Casa Mora Rehabilitation And Extended Care

Location & what’s nearby

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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

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.

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.

39.1% 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 137 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 45.8% 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 83 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 0.38 therapist hours per resident per day in 2026Q1 — more than 66% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 30% 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.

Staffing

How full it usually is: this home is certified for 240 beds and averages 209.5 residents a day — about 87% occupied, or roughly 30 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.38 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.74 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.16 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 3.19 hrs/resident/day on weekends vs 3.46 on weekdays — 8% thinner on weekends. RN hours go from 0.79 to 0.62 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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.

26 citations, most serious first. The 17 most serious are shown; the remaining 9 are one tap away and print in full.

• Immediate jeopardy · K2025-09-11 · tag F0578 — failed to honor advance directives / code status — pattern
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure Advance Directives were properly documented in the medical record for three residents (#2, #12, and #13) out of three residents reviewed for code status. This failure created a situation that resulted in a worsened condition and the likelihood for serious injury or death to Residents #2, #12, and #13 and resulted in the determination of Immediate Jeopardy on [DATE]. The findings of Immediate Jeopardy were determined to be removed on [DATE] and the severity and scope was reduced to an E.Findings included: 1)Review of the Emergency Medical Systems (EMS) run report for Resident #2, dated [DATE], showed: Dispatch to rehab facility for [Resident #2] reported to have pink fluid coming from his tracheostomy tube. Upon arrival facility staff were in the hallways and reported that the patient (pt) is not doing well and appeared visibly shaken. Staff were unable to provide a time of onset. Upon entering the room, the patient (pt) was found…

  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
• Immediate jeopardy · K2025-09-11 · tag F0678 — failed to provide CPR when needed — pattern
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  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 Advance Directives were honored and properly documented in the medical record for three residents (#2, #12, and #13) out of three residents reviewed for code status. Resident #2 received cardiopulmonary resuscitation (CPR), despite his preference to be a Do Not Resuscitate (DNR) code status, after he was found unresponsive by staff on [DATE]. Staff failed to inform the Emergency Response Team (EMT) of the DNR code status and CPR was begun at the facility and conducted during transport and care in the emergency room (ER). This failure created a situation that resulted in a worsened condition and the likelihood for serious injury or death to Residents #2 and resulted in the determination of Immediate Jeopardy on [DATE]. The findings of Immediate Jeopardy were determined to be removed on [DATE] and the severity and scope was reduced to an E.Findings included: 1)Review of the Emergency Medical Systems (EMS) run report for 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-09-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 supervision to prevent elopement for one resident (#1) out of four residents reviewed for elopement risk. On 7/26/25 Resident #1 exited the facility at 6:30 p.m., unnoticed by staff. Resident #1 was mildly impaired, confused, and had an electronic monitoring device in place. Resident #1 followed another resident out the door which was remotely opened by staff. The door alarm was disabled by a resident who was aware of the code after Resident #1 triggered the alarm upon exit. Resident #1 walked approximately 0.2 miles to a hospital near the facility and was returned with assistance of law enforcement to the facility at 9:00 p.m. This failure created a situation that resulted in a worsened condition and the likelihood for serious injury and or death to Resident #1 and resulted in the determination of Immediate Jeopardy on 9/10/2025. The findings of Immediate Jeopardy were determined to be removed on 9/11/2025 and the severity 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-02-02 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, review of facility's policies and procedures, resident and staff interviews, the facility failed to protect the residents' rights to be free from neglect. The facility failed to ensure timely evaluation of resident's condition, and immediate physician notification in the presence of an acute change in condition to avoid physical harm for 1 (Resident #98) of 4 residents reviewed for coordination of care. Resident #98 had a diagnosis of Atrial Fibrillation (Type of irregular heartbeat) with long term use of anticoagulant (blood thinner) medication with a potential side effect of bleeding. On 8/28/23 Resident #98 underwent multiple dental extractions, arranged by the facility. The facility had no documentation of coordination with the dentist and medical practitioners related to the use of the blood thinner before and after the dental extractions, and no documentation of timely evaluation and physician notification when Resident #98 experienced significant bleeding from the extraction sites upon return to the facility. On 8/28/23 at approximately 5:30 p.m.,…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-02-02 · 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 record review, review of facility's policies and procedures, residents and staff interviews, the facility failed to implement processes to ensure effective coordination between staff, physicians, and outside medical providers in accordance to professional standards of care to meet the needs of 4 (Residents #98, #9, #99, and #110) of 4 residents reviewed. Resident #98 had a diagnosis of Atrial Fibrillation (Type of irregular heartbeat) with long term use of anticoagulant (blood thinner) medication with a potential side effect of bleeding. The facility arranged an appointment for multiple dental extractions for Resident #98. The facility did not ensure coordination between facility staff, the dentist, or the attending physician related to the use of anticoagulant (Eliquis) before and after the dental extractions. On 8/28/23 Resident #98 underwent nine extractions and returned to the facility around 3:00 p.m. There was no documentation Resident #98 was evaluated upon return to the facility. On 8/28/23 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-02-02 · tag F0835 — failed to run the facility competently — isolated
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, resident and staff interview the facility administration failed to use its resources effectively to protect residents' rights to be free from neglect, in that they failed to show effective coordination of care to ensure 1 (Resident #98) of 4 sampled residents received care and services in accordance with professional standards of care. Resident #98 had a diagnosis of Atrial Fibrillation (abnormal heart rhythm) with long term use of anticoagulant (blood thinner) medication. On 8/28/23 Resident #98 underwent multiple dental extractions, arranged by the facility. There was no documentation of coordination with the dentist and the physician related to the use of the blood thinner before and after the dental extractions. On 8/28/23 at approximately 5:25 p.m., Resident #98 was transferred to the hospital with uncontrollable bleeding of the gums status post dental extractions. Resident #98 was critically ill, required a blood transfusion and was admitted to the Intensive Care Unit. The failure of the facility's administration to prevent neglect and ensure timely…

  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
• Immediate jeopardy · J2024-02-02 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, resident and staff interview, the facility failed to maintain an effective Quality Assurance and Performance Improvement (QAPI) program that recognize quality deficiencies in the areas of neglect and effective coordination of care related to the use of anticoagulant (blood thinner). Resident #98's medication regimen included long term use of Eliquis (anticoagulant). On 8/28/23 the facility arranged for multiple dental extractions for Resident #98 without documentation of coordination with the dentist or the attending physician related to the use of anticoagulant before and after the extractions. Resident #98 experienced uncontrollable bleeding from the extractions resulting in a transfer to an acute care hospital. Resident #98 was critically ill, required a blood transfusion and was admitted to the Intensive Care Unit. The facility failure to recognize, systematically analyze quality deficiencies and implement corrective actions resulted in the determination of Immediate Jeopardy (IJ) at a scope and severity of isolated (J) starting on 8/28/23. On 2/2/24 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-07 · 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 observations, interviews, and record reviews, the facility failed to implement and maintain an infection prevention and control program to mitigate and prevent the spread of infection related to: failing to provide an anti-parasitic medication to one (#2) of three residents being treated for scabies, failed to ensure staff were accurately educated on the implementation of transmission-based precautions, and ensure personal protective equipment (PPE) was readily available for one (#380) of three sampled rooms posted with transmission-based precautions.Findings included: On 2/7/26 at 1:06 p.m. an observation revealed Resident #2s room was posted with a sign for Enhanced Barrier Precautions directing staff and providers to wear gloves and gowns for high-contact resident care activities. Review of Resident #2's admission Record revealed the resident was admitted on [DATE]. The record included diagnoses not limited to unspecified psoriasis, unspecified dementia unspecified severity without behavioral…

  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 · D2026-02-07 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews and review of the facility policy, the facility failed to thoroughly investigate allegations of abuse, neglect and misappropriation of property for one resident (#1) of two residents reviewed.Findings included: On 2/7/2026 at 12.03 p.m., an interview was conducted with Resident #1. Resident #1 stated sometime last year, Staff H, Certified Nursing Assistant (CNA) befriended her and started taking money from her. The resident stated she was giving Staff H money to buy visa gift cards. Resident #1 stated Staff H was using the cards to buy adult gummies for both of them. The resident stated the adult gummies contained THC (Tetrahydrocannabinol, the main psychoactive compound in cannabis). Resident #1 stated she gave Staff H, CNA approximately $5,000 or more. She stated she did not remember the exact amount. Resident #1 said the staff member still owes her $1000 for prepaid money card Staff H, CNA never bought. Resident #1stated she reported this information to the previous Nursing…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-09-11 · tag F0585 — failed to handle grievances — pattern
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  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 established facility grievance policies and procedures related to investigation and follow-up for resident grievances for five residents (#16, #17, #18, #19, and #20) out of six residents sampled. Findings included:An interview was conducted on 09/09/2025 at 11:15 a.m. with Resident #18. The resident stated he had several grievances filed with the facility and the facility had not followed up with him on most of them. He stated a grievance where he had been awoken by a Certified Nursing Assistant (CNA) making noises in the hall was never addressed by the facility, as well as a grievance about some missing items. An interview was conducted 09/09/2025 at 2:30 p.m. with Residents #16 and #17. They stated there was a joint grievance regarding staff not passing out waters, and regarding the staff being on their personal phones during resident care. Both Resident #16 and #17 voiced no one has discussed their grievances with them 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-11 · tag F0761 — failed to label and store drugs safely — pattern
  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

  Based on observations, interviews, and record reviews, the facility failed 1) to properly store and secure medications for two residents (#8 and #9) out of twenty resident sampled, and 2) to properly secure medications out of reach of residents in one nursing station (200) out of four nursing stations. Findings included: An observation and interview was conducted on 9/8/25 at 07:30 a.m. with Resident #8. There was a tube of zinc oxide paste skin cream on the bedside table. Resident #8 stated, “This was brought with me from the hospital and has been in my room since arrival, however it has since been discontinued.” (Photographic evidence obtained) An observation and interview was conducted on 9/8/25 at 07:40 a.m. with Resident #9. There was a tube of Betamethasone Valerate cream on the windowsill. Resident #9 was asked if the medication belong to the resident and the resident replied, “I think so.” (Photographic evidence obtained) During an interview on 9/8/25 at 1:53 p.m. with the Director of Nursing (DON), the DON stated, “All employees are given training regarding misplaced…

  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 · D2025-09-11 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 review, and interviews, the facility failed to report an incident of elopement related to lack of supervision for one Resident (#1) out of four residents reviewed for elopement. Findings included: A review of Resident #1's admission record revealed an admission date of 1/19/24 with diagnoses to include encephalopathy, unspecified, generalized anxiety disorder, mild cognitive impairment of uncertain or unknown etiology, syncope and collapse, and alcohol use, unspecified. A review of Resident #1's quarterly Minimum Data Set (MDS), dated [DATE], under section C-Cognitive Patterns, revealed a Brief Interview for Mental Status (BIMS) score of 12, indicating moderately impaired cognition. Section GG - Functional Abilities, revealed the resident used a walker for mobility and ambulated independently. Section P, Restraints and Alarms, revealed a wander/elopement alarm was used daily. A review of Resident #1's quarterly MDS, dated [DATE], revealed the same information was marked in sections…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-18 · tag F0687 — failed to care for feet properly — isolated
  Provide appropriate foot care.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observation, and interviews, the facility failed to ensure consistent podiatry services were provided to one (#3) of ten sampled residents. Findings included: A review of Resident #3's clinical chart, the face sheet reflected an admission of 01/2024. Medical diagnoses included Alzheimer's disease and need for assistance with personal care. A review of Resident #3's Care Plan reflected a focus area: ADL (Activity of Daily Living): (Resident #3) has an ADL Self Care Performance Deficit r/t Dementia, low back pain. Interventions included: -Dressing: Mod (moderate) Assist of 1 -Bathing: The resident requires set up with supervision of 1 -Report changes in ADL performance to Nursing. A review of Resident #3's progress notes reflected the most recent note prior to the date of survey on 09/18/2024 was 09/05/2024, a Nutrition note. A review of Weekly skin checks reflected assessments had been completed on 09/17/2024 at 21:58 and 09/10/2024 at 16:40, which documented Resident #3 had no new skin conditions. A review of shower documentation reflected Resident #3 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-02 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, review of policies and procedures, and staff interviews, the facility failed to implement an activity program to meet the needs of 3 (Resident #112, #114, and #136) of 3 sampled residents dependent on staff for physical, mental, and psychosocial well-being. The findings included: The Policy Activities Overview effective October of 2021 reads, Activities Department employees will provide activities that include sensitivity and an understanding of each individual resident's needs and requirements including medical, emotional, spiritual, therapeutic, and recreational needs. The Activity Programs will reflect individual needs and provide/promote the following: Stimulation or solace Physical, cognitive, and/or emotional health Enhancement, to the extent practicable, of each resident is physical and mental status. Resident Self-respect by providing activities that support self-expression, social and personal responsibility, and choice . Programs will be designed to meet 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-02 · tag F0919 — failed to provide a working call system — pattern
  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 observations and staff interviews, the facility failed to ensure a functioning call light system on 2 (room [ROOM NUMBER] and #277) of 32 rooms observed. The findings included: On 1/29/24 at 12:19 p.m., Resident #78 said she turned on her call light for assistance, but no one had answered it. The call light did not turn on when activated. Licensed Practical Nurse (LPN) Staff O present during the observation verified the call light was not functioning. LPN Staff O said, it must have a short in it. On 1/31/24 at 10:36 a.m. Resident #78 said staff did not answer her call light since it did not alarm at the nurse's station. On 1/31/24 at 11:00 a.m., the call light of room [ROOM NUMBER] was turned on. It did not ring at the call light box located the nurse's station to alert the staff of the resident's call for assistance. Six of the rooms on the call light box were missing the top cap that identified the room number. On 2/2/24 at 2:00 p.m., the Maintenance Director said the facility utilizes an electronic…

  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 · D2024-02-02 · 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, resident and staff interviews, the facility failed to provide necessary maintenance and repairs to maintain a safe, clean, and homelike environment for residents on 3 (300 wing, South, and North wing) of 4 wings observed. The findings included: On 1/29/24 at 10:26 a.m., Resident #32 was observed in bed. The floor by the air conditioning unit had missing tiles. Resident #32 said the tiles have been missing for at least two weeks. On 1/29/24 at 11:10 a.m., Resident #76's wheelchair was observed. The arm rest had areas that were worn and torn. Resident #76 said she has asked them multiple times to replace the arm rest but as of today they have not replaced them. On 1/31/24 at 11:34 a.m., a pervasive sewage like odor was noted on the 300 hall around rooms 331 to 336. On 1/31/24 at 12:05 p.m., Certified Nursing Assistant (CNA) Staff O said the malodorous smell has been occurring at certain times of the day on the 300 hall for about a year. CNA Staff O said the administrative staff was aware 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-02 · 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

  Based on observation, clinical record review, and staff interviews, the facility failed to provide the necessary care and services to maintain personal hygiene for 2 (Resident #31 and #184) of 5 dependent residents reviewed for Activities of Daily Living (ADLs). The findings included: 1. Review of the clinical record revealed Resident #31 had a readmission date of 8/22/23. Diagnoses included fracture of the left femur, dementia, muscle wasting, and history of falling. The Quarterly Minimum Data Set (MDS) (standardized assessment tool that measures health status in nursing home residents) with an assessment reference date (ARD) of 12/13/23 documented Resident #31 required assistance of one for transfer to and from bed and was dependent on staff for personal hygiene and bathing. The MDS noted Resident #31's cognitive skills for daily decision making were moderately impaired with a Brief Interview for Mental Status (BIMS) score of 10. On 1/29/24 at 11:00 a.m., Resident #31 was observed in bed. His fingernails extended approximately half an inch from the nail beds with an accumulation…

  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

“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.

Fines & penalties

$73,220 in federal fines across 1 penalty.

• $73,220 — penalty dated 2024-02-02

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

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 →

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

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.

About 83% 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 $318K 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

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