Aviata At North Florida

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.

53.3% 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 35 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 58.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 55 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 0.20 therapist hours per resident per day in 2026Q1 — more than 23% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% 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 120 beds and averages 98.8 residents a day — about 82% occupied, or roughly 21 beds typically open. It usually has some room. 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 3.69 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.37 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.38 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 3.55 hrs/resident/day on weekends vs 3.75 on weekdays — 5% thinner on weekends. RN hours go from 0.41 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 60% is well above 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 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.

38 citations, most serious first. The 17 most serious are shown; the remaining 21 are one tap away and print in full.

• Immediate jeopardy · K2025-10-10 · tag F0726 — failed to have competent, trained nursing staff — pattern
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure 2 of 6 reviewed licensed practical nurses (Staff H, and Staff J) had the specific competency requirements as part of their license and certification to administer IV (intravenous) medications, and 4 of 6 reviewed licensed practical nurses (Staff A, Staff B, Staff E, and Staff G) failed to follow the policy/procedure related to IV medication administration, physician notification, and obtaining stat [derived from the Latin word statim, meaning immediately] orders for medication and equipment for 3 of 3 residents reviewed for intravenous antibiotic medication (Residents #1, #3, and #4), the facility failed to ensure 4 of 6 licensed practical nurses (Staff A, Staff B, Staff J, and Staff L) failed to follow physician-ordered parameters for blood pressure medications for 1 of 3 residents reviewed for medication administration (Resident #2). The facility failure to ensure the nursing staff had appropriate IV (intravenously) certification to administer…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2025-10-10 · 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 interview and record review, the facility failed to ensure all residents were free from medical neglect by failing to ensure staff implemented the policies and procedures for medication administration for 1 of 3 residents reviewed for intravenous (IV) antibiotic medication administration (Resident #1). The facility failure to ensure residents were free from medical neglect by failing to ensure residents were free from significant medication errors when the residents were not administered the prescribed antibiotics per the physician order and failure to ensure the nursing staff had appropriate IV (intravenously) certification to administer IV medications and follow the policy/procedure related to medication administration, physician notification, obtaining stat [derived from the Latin word statim, meaning immediately] orders for medication and equipment, resulted in Immediate Jeopardy. Resident #1 was admitted on [DATE] with physician orders for Vancomycin 1500 mg IV every 8 hours intravenously for…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-10-10 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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 ensure residents were free from significant medication errors when the facility failed to ensure residents were administered physician ordered antibiotics for 1 of 3 residents reviewed for intravenous (IV) antibiotic medication (Resident #1). The facility failure to ensure residents were free from significant medication errors when the residents were not administered the prescribed antibiotics per the physician order resulted in Immediate Jeopardy. Resident #1 was admitted on [DATE] with physician orders for Vancomycin 1500 mg IV every 8 hours intravenously for infection (osteomyelitis, an infection in the bone). On 9/8/2025 at approximately 10:00 PM, Resident #1 was administered one incorrect dose of Vancomycin 1000 mg. Resident #1 was not administered any further doses of Vancomycin 1500 mg until 9/12/2025 at 12:00 AM. Resident #1 missed 8 doses of Vancomycin between 9/9/2025 and 9/12/2025. On 9/11/2025, Resident #1 began to experience a change in…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-11-19 · 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

  Based on interview, record review, and review of policy and procedures, the facility failed to ensure the residents were free from medical neglect by failing to implement the policies and procedures for neglect for 1 (Resident #1) of 3 residents reviewed for insulin administration. On 10/6/2024 at 6:00 AM, Resident #1 had a blood sugar value of 552 and the on-call provider was notified of the value and the resident stated he was refusing medications until he received the proper insulin. Staff A, Licensed Practical Nurse, (LPN), did not communicate to Staff B, LPN or transcribe the new orders into the medical record for the increase in insulin and the addition of sliding scale insulin coverage. Staff B, LPN, assumed care of Resident #1 at 7:00 AM on 10/6/2024 and did not follow up with the provider. Staff B, LPN, did not reassess Resident #1's blood glucose or address the need for any orders. Resident #1 called 911 at approximately 6:30 PM, Emergency Medical Services (EMS) contacted the facility, spoke with Staff B, LPN, who instructed EMS the resident did not need help. Again at…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-11-19 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide 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

  Based on interview, record review, and review of policy and procedures, the facility failed to ensure residents who required insulin administration received treatment in accordance with professional standards of practice by failing to notify and immediately consult with the resident's physician when a resident suffered elevated blood glucose levels. On 10/6/2024 at 6:00 AM, Resident #1 had a blood sugar value of 552 and the on-call provider was notified of the value and the resident stated he was refusing medications until he received the proper insulin. Staff A, Licensed Practical Nurse, (LPN), did not communicate to Staff B, LPN or transcribe the new orders into the medical record for the increase in insulin and the addition of sliding scale insulin coverage. Staff B, LPN, assumed care of Resident #1 at 7:00 AM on 10/6/2024 and did not follow up with the provider. Staff B, LPN, did not reassess Resident #1's blood glucose or address the need for any orders. Resident #1 called 911 at approximately 6:30 PM, Emergency Medical Services (EMS) contacted the facility, spoke with Staff B,…

  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 · J2024-11-19 · tag F0835 — failed to run the facility competently — isolated
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of policies and procedures, the facility administration failed to administer the facility in a manner that enables it to use its resources effectively and efficiently to attain and maintain the highest practicable physical wellbeing of each resident by failing to implement policy and procedures for medical neglect and resident change of condition. On 10/6/2024 at 6:00 AM, Resident #1 had a blood sugar value of 552 and the on-call provider was notified of the value and the resident stated he was refusing medications until he received the proper insulin. Staff A, Licensed Practical Nurse, (LPN), did not communicate to Staff B, LPN or transcribe the new orders into the medical record for the increase in insulin and the addition of sliding scale insulin coverage. Staff B, LPN, assumed care of Resident #1 at 7:00 AM on 10/6/2024 and did not follow up with the provider. Staff B, LPN, did not reassess Resident #1's blood glucose or address the need for any orders. Resident #1 called 911 at approximately 6:30 PM, Emergency Medical Services (EMS)…

  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
• Immediate jeopardy · J2024-11-19 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to utilize the Quality Assessment and Performance Improvement (QAPI) process to investigate, develop, and implement an effective performance improvement plan (PIP) when investigating neglect, change of condition, notification of providers and not following physician orders for Resident #1, placing all 27 residents who were prescribed long and short acting insulin at risk. On 10/6/2024 at 6:00 AM, Resident #1 had a blood sugar value of 552 and the on-call provider was notified of the value and the resident stated he was refusing medications until he received the proper insulin. Staff A, Licensed Practical Nurse, (LPN), did not communicate to Staff B, LPN or transcribe the new orders into the medical record for the increase in insulin and the addition of sliding scale insulin coverage. Staff B, LPN, assumed care of Resident #1 at 7:00 AM on 10/6/2024 and did not follow up with the provider. Staff B, LPN, did not reassess Resident #1's blood glucose or address the need for any orders. Resident #1 called 911 at approximately 6:30…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-06-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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

  Based on observation, interview, and record review, the facility failed to ensure safe use of a mechanical lift for 2 (Resident #4 and #13) of 3 residents reviewed for accidents. Findings include: During an observation on 6/2/2026 at 8:42 AM Resident #4 was lying on his bed on top of a Hoyer pad. Staff K, Certified Nursing Assistant (CNA), was standing on the right side of the resident's bed with a mechanical lift. The mechanical lift hand bags were observed to be over the resident. No other staff member was in the room. During an interview on 6/2/2026 at 8:47 AM, Staff K, CNA, stated, I was weighing [Resident #4's name]. Normally for weights, it is only one person using the Hoyer lift. Review of Resident #4 care plan undated documented, Hoyer lift with 2 asst [assist]. During an interview on 6/4/2026 at 10:19 AM, the Director of Nursing stated, When using the Hoyer lift, staff know it is two people at all times. They know that. That is the policy that they need two. It has been two person assist for years and they know that. I don't know why they would say that [staff verbalized…

  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 no plan of correction
• Potential for harm · Ecited before2026-06-05 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility failed to follow professional standards of practice for oxygen and nebulizer treatments for 4 (Resident #29, #55, #56 and #88) of 8 residents reviewed for respiratory services. Findings include: During an observation on 6/1/2026 at 9:41 AM Resident #56 was sitting up in bed. Oxygen was being administered via nasal cannula at 4 liters per minute. The oxygen tubing was dated 5/22. [photographic evidence obtained] During an observation on 6/2/2026 at 8:10 AM Resident #56 was lying in bed with eyes closed. Oxygen was being administered via nasal cannula at 4 liters per minute. Tubing was dated 5/22. Review of Resident #56's physician order dated 4/2/2026 read, Respiratory: Oxygen-Continuous 4L nasal cannula. During an interview on 6/3/2026 at 11:40 AM, Staff J, Licensed Practical Nurse (LPN), confirmed resident was being administered oxygen and tubing was dated 5/22. During an interview on 6/3/2026 at 11:41 AM, Staff J, LPN, stated, The oxygen tubing…

  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 no plan of correction
• Potential for harm · E2026-06-05 · tag F0698 — failed to provide proper dialysis care — pattern
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  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 ensure ongoing communication and collaboration between the facility and the dialysis provider for 2 of 3 residents [Resident #8 and Resident #82] reviewed for dialysis services. Findings Include: Record review of Resident #8's admission record revealed Resident #8 was admitted to the facility on [DATE] with medical diagnoses that included hemiplegia, affecting left nondominant side, and end stage renal disease. Review of Resident #8's physician order dated 12/14/2025 reads, Hemodialysis - Dialysis on Tuesday, Thursday, & Saturday [name of dialysis provider]; Pickup time 6:00 a.m. chair time is 7:00 a.m. During an interview on 06/03/2026 at 10:24 AM, Staff H, LPN (Licensed Practical Nurse) stated, We communicate with the dialysis nurses via a communication book, and we can report pertinent issues in the book. LPN provided Resident #8's dialysis communication book to the surveyor. Review of Resident #8's Hemodialysis Communication Record dated…

  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 no plan of correction
• Potential for harm · E2026-06-05 · tag F0925 — failed to control pests — pattern
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure a sanitary environment by effectively preventing and controlling pest activity. Multiple live pests were observed on two out of four hallways and in common areas in the facility. Residents voiced complaints regarding recurring pest sightings, creating an environment with the potential to adversely affect resident health, safety, dignity, and quality of life. Findings include: During an interview on 6/01/2026 at 9:45 AM, Resident #79 stated that he often saw live roaches in his room. Even though the facility had pest control, they still had roaches. During an observation on 6/01/2026 at 9:45 AM a live small brown pest was observed on the floor next to resident #79's bed. (photographic evidence) During an observation of Resident #96's room on 6/01/2026 at approximately 9:35 AM, there were a couple of feet of loose baseboard on the wall behind his bed. (photographic evidence) During an observation on 06/01/2026 at 10:35 AM, Two live, brown insects approximately one half to one inch long, with oval shaped…

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

  Environmental Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · Dcited before2026-06-05 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to ensure resident assessments were completed accurately to reflect the resident's status for 4 (Resident #3, #15, #19, and #56) of 13 residents reviewed. Findings include: Review of Resident #3's Minimum Data Set (MDS) titled Medicare 5 Day dated 5/7/2026 Section O Special Treatments, Procedures, and Programs did not document oxygen use. Review of Resident #3's physician order dated 4/28/2026 read, Oxygen As Needed PRN [as needed] 2L [liters] nasal cannula every 24 hours as needed 2L PRN. Review of Resident #3's Weights and Vital Summary for Oxygen Saturation documented on 5/7/2026 at 09:14 [9:14 AM] oxygen saturation was 97 % (oxygen via nasal cannula), on 5/7/2026 at 1:45 [1:45AM] oxygen saturation was 98% (oxygen via nasal cannula), on 5/6/2026 at 14:42 [2:42PM] oxygen saturation was 97% (oxygen via nasal cannula), on 5/5/2026 at 08:36 [8:36AM] oxygen saturation was 97% (oxygen via nasal cannula), on 5/5/2026 at 1:27 [1:27AM] oxygen saturation was 98% (oxygen via nasal cannula), on 5/4/2026 at 00:22 [12:22AM]…

  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 no plan of correction
• Potential for harm · Dcited before2026-06-05 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and record review, the facility failed to develop and implement a comprehensive care plan for oxygen and resident behaviors for 1 (Resident #113) of 8 residents reviewed for respiratory services.Findings include:During an observation on 6/01/2026 at 10:23 AM Resident #113 was lying in bed. Oxygen was being administered at 3 liters via nasal cannula.During an observation on 6/02/2026 at 10:48 AM Resident #113 was lying in bed with eyes closed resting calmly. Oxygen was being administered at 3 liters via nasal cannula.Review of Resident #113's physician order dated 5/4/2026 read, Respiratory: Oxygen-3L [liters] Continuous.Review of Resident #113's physician order dated 5/5/2026 read, Respiratory: Oxygen- 3L Continuous, nasal cannula.Review of Resident #113's physician order dated 5/22/2026 read, Respiratory: Oxygen- 4L Continuous.Review of Resident #113's Baseline Care Plan and Summary dated 5/4/2026 read, Other Services/Orders: O2 [oxygen].Review of Resident #113's care plan reviewed on 6/03/2026 did not document a focus for respiratory services 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · Dcited before2026-06-05 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide 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

  Based on record review and interviews, the facility failed for 1 Resident (Resident #97) out of 3 residents reviewed to ensure a dermatology appointment was scheduled resulting in a 3-month delay for a facial skin growth. Findings Include:During an observation on 6/1/2026 at 10:41 AM Resident #97 was walking with walker down the hall back to his room. Resident has a raised red growth on left side of chin midline between ear and mouth. A part of the growth is hanging from the chin and was tangled with the resident's long hair. (photographic evidence)During an interview on 6/1/2026 at 10:43 AM, Resident #97 states, I have this growth on the left side of my chin, and the nurse practitioner wants it taken off. It is benign.During an interview on 6/4/2026 at 1:00 PM, Consultant stated, [Name of Health Plan](I SNP - type of Medicare advantage) was selected by the patient. It is a program that helps to reduce costs, and they make appointments for Residents.During an interview on 6/4/2026 at 3:12 PM, Resident #97 stated, It is growing and I need to see a dermatologist. (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.

  Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · D2026-06-05 · 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

  Based on observation, interview, and record review, the facility failed to obtain and document weekly weights for 1 Resident (Resident #13) out of 3 Residents reviewed for food and nutrition to ensure maintenance of acceptable parameters of nutritional status. Findings include: During an interview via phone on 06/03/2026 at 2:57 PM, Staff E, Regional Registered Dietician, stated, [Resident #13's Name] came in from the hospital with tube feeding and a diet. He doesn't eat much; we tried cutting back on his tube feedings, but he lost weight. I provide a list of residents I want weekly weights done on. I am there once a week and meet with the IDT(interdisciplinary team), Administrator and the DON (director of nursing); we work as a team. I will then reassess and check it monthly to see how he is doing and talk to the staff. He has been eating a lot of snacks brought in by the family. I think that is why he has gained weight.Review of Resident #13's Physician Order dated 03/19/2026, reads, Weigh Weekly d/t (due to) significant weight change.Review of Resident #13's weights: 05/29/2026 -…

  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 no plan of correction
• Potential for harm · Dcited before2026-06-05 · 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 interview and record review the facility failed to accurately document treatments ordered for 1 (Resident #112) of 3 residents reviewed for skin conditions.Findings include:Review of Resident #112's physician order dated 4/6/2026 read, Soak daily in Epsom salt for 14 days and apply triple antibiotic ointment to great toe.Review of Resident #112's Medication Administrator record for the month of April 2026 did not documented Soaks in Epsom salt or triple antibiotic ointment to the great toe.Review of Resident #112's Treatment Administrator record for the month of April 2026 did not documented Soaks in Epsom salt or triple antibiotic ointment to the great toe.During an interview on 6/3/2026 at 1:57 PM, the Director of Nursing stated, I know there was an order for [Resident #112's name], but it was not documented. I looked at the treatment records and was not able to find it. I did speak to staff and they say they did provide care.During an interview on 6/3/2026 at 2:00 PM, Staff L ,Licensed Practical Nurse, stated, I saw nursing providing the treatment. The Epsom salt is…

  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 no plan of correction
• Potential for harm · D2025-10-10 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to notify the resident's representative and physician of changes in condition for low blood pressures for 1 of 3 residents reviewed for changes in condition (Resident #2).Findings include: Review of Resident #2's admission record documented diagnoses to include pneumonia, unspecified organism, chronic obstructive pulmonary disease with acute exacerbation (an increase in the severity of an illness), acute and chronic respiratory failure with hypercapnia (high carbon dioxide levels in the blood), low back pain unspecified, cognitive communication deficit, other malaise, muscle weakness generalized, orthopnea (shortness of breath that occurs when lying down), dehydration, dependence on supplemental oxygen, hyperlipidemia unspecified (high cholesterol), essential primary hypertension (high blood pressure), and hypercalcemia (high calcium levels in the blood).Review of Resident #2's vitals documented a blood pressure (B/P) of 83/61 mmhg (millimeters of mercury) on 6/9/2025 at 2217 (10:17 PM), a B/P of 80/56 mmhg on 6/10/2025 at…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“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

$236,166 in federal fines across 2 penalties.

• $80,640 — penalty dated 2025-08-29
• $155,526 — penalty dated 2024-11-19

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.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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 $72K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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