Ft Lauderdale Health & Rehabilitation Center
2000 East Commercial Blvd, Fort Lauderdale, FL 33308 · For profit - Limited Liability company · 169 certified beds · (954) 771-2300 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- lower-than-typical staff turnover (33% vs 45% nationally) — better care continuity
- a high number of inspection citations overall (28) — 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
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 4 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
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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| 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 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 3.4% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 7.8% | 5.5% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.3% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 0.7% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 6.9% | 4.6% | 6.5% | typical |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 2.0% | 2.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 5.2% | 9.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 5.0% | 14.4% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 99.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.6% | 4.5% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 0.8% | 10.5% | 21.2% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 1.9% | 8.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.2% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 100.0% | 94.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 25.0% | 26.1% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 11.3% | 9.1% | 12.0% | typical |
| Long-stay hospitalizations per 1,000 resident days | 2.22 | 2.13 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.09 | 1.15 | 1.80 | better |
‡ 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.
51.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 192 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 60.7% 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 145 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 0.47 therapist hours per resident per day in 2026Q1 — more than 78% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 33% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 51.9%CMS range 45.0–58.8 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.8%CMS range 7.8–14.0 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 60.7% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 46.9% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 50.3% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 96.3% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 98.7% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.9% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.5% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 8.0%CMS range 5.3–11.3 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.30 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 169 beds and averages 161.0 residents a day — about 95% occupied, or roughly 8 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.99 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.82 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.48 is at or above 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 3.66 hrs/resident/day on weekends vs 4.13 on weekdays — 11% thinner on weekends. RN hours go from 0.90 to 0.60 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 33% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.
- Potential for harm · D2026-03-12 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record reviews, the facility failed to accurately assess residents for a psychiatric diagnosis for 1 of 2 sampled residents reviewed for Preadmission Screening and Resident Review (PASARR), Resident #15. The findings include:Record review revealed Resident #15 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnosis of Schizoaffective Disorder, Bipolar type and Major Depressive Disorder, recurrent, moderate. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident's Brief Interview of Mental Status (BIMS) score was 15, which indicates no cognitive impairment. Record review revealed Resident #15 had a diagnosis of bipolar disorder on 05/10/24, schizoaffective disorder, bipolar type on 05/10/24 and major depressive disorder, recurrent and moderate on 12/02/24. Record review revealed Resident #15 was admitted to the facility with a hospital discharge diagnosis of recent UTI [Urinary Tract Infection], with a history of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-03-12 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of policy and procedure, record review and interview, the facility's failed to ensure that it followed physician's orders and documented nursing interventions for a resident's elevated Blood Sugar Levels (BSL), when out of range, for 1 of 4 sampled residents reviewed for Nutrition, Resident #146.The findings included:Review of the facility's policy, provided by the Director of Nursing (DON), documented in the Policy Statement, as follows, Purpose: To provide guidelines for the safe administration of insulin to residents with Diabetes. Preparation:.3. The type of insulin dosage requirements, strength, and method of administration must be verified before administration, to assure that it corresponds with the order on the medication sheet and the physician's order. 4. The nurse shall notify the Director of Nursing Services and Attending Physician of any discrepancies, before giving the insulin.Steps in the Procedure (Insulin injections via Syringe).2. Check blood glucose per physician's order or…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-03-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and observation, the facility failed to accurately assess residents for safe smoking for 1 of 2 sampled residents reviewed for smoking, Resident #81. The findings included:The findings include:Record review revealed the facility's smoking evaluation contained the following assessment prompt: Resident smokes safely. (Does not allow ashes or lit material to fall while smoking, inhaling, or holding item. Remains alert and aware while smoking. Does not forget he/she is smoking or fall asleep holding item. Does not endanger self or others while smoking. Does not burn furniture, clothing, skin, self or others. Turns oxygen off prior to lighting cigarette. Smokes only in designated areas). Record review revealed Resident #81's last Quarterly MDS (Minimum Data Set) assessment dated [DATE] documented the resident had a Brief Interview for Mental Status (BIMS) score of 5/15, which indicates severe cognitive impairment. Further record review revealed Resident #81 was last evaluated as a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-03-12 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of policy and procedure, observation, interview and record review, the facility failed to ensure it performed Foley Catheter and Peri-care in a sanitary manner for 1 of 1 sampled residents observed, Resident #10.The findings included: Review of the facility's policy provided by the Director of Nursing titled, Urinary Catheter Care revised on September 2014, documented in the Policy Statement: The purpose of this procedure is to prevent catheter-associated urinary tract infections.Preparation: 1. Review the resident's care plan to assess for any special needs of the resident.General Guidelines: 1. Following aseptic.technique.Infection Control: 1. Use standard precautions when handling or manipulating the drainage system. 2. Maintain clean technique when handling or manipulating the catheter, tubing, or drainage bag.Steps in the Procedure:.7. Wash the resident's genitalia and perineum thoroughly with soap with water. Rinse the area well and towel dry. 8. Pour wash water down the commode. Flush the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-12 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record reviews, the facility failed to follow oxygen orders and ensure the MDS (Minimum Data set) assessment was accurate. for 1 of 2 sampled residents reviewed for oxygen therapy (Resident #79). which has the potential to affect 8 residents on oxygen therapy; and the facility failed to obtain physicians order for oxygen therapy administration for 1 of 2 sampled residents reviewed for oxygen therapy (Resident #138).The findings included:Review of the facility policy titled Oxygen Administration provided by the Director of Nursing (DON) revised October 2010 documented in the Policy Statement: The purpose of this procedure is to provide guidelines for safe oxygen administration. Preparation: 1. Verify that there is a physician's order for this procedure. Review the physician's orders or facility protocol for oxygen administration. 2. Review the resident's care plan to assess for any special needs of the resident.Documentation: after completing the oxygen setup or adjustment,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-12 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 reviews, the facility failed to accurately reconcile controlled medications and failed to ensure discontinued controlled medications were removed from the medication cart for 3 of 12 sampled residents reviewed for controlled medications reconciliation, Resident #37, Resident #172 and Resident #156. The findings included: Review of the facility's policy titled, Controlled Substances, dated December 2012, included the following: The facility shall comply with all laws, regulations, and other requirements related to handling, storage, disposal, and documentation of Scheduled II and other controlled substances. 4. If the count is correct, an individual resident controlled-substance record must be made for each resident who will be receiving a controlled substance. Do not enter more than one (1) prescription per page. This record must contain: a. Name of the resident;b. Name and strength of the medication. 1. Record review for Resident #37 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.
- Potential for harm · D2026-03-12 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of policy and procedure, observation, interview and record review, the facility failed to 1) ensure that it secured and locked three (3) over-the-counter (OTC) topical cream medication tubes for the sampled residents observed, Resident #138, 2) to promptly discard one (1) expired OTC topical cream medication tubes for Resident #138. 3) secure and lock the Medication cart located on the South wing, for 1 of 8 Medication carts observed, 4) properly label topical medications stored in Medication Storage rooms on the second floor for 1 of 6 Medication Storage rooms observed.The findings included:Review of the facility policy and procedure titled Storage of Medication provided by the Director of Nursing (DON) revised [DATE] documented in the Policy Statement: The facility shall store all drugs and biologicals in a safe, secure and orderly manner.2. The nursing staff shall be responsible for maintaining medication storage AND preparation areas in a clean, safe, and sanitary manner.4. The facility shall…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-03-12 · tag F0803 — failed to meet residents' dietary needs — isolatedEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — the official record, unedited, may be distressing
Based on observations, interviews and record reviews, the facility failed to follow the approved menu for lunch on 03/11/26. The deficient practice had the potential to affect 90 residents with orders for regular texture foods. The census at the time of the survey was 161 residents. The findings included:A review of records indicated that the approved lunch menu for March 11, 2026, specified a 3-ounce serving of 'Pork Chop BBQ' for residents.During a kitchen observation conducted on March 11, 2026 at 11:27 AM, with the Food Service Director (FSD) present, it was observed that the pork that was plated to be served consisted of thinly sliced, bone-in pork chop portions. Upon request from the surveyor, the FSD weighed a portion of the plated pork, which measured 2.5 ounces including the inedible bone.The FSD acknowledged these findings at the time of observation and subsequently instructed staff to add an additional half portion of pork chop to each plate to ensure a total serving of 3 ounces of Pork Chop BBQ was provided.
- Potential for harm · Dcited before2026-03-12 · tag F0808 — failed to follow doctor-ordered diets — isolatedEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
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 serve food in appropriate form to meet the needs of 1 of 43 residents with orders for mechanical soft foods, Resident #72. The findings included:Record review for Resident #72 revealed an admission date to the facility on [DATE]. According to Resident #72's most recent complete assessment, a Quarterly Minimum Data Set, with a reference date to the facility on [DATE], the resident had a Brief Interview for Mental Status score of 07, indicating the resident had severe cognitive impairment. Resident #72's diagnoses at the time of the assessment included: Non-Alzheimer's Dementia, Malnutrition, Chronic lung disease, Gastro-esophageal reflux disease (GERD). The assessment documented that the resident experienced 'complaints of pain when swallowing' during the 7-day look back period. Record review revealed Resident #72's diet orders included: Regular diet, Mechanical Soft texture, Thin consistency - 10/24/23 with a revision date of 10/31/25…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-03-12 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
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 clean and disinfect the glucometer as per manufacturer's instructions and properly perform hand hygiene for 1 of 1 sampled resident reviewed for blood glucose monitoring (Resident #197). The facility also failed to implement measures for infection control practices during intravenous (IV) antibiotic therapy for 1 of 1 sampled resident reviewed for infection control (Resident #175). The findings included: Review of the facility's policy titled, Obtaining a Fingerstick Glucose Level, dated October 2011, included the following:Purpose: The purpose of this procedure is to obtain a blood sample to determine the resident's blood glucose level.Steps in the Procedure:3. Always ensure that blood glucose meters intended for reuse are cleaned and disinfected between resident uses. 18. Clean and disinfect reusable equipment between uses according to the manufacturer's instructions and current infection control standards of practice. 19. Remove…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 18 citations
- Potential for harm · Dcited before2025-10-02 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
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 reviews, the facility failed to ensure infection control practices were implemented, as evidenced by Enhanced Barrier Precautions (EBP) for infection control for perineal care for 1 of 1 perineal care observation, Resident #5; failed to follow professional standards of practice for 1 of 1 wound care observation, Resident #5; and failed to follow the Center for Disease Control (CDC) guidelines for Enhanced Barrier Precautions (EBP) for 14 of 14 residents on Enhanced Barrier Precautions (EBP). The findings included: Review of the CDC guidance related to EBP documented the following: Everyone must clean their hands, including when both entering and leaving the room. (https://www.cdc.gov/long-term-care facilities/media/pdfs/) A review of facility's policy titled, Enhanced Barrier Precautions revised 07/2025, documented the following: Staff shall be adequately trained in various aspects of EBP to ensure appropriate decision making in various clinical situations (2). EBP…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-06-30 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, the facility failed to provide a safe, clean, comfortable and homelike environment for 9 out of 100 rooms and elevator areas.The findings included:1). On 06/30/2025 at 2:20 PM, an observation revealed that room [ROOM NUMBER] and 51 had no toilet tissue. Further observations revealed room [ROOM NUMBER]'s floor, near the bathroom door, was ladened with dirt and had numerous dark gray spots.2). On 06/30/2025 at 2:45 PM, an observation revealed that there were food crumbs on the floor of room [ROOM NUMBER], near the resident, and the paint was scuffed and peeling off the lower bathroom door.3). On 06/30/2025 at 2:51 PM, an observation revealed that room [ROOM NUMBER] had multiple flies on the residents' bed and furniture. During the observation, the resident expressed the need to get rid of all the flies.4). On 06/30/2025 at 3:05 PM, an observation revealed that the soap dispenser of bathroom [ROOM NUMBER] was broken and placed above the toilet on a PVC pipe and unreachable.5).…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-09-19 · tag F0803 — failed to meet residents' dietary needs — patternEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, it was determined that the approved menu and portion sizes were not followed for 137 of 145 facility residents who eat by mouth. The findings included: During the review of the approved menu for the lunch meal of 09/18/24, it was noted the following entrées were documented to be served: Regular Diet: Shrimp Fried [NAME] (4 ounces of Shrimp) Mechanical Soft Diet: Ground Sauteed Shrimp (4 ounces) Pureed Diet: Pureed Sauteed Shrimp (4 ounces) Consistent Carbohydrate Diet: Shrimp Fried [NAME] (4 ounces of Shrimp) No Added Salt Diet: Shrimp Fired [NAME] (4 ounces of Shrimp) Renal Diet: Salisbury Steak (4 ounces beef) During the observation of the lunch tray line in the main kitchen on 09/18/24 at 12:15 PM, it was noted that Breaded Popcorn Shrimp was being served over cooked rice for the entrees. Interview with the Certified Dietary Manager (CDM) at the time of the observation was noted to state that plain non-breaded Shrimp was not delivered, and the Breaded Popcorn Shrimp was substituted. During the tray line observation, a random…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-09-19 · tag F0636 — isolatedAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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 review of policy and procedure, observation, interview and record review, the facility failed to ensure that the MDS (Minimum Data Set) Resident Comprehensive Assessment was completed in a timely manner for 6 of 42 sampled residents reviewed for MDS Assessments, (Resident #77, Resident #40, Resident #24, Resident #33, Resident #39, and Resident #23). The findings included: Review of the facility policy and procedure titled, MDS Completion and Submission Timeframes revised July 2017 and provided by the Director of Nursing (DON) documented in the Policy Statement: Our facility will conduct and submit resident assessments in accordance with current federal and state submission timeframes. Policy Interpretation and Implementation 1. The Assessment Coordinator or designee is responsible for ensuring that resident assessments are submitted to CMS' QIES Assessment Submission and Processing (ASAP) system in accordance with current federal and state guidelines. 2. Timeframes for completion and submission of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-09-19 · tag F0687 — failed to care for feet properly — isolatedProvide appropriate foot care.
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 residents received foot care (Podiatry) in a timely manner for 2 of 2 sampled residents reviewed for Podiatry Care (Resident #4 and #130). The findings included: 1) Review of Resident #4's clinical record documented an admission to the facility on [DATE] with no readmissions. The resident's diagnoses included Heart Failure, Generalized Anxiety Disorder, Dementia, Peripheral Vascular Disease, Venous Insufficiency (Chronic) Muscle Weakness and Difficulty in Walking. Review of Resident #4's Minimum Data Set (MDS) quarterly assessment dated [DATE] documented a Brief Interview of the Mental Status (BIMS) score of 10, indicating that the resident had moderate cognition impairment. The assessment documented under Functional Abilities and Goals that the resident was dependent on the staff to complete the activities of daily living including putting footwear on, dressing and bathing. Review of Resident #4's care plan titled [Resident Name]…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-09-19 · tag F0808 — failed to follow doctor-ordered diets — isolatedEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations and interviews, the facility failed to obtain a variety of Gluten Free products to honor 1 of 1 sampled resident reviewed for Therapeutic Gluten Free Modified Diet (Resident #130). The findings included: Review of Resident #130's clinical record documented an admission to the facility on [DATE] with no readmissions. The resident's diagnoses included Celiac Disease, Vitamin Deficiency, Muscle Weakness, Sepsis, Osteomyelitis of Vertebra, and Pressure Ulcer of Sacral Region. Review of Resident #130's Minimum Data Set assessment dated [DATE] documented a Brief Interview Mental Status score of 15, indicating that the resident had no cognition impairment. The assessment documented under Functional Abilities and Goals that the resident was dependent on the staff for most of his Activities of Daily Living (ADLs). Review of Resident #130's care plan titled [Resident name] is at risk for an alteration in: nutrition and/or hydration related to: receives therapeutic diet-gluten free, has…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-09-19 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure 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 record review, it was determined that, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 123 of the 145 facility residents, who eat food by mouth. The findings included: 1) During the initial kitchen/food service observation tour conducted on 09/16/24 at 9 AM and accompanied with the facility Certified Dietary Manager (CDM), the following were noted: (a) Observation of the food preparation sink noted that two 10-pound plastic sleeves of ground beef were thawing in a large pan that had running water flowing into the pan. Further observation noted that the cold-water faucet was tuned on full capacity, however the water felt lukewarm to the touch. At the request of the surveyor, the temperature testing of the running water was taken with the facility's calibrated digital food thermometer. The test noted that the temperature of the running water coming from the top of the cold-water faucet was recorded at 80.9 degrees Fahrenheit. A second testing recorded 5 minutes…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-10-04 · tag F0622 — isolatedNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
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 reviews, the facility failed to provide an appropriate discharge and failed to provide discharge documents in a language that the resident can understand for 1 of 1 sampled resident reviewed for discharge rights (Resident #1). The findings included: Review of the facility's policy titled Transfer or Discharge Documentation, revision date January 2023 revealed the following: Each resident will be permitted to remain in the facility and not be transferred or discharged unless the transfer or discharge is necessary for the resident's welfare and the resident's needs cannot be met in the facility. If a resident exercises his or her right to appeal the transfer or discharge notice, he or she will not be transferred or discharged while the appeal is pending. If the resident is being transferred or discharged because his or her needs cannot be met at the facility, the facility must document why the needs cannot be met. Resident #1 was admitted to the facility on [DATE] and was discharged…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-10-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to prevent elopement by not educating staff in identifying residents at risk for elopement for 1 of 2 sampled residents reviewed for elopement (Resident #1). The findings included: Review of the facility's policy titled Wandering, Unsafe Resident, revision date October 2023 revealed the following: The staff will identify residents who are at risk for harm because of unsafe wandering (including elopement). The staff will assess at-risk individuals for potentially correctable factors related to unsafe wandering. If the resident was not authorized to leave, page CODE PINK, initiate a search of the building and premises. Review of the facility's policy titled Elopements, revision date October 2023 revealed the following: Staff shall promptly report any resident who tries to leave the premises or is suspected of being missing to the Charge Nurse or Director of Nursing. Resident #1 was admitted to the facility on [DATE] for rehabilitation services. Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-10-04 · tag F0940 — failed to train staff — isolatedDevelop, implement, and/or maintain an effective training program for all new and existing staff members.
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 reviews, the facility failed to develop, implement, and maintain an effective elopement training program for all new and existing staff. The facility failed to have effective communication training on the appropriate steps to take if an elopement occurs for 1 of 2 sampled residents reviewed for elopement (Resident #1). The findings included: Review of the facility's Elopement Guidelines for a missing resident who was seen leaving the premises provided by the facility's Administrator on 10/04/23 showed the following: Employees should attempt to prevent the departure courteously. Get help from other staff members in the immediate vicinity. Page CODE PINK to the designated area of the facility. Notify the Supervisor and Unit Manager that a resident left the premises. Print the Face sheet and picture of the resident. If the resident has already been identified to be at risk for elopement, obtain the copies from the Elopement Binder located at each nurse's station and on the 1st floor…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-06-29 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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 housekeeping and maintenance service in residential room areas (First Floor & Third Floor), and the the commercial laundry area. The findings included: 1) During resident screenings conducted by the surveyors on 06/26/23 and environment tour conducted on 06/29/23 at 10 AM, accompanied with the facility's Director of Housekeeping and Director of Maintenance, the following were noted: room [ROOM NUMBER] - The large room window shade/covering was noted to be heavily soiled and large stained areas; and the bathroom floor noted to be stained and soiled. room [ROOM NUMBER] - Room floor heavily soiled and stained. room [ROOM NUMBER]: Exteriors of resident overbed tables (2) noted to be in disrepair and exposed areas of raw wood. Heavy urine odor in room. room [ROOM NUMBER]: Room floor heavily soiled and stained, and room entry door frame in disrepair. room [ROOM NUMBER]: Light fixture cover located over room sink noted to be in disrepair and resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-06-29 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview, it was determined that the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety that included sanitation issues in the main kitchen , and sanitation issues during meal service in the main dining room. The findings included: 1) During the initial kitchen/food service sanitation tour conducted on 06/26/23 at 9 AM, accompanied with the Food Service Director (FSD), the following were noted: (a) The top of the walk-in refrigerator door frame was full of condensation. Further observation noted that the condensation was dripping down onto the floor area with the unit. The surveyor discussed with the FSD that the dripping condensation could drip onto foods and staff going in and out of the unit and result in potential food contamination. (b) Observation of the walk-in freezer noted that there was a 40 pound box of raw chicken that was not covered and exposed to the air. Further observation noted that the chicken was freezer burned and the surveyor requested that the chicken be…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-06-29 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews the facility failed to provide care to maintain resident's dignity for 2 of 2 sampled residents reviewed for Dignity (Resident #62 and #26). The findings included: Review of the facility's policy titled Quality of Life-Dignity, last revision date August 2009 revealed the following: Each resident shall be cared for in a manner that promotes and enhances quality of life, dignity, respect, and individuality. Residents shall be treated with dignity and respect at all times. Treated with dignity means the resident will be assisted in maintaining and enhancing his or her self-esteem and self-worth. Residents shall be groomed as they wish to be groomed. Demeaning practices and standards of care that compromise dignity are prohibited. Staff shall promote dignity and assist residents as needed by promptly responding to the resident's request for toileting assistance. 1) During a tour of the facility conducted on 06/27/23 at 2:50 PM, the surveyor observed Resident #62…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-06-29 · tag F0561 — failed to honor residents' choices — isolatedHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations and interviews, the facility failed to promote and facilitate self-determination for 2 of 2 sampled residents (Resident #33 & #111). Specifically, assist the resident in choices for getting out of bed for Resident #33; the facility failed to provide showers for resident per shower schedule/preferences and failed to properly use the mechanical (Hoyer) lift for Resident #111. The findings included: Review of the facility's policy titled Requesting, refusing, and/or Discontinuing Care or Treatment revised on 12/2016 documented resident have the right to request, refuse .if a resident requests .refuses care .determine why .try to address the resident's concerns and discuss alternative options .detailed information relating to the request, refusal .will be documented in the residents medical record .documentation .shall include date and time of the care or treatment attempted .type of care .resident's response and stated reasons (s) for request .refusal . Review of the facility's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-06-29 · tag F0676 — failed to keep up residents' daily-living abilities — isolatedEnsure 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 provide care and services to ensure self feeding ability did not diminish for 3 (Resident's #123, #133, and #451) of 8 sampled residents reviewed for nutrition. The findings included: 1) Observation of the breakfast meal on 06/28/23 at 8:45 AM noted the tray served to the room of Resident #451. Resident #451 was observed to be alert with confusion , and noted sitting in wheelchair with the breakfast tray on the overbed table. Further observation noted that the overbed table was too far for the resident to reach. This was due to the frame of the wheelchair and overbed table did not permit the tray to come any closer to the resident. Further observation over the next 20 minutes noted that no nursing staff entered the room to assist or supervise the resident with eating the breakfast meal. During the observation the resident was noted to only drink a few sips of milk via straw. It was noted that the tray was taken away from 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.
- Potential for harm · D2023-06-29 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide 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 observation, interview, and record review, the facility failed to provide necessary services to maintain good nutrition for 1 (Resident #135) of 8 sampled residents, who is unable to self feed. The findings included: During the initial screening of Resident #135 on 06/26/23, it was noted that the resident receives nutrition via Enteral Feeding and also eats foods by mouth. Attempts to interview the resident during the screening noted that she was alert with cognitive deficit. A review of the clinical record of Resident #135 on 06/26-27/23 noted the following: Date Of admission: [DATE] Diagnoses: : Anemia, Cerebral Infarction, Dementia, Abnormal Weight Loss, Failure to Thrive, Congestive Heart Failure, and Gastro Hemorrhage. Current Physician Orders: 06/3/23: Enteral Feed of Jevity 1.5 at 75 cc/hr x 16 hours on at 6pm off at 10am 05/2/23: Pleasure Food Pureed At Lunch & Dinner. 06/03/23: Flush Peg with 150 ml Water Every 4 Hours * Weight History: 06/22/23: 101# 05/19/23: 104# 05/05/23: 109 # 04/19/23:…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-06-29 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide quality care in a timely manner for 1 of 1 sampled residents reviewed for Quality of Care, Resident #402. The failure existed due to the untimely removal of staples which were present in Resident #402's scalp for approximately 25 days. The findings included: During the initial tour of the facility conducted on 06/26/23 at 10:50 AM, Resident #402 was observed lying awake in his bed with his wife at his bedside. Resident #402 was unable to answer the surveyor's questions, but his wife agreed to be interviewed. She stated Resident #402 had suffered a fall at home on [DATE] and was admitted to the hospital, where he had two staples placed for a scalp laceration sustained during the fall. She stated the hospital had instructed her to have Resident #402 see his primary care doctor or return to the hospital emergency department in one week for removal of the staples. She further stated since Resident #402 was admitted to the facility,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-06-29 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide adequate catheter care for 1 of 1 sampled residents reviewed for Catheter Care, (Resident #401), as evidenced by, lack of privacy, use of gloved hands to close the privacy curtain and door and then using the same gloves to begin cares, use of sterile gloves to search the resident's room for supplies, not having supplies ready/available for use, removing the sterile gloves and using regular/clean gloves to perform the rest of the catheter change, keeping the regular/clean gloves in the pocket for use, lack of catheter securing device. The findings included: Review of the facility's policy titled Catheter Care, Urinary, revised in September 2014 documented the following: The purpose of this procedure is to prevent catheter-associated urinary tract infections. Following aseptic insertion of the urinary catheter, maintain a closed drainage system. If breaks in aseptic technique occur, replace the catheter and collecting system using…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| FTL HEALTH LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 10/15/2017 |
| AMSELEM, ALEX | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | since 01/31/2019 |
| YANES-ARTILLES, BARBARA | Individual | W-2 MANAGING EMPLOYEE | — | since 07/22/2019 |
1 organizational owner 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.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in FL
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Florida Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 105298. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-12, 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.