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Ruleme Center

2810 Ruleme St, Eustis, FL 32726 · For profit - Limited Liability company · 138 certified beds · (352) 357-1990 Medicare & Medicaid certified

Call the home — (352) 357-1990 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
1 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)$24,889 in federal fines
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)
Worth asking about
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $24,889 in federal fines (most recent 2025-01-30)
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its payroll-based staffing rating is low (2/5)
  • nursing-staff turnover (64%) runs well above the national median (45%)
  • about 23% of its spending goes to commonly-owned related companies

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) 2 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
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2603 Kurt St # B · (352) 483-6100 · Call to confirm hours
Pharmacy
101 W Ardice Ave · (352) 589-5062 · Call to confirm hours
Grocery
401 Plaza Dr · (352) 483-1165 · Call to confirm hours
Park
2601 S Grove St · (352) 357-7969 · Typically dawn to dusk
Place of worship
351 Plaza Dr · (352) 357-0856

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 held steady at 3 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 rating3★
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 increased6.7%8.7%15.4%better
Long-stay residents who lose too much weight6.3%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 symptoms4.4%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 injury1.9%2.5%3.3%better
Long-stay residents whose ability to walk worsened10.1%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication29.3%14.4%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers2.9%4.5%4.7%better
Long-stay residents with worsening bladder/bowel control22.5%10.5%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table11.7%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 vaccine95.7%94.7%79.4%better
Short-stay residents rehospitalized after admission18.0%26.1%22.6%better
Short-stay residents with an outpatient ER visit6.6%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days1.922.131.67worse
Long-stay outpatient ER visits per 1,000 resident days1.281.151.80better

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.

43.4% 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 57 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

43.4%U.S. median 51.5%
Got home and stayed home
9.2%U.S. median 10.7%
Went back to hospital
39.7%U.S. median 56.6%
Met the expected recovery
0.33U.S. median 0.31
Therapy hours / resident / day
0.10hours / resident / day
Physical therapy
0.21hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 39.7% 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 68 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 0.33 therapist hours per resident per day in 2026Q1 — more than 55% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 SNF43.4%CMS range 33.0–54.551.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.2%CMS range 6.6–13.310.7%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 discharge39.7%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 discharge32.4%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 discharge33.8%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 identified97.2%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 setting97.1%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 discharge100.0%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 worsened0.9%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 hospitalization8.1%CMS range 4.5–14.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.201.02Oct 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

0.47
RN hours/ resident / day
0.97
LPN hours/ resident / day
2.12
Aide hours/ resident / day
3.56
Total nurse hours/ resident / day
0.40
RN hoursweekends
63.6%
Total nursing turnover
90.9%
RN turnover

How full it usually is: this home is certified for 138 beds and averages 117.5 residents a day — about 85% occupied, or roughly 20 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 3.56 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.47 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.12 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 3.24 hrs/resident/day on weekends vs 3.69 on weekdays — 12% thinner on weekends. RN hours go from 0.50 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 64% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

Inspection trend

5
deficiencies at the latest standard inspection (2026-01-23)
5
at the previous standard inspection (2024-08-22)

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

Inspection deficiencies

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

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.

18 citations, most serious first. The 11 most serious are shown; the remaining 7 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2023-12-06 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and policy and procedure review the facility failed to ensure the residents rights were honored by failing to provide an opportunity to formulate advance directives. Resident #1's advance directive for Do Not Resuscitate (DNR) was not honored by the facility when they failed to obtain clarification of code status during the admission process, per facility policy. This failure resulted in the resident experiencing serious psychosocial harm by not honoring the resident's wishes for a natural, dignified death. Successful Cardiopulmonary Resuscitation (CPR) may result in major physical trauma including broken ribs, lung bruising, damage to the airway and internal organs, and internal bleeding. Along with the physical trauma, residents who receive CPR may have to deal with serious long-term consequences like possible brain damage from oxygen deprivation. Findings include: Review of Resident #1's admission Record documented an admission date of [DATE] with the following 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 Rights Deficiencies · Past Non-Compliance
  • Potential for harm · D2026-01-23 · tag F0552 — isolated
    Ensure that residents are fully informed and understand their health status, care and treatments.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure residents' treatment choice for 1 of 4 residents reviewed, Resident #28.Findings include:Review of Resident #28's physician order dated 6/18/2024 read, [name of palliative care provider]: Resident/resident representative request no further weights to be obtained.Review of Resident #28's weight records revealed the resident's weights were obtained on 7/2/2024 (141.7 pounds), 8/2/2024 (139.5 pounds), 12/4/2024 (128.0 pounds), 10/2/2025 (132.3 pounds), 11/4/2025 (140.5 pounds), 12/4/2025 (139.4 pounds), and 1/7/2026 (133.2 pounds).During an interview on 1/22/2026 at 8:29 AM, Staff A, Licensed Practical Nurse, confirmed Resident #28's representative had requested no more weight to be obtained. Staff A was uncertain why Resident #28's weights had continued to be obtained after Resident #28's representative's request and a physician order not to obtain the weights.During an interview on 1/22/2026 at 10:02 AM, the Director of Nursing confirmed Resident #28 had a physician order for obtaining no more weight.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-23 · 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 observation and interview, the facility failed to provide a clean and homelike environment in 1 of 2 halls, Hallway 200.Findings include:During an observation of Resident #88's room on 1/20/2026 at 10:22 AM, the bathroom had a brown ring around the toilet, and there was a brown discoloring of a tile located in front of the toilet.During an observation of Resident #83's room on 1/20/2026 at 10:41 AM, the baseboards had a brown and black substance located on top of the baseboards around the entire room. There was black substance underneath and on top of the air conditioner. There was a white cloth with brown substance on the cloth with yellow, black and brown substances and peeling paint all around the top of the air conditioner, with dust like material and cobwebs protruding out of the air conditioner vents.During an interview on 1/20/2026 at 10:41 AM, Resident #83 stated, I never see the housekeeping or maintenance department in the room cleaning under, over, or inside the AC [Air Conditioner] and…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-23 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to coordinate assessments for the residents with newly evident or possible serious mental disorder and failed to ensure an accurate Level I Preadmission Screening and Resident Review (PASRR) screen was completed for 1 of 4 residents reviewed for PASRR, Residents #9.Findings include: Review of Resident #9's admission record documented the resident was initially admitted on [DATE] and readmitted on [DATE] with diagnoses that included psychophysiologic insomnia (onset date of 10/23/2025), major depressive disorder (onset date of 3/10/2025), post-traumatic stress disorder (PTSD) (onset date of 3/10/2025), nightmare disorder (onset date of 3/10/2025), and generalized anxiety disorder (onset date of 2/15/2025). Review of Resident #9's psychiatry note dated 11/13/2025 read, History of present illness: [Resident #9's name] is a [AGE] year old male with a psychiatric history of insomnia, depression, anxiety, and PTSD. Review of Resident #9's medical records showed…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-23 · 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

    Based on observation, interview, and record review, the facility failed to ensure residents received intravenous (IV) therapy consistent with professional standards of practice for 1 of 5 residents reviewed for medication administration, Resident #39.Findings include:During an observation on 1/21/2026 at 2:15 PM, Resident #39 was lying in bed, dressed in a hospital gown. The resident had a PICC (Peripherally Inserted Central Catheter) line on her right upper arm. The PICC line dressing was dated 1/19/2026 and there was a gauze pad under the dressing.Review of Resident #39's physician order dated 12/14/2025 read, PICC Line Right Arm: Change dressing within 24 hours of admission, insertion, or reinsertion and Q7 (every 7) days and PRN [as needed] thereafter using sterile technique. Measure arm circumference and external length of catheter.During an interview on 1/21/2026 at 4:45 PM, Staff C, Licensed Practical Nurse (LPN) Unit Manager, stated that if she were to do a central line dressing change, she would not use gauze, but gauze pads came in the central line dressing kits, and that…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-23 · tag F0880 — failed to prevent and control infections — isolated
    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 observation, interview, and record review, the facility failed to ensure staff performed hand hygiene during medication administration and used appropriate personal protective equipment (PPE) while providing high contact care to the residents on enhanced barrier precautions (EBP) for 2 of 6 residents reviewed for medication administration, Residents #39 and #51, and failed to ensure respiratory care equipment were stored in a hygienic manner for 2 of 4 residents reviewed for respiratory services, Residents #73 and #98, to prevent the possible spread of infection and communicable diseases. Findings include: 1) During an observation on 1/20/2026 at 10:47 AM, Resident #73's nebulizer mask and tubing was lying on the floor. During an interview on 1/20/2026 at 10:47 AM, Resident #73 stated, I completed the breathing treatment about an hour ago. I take breathing treatments at least 3 times a day. During an observation on 1/20/2026 at 1:57 PM, Resident #73's nebulizer mask and tubing was lying on the floor. Review of Resident #73's physician order dated 4/11/2025 read,…

    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 · Dcited before2025-01-30 · tag F0880 — failed to prevent and control infections — isolated
    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 observation, interview, and record review, the facility failed to ensure staff used proper personal protective equipment (PPE) while providing high contact care to the residents on enhanced barrier precautions (EBP).to prevent the possible spread of infection and communicable diseases. Findings include: During an observation on 1/30/2025 at 10:00 AM, Staff A, Licensed Practical Nurse (LPN), was administering medications into Resident #4's gastric tube. Staff A had gloves. Staff A did not have a gown. There was an Enhanced Barrier Precautions signage on the door. There were personal protective equipment in the hallway, containing gowns and masks. During an interview on 1/30/2025 at 10:15 AM, Staff A, LPN, stated, I wore gloves. I sometimes wear gowns. During an interview on 1/30/2025 at 2:10 PM, the Assistant Director of Nursing (ADON) stated, They have to have all the PPE, the gloves, the gown, the mask, and any additional items that they might require. Review of the facility policy and procedure titled Standards and Guidelines: Enhanced Barrier Precautions issued in March…

    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 · Dcited before2024-08-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility staff failed to ensure residents were administered oxygen as per physician order for 1 of 3 residents reviewed for respiratory care (Resident #13). Findings include: Review of Resident #13's admission record showed the resident was most recently admitted on [DATE] with diagnoses that included anemia, unspecified, dysphagia following cerebral infarction (a stroke), aphasia (inability to speak) following cerebral infarction, quadriplegia, unspecified, type 2 diabetes mellitus with other circulatory complications, unspecified protein-calorie malnutrition, status gastrostomy, occlusion and stenosis of right vertebral artery, essential (primary) hypertension, and dependence on supplemental oxygen. Review of Resident #13's physician order dated 5/21/2024 showed it read, Respiratory-Oxygen: NC [nasal cannula]/mask continuous. Encourage and assist resident to us O2 [oxygen] @ [at] 2 LPM [liters per minute] via nasal cannula continuously for every shift for…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-22 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure medications were securely stored in 1 of 2 residential halls, Hall 100. Findings include: During an observation on 8/19/2024 at 9:49 AM, Resident #9 was in her room lying in bed. There was a plastic cup lid turned up on the bedside table containing five different pills. On 8/19/2024 at 9:49 AM, an interview was attempted with Resident #9 related to the medications observed on the bedside table. Resident #9 stated, You want them? During an interview on 8/19/2024 at 9:52 AM, Staff A, Registered Nurse (RN) confirmed the medications at bedside and verified the plastic cup lid on the bedside table did contain five pills. During an interview on 8/19/2024 at 9:55 AM, Staff A, RN, stated that she passed the medications to Resident #9 at 9:00 AM, and identified the medications as Resident #9's Trazodone, Iron Pill, Clopidogrel, blood pressure medication, and Isosorbide pill. Staff A stated she did not leave the medications at bedside and pointed out that the medications were moist where evidently [Resident #9'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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-22 · tag F0835 — failed to run the facility competently — isolated
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility administration failed to assume full responsibility for the day-to-day operations of the facility by allowing unlicensed staff to work outside the accepted professional standards and current federal, state, and local regulations to ensure the highest degree of quality care was maintained. The facility administration failed to verify the licensure status of a nurse prior to employment who was found to not have a valid Florida license as a registered nurse. Findings include: Review of personnel records showed Staff A, Registered Nurse, was hired by the facility as a qualified Registered Nurse on 6/11/2024 and was scheduled to work in the facility as a Registered Nurse. Review of the Florida Department of Health licensure web site (https://mqa-internet.doh.state.fl.us/MQASearchServices/HealthCareProviders) revealed Staff A, RN, was not licensed as a Registered Nurse in the State of Florida. During an observation on 8/19/2024 at 9:00 AM, Staff A, RN, was working at a medication cart in the facility. Staff A had a name tag…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-22 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure medical records were accurate and complete for 1 of 3 residents reviewed for wound care, Resident #13. Findings include: Review of Resident #13's admission record showed the resident was most recently admitted on [DATE] with diagnoses that included necrotizing fasciitis, stage 4 pressure ulcer of sacral region, anemia, dysphagia following cerebral infarction (a stroke), aphasia (inability to speak) following cerebral infarction, quadriplegia, type 2 diabetes mellitus with other circulatory complications, occlusion and stenosis of right vertebral artery, essential (primary) hypertension, and dependence on supplemental oxygen. Review of Resident #13's physician order dated 4/26/2024 read, Cleanse wound to sacrum with normal saline, pat dry, apply calcium alginate to wound bed, cover with silicone border foam every day shift for sacral wound. Review of Resident #13's Medication Administration Record (MAR) for April 2024 showed…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 7 citations
  • Potential for harm · Dcited before2024-08-22 · tag F0880 — failed to prevent and control infections — isolated
    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 observation, interview, and record review, the facility failed to ensure staff performed hand hygiene during medication administration for 6 of 9 medication administration observations to prevent the possible spread of infection and communicable disease. Findings include: During an observation on 8/20/2024 at 8:37 AM, Staff A, Registered Nurse (RN), was exiting a resident's room after administering medications to the resident. Staff A did not perform handy hygiene and returned to the medication cart. Staff A prepared Resident #86's medications, reached into her uniform pocket, removed keys and locked the medication cart. Staff A entered Resident #86's room, did not perform hand hygiene, administered the medications, exited the room without performing hand hygiene and returned to the medication cart to prepare another resident's medications. During an observation on 8/20/2024 at 8:44 AM, Staff A, RN, was returning to the medication cart after administering medications to Resident #86. Staff A reached into her pocket, removed the keys and unlocked the medication cart without…

    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 · D2023-12-06 · tag F0773 — isolated
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to promptly notify the physician or advanced registered nurse practitioner of critical laboratory results in accordance with professional standards of practice for 1 out of 3 residents reviewed for physician notification of laboratory results. (Resident #1) Findings include: Review of Resident #1's admission Record documented an admission date of 11/13/2023 with the following diagnoses: enterocolitis due to Clostridium difficile, unspecified kidney failure, unspecified urinary retention, unspecified dementia (unspecified severity without behavioral disturbances psychotic disturbance mood disturbance and anxiety), and Alzheimer's disease. Review of the physician order for Resident #1 dated 11/15/2023 read: CBC (complete blood count), CMP (comprehensive metabolic panel) in am. Review of the document titled Lab Results Report for Resident #1 reported date of 11/16/23 at 18:21 (6:21 PM) read: Comprehensive metabolic panel: Serum Glucose < 40 (Critical Low). Review of the electronic medical record documented no physician…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-12-06 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to maintain accurate and complete medical records for 1 out of 3 residents reviewed for advanced directives. (Resident #1) Findings include: Review of Resident #1's admission Record documented an admission date of [DATE] with the following diagnoses: enterocolitis due to Clostridium difficile, unspecified kidney failure, unspecified urinary retention, unspecified dementia (unspecified severity without behavioral disturbances psychotic disturbance mood disturbance and anxiety), and Alzheimer's disease. Review of the form titled Medical Certification for Medicaid Long Term Care Services and Patient Transfer [Also known as Form 3008] dated [DATE], reads, Section H: Advance Care Planning: Do Not Resuscitate (DNR) was not checked yes or no, left blank. Review of the form titled admission readmission Nursing Evaluation dated [DATE], at 18:17 (6:17 PM) authored by Staff A, Licensed Practical Nurse (LPN) reads, Section VIII: Baseline Care plan: Section B. Social…

    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 · E2023-04-20 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and policy and procedure review, the facility failed to ensure food is safely stored, covered, labeled, or discarded in the kitchen and 1 of 2 nourishment rooms. Findings include: During an observation of the kitchen conducted on 04/17/23 at 09:16 AM with the Certified Dietary Manager (CDM) of the walk-in cooler there was what appeared to be bulk ham, pork tenderloin, sliced cheese, and pre-packaged pancakes that were not in their original containers, did not have identifying labels and were not dated. On the counter and rack for clean pots and pans there were dirty cloths and scrub pads. An interview was conducted with the CDM on 4/17/23 at 9:23 AM. The CDM verified the bulk ham, pork tenderloin, sliced cheese, and pancakes in the walk-in cooler were not in their original packaging and did not have identifying labels or dates. The CDM confirmed that dirty cloths and scrub pads should not be placed on the counters or pot and pan rack. Review of the policy and procedure located in the Dietary Services Manual titled, Food Safety, last reviewed 12/2022,…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-20 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to ensure 1 residents, Resident #68, of 3 residents sampled for advance directives review received information related to the right to formulate an advance directive upon admission. Findings include: Record review of Resident #68's admission record showed Resident #68 was admitted to the facility on [DATE] with diagnoses that included history of sepsis, atherosclerotic heart disease of native coronary artery without angina pectoris, unspecified protein-calorie malnutrition, acute respiratory failure with hypoxia, dependence on renal dialysis, and end stage renal disease. Record review of Resident #68's admission Agreement on 4/18/2023 showed documentation Resident #68 had not been provided information related to the right to formulate an advance directive until 4/18/2023. During an interview on 4/18/2023 at 11:08 AM, the Administrator confirmed Resident #68 had not been provided an admission agreement that included information related to the right to…

    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 before2023-04-20 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    2. During an observation on 4/17/23 at 10:10 AM, Resident #78 was lying in bed, nasal cannula was in place, with the oxygen concentrator administering oxygen at 2.5 L/min [liters per minute]. During an observation on 4/18/23 at 12:20 PM, Resident #78 was sitting in her wheelchair, nasal cannula in place, with the oxygen concentrator administering oxygen at 2.5 L/min. During an observation on 4/19/23 at 8:08 AM, Resident #78 was lying in bed, nasal cannula in place, with the oxygen concentrator administering oxygen at 2.5 L/min. Review of the admission documented Resident #78 was admitted to the facility with a diagnosis of, but not limited to: hypertensive heart disease, with heart failure and shortness of breath. Review of the physician's order, dated 10/4/21, read O2 [oxygen] at 2L/min. via nasal cannula for shortness of Breath. During an interview on 4/19/23 at 8:10 AM, Resident #78 stated she did not change the level of her oxygen. During an interview on 4/19/23 at 8:55 AM, Staff A, LPN confirmed Resident #78's oxygen concentrator was administering oxygen at 2.5 L/min [liters…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-20 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional principles in 2 of 4 medication carts and failed to ensure all medications were stored in locked compartments to permit only authorized personnel to have access for 2 of 4 residents, Residents #13 and #68. Findings include: 1. During an observation of the North [NAME] Hall medication cart #2 conducted on [DATE] at 9:38 AM with Staff F, License Practical Nurse (LPN), there was one open Latanoprost ophthalmic solution with no open or expiration date and one expired bottle of Artificial Tears dated [DATE]. During an interview on [DATE] at 9:42 AM, Staff F, LPN stated, Eye drops should be dated when they are opened and if medication is expired, we should toss it. During an observation of North [NAME] Hall medication cart #1 conducted on [DATE] at 9:46 AM with Staff B, LPN there were three open bottles of Artificial…

    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

“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

$24,889 in federal fines across 2 penalties.

  • $9,620 — penalty dated 2025-01-30
  • $15,269 — penalty dated 2023-12-06

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 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 2 of 52.2-0.2 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 5Meadowpark Health And Rehabilitation CenterDunedin, FL 4 of 5Parkside Health And Rehabilitation CenterDeland, 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
RELUME CENTER HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 10/15/2023
BRITTON, MARKIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/29/2025
GROOMES, SAMUELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/14/2025
LYON, JULIETTEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 05/05/2023
ROOT, CALAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 05/05/2023
WILDES, DONNAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/28/2025
ASTON HEALTHCARE LLCOrganizationADP OF THE SNFsince 01/01/2022

CMS files one row per role, so the 10 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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.

$14.1M
Net patient revenuemost recent cost report
+22.6%
Operating marginrevenue minus expenses
$2.5M
Related-party expense23% of expenses
Who pays — share of resident-days
Medicaid 70%Medicare 11%Other / private 19%

This home reported $2.5M paid to related parties — landlords or management companies under common ownership — equal to about 23% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

$241per resident / day
operating cost
$7,316per month
≈ monthly operating cost
$311per 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 105855. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-23, 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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