Clearwater Center

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.

27.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 42 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 55.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 43 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 0.49 therapist hours per resident per day in 2026Q1 — more than 80% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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 109 beds and averages 97.0 residents a day — about 89% occupied, or roughly 12 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.10 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.60 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.93 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 2.92 hrs/resident/day on weekends vs 3.17 on weekdays — 8% thinner on weekends. RN hours go from 0.71 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% 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 more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

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

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 13 most serious are shown; the remaining 9 are one tap away and print in full.

• Immediate jeopardy · K2024-02-21 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility failed to provide respiratory care and services for tracheostomy dependent residents according to professional standards of practice for four residents (#14, #15, #16, and #19) out of five residents with a tracheostomy. On [DATE] a grievance was filed by Resident #16's family related to tracheostomy care and suctioning. The grievance process was not followed through by the facility to a resolution for the resident. On [DATE] Resident #15 requested his tracheostomy to be suctioned. The certified nursing assistant (CNA) notified the nurse. By the time the nurse got to the room, Resident #15 was unresponsive. A code was called, Cardiopulmonary Resuscitation (CPR) was initiated with no evidence the airway was cleared prior to providing breaths, the resident was transported to the hospital where he expired. During the survey, two residents (#14 & #16) were observed in the facility needing tracheostomy suctioning whom staff had not responded to their…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · K2024-02-21 · tag F0726 — failed to have competent, trained nursing staff — pattern
  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 observations, interviews, and record review, the facility failed to ensure the nursing staff was competent to provide appropriate tracheostomy care, respond to resident's request for tracheostomy suctioning, and document tracheostomy care for four residents (#14, #15, #16, and #19) out of five residents reviewed for tracheostomy care. On 3/22/24 a grievance was filed by Resident #16's family related to tracheostomy care and suctioning. On 3/24/24 Resident #15 requested his tracheostomy to be suctioned. The CNA notified the nurse. By the time the nurse got to the room, Resident #15 was unresponsive. A code was called, CPR initiated with no evidence the airway was cleared prior to providing breathes, the resident was transported to the hospital where he expired. Two residents (#14 and #16) were observed in the facility needing tracheostomy suctioning whom staff had not responded to their requests. There was inaccurate and incomplete documentation related to tracheostomy care. Staff expressed lack 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · K2024-02-21 · tag F0835 — failed to run the facility competently — pattern
  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 observations, interviews, and record review the facility administration failed to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident related to residents with a tracheostomy not being cared for in a safe and sanitary manner for four residents (#14, #15, #16, and #19) out of five residents sampled. On [DATE] a grievance was filed by Resident #16's family related to tracheostomy care and suctioning. The grievance process was not followed through by the facility to a resolution for the resident. On [DATE] Resident #15 requested for his tracheostomy to be suctioned. The CNA notified the nurse. By the time the nurse got to the room, Resident #15 was unresponsive. A code was called, CPR initiated with no evidence airway was cleared prior to providing breathes, resident was transported to hospital where he expired. During the survey, two residents (314 and #16) were observed in the facility needing…

  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 · F2024-02-21 · tag F0732 — widespread
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to post the nurse staffing data on a daily basis at the beginning of each shift for three of four shifts reviewed. Findings included: An observation was conducted on 02/18/24 at 12:08 PM. The posted nurse staffing was dated 2/17/24 and only the 11:00 p.m.-7:00 p.m. staffing was completed. 7:00a.m.-3:00p.m. and 3:00p.m.-11:00 p.m. staffing information was not completed. (Photographic evidence obtained) An interview was conducted on 2/18/24 at 12:09 PM with Staff D, Staffing Coordinator, at the time of the observation, and she said she was updating the posting now. Usually, the 11:00 p.m. to 7:00 a.m. staff updates the posting, and she updates the 7:00 a.m. to 3:00 p.m. and the 3:00 p.m. to 11:00 p.m. shift posting. An interview was conducted on 2/21/24 at 11:08 a.m. with Staff D, Staffing Coordinator and the Nursing Home Administrator (NHA). The NHA and Staff D, Staffing Coordinator confirmed the Federal nurse staffing posting was not up to date to reflect 2/18/2024, upon the start of the day on 2/18/2024. Review of 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-02-21 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews, staff interviews and observations, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for the year 2023 for 99 of 99 residents in the facility during survey, and failed to ensure hand sanitizing was performed by two staff (N and M) during medication pass observation Findings included: 1. During an interview on 02/21/2024 at 11:32 a.m. with the Director of Nursing (DON) and Regional Nurse, the Regional Nurse revealed the current DON has been in the position since approximately February 2024. She stated the DON will be the Infection control preventionist until the Assistant Director of Nursing position is filled. Prior to February 2024 the previous DON held the position of Infection Control Preventionist. The current DON could not provide evidence of Infection Control Preventionist training. The DON nor the Regional Nurse were able to provide any infection…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-02-21 · tag F0881 — failed to use antibiotics responsibly — widespread
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews, staff interviews and observations, the facility failed to establish and maintain an infection prevention and control program that included an antibiotic stewardship program which includes antibiotic use protocols and a system to monitor antibiotic use for 2023 for 99 of 99 residents in the facility during survey. Findings revealed: Review of the Facility Policy and Procedure for the Infection Control Program, effective October 2021 from the Infection Control Manual revealed: Policy: The infection prevention and control program is comprehensive program that addresses detection, prevention and control of infections and communicable disease among residents, visitors, those individuals providing services under contractual agreement, and personnel. The infection prevention and control program, in addition, will facilitate activities to improve antibiotic use to reduce adverse events, prevent emergence of antibiotic resistance, and promote better outcomes for residents. Procedure: One of the major activities of the program: Antibiotic Stewardship Ongoing tracking…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-21 · tag F0645 — pattern
  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 Based on medical record review, facility file review and staff interviews, the facility failed to ensure Level I Pre admission Screen and Record Reviews (PASRR) were complete and accurate prior to resident admission and failed to ensure Level II PASRRs were completed as required, for fourteen (Residents #5, #49, #10, #35, #64, #67, #75, #13, #92, #69, #48, #54, #83, and #51) of thirty-four sampled residents who were reviewed for PASRR assessments, . Findings included: On 2/18/2024 and 2/22/2024 during medical record review, the following revealed: 1. Review of resident #5's medical record revealed she was admitted to the facility on [DATE] and readmitted on [DATE]. Review of the advance directives revealed Resident #5 had a Power of Attorney to make her medical and financial decisions. Review of the diagnosis sheet revealed diagnoses to include, but not limited to: Anxiety (diagnosed on [DATE]), and Major Depression (diagnosed on [DATE]). Review of the physical medical record kept at the nurse station revealed a…

  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 · Ecited before2024-02-21 · tag F0656 — failed to write and follow a full care plan — pattern
  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 observations, interviews, and record review, the facility failed to assess and develop care plan interventions related to communication for Non-English speaking residents for three residents (#16, #17 and #20) out of four residents sampled. Findings included: During a facility tour on 3/26/24 at 9:49 a.m., an observation was made of Resident #16 in bed, he summoned surveyor pointing to his suction equipment. The resident stated he spoke Spanish. He pointed to the cup on his bed side table. He nodded yes to needing water. On 3/27/24 at 09:04 a. m., Resident #16 was observed in his room. He was pointing to the cup at his bedside. An interview was attempted with the resident. When asked if he understood English, he said, No English. The resident was observed making attempts to communicate with the surveyor. The resident's room did not have any indication on the plan for communicating with the resident. On 3/27/24 at 9:09 a.m., an interview was conducted with Staff H, Certified Nursing Assistant (CNA)…

  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 · E2024-02-21 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, the facility failed to provide sufficient staff to meet the needs for five residents (#72, #80, #44, and #210) on three of four units. Findings included: An interview was conducted with Staff A, Unit Manager, Licensed Practical Nurse (LPN) on 2/19/24 at 10: 25 AM. He said all the medications due at 9:00 a.m. on the 400 hall are late. Staff A, UM, LPN said the day shift nurse never showed up for her shift and if they would have notified me at 7:00 a.m. when she didn't come, I would have been able to get on the cart and start the medication pass but they didn't notify me until 10:00 a.m. that she didn't show up. The night shift nurse stayed over but she didn't start medication pass because she was busy catching up on emergency's that happened last night. He confirmed he has 15 residents with late medications. On 02/19/24 at 10:30 AM a medication administration observation was conducted with Staff A, Unit Manager (UM), Licensed Practical Nurse (LPN) for Resident #72. Resident #72's electronic medication administration record (MAR)…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-21 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure the medication error rate was less than 5.00%. Thirty medication administration opportunities were observed, and nineteen errors were identified for four residents (#72, #80, #44, #10) out of four residents observed. These errors constituted a 63.33% medication error rate. Findings included: On 02/19/24 at 10:30 AM a medication administration observation was conducted with Staff A, Unit Manager (UM), Licensed Practical Nurse (LPN) for Resident #72. Resident #72's electronic medication administration record (MAR) was highlighted in red. Staff A, UM, LPN confirmed the following medications were late and scheduled to be given at 9:00 a.m. Staff A, UM, LPN dispensed the following late medications: -Aspirin low dose, Extended Release 81 milligram (MG) tablet -Depakote sprinkles delayed release 125MG capsule -Lisinopril 5MG tablet Review of Resident #72's February MAR revealed all 3 of the administered medications were scheduled to be…

  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 · D2024-02-21 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably 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 and interviews, the facility failed to accommodate one resident (# 77) to ensure that the resident has access to an appropriate wheelchair for locomotion out of eight residents sampled. Findings Included: During an observation on 02/18/2024 at 9:00 AM., Resident observed laying down in bed with her call light within reach. Resident was very talkative and happy. Resident said that she has not been able to get out of bed for a month, and she had not been able to get her hair cut because she can't sit up in her wheelchair due to it being so uncomfortable for her. She said she voiced her concerns to the facility, but nobody has done anything about it. During an observation on 02/21/24 at 10:00 AM., Resident observed laying down in bed with her call light within reach. The resident was fully dressed well-groomed with no odors. Residents were observed with no signs of distress. Resident said she needs her wheelchair because she's expecting her family to come visit her. Review of an admission…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-02-21 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility failed to act upon a resident grievance related to tracheostomy (trach) care for one resident (#16) out of two residents sampled for grievances. Findings included: Review of a facility document titled, Grievance/Concern log, dated March 2024, revealed Resident #16 had filed a grievance on 3/22/24. The column date resolved was noted as blank. Review of a facility document titled, Grievance/Concern Report, dated 03/22/24, showed Resident #16's family member reported a concern to the facility's Business Office Manager (BOM). The description of the concern using factual terms showed, Resident's [family member] stated, on many occasions the equipment/trach is not working. Trach tube was clogged on 03/20/24 and when he mentions it to the nurse, he gets an attitude. This is the 3pm-11pm nurse. His bed linens/sheets are always dirty, and the floor is dirty. The CNA's (Certified Nursing Assistant) always give me an attitude when he asks them for help.…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-21 · 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 complete and to accurately assess a discharge Minimum Data Set (MDS) on two residents (# 87, 106) out of five residents sampled. Finding Included: 1. Review of an admission Record dated 02/21/2024 showed Resident # 87 was admitted on [DATE] with diagnoses to include but not limited to Type 2 Diabetes Mellitus with Unspecified Complications, Acquired Absence of left Above Knee, Major Depressive Disorder, Recurrent Unspecified, Adult Failure to Thrive, Cannabis Abuse, Uncomplicated Review of the admission Minimum Data Set, dated [DATE] showed a Brief Interview for Mental Status (BIMS) score of 15 indicated cognitively intact. Review of the medical record profiled showed Resident # 87 was discharged on 9/5/2023. Further review of the medical record showed that a discharge Minimum Data Set (MDS) assessment was not completed to show that Resident # 87 physically discharged from the facility. 2. Review of an admission Record dated 02/21/2024 showed 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$76,496 in federal fines across 1 penalty.

• $76,496 — penalty dated 2024-02-21

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 HEARTHSTONE SENIOR COMMUNITIES — 8 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

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

8 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 86% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $208K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in FL