Aviata At Oakfield
1465 Oakfield Dr, Brandon, FL 33511 · For profit - Individual · 120 certified beds · (813) 655-0404 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- it has an abuse, neglect, or exploitation citation (F0600), cited Jun 2025
- inspectors cited 2 immediate-jeopardy problems — the most serious level
- a high number of inspection citations overall (34) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $29,328 in federal fines (most recent 2024-02-06)
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (1/5)
- its payroll-based staffing rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 1 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 4 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 — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
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 | 4.1% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 6.6% | 5.5% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.7% | 0.3% | 0.9% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.3% | 0.7% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 12.4% | 4.6% | 6.5% | worse |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 1.7% | 2.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 5.4% | 9.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 18.9% | 14.4% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 99.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.5% | 4.5% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 9.7% | 10.5% | 21.2% | typical for the state‡ — see note marked double-dagger below the table |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 8.0% | 8.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 2.4% | 1.5% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 99.6% | 94.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 21.5% | 26.1% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 0.0% | 9.1% | 12.0% | check this* — see note marked star below the table |
| Long-stay hospitalizations per 1,000 resident days | 1.43 | 2.13 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 0.68 | 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.
44.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 98 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 50.0% 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 86 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 0.41 therapist hours per resident per day in 2026Q1 — more than 70% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 32% 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 | 44.9%CMS range 32.4–52.6 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.9%CMS range 7.6–14.0 | 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 | 50.0% | 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 | 52.3% | 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 | 46.5% | 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 | 97.6% | 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 | 96.5% | 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 | 100.0% | 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 | 2.4% | 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 | 3.2% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.7%CMS range 3.8–12.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.00 | 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 120 beds and averages 116.5 residents a day — about 97% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.28 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.04 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 3.04 hrs/resident/day on weekends vs 3.38 on weekdays — 10% thinner on weekends. RN hours go from 0.61 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 47% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
34 citations, most serious first. The 12 most serious are shown; the remaining 22 are one tap away and print in full.
- Immediate jeopardy · Jcited before2024-01-19 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility failed to protect the resident's right to be free from neglect by not providing supervision for one resident (#1) out of four residents sampled for elopement. At approximately 12:15 p.m. on 12/20/23, Resident #1 was able to exit the facility through a door with a wander monitoring device alarm, walk into the facility lobby area, and speak with two facility staff members. One staff member held the door open for Resident #1 to enter the lobby, and the other staff member asked Resident #1 to sign out on the visitor log. Resident #1 signed the visitor log and exited out another door with a wander monitoring device alarm. Resident #1 walked approximately 0.2 miles down a heavily trafficked road, he crossed four lanes of traffic, and called his family member to pick him up. The facility staff were not aware Resident #1 was missing until Resident #1's family member called the facility inquiring if he was there. Resident #1 was absent for approximately 32…
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.
- Immediate jeopardy · Jcited before2024-01-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 an unwitnessed exit from the facility for one resident (#1) out of four residents sampled for elopement. Resident #1 had diagnoses to include metabolic encephalopathy, altered mental status, difficulty in walking, muscle weakness, lack of coordination, and a history of falling. Resident #1 was assessed to be at high risk for elopement with a physician's order to have a wander monitoring device in place. Review of Resident #1's medical record revealed Resident #1 did not have a wander monitoring device in place on 12/12/23, 12/13/23, 12/16/23, and 12/19/23. A wander monitoring device could not be located by nursing staff to place on Resident #1 and there was no evidence of an increase in supervision for Resident #1. At approximately 12:15 p.m. on 12/20/23, Resident #1 was able to exit the facility through a door with a wander monitoring device alarm, walk into the facility lobby area, and speak with two…
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 before2026-04-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure 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, record review and interviews, the facility failed to ensure resident accessible water temperatures were maintained at safe and comfortable levels, not to exceed the required temperature of 105 - 115 degrees Fahrenheit (F) in two units (100,300) of three units, affecting three rooms (204, 315 and 113). Findings included: On 4/13/2026 at 9:10 a.m. during an initial tour of resident rooms revealed water flow temperatures too hot to hold the back of the hand under in the resident bathroom sinks in rooms [ROOM NUMBER].On 4/13/2026 at 11:00 a.m. during an interview with the Director of Maintenance (DOM), he stated he had been the DOM at the facility for four months and did not have an audit plan to include water temperature testing at individual resident room sinks. He stated he sets the facility's water heaters at a certain temperature and will read the flow temperature from that specific heater. The DOM stated the water heaters are set at around 110 - 115 degrees. He was not sure how many…
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 before2026-04-16 · tag F0759 — failed to keep medication error rate low — patternEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews and record review the facility failed to ensure the medication error rate was less than 5.00%. Forty-two medication administration opportunities were observed and 16 errors were identified for three resident (#6, 138 and 95) out of seven residents observed. These errors constituted a 38.1% medication error rate.Findings included: On 4/15/2026 at 8:26 a.m., during medication administration for Resident #95, an observation was made of Staff D, Registered Nurse (RN) who pulled the following medications: Ipratropium bromide and albuterol 0.5mg/3 ml (milligrams /milliliters ) and Budesonide 0.25mg/2 ml. Staff D, RN stated for Resident #95 she normally saves her for last because she has at times refused her medications and stated she had two nebulizer medications to give. Resident #95 was amiable for her medications. An observation was made of Staff D, RN opening both plastic tubes each containing the two separate nebulizer medications, pour the medications into the nebulizer vial, connect the vial containing both nebulizer medications to a face mask,…
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 before2026-04-16 · 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, record review and interview, the facility failed to ensure infection control policies and procedures were followed related to the use of PPE (Personal Protective Equipment) and Hand Hygiene (HH), for three residents (#16, #85 and #6) out of three residents sampled for contact precautions.Findings included: On 04/15/2026 at 11:07 AM, Staff M, Licensed Practical Nurse (LPN)/ Unit Manager (UM), was observed entering the room of Resident #16 without wearing any personal protection equipment (PPE). Staff M walked about three feet into Resident #16's room, assisted Resident #16 out of her room via wheelchair, and positioned the resident on the outside of the room door, across from the nurse's station. Staff M then went back into Resident #16's room to remove the bedside table and positioned the bedside table next to Resident #16 outside of the room. Staff M was observed not wearing any PPE. Staff M was not observed to perform hand hygiene prior to or after making contact with Resident #16's person or personal belongings. Record review for Resident #16 revealed 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 · D2026-04-16 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each 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, record reviews, and interviews, the facility failed to accommodate a resident's right to communicate in the language of their choice for one resident (#18) of one observed, and failed to provide a resident with a bed that met his height,comfort and furnishings requirements for one resident (#5) of one resident observed.Findings included: During a facility tour 04/14/2026 at 10:51 a.m., Resident #18 was observed in bed. The resident did not respond to the interview and was observed pointing and using hand gestures in an attempt to express themselves. A family member who was in the room stated the resident does not speak English and that they spoke Arabic language. During this observation, there were no signs posted to direct anyone on this resident's preferred communication method. Review of the admission Record revealed Resident #18 was admitted to the facility on date 4/26/2025, with diagnoses to include cerebral infarction due to thrombosis of right anterior cerebral artery, hemiparesis…
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 · D2026-04-16 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, the facility failed to notify the physician and family of a change in condition after a new skin condition was identified for one resident (#2) out of one resident observed.Findings included: Review of a Weekly Skin Integrity Assessment on 3/13/2026 and 3/19/2026 showed Resident #2 had bilateral lower arm bruises.Review of Progress Notes for Resident #2 did not show notification to family, physician, or the administration about the bilateral lower arm bruises found during the skin assessments on 3/13/2026 and 3/19/2026. Review of the Resident #2 information record dated 4/17/2026 showed Resident #2 was originally admitted [DATE] and readmitted on [DATE] with the diagnoses including Non-ST Elevation (NSTEMI) Myocardial Infarction, dementia, depression, post-traumatic stress disorder and chronic kidney disease.On 4/15/2026 at 2:41 p.m. an observation and interview were conducted with Staff E, Licensed Nurse Practitioner (LPN) about the discoloration on 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 before2026-04-16 · 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 review of the facility's housekeeping procedures, the facility failed to ensure shower rooms were maintained in a sanitary manner in one shower room (Zone One East) out of two shower rooms observed.Findings included: On 04/16/2026 at 2:48 p.m., the shower room in zone one East wing was observed to have black biological growth on the grout in between the tiles on the shower walls in addition to the grout in between the tiles on the shower floors. The black biological grown observed was observed on the shower walls and the floor upon entrance into the shower in addition to the floor perpendicular to the wall afore mentioned. An interview was conducted on 04/16/2026 at 3:53 p.m. with the housekeeping/laundry manager. The interview revealed the housekeeping staff was responsible for maintaining the cleanliness and sanitization of the shower rooms throughout the facility. The housekeeping/laundry manager stated housekeeping staff disinfects shower equipment, maintains the cleanliness of the shower room walls and floors, and removes trash from the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-04-16 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, records and policy review, the facility failed to ensure the level I Preadmission Screening and Resident Reviews (PASRRs) were completed accurately for two residents (#17 and #18) out of eight residents sampled.Findings included:Review of an admission Record dated 4/16/2026 revealed Resident #17 was admitted to the facility originally on 12/18/2025 with diagnoses to include but not limited to bipolar disorder, unspecified, major depressive disorder, recurrent, moderate, generalized anxiety disorder, bipolar disorder, current episode manic without psychotic features, and Parkinson's disease.Review of Resident #17's level I PASRR dated 12/17/2025, showed under screening decision making in section A only bipolar disorder was checked and no other mental illnesses were checked. The review showed the level I PASRR was incomplete, and a level II was not submitted for consideration.Review of an admission Record dated 04/15/2026 revealed Resident #18 was admitted to the facility on [DATE] with…
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 before2026-04-16 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews, the facility failed to implement the care plan related to fall interventions for one residents (#16) of two observed and failed to follow the resident's care plan for protective heel boots for one resident (#108) of one observed. Findings included: 1. On 4/13/2026 at 10:37 a.m. Resident #16 was observed in her room lying flat in bed. She was noted with fall floor mats on either side of her bed. The fall floor mat on the right side of the bed was observed in a folded position and positioned against the wall, away from the bed. Further observations revealed the call light was placed on the back left side of the pillow, out from her reach. Resident #16 confirmed she would not be able to reach her call light should she need it. The same observations were made on 4/14/2026 at 1:24 p.m. and on 4/16/2026 at 9:03 a.m. On 4/13/2026 at 10:40 a.m. an interview and observation with Staff B, Certified Nursing Assistant (CNA) confirmed Resident #16 was in bed and lying 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 before2026-04-16 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to review, revise and update interventions for a fall care plan to ensure safety and prevent accidents for one Resident (#18) out of five residents sampled. Findings included: Review of an admission Record dated 04/15/2026 revealed Resident #18 was admitted to the facility on [DATE] with diagnoses to include but not limited to cerebral infarction due to thrombosis of right anterior cerebral artery, muscle wasting and atrophy, not elsewhere classified, unspecified, difficulty in walking, not elsewhere classified, and generalized muscle weakness.Review of a Situation, Background, Assessment, and Recommendation, (SBAR) Communication Form, and Progress Note for Registered Nurses, RN's/ License Practical Nurses, LPN/ License Vocational Nurses, LVN, dated 3/8/2026 showed a change in condition due to a fall. At 8 p.m., resident observed lying on the floor near his bed and wheelchair. Review of an SBAR Communication Form, and Progress Note dated 2/2/2026 showed…
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 · D2026-01-05 · tag F0627 — isolatedEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews, and policy review, the facility failed to document and plan the discharge process, for one of three residents sampled (Resident #1).Findings Included:During an interview on 01/05/26 at 12:47 PM, Resident #1's representative stated the resident was discharged home without supplies and the home health care company did not show up. During an interview on 01/05/26 at 01:22 PM, with Staff B, Social Services Worker (SSW), and the Social Services Director, SSD. Staff B, SSW stated the home health care provider had not been confirmed for Resident #1, prior to discharge on [DATE]. Staff B, stated no supplies were provided to Resident #1 at discharge. Staff B, stated Resident #1 was not reached out to post discharge from the facility. Staff B, stated being made aware the home health care provider had declined to admit Resident #1. Resident #1 had to ascertain a different home health care provider. Review of Resident #1's admission Record revealed the resident was admitted to 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.
Show the remaining 22 citations
- Potential for harm · Dcited before2026-01-05 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review the facility failed to ensure treatment and care in accordance with professional standards of practice by failing to implement post fall evaluations, for one (Resident #1) of three residents reviewed for falls. Findings included: Review of Resident #1's medical record revealed the resident was admitted to the facility on [DATE], with diagnoses to include: sepsis, unspecified organism, muscle weakness, and other abnormalities of gait and mobility. Review of the Minimum Data Set revealed Resident #1had a Brief Interview Mental Status of 15, which indicated cognition was intact. Review of the functional abilities and goals section revealed the resident used a walker or wheelchair, required substantial or maximal assistance for showering, bathing, toileting hygiene, personal hygiene, and upper body dressing, and required assistance from two or more helpers to roll left and right, go from sitting to lying, lying to sitting on side of bed, and from sitting to standing. Review 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.
- Potential for harm · D2026-01-05 · tag F0691 — failed to provide colostomy / ostomy care — isolatedProvide appropriate colostomy, urostomy, or ileostomy 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 observations, interviews, and record review, the facility failed to ensure urostomy and nephrostomy tubes care was provided and was consistent with professional standards of practice for one (Resident #1) out of three residents reviewed.Findings included: Review of Resident #1's medical certification for Medicaid long-term care services and patient transfer form (3008), dated 11/26/25 Section P-Patient Health Status showed the following urostomy, bilateral [nephrostomy] tubes and colostomy. During an interview on 1/5/26 at 12:33 pm. the Director of Nursing (DON) said at the time of admission to the facility batch orders (standing orders) are ordered based on the hospital discharge orders. The DON stated at the time of Resident #1's admission the orders should have addressed the care of the urostomy and nephrostomy tubes. When asked about Resident #1 missing orders for the care of the urostomy and nephrostomy tubes, the DON stated, I can't speak to that; I have no information. A review of Resident #'1's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-06-03 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews the facility failed to notify the physician of a non-functioning wound vac and neglected to provide wound care per physician orders for one (#1) of three residents sampled for surgical wounds. Findings included: Review of Resident #1's clinical record showed the resident was admitted to the facility on [DATE] with diagnoses not limited to right knee arthritis due to other bacteria, type 2 diabetes mellitus with other circulatory complications, right knee rheumatoid arthritis without rheumatoid factor, and acquired absence of other right toe(s). Review of Resident #1's operative report dated 4/17/25 showed the resident was 6 weeks post right total knee arthroplasty with 3 weeks of increasing right knee pain and swelling. The postoperative diagnosis was prosthetic joint infection of the right knee. The operation conducted on 4/17/25 was a second stage revision right total knee arthroplasty with removal of antibiotic spacer and the surgeon's application of 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 · D2025-01-22 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to provide necessary treatment to promote healing and prevent infection for an identified pressure ulcer for one (#5) of three residents reviewed. Findings included: Review of Resident # 5's Medical Certification for Medicaid Long-Term Care Services and Patient Transfer Form (3008), dated 10/21/24, showed on 10/6/24, a surgical procedure was performed on the left hip. Review of Resident #5's admission record showed admission to the facility on [DATE] and transferred to the hospital on [DATE], with diagnoses to include left femur fracture, muscle weakness, muscle wasting, dementia and on 11/19/24 the onset of stage 3 pressure ulcer of the sacrum on 11/19/24. Review of Resident #5's Order Summary Report showed orders to include consult wound care as needed (PRN), order dated 11/19/24 low air loss mattress for Stage 3 pressure area to coccyx. An order date 11/19/24, start date, 11/20/24 to cleanse sacrum area with wound cleanser and pat dry, apply nickel…
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 before2024-01-19 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review the facility failed to implement and develop a comprehensive care plan for one resident (#1) out of 4 residents reviewed who were at high risk for elopement. Findings included: Review of Resident #1's admission Record revealed he was initially admitted to the facility on [DATE]. He was readmitted to the facility on [DATE] from an acute care hospital and discharged home on [DATE]. His medical diagnoses included metabolic encephalopathy, altered mental status, difficulty in walking, muscle weakness, lack of coordination, history of falling severe sepsis with septic shock, anemia, alcoholic liver disease, and acute kidney failure. Review of Resident #1's Elopement Risk Evaluation dated 11/28/23 revealed the following. 1. Is the resident cognitively impaired? Yes 2. Is the resident independently mobile (Ambulatory or wheelchair)? Yes 3. Does the resident have poor-decision-making skills? Yes 4. Has the resident demonstrated exit seeking behavior? No 5. Does the resident wander…
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 · D2024-01-19 · tag F0867 — failed to act on quality-improvement findings — isolatedSet 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, and record review, the facility failed to utilize the Quality Assessment and Performance Improvement (QAPI) process to investigate, develop and implement an effective performance improvement plan (PIP), when the facility staff failed to prevent accidents and hazards related to the supervision of residents at risk for elopement for one resident (#1) out of four residents reviewed for elopement. Ongoing non-compliance was identified during the complaint survey on 1/16/24 through 1/19/24 related to the supervision of residents and a process to ensure staff have the necessary wander monitoring devices and wander monitoring device checkers accessible and available to them. Findings included: Review of the facility's Ad Hoc Quality Assurance & Performance Improvement Meeting, dated 12/20/23, revealed the reason for the Ad Hoc meeting was for the Facility Elopement on 12/20/23. The goal was To Ensure elopement risk residents are properly identified. . What did you do to ensure it would not happen…
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 before2023-07-27 · tag F0657 — failed to keep the care plan current — patternDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, and interviews the facility 1) failed to hold scheduled interdisciplinary care conferences and notify resident representatives of care conferences within a time frame adopted by the facility's policy for five residents/representatives (#9, #33, #42, #51, and #62) out of 34 sampled residents, and 2) failed to revise the care plan for one resident (#33) out of 34 sampled residents related to the discontinuation of oxygen therapy. Findings included: 1) A review of Resident #9's admission Record indicated the resident was admitted on [DATE]. The admission Record for the resident included diagnoses not limited to right hand, right shoulder, and right elbow contractures, unspecified peripheral vascular disease, unspecified obesity, and Type 2 Diabetes Mellitus without complications. The record identified the resident was the responsible party with emergency contacts. The Annual Minimum Data Set (MDS) assessment, dated 6/18/23, for Resident #9 identified a Brief Interview of Mental…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-07-27 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure 1) One of one Dish Washing machines were operating per final rinse requirements during two of four days observed, on 7/24/2023 and 7/25/2023; and 2) One of one rental walk in freezer unit observed with heavy ice build up inside the unit during two of four days observed, on 7/24/2023 and 7/25/2023. Findings included: 1) On 7/24/2023 at 7:24 a.m. the facility's kitchen was approached and met with the Kitchen Manager Staff A. She indicated she has not been employed at the facility long but long enough to know her kitchen, her staff, and how to operate the kitchen. Staff J. revealed they have a Registered Dietician who routinely comes to the facility on Monday's and is usually available for contact during other days of the week. Since it was still early and the kitchen staff were just starting with plating meal trays for breakfast, it was determined that the dish washing machine had not been operating as of yet. Staff A. revealed…
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 · D2023-07-27 · tag F0585 — failed to handle grievances — isolatedHonor 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, record reviews, and interviews the facility failed to ensure a grievance was filed for one (#33) out of thirty-three sampled residents related to the temperature and noise of the residents' room. Findings included: On 7/24/23 at 11:51 a.m., Resident #33 was observed lying in bed, the room was very warm and the roommates television volume was very loud. The resident stated it was really hot in the room and the television was almost always loud even at night. On 7/26/23 at 10:45 a.m., Resident #33 stated the roommate still turned up the heat too high and sometimes the volume of the television was too high. The resident reported having asked staff and roommate to turn it down. At the time of the interview the resident stated being comfortable at the time and was lying under a sheet and light knitted/crocheted afghan. On 7/26/23 at 1:14 p.m., Staff O, Certified Nursing Assistant (CNA), stated Resident #33 does complain about the temperature of the room)and sometimes the heat from the room can…
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 before2023-07-27 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews the facility failed to complete the Preadmission Screening and Resident Reviews (PASRR) for residents with a mental disorder and individuals with intellectual disability following qualifying mental health diagnosis for four residents (#17, #2, #79, and #90) of four residents sampled for PASRR. Findings included: A review of the medical record revealed Resident #17 was originally admitted to the facility on [DATE] and readmitted on [DATE]. A review of the admission record for the resident revealed a diagnosis of major depressive disorder on admission. The record further showed a diagnosis of unspecified Dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance and anxiety dated 07/13/23. A review of a Level I PASRR for Resident #17, dated 05/19/22, showed qualifying diagnoses were not checked and a Level II PASRR was not submitted for review upon newly acquired qualifying diagnoses. A review of the medical record for Resident #2…
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 · D2023-07-27 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility failed to ensure a baseline care plan was completed for one resident (#311) of three residents reviewed for care plans. Findings included: A review of the medical record on 07/20/2023, at 10:00 a.m., revealed an incomplete base line care plan for Resident # 311 that did not reflect the resident plan of care. Photographic evidence was obtained. A review of the admission Record revealed Resident #311 was admitted on [DATE] with diagnosis to included but not limited to encounter for surgical aftercare following surgery on the skin, End Stage Renal Disease, dependence on Renal Dialysis, Acute Respiratory Failure with Hypoxia, pneumonia, unspecified organism, severe sepsis with Septic Shock, unspecified organism, Type 2 Diabetes Mellitus with unspecified Diabetic Retinopathy without macular edema. On 7/23/2023 at 10:20 a.m., an interview was conducted with the Director of Nursing (DON). The DON said Resident # 311's base line care plan was incomplete…
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 · D2023-07-27 · tag F0679 — failed to provide activities — isolatedProvide 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 observations, interviews, and record review the facility failed to offer and provide individualized activities and assist one resident (#83) of thirty-three sampled residents to group activities during three of four days observed, 7/24/2023, 7/25/2023, and 7/26/2023. Findings Included: On 7/24/2023 at 8:20 a.m., the 100/300 unit station area was observed with Resident #83 reclined in a Geri chair, positioned out in the hallway between the nurse station and the 100/300 lounge room. Resident #83 was noted with his head tilted and slumped forward with a head pillow not placed correctly behind him. A white linen sheet was observed covering him from his feet to his neck. Resident #83 was observed resting with his eyes closed and not otherwise presenting with any behaviors, pain or discomfort. Resident #83 was observed in the same position in his Geri Chair from 8:20 a.m. through 12:26 p.m. During the time period from 8:20 a.m. through to 12:26 p.m., many staff members were observed to walk by Resident #83…
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 · D2023-07-27 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and records review, the facility did not ensure a bedfast resident with limited mobility received appropriate services and assistance to maintain or improve mobility with the maximum practicable independence. The facility failed to ensure restorative services were provided for one resident (#89) of three residents sampled. Findings included: On 07/24/23 at 08:50 a.m. Resident #89 was observed in her room lying in bed. The resident stated she was not receiving any therapy and was in bed all the time. She stated she could not move her lower extremities and had limitations to her arms. She stated she did not have a wheelchair and required staff assistance to get out of bed. A review of an admission record for Resident #89 showed she was admitted to the facility on [DATE] and readmitted on [DATE] with a primary diagnosis of Hemiplegia and Hemiparesis following Cerebrovascular disease affecting left non-dominant side. The care plan for Resident #89 showed an ADL (Activities of Daily…
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 · D2023-07-27 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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 did not ensure a catheter was anchored to prevent excessive tension, secured to facilitate flow of urine, and ensure it was positioned below the level of the bladder for one resident (#17) out of 13 residents sampled during 3 of 4 days of survey. Findings included: On 07/24/23 at 11:43 a.m., Resident #17's catheter was observed tucked between the resident's mattress and the foot of the bed. The tubing was noted kinked on the side of the bed. The catheter was not below the resident's bladder level. The catheter did not have a privacy cover. The urine inside was noted a red color. Resident #17 did not respond to the interview. On 07/25/23 at 11:30 a.m. Resident #17's catheter was observed in the same position by the foot of the bed. A review of an admission record for Resident #17 showed he was re-admitted to the facility on [DATE] with diagnoses to include Myasthenia Gravis without acute exacerbation, unspecified dementia, Chronic Kidney Disease…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-07-27 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record reviews, and interviews the facility failed to ensure the medication error rate was less than 5.00%. Thirty medication administration opportunities were observed and two errors were identified for two residents (#30 and #4 ) of five residents observed. These errors constituted a 6.67% medication error rate. Findings included: 1) On 7/26/23 at 7:53 a.m., an observation of medication administration with Staff P, Licensed Practical Nurse (LPN), was conducted with Resident #30. The staff member dispensed the following medications: - Clopidogrel 75 milligram (mg) tablet - Docusate sodium 100 mg gel cap - Escitalopram 10 mg tablet - Metoprolol Succinate Extended Release (ER) 25 mg - 1/2 tablet - Vitamin B12 1000 microgram (mcg) tablet A review of the July Medication Administration Record (MAR) indicated the following physician order: - Vitamin B12 - Give 1000 mg by mouth one time a day for supplement, started on 3/20/22. On 7/26/23 at 1:32 p.m., Staff P reviewed the available Vitamin B12 tablets in the medication cart. The cart contained one bottle of Vitamin…
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 · D2023-07-27 · tag F0849 — isolatedArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice 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 observations, record review, and interviews, the facility failed to ensure appropriate coordination of Hospice services for one resident (Resident #8) of three residents sampled. Findings included: On 7/23/2022 at 10:00 a.m., Resident #8 was observed laying down in bed on an air mattress, his call light was observed within his reach. Resident was not able to express how he was feeling at the time of observation. His catheter bag was observed off the floor in a privacy bag. On 07/26/2023 at 11: 20 a.m., an review of Resident # 8's medical record revealed no evidence of a hospice plan of care documentation. A review of the admission Record revealed Resident # 8 was admitted on [DATE] with diagnosis to included but not limited to Metabolic Encephalopathy, Type 2 Diabetes Mellitus with Diabetic Neuropathy, unspecified, Major Depressive Disorder recurrent, unspecified, Chronic Kidney Disease, Stage 4 (Severe) , and Benign Prostatic Hyperplasia. A review of the admission Minimum Data Set (MDS), dated [DATE],…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2021-08-19 · 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 observations, interviews, record review, review of facility policy, and review of the Centers for Disease Control and Prevention (CDC) guidelines, the facility failed to implement an infection prevention and control program to prevent possible transmission of Coronavirus Disease 2019 (COVID-19) as evidenced by 1. failed to ensure multi-resident equipment (mechanical lift) was cleaned with an approved disinfectant, 2. failed to ensure 18 out of 52 staff members were screened at the beginning of their shift on 8/16/21. Failing to implement an infection prevention and control program to prevent possible transmission of Coronavirus Disease 2019 (COVID-19) consistently had the potential to expose a total of 112 residents. Findings included: 1. Staff D, Registered Nurse (RN) stated and confirmed, on 8/17/21 at 9:22 a.m., that the 200-hall Medication Cart 1 did not have any bleach wipes in it. She stated that she ran out of bleach wipes yesterday (8/16/21) during the 7:00 a.m. to 3:00 p.m. shift. At this time Staff V and Staff W, Certified Nursing Assistants (CNAs) were observed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-08-19 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure that dignity was maintained related to not ensuring a privacy bag was provided for a catheter bag for one resident (#113) out of a sample of five residents with indwelling or external catheters for three of three days observed. Findings included: On 8/16/21 at 12:50 p.m. Resident #113 was observed in his room, lying in bed. His indwelling catheter bag was observed from the hallway, attached to the bed frame, without a privacy bag. On 8/17/21 at 11:30 a.m. Resident #113 was observed in his room, lying in bed. His catheter bag was observed on the floor, without a privacy bag. (Photographic Evidence Obtained) Review of Resident #113's admission Record revealed an initial admission date of 11/30/2014, with a readmission date of 02/22/21. Diagnoses included need for assistance with personal care, benign prostatic hyperplasia without lower urinary tract symptoms, paranoid schizophrenia, malignant neoplasm of prostate, retention of urine,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2021-08-19 · 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 did not ensure one shower room (West Unit) of two shower rooms and three resident rooms (111, 306 and 316) out of 38 resident rooms were maintained in a safe and sanitary manner for 3 out of 4 days of survey (08/16/21, 08/17/21 and 08/18/21.) Findings included: An observation of resident room [ROOM NUMBER] on 08/16/21 at 10:37 a.m., revealed on the resident's floor next to the feeding tube, spots and brown dirt that looked the same color as the tube feed. The resident was asked if the tube feed spilled, and the resident stated, I do not know why they have not come to clean my room in one week. I have said something to the staff about it. An interview was conducted on 8/17/21 at 8:39 a.m. with Staff J, Housekeeping. Staff J stated that he cleans resident rooms and other resident areas. Staff J stated that they are supposed to clean all resident rooms and shower rooms once a day. Staff J stated that sometimes they do not have enough staff. 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 before2021-08-19 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and policy review, the facility failed to provide treatment and care in accordance with professional standards of practice as evidenced by not ensuring a medication was reconciled and confirmed by the physician upon readmission from the hospital resulting in the medication not being administered for one resident (#29) out of five residents sampled for unnecessary medications. Findings included: Record review of Resident #29's admission Record revealed an initial admission date of 10/20/20 and a readmission date of 07/28/21, and the most current diagnoses included: seizure disorder, disorder of brain unspecified, benign neoplasm of meninges, and unspecified dementia with behavioral disturbances. A review of the Quarterly Minimum Data Set (MDS) Assessment, dated 5/28/21, Section C (Cognitive Patterns) revealed a Brief Interview for Mental Status (BIMS) score of 09, indicating Resident #29 had moderate cognitive impairment. A review of Resident #29's physician orders 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 · D2021-08-19 · tag F0757 — failed to avoid unnecessary drugs — isolatedEnsure each resident’s drug regimen must be free from unnecessary drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, interview, and policy review, the facility failed to ensure one resident's (#29) drug regimen of five residents sampled for unnecessary medications was free of unnecessary medications related to behavioral and side effect monitoring of psychotropic medications. Findings included: A review of the facility policy and procedure titled, Medication Management-Psychotropic Medications, revision date 3/23/2018, under the subheading 'Procedure #4. read: Monitoring behavior and side effects every shift utilizing the Behavior Monitoring Flow Record (BMFR) or electronic equivalent . #12: Monitor resident's response to medication and progress towards goal. A review of Resident #29's admission Record revealed an initial admission date of 10/20/20 and a readmission date of 7/28/21 and the diagnoses included: unspecified dementia with behavioral disturbances, unspecified psychosis not due to a substance or known physiological condition, and unspecified mood (affective) disorder. A review of the Quarterly Minimum Data Set (MDS) assessment, dated 5/28/21 Section C (Cognitive…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-08-19 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 observation, interview, and policy review, the facility failed to store drugs and biologicals in a secure manner by leaving one medication unattended, with no facility staff near on the 300 Hall medication cart; and failed to appropriately store medications in three (300 Hall, 300 [NAME] Hall Cart #1 and Cart #2), of a sample of five medications carts. Findings included: On 08/17/2021 at 8:04 a.m. an observation was made of one bottle of multivitamins left out and on top of the 300 Hall medication cart. Staff A, Licensed Practical Nurse (LPN), was observed to be in a room administering medications to a resident. The medication cart was in a high traffic area, with several residents observed to be self-propelling in the hall next to the medication cart, with no staff in the vicinity of the medication cart. An immediate interview was conducted with Staff A, LPN and confirmed the presence of the medication she left out. On 08/17/2021 at 1:00 p.m. an observation was made of the 300 [NAME] Hall Medication Cart #2, which included three loose tablets located behind the fourth…
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
$29,328 in federal fines across 2 penalties.
- $3,418 — penalty dated 2024-02-06
- $25,910 — penalty dated 2024-01-19
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 AVIATA HEALTH GROUP — 50 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 2.4 | -0.4 vs chain |
| Health inspection | 1 of 5 | 2.0 | -1.0 vs chain |
| Staffing | 2 of 5 | 2.7 | -0.7 vs chain |
| Quality measures | 5 of 5 | 4.1 | +0.9 vs chain |
The other 49 homes this chain runs (chain average 2.4★, per CMS)
Showing 40 of 49; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| 1465 OAKFIELD DR OPCO PARENT LLC | Organization | DIRECT OWNERSHIP INTEREST | since 12/01/2023 |
| 1465 OAKFIELD DR OPCO HOLDCO LLC | Organization | INDIRECT OWNERSHIP INTEREST | since 12/01/2023 |
| FREUND, NOCHUM | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2023 |
| NARCISSE, SHARLA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/07/2025 |
| VEVE, VANESSA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/26/2023 |
| DAGAN, AMITAI | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 07/01/2025 |
| GOLDBERGER, ABRAHAM | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 07/01/2025 |
| GOLDBERGER, FAIGY | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 07/01/2025 |
| HERSKOWITZ, ELIEZER | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 07/01/2025 |
| HERSKOWITZ, YAAKOV | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 07/01/2025 |
| TRAVITSKY, AARON | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 07/01/2025 |
| ASPIRE MGT LLC | Organization | ADP OF THE SNF | since 12/01/2023 |
CMS files one row per role, so the 15 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
3 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.
This home reported $264K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 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 105951. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-16, 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.