Aviata At Spring Hill

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.

52.7% 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 120 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 45.6% 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 147 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 0.35 therapist hours per resident per day in 2026Q1 — more than 59% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% 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 120 beds and averages 117.1 residents a day — about 98% occupied, or roughly 3 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 3.30 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.44 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.02 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 3.05 hrs/resident/day on weekends vs 3.40 on weekdays — 10% thinner on weekends. RN hours go from 0.51 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%.

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

Inspection trend

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

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.

27 citations, most serious first. The 13 most serious are shown; the remaining 14 are one tap away and print in full.

• Immediate jeopardy · J2022-09-01 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents were free from medical neglect by allowing unqualified facility staff to work outside of their scope of practice, administering intravenous (IV) medications via a peripherally inserted central catheter (PICC) line for 1 of 2 residents, Resident #84, without certification of education, training, and validation of competency for IV medication administration. IV infusion without IV certification and validation of competency could result in the likelihood of serious harm and/or death for residents who are administered IV medication infusions. This can result in an increased risk of infection, damage to veins and injection sites, an air embolism, phlebitis, and blood clots, which can occur from a poorly administered IV infusion. Phlebitis can cause blood clots, which can block important blood vessels, causing tissue damage or even be life-threatening. Lack of proper training and verification to assess IV patency (the line is…

  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 · J2022-09-01 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  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 licensed nurses had appropriate competencies and skills sets to provide nursing and related services to residents by allowing unqualified facility staff to work outside of their scope of practice, administering intravenous (IV) medications via a peripherally inserted central catheter (PICC) line for 1 of 2 residents, Resident #84, without certification of education, training, and validation of competency for IV medication administration. IV infusion without IV certification and validation of competency could result in the likelihood of serious harm and/or death for residents who are administered IV medication infusions. This can result in an increased risk of infection, damage to veins and injection sites, an air embolism, phlebitis, and blood clots, which can occur from a poorly administered IV infusion. Phlebitis can cause blood clots, which can block important blood vessels, causing tissue damage or even be life-threatening.…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2022-09-01 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility administration failed to effectively and efficiently attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident by not assuming full responsibility for the day to day operations of the facility by allowing unqualified facility staff to work outside of their scope of practice, administering intravenous (IV) medications via a peripherally inserted central catheter (PICC) line for 1 of 2 residents, Resident #84, without certification of education, training, and validation of competency for IV medication administration. IV infusion without IV certification and validation of competency could result in the likelihood of serious harm and/or death for residents who are administered IV medication infusions. This can result in an increased risk of infection, damage to veins and injection sites, an air embolism, phlebitis, and blood clots, which can occur from a poorly administered IV infusion. Phlebitis 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-23 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to accurately document vital signs ordered for 1 (Resident #1) of 6 residents reviewed for medical management.Findings include:Review of Resident #1's physician order dated 5/22/2026 read, Vital Signs: Vital Signs Q [every] shift every shift.Review of Resident #1's Treatment Administration Record for the month of May 2026 for night shift vital signs documented on 5/23/2026 and on 5/24/2026 Temperature, Respirations, and Oxygen Saturation were documented as NA [not applicable], on 5/25/2026 Respirations were document as NA, on 5/26/2026 Temperature and Oxygen Saturation were documented as NA, on 5/28/2026 Temperature, Respirations, and Oxygen Saturation were documented as NA, on 5/29/2026 Temperature was documented as NA, on 5/30/2026 Temperature and Pulse was documented as NA, and on 5/31/2026 Blood pressure, Temperature, Pulse, Respirations, and Oxygen Saturation was documented as NA.During an interview on 6/23/2026 at 11:48 AM Staff A Licensed Practical Nurse (LPN) stated, I am not sure why there is NA in the vital section.…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-24 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure Minimum Data Set (MDS) assessments were accurate for 3 of 7 residents reviewed, Residents #28, #30, and #105. Findings include: 1) Review of Resident #105's progress note dated 1/30/2025 at 7:53 AM read, EMS [Emergency Medical Service] called for emergent transfer to local ER [Emergency Room] for evaluation and treatment. Review of Discharge Return Anticipated MDS assessment dated [DATE] showed the resident was discharged to home/community under Section A- 2105: Discharge Status. During an interview on 4/23/2025 at 9:30 AM, Staff C, MDS Registered Nurse (RN), and Staff D, RN, stated, There is an MDS discrepancy since section A reads that resident is coded that resident discharged to home on 1/30/2025, however, the progress notes show that the APRN [Advanced Practice Registered Nurse] sent [Resident #105's name] to hospital on 1/30/2025. During an interview on 4/24/2025 at 9:16 AM, the Director of Nursing confirmed there was an MDS discrepancy 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-24 · tag F0645 — isolated
  PASARR 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 2) Review of Resident #28's admission record showed the resident was most recently admitted on [DATE] with diagnoses including major depressive disorder with onset date of 12/26/2024. Review of Resident #28's PASRR dated 11/27/2024 showed no mental illness documented. Review of Resident #28's physician order dated 3/20/2025 read, Sertraline HCl Oral Tablet 25 MG (Sertraline HCl), Give 50 mg by mouth one time a day for depression. Review of psychiatric progress note dated 3/20/2025 read, Medical Necessity/ Reason for Today's Visit . Follow up for Medication and Behavior management and lab review . Follow-up after recent medication change. During an interview on 4/24/2025 at 9:57 AM, the DON confirmed that the PASSR was not accurate for Resident #28. 3) Review of Resident #30's admission record showed the resident was most recently admitted on [DATE] with the diagnoses including major depressive disorder and generalized anxiety disorder with onset dates of 1/30/2025. Review of Resident #30's PASRR dated 2/16/2025…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-24 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop 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 record review and interview, the facility failed to develop and implement a comprehensive care plan for 1 of 4 residents reviewed for oxygen therapy, Resident #37. Findings include: Review of Resident #37's admission record showed the resident was initially admitted on [DATE] with the diagnoses including chronic obstructive pulmonary disease (COPD), heart failure, presence of cardiac pacemaker, syncope and collapse, anemia, atherosclerotic heart disease of native coronary artery, chest pain, and peripheral vascular disease. During an observation on 4/22/2025 at 8:11 AM, Resident #37 was sitting on the side of the bed with an oxygen concentrator set at 2 liters and the oxygen tubing was lying on the ground. During an interview on 4/22/2025 at 8:11 AM, Resident #37 stated, I removed the oxygen, and I put it on whenever I need to. Review of Resident #37's physician order dated 1/27/2025 read, Oxygen As Needed (PRN) 2 L [liters] via nasal cannula. Review of Resident #37's physician order dated 7/21/2024…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-24 · 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

  Based on observation, interview, and record review, the facility failed to ensure residents received appropriate wound care for 2 of 6 residents reviewed for skin and wound care, Residents #65 and #406. Findings include: 1) During an observation on 4/21/2025 at 9:16 AM, Resident #406 was lying in bed. There was a gauze island bordered dressing on the resident's left forearm, which was dated 4/20/2025 (Photographic evidence obtained). During an observation on 4/22/2025 at 9:30 AM, Resident #406 was lying supine in bed, wearing blue foam heal protectors. There was a gauze bordered dressing on the resident's left forearm, which was dated 4/20/2025. During an observation on 4/22/2025 at 12:50 PM, Resident #406 was sitting in his wheelchair in his room. There was a foam bordered dressing on the resident's left forearm, which was dated 4/22/2025 with no initials. Review of Resident #406's physician orders did not show an order for wound care for the resident's left forearm. During an interview on 4/23/2025 at 10:17 AM, Staff F, Licensed Practical Nurse (LPN), stated, [Resident 406's name]…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-24 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  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 residents received appropriate oxygen therapy for 2 of 4 residents reviewed for respiratory services, Residents #406 and #407. Findings include: 1) During an observation on 4/21/2025 at 11:38 AM, Resident #406 was lying in bed, receiving oxygen via nasal cannula (NC) at 2 liters per minute (L/min). During an observation on 4/22/2025 at 9:30 AM, Resident #406 was lying in bed, wearing receiving oxygen via NC at 2L/min. Review of Resident #406's physician order dated 4/17/2025 read, Respiratory: Oxygen For comfort. During an interview on 4/23/2025 at 12:50 PM, the Director of Nursing (DON) stated, We should have added 2 liters on the order. The oxygen was ordered per patient request. He wanted to be on oxygen. During an interview on 4/23/2025 at 10:17 AM, Staff F, Licensed Practical Nurse (LPN), stated, I do expect oxygen orders to have a flow rate, especially if they have COPD [Chronic Obstructive Pulmonary Disease], so that we don't hyper oxygenate them. 2) During an observation on 4/21/2025 at 10:10…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-24 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure residents were assessed before and after dialysis treatments for 1 of 1 resident receiving dialysis services, Resident #39. Findings include: Review of Resident #39 Hemodialysis Communication Record dated 4/10/2025 showed no pre and post dialysis vital signs or observations documented. Review of Resident #39's Hemodialysis Communication Record dated 4/12/2025 showed no pre and post dialysis vital signs or observations documented. Review of Resident #39's Hemodialysis Communication Record dated 4/22/2025 showed no pre and post dialysis vital signs or observations documented. Review of Resident #39' records showed no hemodialysis communication documentation for 3/8/2025, 3/11/2025, 3/13/2025, 3/20/2025, 3/22/2025, 3/25/2025, 3/27/2025, 3/29/2025. Review of Resident #39's physician order dated 3/6/2025 read, Hemodialysis Tuesday, Thursday, Saturday, [name, address and phone number of local dialysis center and transportation company information] every day shift every Tue [Tuesday], Thu [Thursday], Sat [Saturday] for…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-24 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  3) During an observation on 4/21/2025 at 10:09 AM, Resident #407 was lying in bed, wearing a gown. There was a Dextrose 5% intravenous (IV) fluid bag running. Neither IV bag nor tubing was dated. During an observation on 4/22/2025 at 12:50 PM, Resident #407 was lying in bed, wearing a gown. There was a Dextrose 5% intravenous (IV) fluid bag running. Neither IV bag nor tubing was dated. During an interview on 4/23/2025 at 10:40 AM, Staff G, Registered Nurse (RN), stated, [Resident #407's name] fluid bag should be dated. I am not sure about dating the tubing because it gets discarded. During an interview on 4/23/2025 at 11:00 AM, the Director of Nursing (DON) stated, Normally IV bag and tubing should be dated, initialed and timed. Review of the facility policy and procedure titled Intravenous Administration of Fluids and Electrolytes with the last review date of 1/20/2025 read, Policy: Staff will be knowledgeable regarding safe and aseptic administration of intravenous fluids and electrolytes for hydration. Procedure . 8. When infusion is complete . For continuous therapy: a. [NAME]…

  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 · Dcited before2025-04-24 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to maintain complete and accurate medical records for 4 of 7 residents reviewed for medication administration, Residents #37, #39, #256, and #407. Findings include: 1) Review of Resident #256's physician order dated 4/14/2025 read, Insulin Lispro (1 Unit Dial) Subcutaneous Solution Pen-injector 100 UNIT/ML [milliliter] (Insulin Lispro), Inject as per sliding scale: if 120-150=1; 151-200=2 units; 201-250= 4 units; 251-300= 6 units, subcutaneously before meals and at bedtime related to type 2 diabetes mellitus with hypoglycemia with coma. Review of Resident #256's Medication Administration Record (MAR) for April 2025 for administration of Insulin Lispro using a sliding scale showed blood sugar level of 123 and code 12 (Insulin not required) on 4/15/2025 at 9:00 PM, blood sugar level of 387 and code 1 [Held per parameters] on 4/18/2025 at 9:00 PM, blood sugar level of 90 and code 12 on 4/19/2025 at 4:00 PM, blood sugar level of 480 and code 11 on 4/21/2025 at 9:00 PM, and blood sugar level of 322 and code 11 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-24 · tag F0881 — failed to use antibiotics responsibly — isolated
  Implement a program that monitors antibiotic use.
  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 establish antibiotic stewardship program to monitor antibiotic use for 1 of 3 residents reviewed for antibiotic use, Resident #406. Findings include: Review of Resident #406's physician order dated 4/17/2025 read, Erythromycin Ophthalmic Ointment 5 MG (milligram)/GM (gram), Instill 1 application in left eye three times a day for eye infection . Order Status: Active. Start Date: 04/17/2025. End date: [Blank]. During an observation on 4/23/2025 at 8:13 AM, Resident #406 was sitting up in bed, eating breakfast. Resident #406's left eye was not red or drooping, and no drainage was visible. During an interview on 4/23/2025 at 10:17 AM, Staff F, Licensed Practical Nurse (LPN), stated, I think the Erythromycin antibiotic ointment is ordered continuously for him and was something he was using at home for drooping, draining left eye. It has an indefinite end date. During an interview on 4/23/2025 at 10:47 AM, the DON (Director of Nursing) stated, Antibiotics normally have a stop date. We are waiting for the provider…

  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

“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

No federal fines in the current CMS record.

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 →

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 14 rows in the source record cover these 11 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 $272K 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