Ambassador Healthcare At College Park

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

51.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 119 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 47.9% 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 165 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 0.60 therapist hours per resident per day in 2026Q1 — more than 88% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 107 beds and averages 94.9 residents a day — about 89% occupied, or roughly 12 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.57 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.17 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 3.29 hrs/resident/day on weekends vs 3.69 on weekdays — 11% thinner on weekends. RN hours go from 0.62 to 0.48 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection deficiencies

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

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.

40 citations, most serious first. The 15 most serious are shown; the remaining 25 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-02-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure 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 observation, clinical record review, review of facility's policies and procedures, resident representative and staff interviews, the facility failed to adequately supervise 1 (Resident #900) of 3 sampled residents with cognitive impairment, confusion and poor safety awareness to prevent unsafe wandering and elopement.On 11/28/25 at approximately 9:45 a.m., Resident #900 who was cognitively impaired, ambulatory, confused and had poor safety awareness walked past the unattended front desk of the facility and exited the building through the unlocked front door.Resident #900 crossed a two lane road and walked 0.5 mile to the dorm of a State College through uneven terrain and near water ponds. The college staff found Resident #900 wandering in the dorm, confused, unsteady and shaking. The college staff called EMS (Emergency Medical Services) and Resident #900 was transferred to a local Emergency Room.The facility staff were not aware of the resident's exit until 11/28/25 at approximately 10:35 a.m., when the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2026-02-13 · tag F0835 — failed to run the facility competently — isolated
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of facility's policies and procedures, clinical record review, resident representative and staff interviews, the facility administration failed to provide effective oversight and implement processes to ensure the safety of residents, including unsafe wandering and elopement of 1 (Resident #900) of 3 cognitively impaired and confused residents reviewed.On 11/28/25 at approximately 9:45 a.m., Resident #900 who was cognitively impaired, ambulatory, confused and had poor safety awareness walked past the unattended front desk of the facility and exited the building through the unlocked front door.Resident #900 crossed a two lane road and walked 0.5 mile to the dorm of a State College through uneven terrain and near water ponds. The college staff found Resident #900 wandering in the dorm, confused, unsteady and shaking. The college staff called EMS (Emergency Medical Services) and Resident #900 was transferred to a local emergency room (ER).The facility staff were not aware of the…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-04-30 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of facility's policies and procedures and staff interviews, the facility failed to protect the resident's rights to be free from neglect by failing to follow safety precautions specified in the care plan to prevent avoidable accident with injury for 1 (Resident #1) of 3 dependent residents reviewed. The findings included: Review of facility Policy titled Abuse, Neglect, Exploitation, Misappropriation, Mistreatment, Injury of unknown source and Investigations, effective date 4/01/22 revealed neglect is the failure of the facility, its employees or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish, or emotional distress. Review of facility Policy titled Nursing - Activities of Daily Living (ADL's), effective date 4/01/22 revealed its primary goal is to ensure all resident's needs are met in a manner that promotes their quality of life and preference. (3) A resident who is unable to carry out activities 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-04-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure 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 record review, review of facility's policies and procedures and staff interviews, the facility failed to provide care as specified in the care plan resulting in an avoidable fall with injury for 1 Resident #1) of 3 dependent residents reviewed. The findings included: Review of facility Policy titled Nursing - Activities of Daily Living (ADL's), effective date 4/01/22 revealed its primary goal is to ensure all resident's needs are met in a manner that promotes their quality of life and preference. (3) A resident who is unable to carry out activities of daily living shall receive the necessary services to maintain good nutrition, grooming, and personal and oral hygiene. Review of medical records revealed Resident #1 was admitted to the facility on [DATE] with diagnosis including Alzheimer's Disease (a progressive neurodegenerative disorder that primary affects the brain, causing a gradual decline in memory, symptoms affecting memory, thinking and social abilities), anxiety disorder (feeling of fear, dread…

  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
• Actual harm · Gcited before2022-04-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure 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 and record review the facility failed to implement adequate interventions and supervision to prevent incidents two incidents of joint dislocation for 1 (Resident #182) of 1 resident surveyed for injury of unknown origin. The findings included: Resident #182 is a [AGE] year old female admitted to the facility on [DATE]. The Quarterly Minimum Data Set (MDS) dated [DATE] showed the resident's Brief Interview for Mental Status (used to determine cognition level) was a 4, indicative of severe cognitive impairment. The resident required a two-person extensive assist with bed mobility and transfers. The resident also required extensive assistance with dressing and toileting. Review of the clinical record showed Unit Manager Staff I documented on 3/11/22 at 9:27 a.m. for 3/10/22 an Xray of the pelvis completed for Resident #182 showed a dislocation. The physician was notified a gave an order to send the resident to the hospital. Review of the hospital history and physical dated 3/10/22 showed Resident…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-04-15 · tag F0812 — failed to store, cook, and serve food safely — widespread
  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, review of facility policy and procedure and staff interview, the facility failed to store food in a sanitary manner, failed to maintain the kitchen and equipment in a sanitary manner, and failed to ensure staff washed their hands appropriately when handling sanitized dishes. These failures have the potential to cause food borne illness in residents receiving an oral diet.The findings included:Review of the facility policy and procedure for Equipment revised 9/2017 revealed, All foodservice equipment will be clean, sanitary and in proper working order. Procedures. All equipment will be routinely cleaned and maintained in accordance with manufacturer's directions and training materials . All food contact equipment will be cleaned and sanitized after every use . All non-food contact equipment will be clean and free of debris.Review of the facility policy and procedure for Ice, revised 9/2017 revealed, Ice will be prepared and distributed in a safe and sanitary manner. The Dining Services Director will coordinate with the Maintenance Director to ensure that the ice…

  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 · E2026-04-15 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure 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, record reviews, residents and staff interviews, the facility failed to follow the planned menu to meet the needs and preferences of 11 (Residents #75, #4, #31, #55, #23, #7, #58, #63, #33, #54, and #76) of 37 residents reviewed. The findings included: On 4/13/26 at 12:37 p.m., Resident #75 was observed having lunch. The meal ticket noted 3/8 cup of spicy pork tips, 1/2 cup of pinto beans, 1/2 cup of seasoned okra, 1 square of corn bread, 1 margarine, 1 snickerdoodle cookie, 6 ounces of tea of choice and peach parfait was subbed for doubled chocolate brownie. Observation of the meal revealed Resident #75 received an unidentified ground meat with gravy, mashed potatoes with gravy, a vegetable medley that included carrots and green beans.In an interview, Resident #75 stated that he did not like that type of food and requested that his meal tray be removed without eating any food item on the plate.On 4/14/26 at 11:30 a.m. through 12:45 p.m., observation of tray line for the lunch meal revealed the planned menu was not followed to meet the needs and preference 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-15 · 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, residents, resident's family members and staff interviews, the facility failed to provide housekeeping and maintenance services to ensure a safe, clean and comfortable environment in 5 (Rooms 121, 207, 209, 214 and 215) of 60 residents rooms observed. The findings included:On 4/12/26 at 8:30 a.m., observation during an initial tour revealed: room [ROOM NUMBER]: The floor planks in front of the air-conditioner were loose and lifting from the floor. A hole was observed to the right lower side of bed 207 A's footboard. room [ROOM NUMBER]: Several floor planks were taped down. room [ROOM NUMBER] A: The laminate of the bedside table was chipping, exposing the material underneath. The bedside table legs had a brown film and were soiled with dried up food residue. A telephone was hanging from the light fixture on the wall above the resident's bed. room [ROOM NUMBER] A: A wheelchair was observed with a stained wheelchair cushion. Food crumbs were observed on and underneath the cushion. On 4/14/26…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-15 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, resident and staff interviews, review of facility policy and procedure, the facility failed to provide assistance with showers and personal hygiene as outlined in the resident's care plan and according to residents' preferences for 4 (Residents #88, # 5, #49, and #65) of 5 dependent residents reviewed.The findings included:Review of the clinical record revealed Resident #88 was admitted on [DATE] and discharged on 3/24/26. The resident's diagnoses included: Cognitive impairment, and bowel and bladder incontinence. Review of the certified nursing assistant (CNA) documentation revealed Resident #88 was dependent for all care. Review of the CNA documentation for February 2026 revealed Resident #88 was scheduled for showers on the 3:00 p.m. to 11:00 p.m., shift on Tuesdays and Fridays. The documentation revealed on 2/20/26 and 2/24/26 Resident #88 did not receive his scheduled showers. On 2/27/27 the documentation showed he refused his shower. The documentation revealed no hygiene care 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-15 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and staff interview, the facility failed to ensure 1 (Resident #76) of 2 residents reviewed received necessary treatment and services to promote healing and prevent worsening of a pressure ulcer.The findings included:Review of the clinical record for Resident #76 revealed an admission date of 4/26/26.Review of the physician progress note dated 3/27/26 revealed that Resident #76 was treated during the hospital stay on 3/21/26 for a right buttock pressure ulcer.Review of the Nursing admission Evaluation completed on 3/26/26 and signed on 3/27/26 revealed documentation that no skin impairment was noted.Review of the wound report dated 4/12/26 revealed that Resident #76 had a facility acquired pressure wound to the sacrum measuring 4 centimeters in length by 2 centimeters in width. The form noted that the date acquired was 4/12/26.Review of the physician's orders dated 4/12/26 revealed to clean the right buttock wound every day shift with normal saline, apply calcium alginate (highly absorbent dressing which aids in faster healing) and cover with dry…

  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 before2026-04-15 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and staff interviews, the facility failed to follow the physician's orders for fluid restriction for 1 (Resident #75) of 2 residents reviewed for nutritional status.The findings included:Review of the clinical record for Resident #75 revealed an admission date of 2/23/26. Diagnoses included Acute Pulmonary Edema (excess fluid buildup in the lungs), heart failure.Review of the 5 Day Minimum Data Set (MDS) assessment with an assessment reference date of 3/2/26 revealed Resident #75 scored 8 of 15 on the Brief Interview for Mental Status, indicating moderate cognitive impairment. The resident required set up assistance with eating.The physician's orders dated 2/23/26 included to encourage the resident to comply with a fluid restriction of 1500 milliliters (ml) per day. Daily total from dietary 900 ml and 600 ml total from nursing.The baseline care plan dated 2/23/26 and the comprehensive care plan dated 2/23/26 did not include a focus, goal or interventions related to the fluid…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-13 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, review of facility's policy and procedure and staff interviews, the facility failed to maintain a medical record on 1 (Resident #900) of 3 residents reviewed that was completely and accurately documented.The findings included:Review of the facility's policy and procedure titled, Medical Records - Documentation with an effective date of 04/01/22 and a revision date of 11/25/2025 revealed, Nurse's notes shall be written on each resident by licensed/qualified nursing personnel and shall address the resident's conditions. Frequency of entries shall be dependent on individual residents' needs and any pertinent change in condition. Documentation of observations should be specific and objective. Each entry will be signed with the writer's name and credentials .Review of the clinical record for Resident #900 revealed an admission date of 11/5/25 and a discharge date of 12/6/25.Review of the admission Minimal Data Set (MDS) with an assessment reference date of 11/12/25 revealed Resident #900 scored 12 on the Brief Interview for Mental Status (BIMS), indicating…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-07-08 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, residents and staff interviews, the facility failed to provide timely assistance with dining for 2 (Residents #2 and #3) of 3 sampled dependent residents reviewed for dining services. The findings included: Review of the clinical record for Resident #2 revealed an admission date of 5/28/24. Diagnoses included Parkinson's Disease (a disorder of the central nervous system that affects movement). The admission Minimum Data Set (MDS) assessment with a target date of 5/29/24 noted Resident #2 required partial to moderate assistance to go from a lying to sitting position and supervision or touching assistance with eating (The helper provides verbal cues or touching/steadying assistance as the resident completes the activity). Resident #2's cognition was intact with a Brief Interview for Mental Status score of 13. On 7/8/2024 at 8:15 a.m., Resident #2 was observed lying supine in a low bed, eyes closed. A breakfast tray was observed on an over the bed table to the right side of the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-01-11 · tag F0812 — failed to store, cook, and serve food safely — widespread
  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, staff interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in a safe and sanitary manner. The findings included: Policy 027 dated 5/2014 with a revision date of 2017 for Equipment stated All food service equipment will be clean, sanitary, and in proper working order. All equipment will be routinely cleaned and maintained in accordance with manufacturer's directions and training materials; All staff members will be properly trained in the cleaning and maintenance of all equipment; All food contact equipment will be cleaned and sanitized after every use; All non-food contact equipment will be clean and free of debris; The dining services director will submit requests for maintenance or repair to the Administrator and or Maintenance Director as needed; Copies of service repairs and preventative maintenance reports will be submitted monthly. On 1/8/24 at 9:15 a.m., the Initial kitchen tour was conducted with the Certified Dietary Manager (CDM). Small appliances were dirty. Panini press had caked on food. Photographic…

  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 · Ecited before2024-01-11 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interviews, record review and review of facility policies and procedures, the facility of failed to provide the necessary care and services to maintain grooming and hygiene for 4 (Resident #8, #19, #38, and #60) of 8 residents reviewed for assistance with activities of daily living. The findings included: The facility policy and procedures, Nursing- Activities of Daily Living (ADLS) effective 4/1/22 documented To ensure all residents needs are met in a manner that promotes their quality of life and preferences . A resident who is unable to carry out activities of daily living shall receive the necessary services to maintain good nutrition, grooming and personal hygiene . 1. Review of the clinical record revealed Resident #8 had an admission date of 11/16/17 with diagnoses including hemiplegia and hemiparesis (weakness or inability to move on one side of the body) of the right side. The plan of care initiated on 1/16/23 and revised on 1/5/24 noted Resident #8 required…

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

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

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

Fines & penalties

$96,105 in federal fines across 2 penalties.

• $17,675 — penalty dated 2026-02-13
• $78,430 — penalty dated 2025-04-30

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 EXCELSIOR CARE GROUP — 33 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

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.

This home reported $2.7M paid to related parties — landlords or management companies under common ownership — equal to about 18% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in FL