia, and some uncovered boxes of gadgets. During another observation on 12/03/25 at 9: 21 AM, the same collections of furniture, boxes and gadgets were present. In an interview with the Maintenance Director, he stated he is trying to organize all these gadgets, furniture and supplies that came from a storage box. When he was asked when he would think it would be organized, he did not respond. In an interview conducted with a resident, she stated that the view is not good for relaxation because it seemed like trash is everywhere. An additional tour of one of the resident's rooms revealed that the bathroom had…

    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 · Dcited before2025-12-03 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    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 follow the professional standards of practice for ensuring medications and treatments were administered according to doctor's orders for 2 of 2 sampled residents (Residents #4 and #6). The findings included: During an entrance conference with the Director of Nursing (DON), and Staff A, Licensed Practical Nurse, on 12/02/25 at 9:30 AM, they were asked to provide the medication administration policy.1) Resident #4 was admitted to the facility on [DATE] with diagnoses that included Muscle Wasting and Atrophy, Essential Primary Hypertension, and Unspecified Disorders of the Muscle.A review of recent Minimum Data Set (MDS) assessment dated [DATE] documented a Brief Interview of Mental Status (BIMS) score of 15, indicating Resident #4 had good cognitive function. A review of physician order dated 07/14/24 documented Lyrica, 150 milligrams (mg), give one tablet every 6 hours for nerve pain. A review of the Medication Administration 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-06-05 · tag F0725 — failed to have enough nursing staff — pattern
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    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 meet 24 hour staffing requirements on weekends for the period of 10/1/24 to 12/31/24. The findings included: The CMS Payroll Based Journal (PBJ) report for the facility for the First Quarter of 2025 for the period from October 1, 2024 to December 31, 2024, indicated the facility had excessively low staffing on the weekends for the quarter. This report was run on 05/27/25. On 06/02/25 at 12:13 PM, an interview was conducted with Resident #63. Resident #63 had a Brief Interview for Mental Status (BIMS) score of 15, which indicates she was cognitively intact. Resident #63 had her most recent MDS assessment dated [DATE]. This was the resident's Annual Assessment. Resident #63 stated that there were not enough staff, especially on weekends. Resident #63 stated that it could take hours for anyone to come to the room (respond to the call light) on weekends and overnight. Resident #63 indicated that her roommate, Resident #55, who is also her spouse, was more…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-06-05 · tag F0880 — failed to prevent and control infections — pattern
    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 review of policy and procedure, observation and interview, the facility failed to maintain infection control standards, as per protocol, in the Laundry Room and Soiled Utility areas. The findings included: Review of the facility policy titled Laundry Services provided by the Director of Nursing (DON) effective October 2021 documented in the Policy Statement: The facility will strive to protect residents and employees from facility-acquired infections and communicable diseases and to reduce the risk of cross-infection by utilizing hygienic practices for the handling and processing of soiled linens appropriate procedures will be followed to minimize potential healthcare associated and occupational risks associated with soiled linen handling .Standard Precautions will be followed when handling soiled linens. Procedure: 1. Clean washer and dryer .surfaces daily with a disinfectant. 2. Clean lint traps after each load .12. Clean and disinfect all laundry areas routinely. Review of the facility policy titled…

    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 · D2025-06-05 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    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 reviews, the facility failed to monitor and reassess the nutritional needs of 1 of 1 residents reviewed for tube feeding (Resident #19). The findings included: A review of the facility's policy titled Weight Management dated January 2021 showed the following: The dietitian and/or authorized designees will assist the team with identifying significant weight changes and pertinent trends as needed based on the facility process. 1 week 2%, 1 month 5%, 3 months 7.5% and 6 months 10%. The dietitian will reassess the nutritional needs and intake of the Resident with a weight change. Appropriate recommendations will be documented in the medical record via a dietitian recommendation form. Resident #19 was readmitted on [DATE] with diagnoses of Muscle Weakness and Severe Protein-Calorie Malnutrition. The Minimum Data Set, dated [DATE] showed a Brief Interview Mental Status score of 15, which is cognitively intact. A review of the weight logs showed the following weight history…

    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 · D2025-06-05 · tag F0805 — failed to prepare food in a form residents can eat — isolated
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    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 follow the Pureed diet consistency for 1 of 2 visits to the main kitchen. This has the potential to affect 9 residents on a Pureed diet out of 103 current census residents. The findings included: A review of the facility ' s policy titled Pureed Diet, dated 11/2017, showed the following: Pureed means that all food has been grounded, pressed, and/or strained to a soft, smooth consistency like pudding. An observation conducted on June 4, 2025, at 11:45 AM during the lunch tray line revealed a container of pureed turkey on the tray line. Closer observation revealed pieces of green particles in the pureed turkey. Staff A, Cook, said that she made the pureed turkey and added sweet relish for flavor. In an interview conducted on June 4, 2025, at 11:55 AM with the Food Service Director, he acknowledged the green particles in the pureed turkey. In an interview with Staff D, the speech-language pathologist, on June 4, 2025, at 12:00 PM, it was stated that a pureed diet should have a mashed potato-like consistency…

    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 · D2025-06-05 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    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 provide food choices and preferences for 2 of 4 residents reviewed for nutrition (Resident #88 and Resident #95). The findings included: 1. A chart review revealed that Resident #88 was admitted on [DATE] with diagnoses of Hypertension and Hyperlipemia. The Quarterly Minimum Data Set (MDS) dated [DATE], revealed a Brief Interview of Mental Status (BIMS) score of 14, indicating cognitive intact. On 06/02/25 at 12:35 PM, an observation was conducted, and Resident #88 was found in her room eating her lunch tray. The meal ticket noted the following: large portion, 5 ounces pulled pork, plantains, yellow rice, mango mouse, mighty shake, and a peanut butter and jelly sandwich. The lunch meal plate was noted with the magic cup, but it did not contain a large portion of the 5 ounces of pulled pork, plantains, or yellow rice, as indicated on the meal ticket. The Care Plan for Resident #88 showed nutritional problems and to provide diet 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-05 · tag F0812 — failed to store, cook, and serve food safely — isolated
    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 observations and interviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety and sanitary conditions and to prevent foodborne illnesses during two of the two visits to the main kitchen. The findings included: 1. A tour of the main kitchen was conducted on 6/2/25 at 9:39 AM with the following issues noted: A bottle of 46 ounces of Thickened Orange Juice from the walk-in refrigerator with a used date of April 30, 2025. The facility's internal thermometer in the walk-in refrigerator indicated 50 degrees Fahrenheit rather than the necessary 41 degrees Fahrenheit or below. A yellow cleaning bucket containing dark-colored water was noted in the food production area. A cup of strawberries near the food tray line showed 59.0 degrees Fahrenheit, not the necessary 41 degrees Fahrenheit or below. A cup of grapes near the food tray line showed 59.4 degrees Fahrenheit, not the necessary 41 degrees Fahrenheit or below. A cup of canned pears near the food tray line showed 58.1 degrees Fahrenheit, not 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 16 citations
  • Potential for harm · D2025-06-05 · tag F0919 — failed to provide a working call system — isolated
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    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 interviews and record review, the facility failed to ensure that a call light was within reach and working for 1 of 30 sampled residents (Resident #76). The findings included: A chart review revealed Resident #76 was admitted on [DATE] with diagnoses of Muscle Weakness and Hypertension. The Annually Minimum Data Set (MDS) dated [DATE] showed that Resident #76 has a Brief Interview Mental Status Score of 13, which indicated the resident is cognitively intact. In an observation conducted on 06/02/25 at 10:17 AM, Resident #76 was noted on bed with the call light noted on the floor and away from Resident #76's reach. In an observation conducted on 06/02/25 at 11:11 AM, Resident #76 was noted in bed with the call light noted on the floor and away from Resident #76's reach. In an observation conducted on 06/02/25 at 11:52 AM, Resident #76 was noted in bed with the call light noted on the floor and away from Resident #76's reach. In an observation conducted on 06/02/25 at 12:30 PM, Resident #76 was…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-03-07 · 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 observations, interviews and record review, the facility failed to provide foods in accordance with professional standards for food safety. The findings included: 1). During the initial kitchen tour, on 03/04/24 at 7:38 AM, accompanied by the Food Service Manager, the following was noted: a. There was an accumulation of ice on the cooling unit in the walk in freezer. b. The wall under and behind the steamer was damaged. c. There was an accumulation of dust and debris inside of the vents of the air conditioning unit. At the conclusion of the initial tour, the Food Service Manager acknowledged understanding of the concerns. 2). During the follow up tour, on 03/06/24 at 11:23 AM, the following was noted: a. Staff L, [NAME] dropped a ladle on the floor. The [NAME] picked up the ladle and went to the three compartment sink and began to wash the utensil in the wash basin. The [NAME] then rinsed the ladle and then swished the ladle in the sanitizer, without completely submerging in the sanitizer and then placed the utensil on the drying rack with other cleaned and sanitized…

    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 · D2024-03-07 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her 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 record review, observations and interviews, the facility failed to provide care and services in a dignified manner to 1 of 1 resident (Resident #21) reviewed for Dignity. The findings included: Review of Resident #21's clinical record documented an admission on [DATE] with no readmissions. The resident diagnoses included Alzheimer's Disease, Persistent Mood [Affective] Disorder, Cognitive Communication Deficit, Type 2 Diabetes Mellitus, Dementia without Behavioral Disturbance, Psychotic Disturbance, Mood Disturbance, and Anxiety, Metabolic Encephalopathy (a problem in the brain), Abnormalities of Gait and Mobility and Muscle Weakness. Review of Resident #21's Minimum Data Set (MDS) quarterly assessment dated [DATE] documented a Brief Interview of the Mental Status (BIMS) score of 0 indicating that the resident had severe cognition impairment. The assessment documented under Functional Abilities and Goals that the resident was dependent on staff for toileting and needed substantial to maximum assistance…

    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 · D2024-03-07 · 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 observations and interview, the facility failed to honor residents' choices for 2 of 2 residents with preferences for eating in the dining room, Residents #80, and 88. The findings included: The facility's Mealtimes and Delivery Schedule documented: Main Dining Room Seating Schedule Breakfast: 7:10 AM to 7:20 AM 1). Resident #80 was admitted to the facility on [DATE]. According to the resident's most recent complete assessment, an Annual Minimum Data Set (MDS), dated [DATE], Resident #80 had a Brief Interview for Mental Status (BIMS) score of 15, indicating the resident was cognitively intact. Resident #80's diagnoses at the time of the MDS. During an interview with Resident #80, on 03/04/24 at 8:09 AM, in the Main Dining Room, it was noted that the resident had his breakfast on the table in front of him and that there was no staff in the dining room. During an observation of breakfast being served to the residents in their rooms, on 03/05/24 at 8:03 AM, Resident #80 was noted to be in the Main Dining…

    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 · D2024-03-07 · tag F0565 — failed to support the resident council — isolated
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews and record reviews, the facility failed to resolve grievances regarding the timing of meal deliveries voiced by residents and members of the Resident Council. The findings included: The meal delivery schedule documented the following schedule for the breakfast and lunch meals: Breakfast Wing 1 Short Hall, Rooms 101 to 112 at 7:20 AM to 7:35 AM Wing 2 Short Hall, Rooms 201 to 212 at 7:35 AM to 7:45 AM Wing 1 Long Hall, Rooms 113 to 126 at 7:45 AM to 7:55 AM Wing 2 Long Hall, Rooms 213 to 226 at 7:55 AM to 8:10 AM Lunch Wing 1 Short Hall, Rooms 101 to 112 at 11:30 AM to 11:40 AM Wing 2 Short Hall, Rooms 201 to 212 at 11:40 AM to 11:50 AM Wing 1 Long Hall, Rooms 113 to 126 at 11:50 AM to 12:00 PM Wing 2 Long Hall, Rooms 213 to 226 at 12:00 PM to 12:10 PM On 03/04/24 at 7:38 AM, during the initial kitchen tour, Staff were in the process of preparing the food to be served for the breakfast meal for that day and no meals had left the kitchen to be served to the residents. Staff did not begin plating the meal until approximately 8:00 AM. On 03/04/24 at…

    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 · Dcited before2024-03-07 · 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, interviews and record review, the facility failed to provide fingernails grooming for 2 of 2 sampled residents, Residents #11 and #44, observed for nail grooming. The findings included: Review of the facility's Job Description for Certified Nursing Assistants provided by the Director of Nursing documented direct care responsibilities .provides nail and hair care . 1) Review of Resident #11's clinical record documented an admission on [DATE] and no readmissions. The resident diagnoses included Tremors Secondary Parkinsonism, Encephalopathy (a problem in the brain), Lack of Coordination, Muscle Weakness, Glaucoma, and Major Depressive Disorder. Review of Resident #11 Minimum Data Set (MDS) quarterly assessment dated [DATE] documented a Brief Interview of the Mental Status (BIMS) score of 15 indicating the resident had no cognition impairment. The assessment documented under Functional Abilities and Goals that the resident needed partial to moderate assistance from the staff to complete most…

    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 · Dcited before2024-03-07 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide 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 observations, interviews, and record review, the facility failed to follow the Physician's orders for wound treatment and to provide wound care in a timely manner for 1 out of 1 resident reviewed for wound care (Resident #95). The findings included: On 01/15/24, Resident #95 was admitted to the facility with a medical history of Polyneuropathy, Type 2 Diabetes Mellitus, Hypertension, Anxiety Disorder, and Protein-Calorie Malnutrition. On 01/30/24, Resident #95 was hospitalized due to possible infection related to the wound on the right foot. On 02/05/24, she returned from the hospital with the following diagnosis, right great toe amputation, leukocytosis, and osteomyelitis. An admission Minimum Data Set (MDS) dated [DATE] revealed that Resident #95 had a Brief Interview of Mental Status (BIMs) score of 02, which indicated that she had severe cognitive impairment. Review of Section GG revealed that Resident #95 required assistance for most of her Activities of Daily Living (ADLs). Section M revealed that…

    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 · Dcited before2024-03-07 · 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 record review, observations and interviews, the facility failed to perform appropriate hand hygiene during room dining observation in wing 2 as evidenced by not performed hand hygiene between residents meal tray delivery; and failed to prevent potential of cross contamination during Trach Care and Tube Feeding pump re-setting as evidenced of reaching to a uniform pocket with a gloved hand. The findings included: Review of the facility's policy titled, Hand Hygiene effective 10/2021 provided by the Regional Nurse documented .employees must wash their hands .under the following conditions: .before and after entering isolation precautions .before and after assisting a resident with meals .after contact with a resident with infectious diarrhea including .Clostridium (infection) Difficile (hand washing with soap and water) . 1) On 03/04/24 at 8:55 AM, dining observation was conducted of the facility's wing 2 residents room dining service. On 03/04/24 at 9:03 AM, Observation revealed Staff B, CNA entered…

    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 · Dcited before2022-11-03 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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 upon interview and observation the facility failed to provide a safe, clean, and homelike environment. The findings included: During routine observations of rooms conducted by surveyors on 10/31/22 and 11/01/22, and a subsequent facility observation tour conducted on 11/03/2022 at 12:30 PM with the Administrator, the Maintenance Director, and the Regional Nurse Consultant, the following environmental concerns were noted: 100 Unit: (a) room [ROOM NUMBER]: The foot board for bed104-A was cracked and pitted. (b) room [ROOM NUMBER]: the paint on the ceiling was peeling above the headboard for 107-C. 200 Unit: (c) The hallways in the entire 200 Unit had an odor best described as old, musty urine. (d) room [ROOM NUMBER]: The footboard for bed 204-A was missing from the resident's bed and there was a loose screw observed on the floor. In the bathroom of room [ROOM NUMBER] there was no pull cord for the emergency call signal. (e) room [ROOM NUMBER]: For 219-A the night stand laminate and baseboard behind the bed…

    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 · D2022-11-03 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on records review and interviews, it was noted that the facility did not involve a Certified Nursing Assistant (CNA) in the developement of the care planning process of 2 of 22 sampled residents (Resident #33 & Resident #73). The findings included: 1.) Review of the Care Plan (CP) signing sheet for Resident #33 revealed that it was signed on June 28, 2022. The CP record showed that the participants who acknowledged their presence by their signature were: Resident #33, the Food Service Manager (FSM), the Clinical Reimbursement Director (CRD), RN, and the Social Service Director (SSD). Review of a second care plan meeting held on 10/6/2022 revealed that only Resident #33, the SSD, and the Registered Dietitian (RD), signed the CP. There was no CNA signature on the CP signing sheet. On 11/01/22 at 10:54 AM Resident #33 stated she had filed multiple complaints about her call bell not being answered on time. She reported that it can at times take more than 1 hour to receive assistance. Resident #33 is diagnoses included End Stage Renal Disease; Chronic Obstructive Pulmonary Disease,…

    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 before2022-11-03 · 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, record review and review of policy and procedure, it was determined that the facility failed to provide nail grooming, in accordance with activities of daily living for 2 of 2 residents observed (Resident #7 and Resident #37). The findings included: 1.) Review of the facility policy and procedure on Activities of Daily Living (ADL) Assistance, provided by the Director of Nursing (DON), effective July 2022 indicated 2. Staff will provide assistance with ADLs per plan of care/[NAME]. 3. Staff may assist residents with: .d. Nail care . Review of facility's Certified Nursing Assistant (CNA) job description, dated 07/01/19, Summary of Position: .Work will include components of direct patient care Ensures that each resident's personal care needs are being met in accordance with the resident's/patient's wishes .Provides nail and hair care . 2.) Resident #7 was admitted to the facility on [DATE] with diagnoses which included Atherosclerotic Heart Disease, Alzheimer's Disease, Vascular…

    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 · Dcited before2022-11-03 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide 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 review of policy and procedure, observation, record review and interview, it was determined that the facility failed to manage a vulnerable resident's fragile, compromised skin wounds, in a safe and sanitary manner, in accordance with professional standards of practice, to prevent worsening of condition, or contamination, for 1 of 2 sampled residents observed for wounds (Resident #64). The findings included: 1.) Review of the facility's policy and procedure on 11/03/22 at 1:50 PM titled Physical Environment provided by the Director of Nursing (DON) effective January 1, 2020 Policy: A safe, clean, comfortable and home-like environment is provided for each resident/patient . Review of facility's licensed nurse job description (undated) on 11/03/22 at 2:07 PM provided by the (DON), Summary of Position: The Licensed .Nurse is responsible for delivering care to residents/patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation; and effectively interacts…

    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 · D2022-11-03 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and records review, 1 of 5 sampled dialysis residents (Resident #33) did not receive a lunch bag before going to a dialysis treatment center which is remotely located. The findings included: On 11/02/22 at 4:11 PM, during an interview with Resident #33, she reported that she was a dialysis patient and went to dialysis three times a week, on Monday, Wednesday, and Friday at 8:00 AM. Resident #33 said that she usually returns to the facility by 3:00 PM and added that she did not receive her lunch bag when she went to dialysis the morning of 11/2/2022. She informed that this occurred not only once, but multiple times. During an interview with the Dietitian, Employee H, on 11/02/22 at 3:57 PM, she reported that there are five residents on dialysis. She informed that when residents are going to dialysis, they always give them a lunch bag, as required. She said that the lunch bags are usually prepared in the early morning for the residents who have to leave by 8:00 AM. But, there is one resident who eats his breakfast at the facility before going to dialysis. She said…

    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 · Dcited before2022-11-03 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    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, record review and review of policy and procedure, it was determined that the facility failed to ensure that it secured and locked the over-the-counter (OTC) medications for 3 of 3 residents reviewed during a Medication Administration Observation (Resident #64, Resident #37 and Resident #12). The findings included: 1) During a observation room tour conducted on 10/31/22 at 11:48 AM, Resident #64 was observed sitting up in his room in his wheelchair watching television (TV). Resident #64's room was observed with a full bottle of OTC Tums Antacid Tablets expiration date January 2026, on his bed side table, unsecured, visible, and accessible to other residents, employees and visitors. Resident #64 was admitted to the facility on [DATE] with diagnoses which included Aphasia following Cerebral Infarction, Diabetes Mellitus Type 2, Muscle Wasting and Atrophy, Atrial Fibrillation, Hypertension, Benign Prostatic Hypertrophy. He had a Brief Interview Mental Status (BIM) score of 15…

    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 · D2022-11-03 · tag F0814 — failed to dispose of garbage properly — isolated
    Dispose of garbage and refuse properly.
    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 and interviews, the facility failed to keep the loading dock area clean and in a sanitary manner to prevent an environmental condition that harbors rodents, pests, and insects. The findings included: During a follow-up visit to the kitchen on 11/02/2022 at 12:07 PM, the Surveyor toured the loading dock area and observed the refuse area with the Maintenance Director and noted there was a substantial amount of standing water that gave out a foul odor. The Maintenance Director stated that it was an issue that he could immediately resolve. He said that this never happened before. Also, there were some debris stored near the electric system by the loading zone. During an interview with a housekeeping staff on 11/02/22 at 12:10 PM, she stated that whenever it rains the area is flooded. This is evidence that the issue was a lingering problem. However, after draining the standing water, it was observed that the drainpipe was completely occluded with debris, [NAME], rocks, and dirt. The Maintenance…

    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 · D2022-11-03 · 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 interviews and record review, the facility failed to document the resident's blood sugar monitoring results daily for 1 of 2 residents sampled for unnecessary medications review as evidenced by blood glucose (sugar) monitoring test results not documented in the resident's clinical record for the month of September, October and November 2022. (Resident #30). The findings included: Review of the facility's Clinical Guidelines Standard-Diabetes Management effective December 2007, provided by the facility's Corporate Nurse, documented .document blood glucose on the MAR (Medication Administration Record) . Review of the facility's Clinical Guidelines Standard-Physician Orders effective October 2021, provided by the facility's Corporate Nurse, documented .confirm the accuracy of orders. Review orders daily in Clinical meeting to confirm accuracy in transcription and identify errors of omission .assigned nursing staff will complete a monthly review to ensure physicians orders are captured accurately 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.

    Resident Assessment and Care Planning 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 FLORIDA INSTITUTE FOR LONG-TERM CARE — 17 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 2 of 52.2-0.2 vs chain
Health inspection 2 of 51.9+0.1 vs chain
Staffing 4 of 53.2+0.8 vs chain
Quality measures 4 of 54.1≈ chain avg
The other 16 homes this chain runs (chain average 2.2★, 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 / managerTypeRoleShareSince
FI-BOCA RATON, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 12/23/2002
FLORIDA INSTITUTE FOR LONG TERM CARE LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF100%since 04/04/2025
JAFFE, HOWARDIndividualCORPORATE OFFICERsince 07/01/2003
KATZ-HALL, KATHYIndividualCORPORATE OFFICERsince 07/01/2003
MULLARKEY, JAMESIndividualCORPORATE OFFICERsince 07/01/2003
RICHMOND, PENNYIndividualCORPORATE OFFICERsince 07/01/2003
ANU HEALTH MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/04/2025
CONSULTING SUPPORT SERVICES, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/04/2025
FACILITY SUPPORT COMPANY, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/19/2025
KANE FINANCIAL SERVICES, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/19/2025
BLEVINS, JACOBIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/03/2020
WALDON, KAWAISHAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/03/2020
OMEGA HEALTH INVESTORS, INCOrganizationADP OF THE SNFsince 07/01/2003
SELECT REHABILITATION, LLCOrganizationADP OF THE SNFsince 08/19/2016

CMS files one row per role, so the 21 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

8 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.

$13.1M
Net patient revenuemost recent cost report
-4.4%
Operating marginrevenue minus expenses
$159K
Related-party expense1% of expenses
Who pays — share of resident-days
Medicaid 76%Medicare 12%Other / private 12%

About 76% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $159K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. 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

$331per resident / day
operating cost
$10,069per month
≈ monthly operating cost
$317per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). 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 105219. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-05, 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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