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Meadowpark Health And Rehabilitation Center

870 Patricia Ave, Dunedin, FL 34698 · For profit - Corporation · 120 certified beds · (727) 734-8861 Medicare & Medicaid certified

Call the home — (727) 734-8861 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 21 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • nursing-staff turnover (57%) runs well above the national median (45%)

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
703 Virginia St · (727) 734-4000 · Call to confirm hours
Pharmacy
938 Patricia Ave · (727) 733-0404 · Call to confirm hours
Grocery
950 Patricia Ave · (727) 738-9656 · Call to confirm hours
Park
745 Main St · Typically dawn to dusk
Place of worship
1218 New York Ave · (727) 733-2480

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 2 to 4 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.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased9.1%8.7%15.4%better
Long-stay residents who lose too much weight7.8%5.5%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.3%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.7%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms1.7%4.6%6.5%better
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury2.3%2.5%3.3%better
Long-stay residents whose ability to walk worsened15.0%9.5%16.1%typical
Long-stay residents on antianxiety or hypnotic medication21.4%14.4%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers5.4%4.5%4.7%worse
Long-stay residents with worsening bladder/bowel control16.0%10.5%21.2%worse than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table11.3%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine88.4%94.7%79.4%better
Short-stay residents rehospitalized after admission27.2%26.1%22.6%worse
Short-stay residents with an outpatient ER visit5.4%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days1.682.131.67typical
Long-stay outpatient ER visits per 1,000 resident days0.501.151.80better

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.

56.2% 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 185 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

56.2%U.S. median 51.5%
Got home and stayed home
10.1%U.S. median 10.7%
Went back to hospital
48.2%U.S. median 56.6%
Met the expected recovery
0.29U.S. median 0.31
Therapy hours / resident / day
0.05hours / resident / day
Physical therapy
0.19hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 48.2% 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 85 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 0.29 therapist hours per resident per day in 2026Q1 — more than 45% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF56.2%CMS range 49.7–62.251.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.1%CMS range 6.9–13.010.7%Oct 2022–Sep 2024no 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 discharge48.2%56.6%Oct 2024–Sep 2025CMS 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 discharge50.6%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge38.8%50.0%Oct 2024–Sep 2025CMS 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 identified95.2%98.7%Oct 2024–Sep 2025CMS 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 setting100.0%100.0%Oct 2024–Sep 2025CMS 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 discharge92.0%98.7%Oct 2024–Sep 2025CMS 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 stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.2%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.2%CMS range 3.5–10.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.911.02Oct 2022–Sep 2024CMS 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

0.83
RN hours/ resident / day
0.55
LPN hours/ resident / day
2.13
Aide hours/ resident / day
3.51
Total nurse hours/ resident / day
0.59
RN hoursweekends
56.6%
Total nursing turnover
56.7%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 105.0 residents a day — about 88% occupied, or roughly 15 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 3.51 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.83 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.13 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 3.28 hrs/resident/day on weekends vs 3.61 on weekdays — 9% thinner on weekends. RN hours go from 0.93 to 0.59 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 57% is well above 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

4
deficiencies at the latest standard inspection (2026-05-14)
7
at the previous standard inspection (2023-12-07)

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.

ABCDEFGHIJKL

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · Dcited before2026-05-14 · 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 interviews and record review the facility failed to ensure grievances regarding a room change were addressed in a timely manner for two residents (#14 and #34) of 20 sampled residents. Findings Included: During a tour on 05/11/2026 at 09:02 AM, Resident #14 and Resident #34 reported verbally cursing each other and not wanting to be roommates. Resident #14 explained not being able to get along with the roommate. Resident #34 stated the situation had been reported to the staff and both stated being agreeable to a room change at the time.During an interview on 05/13/2026 9:09 AM, Staff E, Licensed Practical Nurse (LPN)/ Unit Manger (UM), explained being notified by Resident #34's family member, of Resident #14 cursing at Resident #34. Staff E stated having spoken to the Social Services Director (SSD) and stated a grievance had been opened for the situation. During an interview on 05/13/2026 at 09:22 AM, the SSD stated the facility had a care plan meeting with Resident #34 a few weeks prior. The SSD stated…

    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 before2026-05-14 · tag F0657 — failed to keep the care plan current — isolated
    Develop 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 observations, interviews, and record review, the facility failed to ensure care plans were revised to reflect personal care preferences related to contracture management and use of orthotics/splints for one resident (#2) out of 20 sampled residents.Findings included: During room visits on 5/11/2026 at 11:40 a.m., 5/12/2026 at 8:50 a.m., 1:50 p.m., 5/13/2026 at 8:30 a.m., and on 5/14/2026 at 8:25 a.m. and 10:00 a.m., Resident #2 was observed lying flat in bed. Resident #2 was not able to answer any questions related to his care needs. Resident #2's upper extremities to include hands and fingers were severely contracted. Resident #2 was not wearing any type of hand orthotics/splints/braces during these observations. The room was observed without any orthotics/splints/braces.On 5/13/2026 at 10:00 a.m. Resident #2's assigned Certified Nursing Assistant (CNA) for the 7-3 shift, Staff D, revealed he was not aware of Resident #2 utilizing or having the need to use hand orthotics/splints/braces. Staff D…

    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 before2026-05-14 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, the facility failed to ensure nail care was offered/provided for one resident (#2) of 20 sampled residents.Findings included: During room visits on 5/11/2026 at 11:40 a.m., 5/12/2026 at 8:50 a.m., 1:50 p.m., 5/13/2026 at 8:30 a.m., and on 5/14/2026 at 8:25 a.m. and 10:00 a.m., Resident #2 was observed lying flat in bed. Resident #2 was not able to answer any questions related to his care needs. Further observations revealed both of Resident #2's hands had finger nails that were elongated, and with dark brown debris under the fingernail bed. Most of the finger nails were observed at least a quarter inch to over a half inch in length from the tips of the finger.On 5/13/2026 at 10:00 a.m. an interview was conducted with Staff D, Certified Nursing Assistant (CNA) who stated he normally cared for Resident #2 and knew he is totally dependent on staff for all ADL (activities of daily living) Staff D observed Resident #2's fingernails on both hands and confirmed they…

    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 · D2026-05-14 · tag F0919 — failed to provide a working call system — isolated
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, the facility failed to ensure call light buttons/call light cords were placed within reach for three residents (#2, #59 and #97) out of forty-three sampled residents.Findings included: During a room visit on 5/11/2026 at 11:40 a.m., and on 5/13/2026 at 8:30 a.m. Resident #2 was observed lying flat in bed and the resident's call light button was not anywhere on the bed, or near Resident #2. It was noted a push pad call light button was on the floor and slightly under the bed frame foot stand. Resident #2 would not be able to use the call light, as it was out from his reach. On 5/13/2026 at 8:33 a.m. an interview with Certified Nursing Assistant (CNA), Staff C confirmed the call light pad, and cord was lying on the floor back behind Resident #2 and under the bed frame foot stand. Staff C stated that all residents should always have the call light placed within their reach when they are in bed. On 5/14/2026 at 10:00 a.m. an interview with Staff B, Licensed…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-11-21 · tag F0585 — failed to handle grievances — pattern
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure the grievance process was conducted to resolve grievances in a timely manner for five residents (#3, #5, #6, #7, and #8) of eight sampled residents. Findings included: On 11/20/2024 at approximately 11:50 a.m., the NHA (Nursing Home Administrator) presented the facility grievance logs for 01/01/2024 through the date of survey, 11/20/2024. A review of the log revealed no information to identify the type of concern the grievance was about. The NHA was interviewed at 11:57 a.m. The NHA said she could not identify what kind of grievance was filed and she did not see a column to identify the type of grievance filed by the submitter. She stated, For March and April, there is a category column on the form and then, they switched back to the incorrect form. She stated there should be an identifier as to the type of grievance. She stated it was important to identify the type of the grievance for tracks and trends, to identify if there are…

    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 before2024-11-21 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor 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 observations, interviews, and record review the facility failed to ensure resident rights were honored for two residents (#3 and #4) out of 3 residents sampled related to removing residents from isolation precautions according to the standards of practice. Findings included: 1. Review of Resident #3's admission Record revealed she was admitted to the facility on [DATE] with medical diagnoses of enterocolitis due to clostridium difficile (C-Diff) and major depressive disorder. An observation was made on 11/20/2024 at 10:25 a.m., Resident #3's room was observed to have a contact precaution sign on the door. Staff D, Occupational Therapist Assistant (OTA), was observed in the resident's room. She stated Resident #3 was getting dressed, she would be out soon, she would be going down to therapy. Staff D, OTA was observed to have gloves on, no gown, and no mask. Resident #3 was observed sitting on her bedside, with the top half of her body dressed. An observation and interview was conducted on 11/20/2024 at…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-21 · 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 observation, record review, and interviews, the facility failed to ensure the development of a person-centered care plan related to shoulder replacement and pain during care for one resident (#2) of eight sampled residents. Findings included: A review of Resident #2's medical record revealed an admission date of 04/23/2024, with readmission on [DATE]. The medical diagnosis list included, Parkinson's disease without dyskinesia without mention of fluctuations; moderate protein calorie malnutrition; altered mental status; cellulitis of right toe; dementia in other diseases .metabolic syndrome; other iron deficiencies anemia; generalized anxiety disorder . presence of left artificial shoulder joint. A review of Resident #2's MDS (Minimum Data Set) Quarterly Assessment, dated 10/22/2024, Section C, documented a Brief Interview for Mental Status (BIMS) score of 8, which meant Resident #2 was moderately impaired. On 11/20/2024 at 11:05 a.m., an observation was conducted of Resident #2 in his room. Lights were…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-21 · tag F0657 — failed to keep the care plan current — isolated
    Develop 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

    Based on observations, interviews, and record review, the facility failed to honor the right of the resident's representative to participate in the development of the resident's care plan for one resident (#5) out of eight sampled residents. Findings included: A review of Resident #5's admission Record, documented an admission of 07/03/2024. The Medical diagnosis included but not limited to: Chronic Obstructive Pulmonary disease, Dementia without behavioral disturbance, and generalized anxiety disorder. A review of Resident #5's MDS (Minimum Data Set) assessments reflected a quarterly assessment had been completed on 10/08/2024. The assessment documented a BIMS score of 3, which indicated severe cognitive impairment. On 11/20/2024 at 4:44 p.m., an observation was conducted of Resident #5 sitting in a wheelchair close to the nurses' station, she was dressed, groomed, clean in appearance talking to other residents next to her. A phone interview was conducted on 11/20/2024 at 4:03 p.m. with Resident #5's family member. During the interview, she stated, I have asked for a care plan…

    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 before2024-11-21 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to provide Activities of Daily Living (ADL) services related to toileting for two residents (#2 and #5) out of eight sampled residents. Findings include: Resident #2: A review of Resident #2's medical record revealed an admission date of 04/23/2024, and readmission on [DATE]. Resident #2's medical diagnosis list included: Parkinson's disease without dyskinesia without mention of fluctuations; moderate protein calorie malnutrition; altered mental status; cellulitis of right toe; dementia in other diseases .metabolic syndrome; other iron deficiencies anemia; generalized anxiety disorder . presence of left artificial shoulder joint. A review of Resident #2's MDS (Minimum Data Set) Quarterly Assessment, dated 10/22/2024, Section C, documented a Brief Interview for Mental Status (BIMS) score of 8, indicating Resident #2 was moderately cognitively impaired. On 11/20/2024 at approximately 3:00 p.m., an interview was conducted with the Assistant…

    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 · E2023-12-07 · tag F0644 — pattern
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 record review, interview, and review of the facility's policy, the facility failed to ensure the accuracy of a Preadmission Screening and Resident Review (PASRR) Level I for eight (Residents #50, #2, #69, #3, #22, #54, #65, and #56) of eight residents admitted with mental health and/or cognitive diagnoses sampled for PASRR. Findings include: 1. Review of the clinical record revealed Resident #50 was admitted to the facility on [DATE], with a primary diagnosis of multiple fractures according to the admission face sheet. Further review of the admission face sheet revealed subsequent diagnoses that included unspecified dementia and generalized anxiety disorder. Review of a PASRR Level I form dated 10/13/2023 revealed Section 1A marked 'anxiety disorder' and Section II checked 'no.' Continued review revealed Section 5. (primary diagnosis of dementia or neurocognitive disorder) checked 'no', and Section 6. (secondary diagnosis of dementia or neurocognitive disorder) checked 'yes.' Section IV, (no diagnoses…

    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
Show the remaining 11 citations
  • Potential for harm · Ecited before2023-12-07 · 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 observation, interview, and record review, the facility failed to develop and implement care plans for six (Residents #77, #313, #2, #50, #22, and #27) of twenty eight sampled residents. Finding included: 1. On 12/4/2023 at 9:30 a.m., and 3:00 p.m., Resident #77 was observed in a room located at the end of the hallway. Resident was observed both times laying down in his bed with his call light not within his reach at 9:30 a.m., and within his reach at 3:00 p.m., his bed was observed in a low position. Resident # 77 was presented with no behaviors, pain, or discomfort. Review of the Resident Information Record dated 12/6/2023 revealed Resident #77 was initially admitted on [DATE] and readmitted on [DATE], with diagnosis to included but not limited to Type 2 Diabetes Mellitus without Complications, major depressive disorder, anxiety disorder, hypertensive heart disease without heart failure. Review of a Minimum Data Set (MDS) dated [DATE], showed in Section-C a Brief Interview for Mental Status (BIMS)…

    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 · E2023-12-07 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facilty failed failed to obtain and document current body weight of two (Residents #22 and #65) out of thirty-six sampled residents. Findings included: A review of Resident #22's admission Record revealed the resident was admitted on [DATE] and included diagnoses not limited to diverticulitis of large intestine without perforation or abscess with bleeding, unspecified dysphagia, and encounter for attention to gastrostomy. An observation was made on 12/4/23 at 8:20 a.m., of Resident #22 lying in bed and informed Staff H, Certified Nursing Assistant (CNA) of being on a strict no food diet. On 12/5/23 at 8:19 a.m. the resident was observed lying in bed with liquid nutrition running at 70 milliliter/hour (mL/hr). The Order Summary Report, active as of 12/7/23, included a physician order , dated 10/6/23, instructing staff to obtain Monthly Weight every day shift starting on the 7th and ending on the 8th every month. The enteral nutrition order for the resident…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-12-07 · tag F0756 — failed to review each resident's drug regimen — pattern
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview the facility failed to ensure a Medication Regimen Review was completed for one month of three months reviewed for three (Residents #27, #77, and #56) of five sampled residents and failed to ensure a recommendation was adequately and accurately implemented for one (Resident #27) out of five residents sampled for unnecessary medications. Findings included: An observation and interview was conducted on 12/4/23 at 2:00 p.m., with Resident #27 as the resident lay in bed. On 12/7/23 at 8:30 a.m. the resident was observed sitting up in bed feeding self breakfast. Review of Resident #27's admission Record showed the resident was admitted on [DATE] and included diagnoses not limited to hemiplegia unspecified affecting left non-dominant side, subsequent encounter unspecified fall, and encounter for other orthopedic aftercare. A review of Resident #27's Medication Regimen reviews for the requested month of September, October, and November 2023 revealed the resident was…

    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 · D2023-12-07 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is 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 observation, interview, and record review, the facility failed to ensure one (Resident #24) of one sampled resident received supervision and assistance with eating during all three meals. Findings included: On 12/4/2023 at 12:20 p.m., Resident #24 was observed seated in a wheelchair, in his room, and with the over the bed table positioned in front of him. The call light was observed placed within his reach, his eyes were open, but he was not interviewable. While observing the resident, Staff F, Certified Nursing Assistant (CNA) brought in Resident #24's lunch meal tray. She set up the tray and then left the room. The resident received adaptive eating equipment to include a scoop plate and double handled plastic sip cup. He received regular silverware. He was on a mechanical soft textured diet. At 12:22 p.m. Staff F left the room immediately after setting up the tray and proceeded to help with passing out trays to other residents on the unit. Continued observations from 12:22 p.m. through to 12:40 p.m.…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-12-07 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide 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 observation, record review, and interview, the facility failed to ensure the urinary drainage bag was maintained in a sanitary manner and drained every shift according to the plan of care for one (Resident #22) out of 10 residents with urinary catheters. Findings included: Review of Resident #22's admission Record showed the resident was admitted on [DATE] and included the diagnoses not limited to site not specified urinary tract infection, personal history of malignant neoplasm of prostate, and sepsis due to enterococcus. An observation on 12/4/23 at 8:20 a.m. of Resident #22, revealed a full urinary drainage bag sitting on the floor with the tubing lying on the base of the over-bed-table, the tubing contained pale straw-colored urine. The drainage bag was hanging in front of the urinary privacy bag. Staff H, Certified Nursing Assistant (CNA), observed the drainage bag and confirmed it was full and should have been emptied. A review of Resident #22's care plan revealed the resident was at risk 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 · D2023-12-07 · tag F0699 — isolated
    Provide care or services that was trauma informed and/or culturally competent.
    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 one (Resident #26) of one sampled resident, who was diagnosed and assessed with Post Traumatic Stress Disorder (PTSD), received care and services in accordance with professional standards of practice to minimize triggers and/or re-traumatization. Findings included: On 12/6/2023 at 9:45 a.m., Resident #26's assigned 7:00 a.m.-3:00 p.m. shift Certified Nursing Assistant (CNA), Staff B was interviewed. She revealed she did not have Resident #26 routinely but knew of her care needs and had had her previously as a routine assignment. Staff B revealed Resident #26 presented sometimes with some depression episodes but was not aware of any other type of behaviors to look out for, nor had been given any direction to report any type of behaviors to nurse staff. Staff B revealed nobody had ever told her that Resident #26 had PTSD, nor had anyone explained to her the reason for PTSD and how to look out for behaviors related to any type 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-06 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility did not ensure a safe, clean, and homelike environment for eight (120, 124, 135, 138, 140, 143, 148, and 246) of 11 resident bathrooms, seven (112, 120, 124, 132, 138, 225, and 246) of 11 resident room baseboards, and three (first and second floor) of three community shower/spa rooms. Findings included: An observation was made on 9/5/2023 at 9:05 AM, in resident room [ROOM NUMBER] and bathroom. On the window wall the baseboard was protruding past the air conditioner. The baseboard was not sticking to the wall. The bathroom toilet had a black and brown substance at the base of the toilet, a space between the base of the toilet and the floor was visible. The flooring to each side of the toilet base, in the corners was separating from the wall and buckling up. The baseboard to the right of the shower was pulling away from the wall showing black and crumbling drywall. On the shower's wall was an open pipe. (Photographic Evidence Obtained.) 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2021-09-16 · 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

    Based on observation, interview, and record review, the facility did not ensure that the medication error rate was below 5.00%. A total of twenty-eight medications were observed, and eleven late medications were verified for one (Resident #206) of six (6) residents observed. These late medications constituted a medication error rate of 39.29 percent. Findings included: On 09/15/2021 at 09:28 a.m., an observation was conducted of Staff A, Registered Nurse (RN), on the East Wing, administering medications to Resident # 206. Staff A, (RN) was seen administering the following medications: - Baclofen Tablet 10 mg orally every 12 hours - Flonase Suspension 50 mct/act (Fluticasone Propionate) One (1) Spray in both nostrils one time a day - Lasix Tablet 40 mg orally daily - Loratadine Tablet 10 mg orally - Vitamin C Tablet Give 500 mg orally - Spironolactone Tablet 25 mg Two (2) Tablets orally - Alprazolam Tablet 0.25 mg Give 0.5 tablet by mouth every 12 hours - Guaifenesin Tablet Give 400 mg orally two times a day - Propranolol HCL Tablet 10 mg orally every 12 hours - Vitamin C Give 500 mg…

    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 before2021-09-16 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor 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 a dignified existence related to dining for one (Resident #24) out of seven sampled residents. Measures were not taken to ensure assistance was provided during dining to support the resident's dignity, and labels such as a feed was used by facility staff when referring to residents that needed help with eating. Findings included: Observation of the lunch meal was conducted on 09/13/21. At 12:30 p.m. Resident #24 was observed eating in her room, in her bed, unassisted, and unsupervised. No staff were present in the room. The resident's bed was furthest from the door and the privacy curtain was pulled. The resident's tray revealed foods of puree texture and she was observed eating with her hands. Large amounts of food were dropping on her chest and shirt. The resident was not able to engage coherently. A review of the resident's medical record was conducted. The admission Record Report revealed she was admitted to the facility 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-09-16 · 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 observations, interview, and record review, the facility failed to ensure that a resident centered care plan was developed and implemented related to Oxygen use for one (Resident #53) of five sampled residents and failed to implement fall interventions for one (Resident #68) of forty-two residents in the sample group. Findings included: 1. On 09/13/2021 at 12:14 p.m., Resident #53 was observed from the hall to be receiving Oxygen with bilateral nasal cannula. (NC) On 9/14/2021 a subsequent observation was conducted of Resident #53, laying in bed in her room. During the observation the oxygen concentrator was dialed at two (2) Liters. The resident confirmed that she wears oxygen continuously. A medical record review for Resident #53 indicated she was originally admitted on [DATE] and re-admitted on [DATE] with multiple diagnoses that included chronic respiratory failure with hypoxia, and Spinal Stenosis, Thoracic. A review of the physician orders revealed Resident #53 did not have an active physician'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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-09-16 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids 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 observation, interview, and record review, the facility failed to provide Intravenous (IV) care according to professional standards for two (Resident's #71 and #357) of four sampled residents by failing to ensure the IV dressings remained intact. Findings Included: 1. During an interview and observation of Resident #71 on 9/13/21 a.m. at 11:45 a.m., the resident stated she received IV medication for a left hip infection. The right upper arm IV dressing was dated in black marker, difficult to read as 9/7/21 or 9/9/21. During an interview and observation of Resident #71 on 9/14/21 9:30 a.m., she stated she received her IV antibiotic this morning and the IV dressing remained with the same date. During observation on 9/15/21 at 11:48 a.m., the IV dressing was loose on the right upper inner arm and not completely intact on the outer edge. The date was the same on the dressing. During observation of Resident #71's dressing on 9/16/21 at 9:16 a.m., she stated the dressing had not been changed recently and the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ASTON HEALTH — 38 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 →

RatingThis homeChain avg
Overall 4 of 52.7+1.3 vs chain
Health inspection 3 of 52.5+0.5 vs chain
Staffing 3 of 52.2+0.8 vs chain
Quality measures 5 of 54.1+0.9 vs chain
The other 37 homes this chain runs (chain average 2.7★, per CMS)
1 of 5Crescent Health And Rehabilitation CenterSarasota, FL 1 of 5Kensington Gardens Rehab And Nursing CenterClearwater, FL 1 of 5Nursing & Rehabilitation Center Of New Port RicheyNew Port Richey, FL 1 of 5Oak Haven Rehab And Nursing CenterAuburndale, FL 1 of 5Vero Beach Care CenterVero Beach, FL 2 of 5Baya Pointe Nursing And Rehabilitation CenterLake City, FL 2 of 5Capri Health And Rehabilitation CenterVenice, FL 2 of 5Creekside Health And Rehabilitation CenterSarasota, FL 2 of 5Fairway Oaks CenterTampa, FL 2 of 5Flagler Health And Rehabilitation CenterBunnell, FL 2 of 5Haines City Rehabilitation And Nursing CenterHaines City, FL 2 of 5Highlands Lake CenterLakeland, FL 2 of 5Indian River CenterWest Melbourne, FL 2 of 5North Port Rehabilitation And Nursing CenterNorth Port, FL 2 of 5Pensacola Nursing & Rehabilitation CenterPensacola, FL 2 of 5Riverwood CenterJacksonville, FL 2 of 5Sandgate Gardens Rehab And Nursing CenterFort Pierce, FL 2 of 5Sea Breeze Rehab And Nursing CenterVero Beach, FL 2 of 5Tierra Pines CenterLargo, FL 2 of 5Viera Del Mar Health And Rehabilitation CenterViera, FL 2 of 5Winter Garden Rehabilitation And Nursing CenterWinter Garden, FL 3 of 5Cedarbrook Health And Rehabilitation CenterFort Myers, FL 3 of 5Coquina CenterOrmond Beach, FL 3 of 5Eagleridge Health And Rehabilitation CenterFort Myers, FL 3 of 5Fouraker Hills Rehab And Nursing CenterJacksonville, FL 3 of 5Hillside Health And Rehabilitation CenterZephyrhills, FL 3 of 5Oakpark Health And Rehabilitation CenterPalm Harbor, FL 4 of 5Bridgeview CenterOrmond Beach, FL 4 of 5Coastal Health And Rehabilitation CenterDaytona Beach, FL 4 of 5Debary Health And Rehabilitation CenterDebary, FL 4 of 5Fernandina Beach Rehabilitation And Nursing CenterFernandina Beach, FL 4 of 5Island Lake CenterLongwood, FL 4 of 5Parkside Health And Rehabilitation CenterDeland, FL 4 of 5Ruleme CenterEustis, FL 4 of 5Seaside Health And Rehabilitation CenterDaytona Beach, FL 5 of 5Bayview CenterEustis, FL 5 of 5Osprey Point Nursing CenterBushnell, FL

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 / managerTypeRoleShareSince
MEADOWPARK REHAB HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 01/04/2023
BP MEADOWPARK TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST50%since 05/05/2023
LF MEADOWPARK TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST50%since 05/05/2023
WILDES, DONNAIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/28/2025
JACKSON, MARCIAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/02/2024
KNIGHT, SHEILAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/10/2025
LOKMIC, RAMONETHIndividualOPERATIONAL/MANAGERIAL CONTROLsince 05/05/2023
PALANCA, EDUARDOIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/27/2024
ASTON HEALTHCARE LLCOrganizationADP OF THE SNFsince 05/05/2023

CMS files one row per role, so the 13 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

4 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.

$8.8M
Net patient revenuemost recent cost report
-4.3%
Operating marginrevenue minus expenses
$417K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 55%Medicare 15%Other / private 29%

This home reported $417K 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

$373per resident / day
operating cost
$11,352per month
≈ monthly operating cost
$358per day
avg. revenue, all payers

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

Paying with Medicaid

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.

Typical monthly cost in Florida
$10,342/mo
Nursing home (semi-private)
$12,167/mo
Nursing home (private)
$5,610/mo
Assisted living

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 105436. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-14, 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.

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