Stratford Court Of Boca Raton
6343 Via De Sonrisa Del Sur, Boca Raton, FL 33433 · For profit - Corporation · 60 certified beds · (561) 392-5940 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 (19% vs 45% nationally) — better care continuity
- a high number of inspection citations overall (20) — 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 last standard health inspection was over 2 years ago — the star rating may not reflect current conditions
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 | 5 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 held steady at 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 | 11.4% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 1.7% | 5.5% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.3% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 2.9% | 0.7% | 2.0% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 0.0% | 4.6% | 6.5% | check this* — see note marked star below the table |
| 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 | 0.0% | 2.5% | 3.3% | check this* — see note marked star below the table |
| Long-stay residents whose ability to walk worsened | 8.1% | 9.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 3.1% | 14.4% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 99.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 6.3% | 4.5% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 16.9% | 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 | 10.3% | 8.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 3.2% | 1.5% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 76.4% | 94.7% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 20.7% | 26.1% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 7.4% | 9.1% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.40 | 2.13 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 0.79 | 1.15 | 1.80 | better |
* 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.
69.4% 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 430 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 53.3% 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 167 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 0.75 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 35% 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 | 69.4%CMS range 64.9–73.5 | 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 | 10.7%CMS range 7.7–13.5 | 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 | 53.3% | 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 | 55.1% | 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 | 46.7% | 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 | 97.9% | 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 | 99.2% | 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 | 98.5% | 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 | 2.4% | 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 | 9.1%CMS range 6.9–12.6 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.19 | 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 60 beds and averages 45.1 residents a day — about 75% occupied, or roughly 15 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 5.10 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.49 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.18 is at or above 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 4.57 hrs/resident/day on weekends vs 5.32 on weekdays — 14% thinner on weekends. RN hours go from 1.66 to 1.07 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 19% is below the national median of 45%. 3 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 more than at the previous inspection — worsening. 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.
This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.
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.
20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.
- Potential for harm · Ecited before2024-09-26 · 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 interviews, observations, and record, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, which could potentially affect 48 residents in the facility. The findings included: 1. In a tour of the main kitchen conducted on 09/23/24 at 9:15 AM, accompanied by the Kitchen Manager, the following issues were observed: a. Three large round garbage bins were opened without lids in the food production area. Thirty minutes later, at 9:45 AM, this was still observed. b. A small Styrofoam cup, with an employee's name written on it, was noted in the food production area. c. The Traulsen reach-in refrigerators was noted with dirt and debris on the bottom. d. The commercial charcoal grills were noted with an old sticky-like black dried substance attached. Staff A, Cook, stated the grill is supposed to be cleaned the night before and that it is usually clean when he arrives for his shift in the morning. When asked when it was last cleaned, he did not know. e. A rectangular silver tray with some debris and dirt…
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 before2024-09-26 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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, interviews, and record review, the facility failed to ensure a sanitary and clean environment including air conditioning filters for 4 residents' rooms, Rooms 238-B, 235-D, 226-W and 232-B, reviewed for homelike clean environment. The census at the time of survey was 48. The findings included: 1. During an initial tour observation conducted on 09/23/24 at 9:55 AM of room [ROOM NUMBER]-B, it was observed that the air conditioning (AC) filters and vents with black mold-like substance. Photographic Evidence Obtained. An interview was conducted on 09/25/24 at 10:25 AM with the resident residing in this room who stated she always needs O2 and feels short of breath all the time. 2. During an initial tour observation conducted on 09/23/24 at 9:55 AM of room [ROOM NUMBER]-D revealed the AC vent and filters were observed with black mold-like substance. Photographic Evidence Obtained. During an interview conducted on 09/23/24 at 10:10 AM with the resident who resides in this room revealed she is 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 · Dcited before2024-09-26 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
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 monitor weights and provide adequate nutritional interventions in a timely manner for 1 of 3 sampled residents reviewed for nutrition, Resident #17. The findings included: Record review revealed Resident #17 was readmitted to the facility on [DATE] with diagnoses to include Generalized Anxiety Disorder, Parkinsons Disease, and Dementia. The Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview of Mental Status (BIMS) score of 03, indicating severe cognitive impairment. Section GG of the MDS for eating showed Resident #17 needed substantial / maximum assistance with eating. In an observation conducted on 09/25/24 at 8:39 AM, Resident #17 was in her room eating breakfast. The tray consisted of oatmeal, juice, banana, and a muffin. Resident #17 was observed attempting to drink the oatmeal in the cup. No staff was noted at the time of this observation. A continued observation at 9:00 AM revealed staff sitting…
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 · D2024-09-26 · tag F0698 — failed to provide proper dialysis care — isolatedProvide 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record reviews, and policy reviews, the facility failed to ensure that 1 of 1 sampled resident reviewed for dialysis, Resident #300, received care and services for the provision of hemodialysis consistent with the professional standards of practice, as evidenced by lack of ongoing communication and collaboration with the dialysis facility regarding the provision of dialysis care and services. The findings included: Review of the facility's Dialysis Policy Statement, effective 04/25/18, documented, in part, The Social Services Coordinator / designee will arrange for transporting to and from an off-site certified dialysis facility for dialysis treatments. It also documented that The care of the resident receiving dialysis services reflects ongoing communication, coordination and collaboration between the community and the dialysis staff. This communication process is established between the community and the dialysis facility to be used 24-hours a day. Communication is documented in 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 · D2024-09-26 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation and interviews the facility failed to properly destroy a controlled substance patch for 1 of 1 sampled resident reviewed during the controlled substance record review, Resident #8, and failed to ensure controlled substance medications reconciliation was accurate for 2 of 5 sampled residents, Resident #8 and #37. The findings included: Review of the facility's policy, undated, titled, Narcotic Reconciliation, provided by the Director of Nursing (DON) documented, in part, the licensed nurse is responsible to sign the administration of the controlled medication on the Medication Administration Record and the Controlled Substance Declining Inventory Record at the time of the administration to the resident . 1. Review of Resident #8's clinical record documented an admission on [DATE] and a readmission on [DATE]. The resident's diagnoses included Chronic Pain, Heart Failure and Osteoarthritis. Review of Resident #8's clinical record documented an active physician order dated…
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 · D2024-09-26 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility failed to ensure medication error rates was below 5 percent; a total of 29 opportunities were observed with 3 medication errors identified which yield a medication error rate of 10.34 percent, affecting 2 of 5 sampled residents reviewed for medication administration, Resident #249 and Resident #250. The findings included: Review of the facility's policy, titled, Medication Administration General Guidelines, dated 01/2023, included the following: Medications are administered as prescribed in accordance with manufacturers' specifications, good nursing principles and practices and only by persons legally authorized to do so. Personnel authorized to administer medications do so only after they have familiarized themselves with the medication. Medication Administration: 1. Medications are administered in accordance with written orders of the prescriber. Documentation: 1. The individual who administers the medication dose records the administration 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 · D2024-09-26 · tag F0805 — failed to prepare food in a form residents can eat — isolatedEnsure 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to provide the correct diet consistency for the Pureed diet during 1 of 3 dining observations for Resident #20 and Resident #6. This had the potential to affect 5 of 48 residents on a Pureed diet. The findings included: Review of the Purred Diet-NDD Level 1 taken from the 2014 Nutrition Care Manual, Academy of Nutrition and Dietetics, showed the following: pureed foods must be smooth and thick enough to mound on the plate. No coarse textures, chunks, lumps, or particles are allowed in the food. Record review revealed Resident #20 was admitted on [DATE] with a diagnosis of Dysphagia, Repeated Falls, and Weakness. The Annual Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview of Mental Status (BIMS) score of 02, indicting severe cognitive impairment. Review of the physician's orders showed an order, dated 07/24/20, for a Regular diet, Pureed texture, and Nectar consistency for dysphagia. Record review revealed 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 · Dcited before2024-09-26 · tag F0880 — failed to prevent and control infections — isolatedProvide 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 ensure they had implemented an infection control program that ensured a resident with a bacterial Urinary Tract Infection (UTI) was placed on contact precautions for 1 of 3 sampled residents reviewed for Transmission Based Precautions (TBP), Resident #249; and failed to perform hand washing between gloves change during wound care observation for 1 of 1 sampled resident reviewed for pressure ulcers, Resident #34. The findings included: Review of the facility's policy, titled, Infection Prevention and Control Program for Skilled Communities -Transmission-Based Precautions, revised on 07/2024, provided by the Director of Nursing (DON), documented, in part, Transmission-based precautions are used for residents with documented .infection .with highly transmissible pathogens for which additional precautions are needed to prevent transmission .Contact Precautions-use contact precautions for residents with known .infections that are at an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-08-03 · 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 observation and interview, the facility failed to store, prepare, distribute an serve food in accordance with professional standards for food service safety that included labeling and dating of perishable food, proper cleaning of food preparation equipment on a scheduled basis, proper maintenance of refrigeration equipment on a regular scheduled basis, holding of hot foods at regulatory, temperatures, and proper maintenance of dish machine equipment. The findings included: 1. During the initial Kitchen / Food Service Observation Tour of the Main Kitchen conducted on 07/31/223 at 9:00 AM, and accompanied with the facility's Certified Dietary Manager (CDM), the following were noted: (a) The main service hallway was noted to be heavily soiled and stained throughout. It was noted that recent food deliveries were being stored in the hallway. It was also discussed with the CDM that resident food transportation carts are travelled through the soiled hallways on the way to the Skilled Nursing Unit. The surveyor requested the hallways be cleaned and sanitized prior to the next food…
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 · E2023-08-03 · tag F0814 — failed to dispose of garbage properly — patternDispose of garbage and refuse properly.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and interview, the facility failed to dispose of garbage and refuse properly. The findings included: During the observation of the garbage / refuse area on 07/31/23 at 10:00 AM and accompanied with the the facility's Certified Dietary Manager (CDM), the following were noted: 1. The ground areas surrounding the commercial dumpster was noted to be covered with numerous soiled PPE (personal protective equipment) such as gloves, masks, gowns, etc., trash and food garbage debris, soiled food containers and an old tire. 2. Two 55-gallon drums, of which old cooking oil was being stored, were noted to be leaking. It was noted that a large thick layer of oil surrounded one of the dumpster ground areas. The CDM confirmed the dumpster findings and stated that the environmental service would be notified of the issues. The findings and photographs were reviewed with the facility's Administrator. Photographic Evidence Obtained of the garbage / dumpster areas.
Show the remaining 10 citations
- Potential for harm · Dcited before2023-08-03 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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
Based on observation, interview, and record review, the facility failed to maintain a safe, clean, comfortable, homelike environment in the facility and in the laundry area. The findings included: Review of the facility policy, titled, Dryer Fire Prevention Policy, review date 10/12/15, revealed the following directions for dryer lint maintenance: Clean lint screens in commercial dryers after each use. 1. Observation by 3 of 3 surveyors during tours of the facility conducted during the survey week (07/31/23 to 08/03/23) noted that the 230-240 hallway had an offensive, urinary, molded, musty smell throughout the hallway. The surveyors informed the facility administration about the issue on 08/01/23. 2. Observation by 3 of 3 surveyors during tours of the facility conducted during the survey week (07/31/23 to 08/03/23) noted that large stains were present on the carpet of the second-floor lobby area and in the entrances of the dining room and activities room. The surveyors informed the facility administration about the issue on 08/01/23. 3. Tours of the facility's laundry areas were…
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 before2023-08-03 · tag F0803 — failed to meet residents' dietary needs — isolatedEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to follow the approved menus and failed to provide a variety of foods to the residents on the L3/Mechnical Soft Diet, for 2 of 6 sampled residents, Resident's #9 and #27; and for residents on the L1/Pureed Diet, for 2 of 3 sampled residents, Resident's #5 and #18. The census at the time of the survey was 40. The findings included: 1. Review of the approved menu for the lunch meal of 07/31/21 for the L1/Pureed Diets noted the following to be served: - Broccoli Shape with Lemon Sauce - Peach Shaped Ice Cream. Observation of the lunch meal in the satellite kitchen on 07/31/23 at 12:00 PM noted the following for the L1/Pureed Diets: -Pureed Broccoli Shapes w (with) Lemon Sauce not available -Peach Shape Ice cream not available. Residents receiving the pureed diet received vanilla ice cream. 2. Review of the approved menu for the brealfast meal of 08/01/23 for the L3/Mechnaical Soft diets noted the following to be served: -Cold Cereal Slurry -Ground Sunrise Omelet -Crustless Bread. Observation of brealfast meal in…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2022-04-01 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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 maintain food safety requirements with storage, preparation, and distribution in accordance with professional standards for food service safety which included: failure to maintain sanitary conditions. The findings included: 1. During the initial tour of the kitchen conducted on 03/28/22 at 8:57 AM, accompanied by the Executive Chef, the following was noted: a. One chain lanyard with about 10 keys and one orange notebook were stored on top of the food preparation table. The Executive Chef stated that he had placed these items on top of the food preparation table prior to the surveyor's entrance to the kitchen. b. In the walk-in cooler, about 20 condiment cups containing red sauce were missing labels identifying the product name and use by date. c. In the walk-in cooler, the floor was observed with brown residue and cracked floor panels. d. One light bulb in the walk-in cooler was out. e. In the dry storage area, about 8 boxes containing food products (ice cream cones, saltine crackers, miniature…
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 · E2022-04-01 · tag F0561 — failed to honor residents' choices — patternHonor 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, interviews, and record review, the facility failed to have provisions of eggs cooked to order as menu suggests with the potential to affect all 45 residents, and the facility failed to honor a resident's choice of a lactose free diet for 1 of 18 sampled residents (Resident #154). The findings included: 1. Review of the approved 7-week cycle menus showed that egg of choice was offered as a daily breakfast option. During an observation conducted on 03/29/22 at 1:22 PM, it was noted that the walk-in cooler contained pasteurized liquid eggs and unpasteurized shell eggs. The Sous Chef stated that the pasteurized liquid eggs were used for the nursing home and that the unpasteurized shell eggs were used for the assisted living facility / independent living sections within the campus. In an interview conducted on 03/29/22 at 1:25 PM, the Certified Dietary Manager (CDM) stated that egg of choice would include the following options: sunny side up, scrambled or hardboiled. In an interview conducted…
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 before2022-04-01 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview, the facility failed to maintain the laundry room in a clean and sanitary manner; failed to have a dedicated clean linen utility chest for 5 of 5 clean utility chests; and failed to provide and encourage hand sanitation prior to meal intake for 2 of 20 sampled residents observed in the dining room, Resident #153 and #35. The findings included: A review of the facility's policy Infection Prevention and Control Program for Skilled Communities, dated 08/2018, documented: Hand hygiene means cleaning your hands with soap and water, antiseptic hand wash, antiseptic hand rub, or surgical hand asepsis. Key situations where hand hygiene should be performed included before eating and after handling soiled linen. 1. During Dining observation on 03/28/22 at 12:30 PM, Resident #35 was observed sitting in the dining room. Resident #153 was observed entering into the dining room and sitting at the same table as Resident #35. Resident #153 was observed eating a bowl of soup at 12:40 PM. Both residents were observed eating their lunch entrees at 1:25 PM. 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 · Dcited before2022-04-01 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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 — the official record, unedited, may be distressing
Based on observation and interview, the facility failed to provide a homelike environment for a clean and debris-free flooring for 9 of 40 rooms (211, 212, 214, 218, 225, 226, 234, 237, and 240). The findings included: An observation of the facility was conducted throughout the survey from 03/28/22- 04/01/22. The flooring at the doorway entry to the resident's rooms were noted with dirty, peeling, black duct tape in the following rooms: 211, 212, 214, 218, 225, 226, 234, 237, and 240. An interview was conducted with the Director of Maintenance on 04/01/22 at 2:00 PM. The Director of Maintenance acknowledged the above.
- Potential for harm · Dcited before2022-04-01 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
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 place nutrition orders and obtain weights in a timely manner for 1 of 4 sampled residents reviewed for nutrition (Resident #2); and failed to conduct nutrition assessments in a timely manner for 1 of 4 sampled residents reviewed for nutrition (Resident #24). The findings included: Review of the facility's policy, titled, Nutrition and Weight Management Program, version 1.0, documented the following: Ongoing monitoring of weight is integral to the plan to manage the resident's weight. Residents are upon admission, weekly for 4 weeks, then monthly to evaluate trends or in accordance with physician's orders. Residents who are not cognitively impaired may choose not to be weighed. Document this preference in the resident's care plan. All weights are recorded in the resident's electronic health record. Review of the facility's policy, titled, Nutritional Care Planning Process, revised on 04/30/21, documented the following: Quarterly, each…
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 · D2022-04-01 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and interview, the facility failed to ensure that an oxygen concentrator's (a device that delivers oxygen) filter was clean and debris free for 1 of 2 sampled residents reviewed for oxygen (Resident #7). The findings included: An observation of Resident #7 was conducted on 03/28/22 at 3:00 PM. The resident was observed awake in bed receiving oxygen therapy. Further observation of the resident's oxygen concentrator revealed a filter laden with a large amount of dust and debris. A side-by-side observation of Resident #7's oxygen concentrator with the Director of Maintenance on 04/01/22 at 12:00 PM revealed a filter laden with a large amount of dust and debris. An interview was conducted with the Director of Maintenance during the side-by-side observation. The Director of Maintenance stated he did not know who was responsible for maintaining / cleaning the oxygen filters. The Director of Maintenance stated that housekeeping cleans the oxygen concentrator when the resident is discharged / leaves the facility.
- Potential for harm · Dcited before2022-04-01 · tag F0803 — failed to meet residents' dietary needs — isolatedEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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 approved menu for 1 of 3 residents on pureed diets, which included sampled resident (Resident #37). The findings included: Review of the approved breakfast menu for pureed diets for 03/29/22 documented that the following items were to be served: pureed pancakes, pureed bread and pureed oatmeal. During an observation of the breakfast tray line conducted on 03/29/22 at approximately 7:30 AM, it was noted that the pureed bread and the pureed oatmeal were missing from the breakfast tray line. When asked about the pureed bread, Staff B, Cook, stated that pureed pancakes were to be served in place of pureed bread. The surveyor showed Staff B the approved breakfast menu which documented that both pureed bread and pureed pancakes were to be served. When asked again about the pureed bread, Staff B acknowledged that it was missing from the breakfast tray line. When asked about the pureed oatmeal, Staff B stated that she only made pureed oatmeal on Mondays, Wednesday, and Fridays, and confirmed that she did…
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 · D2022-04-01 · tag F0825 — isolatedProvide or get specialized rehabilitative services as required for a resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, the facility failed to provide restorative nursing services as care planned for 1 of 3 sampled residents reviewed for rehabilitation (rehab), Resident #9. The findings included: Review of the record documented that Resident #9 was admitted to the facility on [DATE] with diagnoses that included: Osteoarthritis, Muscle Weakness, Dislocation of Left Shoulder, and Spinal Stenosis. Review of Section C of the Minimum Data Set, dated [DATE], documented Resident #9 had a Brief Interview for Mental Status score of 15, which indicated that she was cognitively intact. Review of the Care Plan, dated 02/07/22, documented Resident #9 was in the restorative program due to muscle weakness. Interventions included: Nursing Restorative Program for active assisted range of motion for both lower extremities, hips, knees, and ankles; both upper extremities, elbows, wrists, fingers, in all available planes of movement for 3 sets of 20 two times daily for 6-7 times weekly. In an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“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 |
|---|---|---|---|
| Ownership Data Not Available |
The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.
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.
A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 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
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
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 105851. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-09-26, 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.