Grove Healthcare And Rehabilitation Center And Reh

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.

48.7% 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 392 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 75.8% 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 182 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 0.41 therapist hours per resident per day in 2026Q1 — more than 70% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 26% 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 108.4 residents a day — about 90% 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 3.89 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.49 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 3.57 hrs/resident/day on weekends vs 4.01 on weekdays — 11% thinner on weekends. RN hours go from 0.39 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as 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.

30 citations, most serious first. The 13 most serious are shown; the remaining 17 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-05-02 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure residents received treatment and care according to professional standards of practice when suffering a change in condition for 1 of 3 residents reviewed, Resident #1. On 4/9/2024 at 12:45 AM, Resident #1 had a blood sugar value of 72, Staff A, Licensed Practical Nurse (LPN), did not contact the provider and administered glucose gel without a physician's order. On 4/9/2025 at 1:49 AM, Resident #1 was less responsive. On 4/9/2025 at 3:00 AM, Resident #1 had a blood sugar value of 42. The on-call physician was called, and ordered to administer Glucagon intramuscularly, monitor, and send to the emergency room if no positive response to Glucagon received. On 4/9/2025 at 5:30 AM, Resident #1 had a blood sugar value of 50. The blood sugar value was rechecked with a blood sugar value of 50. Resident #1 was not responding to verbal or physical stimuli. The provider was not notified, Glucagon was not administered per physician's order when blood sugar…

  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 · J2025-05-02 · 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 interviews and record reviews, the facility administration failed to administer the facility in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practical, physical, mental, and psychosocial well-being of each resident by failing to implement policies and procedures related to change in condition for 1 of 3 residents reviewed, Resident #1. On [DATE] at 12:45 AM, Resident #1 had a blood sugar value of 72, Staff A, Licensed Practical Nurse (LPN), did not contact the provider and administered glucose gel without a physician's order. On [DATE] at 1:49 AM, Resident #1 was less responsive. On [DATE] at 3:00 AM, Resident #1 had a blood sugar value of 42. The on-call physician was called, and ordered to administer Glucagon intramuscularly, monitor, and send to the emergency room if no positive response to Glucagon received. On [DATE] at 5:30 AM, Resident #1 had a blood sugar value of 50. The blood sugar value was rechecked with a blood sugar value 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-05-02 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to utilize the Quality Assessment and Performance Improvement (QAPI) process to investigate, identify, develop, and implement an effective performance improvement plan (PIP) for failure to notify the physician of a resident change in condition and to follow physician's orders. On [DATE] at 12:45 AM, Resident #1 had a blood sugar value of 72, Staff A, Licensed Practical Nurse (LPN), did not contact the provider and administered glucose gel without a physician's order. On [DATE] at 1:49 AM, Resident #1 was less responsive. On [DATE] at 3:00 AM, Resident #1 had a blood sugar value of 42. The on-call physician was called, and ordered to administer Glucagon intramuscularly, monitor, and send to the emergency room if no positive response to Glucagon received. On [DATE] at 5:30 AM, Resident #1 had a blood sugar value of 50. The blood sugar value was rechecked with a blood sugar value of 50. Resident #1 was not responding to verbal or physical stimuli. 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
• Potential for harm · Dcited before2025-06-19 · tag F0641 — isolated
  Ensure 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 record review and interview, the facility failed to ensure Minimum Data Set (MDS) assessments were accurate for 2 of 9 residents reviewed for nutrition (Residents #35 and #54).Findings include: 1) Review of Resident #35's Weights and Vitals Summary showed the resident weight was 157 lbs (pounds) on 11/3/2024, and 141.1 lbs on 5/1/2025, which is a 10.13% weight loss. Review of Resident #35's physician order dated 2/3/2025 read, Frozen Nutritional Treat two times a day for at risk for malnutrition/PCM [Protein Calorie Malnutrition]/weight loss. Review of Resident #35's quarterly MDS assessment dated [DATE] showed no weight loss documented under Section K0300- Weight Loss. During an interview on 6/18/2025 at 10:23 AM, the Registered Dietician stated. [Resident #35's name] has been on my radar past two months. She triggered for 10% weight loss over the past 6 months. During an interview on 6/18/2025 at 2:10 PM, the MDS Coordinator stated, [Resident #35's name] MDS Section K was coded incorrectly. I would…

  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 · D2025-06-19 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to coordinate assessments for the residents with newly evident or possible serious mental disorder for 1 of 3 residents reviewed for mood and behavior (Resident #80). Findings include: Review of Resident #80's Preadmission Screening and Resident Review (PASRR) dated 11/23/2022 showed no diagnosis or suspicion of serious mental illness or intellectual disability. Review of Resident #80's admission record showed the resident was admitted on [DATE] with the diagnoses including cognitive communication deficit (onset date of 1/14/2023), dementia with psychotic disturbance (onset date of 10/20/2023), delusional disorders (onset date of 1/17/2025), other specified persistent mood disorders (onset date of 1/17/2025), recurrent major depressive disorder (onset date of 10/11/2024), and generalized anxiety disorder (onset date of 11/17/2023). Review of Resident #80's physician order dated 2/21/2025 read, Olanzapine Oral Tablet 10 mg [milligrams] (Olanzapine), Give…

  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 · D2025-06-19 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to revise the comprehensive care plan after a significant change for 1 of 6 residents reviewed (Resident #96). Findings include: During an interview on 6/17/2025 at 4:00 PM, Resident #96 stated, I have not had dialysis for over 2 weeks. My access dressing has not been changed. It fell off and a nurse put this gauze over it. They are checking to see if my kidney function is better. During an interview on 6/17/2025 at 4:10 PM, Staff E, Licensed Practical Nurse (LPN), stated, [Resident #96's name] last day of dialysis was 5/29/2025. Kidney function is being evaluated. No dressing changes are performed by LPNs. Only RNs [Registered Nurses] can perform dressing changes for CVC [Central Venous Catheters]. When dialysis was started, there was an order that dialysis catheter dressing to be changed at dialysis center. There is no current order for dressing changes. Review of Resident #96's care plan read, [Resident #96's name] has potential for complications related to hemodialysis for treatment of ESRD [End Stage Renal Disease].…

  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 before2025-06-19 · 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 observation, interview, and record review, the facility failed to ensure residents received health care services consistent with professional standards of practice for 1 of 1 resident with central venous catheter (Resident #96) and 1 of 3 residents reviewed for wound care (Resident #54). Findings include: 1) During an observation on 6/17/2025 at 4:00 PM, Resident #96 was sitting in her wheelchair watching TV. There was a clean gauze over dialysis central venous catheter access site. The dressing was not dated. During an interview on 6/17/2025 at 4:00 PM, Resident #96 stated, I have not had dialysis for over 2 weeks. My access dressing has not been changed. It fell off and a nurse put this gauze over it. They are checking to see if my kidney function is better. During an interview on 6/17/2025 at 4:10 PM, Staff E, Licensed Practical Nurse (LPN), stated, [Resident #96's name] last day of dialysis was 5/29/2025. Kidney function is being evaluated. No dressing changes are performed by LPNs. Only RNs [Registered Nurses] can perform dressing changes for CVC [Central Venous…

  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 before2025-06-19 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure residents received appropriate respiratory care consistent with professional standards of practice for 2 of 6 residents reviewed for respiratory care (Residents #29 and #96).Findings include: 1) During an observation on 6/17/2025 at 10:05 AM, Resident #29 was receiving oxygen via a portable oxygen tank attached to her wheelchair at 2 liters per minute. An oxygen concentrator was to the right of the bed and did not have a bottle of water attached to provide humidity. During an interview on 6/17/2025 at 10:18 AM, Resident #29 stated, I feel I am not getting enough oxygen. Activated call light. I think my oxygen should be on 3 liters per minute. Review of Resident #29's physician order dated 5/2/2025 read, Oxygen at 2-4 liters/minute via nasal cannula with humidity to maintain O2 [oxygen] saturation above 90% PRN [as needed] every 1 hours as needed related to chronic obstructive pulmonary disease. During an observation on 6/17/2025 at 2:00 PM, Resident #29 was self-ambulating in hallway while in 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-19 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure that it was free of medication error of five percent or greater. The error rate was 5.88%.Findings include: During an observation on 6/18/2025 at 5:05 AM, Staff L, Licensed Practical Nurse (LPN), donned personal protective equipment and entered Resident #82's room. Staff L cleaned the needleless connector and flushed with normal saline, followed by a 5-milliliter heparin flush. Staff L cleaned the needleless connector and the tubing connector, connected the intravenous tubing and started the infusion. During an interview on 6/18/2025 at 6:04 AM, Staff L, LPN, stated, Normally I do a heparin flush before and after medication administration. Review of Resident #82's physician order dated 5/20/2025 read, Heparin Lock Flush Solution 10 unit/ml [milliliter] use 10 ml intravenously every shift for flush. During an interview on 6/18/2025 at 12:28 PM, the Director of Nursing (DON) stated, I would like nursing staff to follow physician orders, and the protocol would be based on the orders. I would follow 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-19 · tag F0806 — failed to honor food preferences — isolated
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  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 accommodate resident food preferences for vegetarian residents for 1 of 9 residents reviewed for nutrition (Resident #11). Findings include: During an observation on 6/16/2025 at 12:16 PM, Resident #11 was eating in her room independently. The resident's meal ticket highlighted the words vegetarian meals add ranch dressing. Meal tray contained scalloped potatoes, cabbage, which contained small pieces of scattered bacon, corn bread, and a dessert (Photographic evidence obtained). During an interview on 6/16/2025 at 12:16 PM, Resident #11 stated, The cabbage has bacon, and I will not eat it because I do not eat bacon, since I am a vegetarian. The food options for a vegetarian are very poor. Review of Resident #11's physician order dated 8/23/2022 read, NAS (No Added Salt) diet, Regular texture, thin consistency, for diet VEG [vegetarian]. Review of Resident #11's Dietary Profile dated 3/7/2025 read, Current Diet Order: NAS, Regular, Vegetarian. Food Allergies/Intolerances: No known food allergies. Narrative…

  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 before2025-06-19 · 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 observation, interview, and record review, the facility failed to ensure medical records were complete and accurate for 1 of 6 residents reviewed for medication management (Resident #108).Findings include: Review of Resident #108's physician order dated 5/9/2025 read, Humalog Kwikpen Subcutaneous Solution Pen-injector 100 unit/ml [milliliter] (Insulin Lispro), Inject as per sliding scale: if 0-150= 0 units if BS [Blood Sugar] less than 60 initiate hypoglycemic protocol and notify MD [Medical Doctor], 151-200= 2 units, 201-250= 4 units, 251-300= 6 units, 301-350= 8 units, 351-400= 10 units if BS greater than 400 give 12 units and notify MD, subcutaneously before meals and at bedtime related to type 2 diabetes mellitus with hyperglycemia. Review of Resident #108's Medication Administration Record (MAR) for administration of Humalog Kwikpen for June 2025 showed no entries documented for blood sugar and insulin coverage on 5/18/2025 at 6:30 AM. Review of Resident #108's MAR for administration of Humalog Kwikpen for June 2025 showed no entries documented for blood sugar and…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-19 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure staff used appropriate personal protective equipment (PPE) while providing care to the residents who were on transmission-based precautions for 1 of 2 residents reviewed for contact precautions (Resident #82) and failed to ensure staff performed hand hygiene during meal distribution. Findings include: 1) During an observation on 6/17/2025 at 8:33 AM, Staff A, Certified Nurse Assistant (CNA), entered Resident # 82's room without donning personal protective equipment (PPE). Staff A exited the resident room with a breakfast tray and placed the tray in the food cart. There was a PPE supply and Transmission Based Precautions -Contact Isolation signage posted on Resident #82's room door. During an interview on 6/17/2025 at 8:34 AM, Staff A, CNA, stated, I should have worn gown and gloves. Review of the facility policy and procedure titled “Transmission Based Precautions” with the last review date of 12/19/2024 read, Contact Precautions: Contract precautions are intended to prevent transmission of infectious…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-02 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure resident medical records were complete and accurate for 1 of 3 residents, Resident #1. Findings include: Review of Resident #1's admission record showed the resident was admitted on [DATE] with diagnoses to include type 2 diabetes mellitus. Review of Resident #1's physician order dated 3/12/2025 at 1:46 PM read, Perform Accuchek [testing of blood glucose] before meals and at bedtime related to Type 2 Diabetes Mellitus with foot ulcer. Review of Resident #1's physician order dated 4/8/2025 at 6:41 PM read, Glucagon Emergency Injection Kit 1 MG [milligram] [glucagon emergency injection], Inject 1 application subcutaneously as needed for Administer [Sic.] if BS [blood sugar] <60 [less than 60] recheck sugar Q2H [every 2 hours]. Review of Resident #1's progress note dated 4/9/2025 at 12:45 AM read, Received with low blood sugar rechecked with a 72 result . responsive with eyes and asked if he wants to go to ER [Emergency Room] and he shook head…

  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

“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

$167,954 in federal fines across 1 penalty.

• $167,954 — penalty dated 2025-05-02

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 GOLD FL TRUST II — 36 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.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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