Solaris Healthcare Bayonet Point
7210 Beacon Woods Dr, Hudson, FL 34667 · Non profit - Other · 180 certified beds · (727) 863-1521 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a high payroll-based staffing rating (4/5)
- inspectors recorded 2 serious findings as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $90,650 in federal fines (most recent 2025-09-26)
- its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
- its independent health-inspection rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's staffing and quality-measure ratings run 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 13.5% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 4.3% | 5.5% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.2% | 0.3% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 1.3% | 0.7% | 2.0% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 2.7% | 4.6% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 1.7% | 2.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 19.1% | 9.5% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 23.4% | 14.4% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 99.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.3% | 4.5% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 16.1% | 10.5% | 21.2% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 4.7% | 8.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.8% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 98.6% | 94.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 21.0% | 26.1% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 9.7% | 9.1% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.16 | 2.13 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 0.45 | 1.15 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
58.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 373 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 58.3% 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 163 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 0.34 therapist hours per resident per day in 2026Q1 — more than 57% 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 58.9%CMS range 54.1–64.4 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 12.0%CMS range 8.9–14.6 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 58.3% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 50.9% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 48.5% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 90.5% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 97.7% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 2.6% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.0%CMS range 4.5–10.6 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.24 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 180 beds and averages 175.5 residents a day — about 98% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.68 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.72 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.14 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 3.25 hrs/resident/day on weekends vs 3.85 on weekdays — 16% thinner on weekends. RN hours go from 0.85 to 0.41 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 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.
20 citations, most serious first. The 12 most serious are shown; the remaining 8 are one tap away and print in full.
- Immediate jeopardy · J2025-09-26 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and policy and procedure review the facility failed to ensure the residents rights were honored by failing to implement/follow formulated advance directives for one resident (#209) of one resident reviewed. Resident #209 had an Advanced Directive for Do Not Resuscitate (DNR) formulated, which staff did not follow. The DNR was not honored by the facility when they failed to obtain clarification of code status during the admission process, per facility policy. This failure resulted in the resident experiencing sternal and anterior chest wall pain, serious psychosocial harm by not honoring the resident's wishes for a natural, dignified death. Findings included: Review of Resident #209 medical record documented an admission date of [DATE] with medical diagnoses to include displaced bimalleolar fracture of lower leg, subsequent encounter for closed fracture with routine healing, s/p (status post) ORIF(open reduction internal fixation), sprain of tibiofibular ligament of left ankle,…
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.
- Immediate jeopardy · J2025-09-26 · tag F0678 — failed to provide CPR when needed — isolatedProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review and policy and procedure review the facility failed to honor a resident's expressed Advanced Directive for end of life for one resident (#209) of one resident reviewed, by failing to ensure life saving measures of cardiopulmonary resuscitation (CPR) were not performed when Resident #209 was found unresponsive and absent of vital signs. Resident #209 was admitted to the facility on [DATE] with a fully executed State of Florida Do NOT RESUSCITATE ORDER (DNR) DH (Department of Health) form 1896,Revised [DATE] dated [DATE]. Resident #209's representative provided a copy to the facility on [DATE] at 12:40 PM. The facility's unlicensed staff did not provide the DNR order to a licensed staff member for processing. Resident #209 was found unresponsive and absent of vital signs on [DATE] at 2:12 PM. The resident's wishes were not honored, and CPR was initiated. Resident #209 survived and was transferred to an area hospital. Findings included: Review of Resident #209 medical record…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-09-26 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — the official record, unedited, may be distressing
Based on observations, interviews and review of facility policy, the facility failed to ensure food was stored safely and properly labeled in one reach-in cooler out of one reach-in cooler observed in the kitchen.Findings included:A walk-through tour of the kitchen was conducted on 9/22/25 at 08:47 AM with the Dietary Manager (DM).An observation was made of several containers of food in the walk-in cooler without an identifying label or date.An interview was conducted with the Dietary Manager (DM) 9/22/2025 at 9:09AM. The DM stated all items placed in the cooler should have a label and be dated and there were no identifying labels on food that had been placed in the walk-in cooler from the breakfast meal.A policy titled Food Receiving and Storage dated 10/10/18 read, 7. All foods stored in the refrigerator or freezer will be covered, labeled and dated.
- Potential for harm · Ecited before2025-09-26 · tag F0880 — failed to prevent and control infections — patternProvide 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 and policy and procedure review, the facility failed to prevent the possible spread of infection and communicable diseases by failing to ensure staff used appropriate Personal Protective Equipment (PPE) and performed hand hygiene upon entering and exiting residents rooms while providing care to residents on enhanced barrier precautions for (Resident # 194), and contact precautions for (Resident #188) and did not perform hand hygiene upon entering and exiting resident's rooms during five observations of ten observations of medication administration. Findings included: During an observation of medication administration for Resident #41 on 9/26/2025 at 5:04 AM , Staff V, Registered Nurse (RN) approached the medication cart without performing hand hygiene, retrieved keys from their pocket, and unlocked the medication cart. Staff activated and typed on the computer. Staff prepared all medications and assembled supplies to perform an accucheck. Staff V entered Resident #41's room, without performing hand hygiene, donned gloves 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.
- Potential for harm · D2025-09-26 · tag F0640 — isolatedEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview the facility failed to ensure a resident a minimum data set assessment was transmitted within 14 days after completion for one resident (#12) of two residents reviewed for resident assessment. Findings included:Review of Resident #12's electronic medical record on 9/25/2025 showed a resident assessments history that documented Resident #12's annual minimum data set assessment (MDS) was completed on 8/3/2025 with a designation of Production Batch. The review showed Resident #12's MDS assessment was not transmitted to CMS on 8/3/2025 and was past the 14-day transmittal requirement. During an interview on 9/25/2025 at 8:40 AM, the Care Plan Coordinator/Registered Nurse (RN) stated that once a minimum data set assessment is completed, the assessment is sent to the corporate office for review before submission to the Centers for Medicare and Medicaid Services (CMS). She explained the corporate office reviews the assessment and sends a validation report to the facility for corrections if needed. She specified the assessment should be forwarded to the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-09-26 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to administer insulin according to professional standards of practice for two residents (#152 and #5) of four residents reviewed for insulin administration and failed to administer cardiovascular medications according to professional standards of practice for one resident (#185) of four residents reviewed for cardiovascular medication administration. Findings included: 1.Review of Resident #152’s medical record documented diagnosis that include hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, type 2 diabetes mellitus with diabetic polyneuropathy, type 2 diabetes mellitus with hyperglycemia (high blood sugar), atherosclerotic heart disease of native coronary artery (heart disease) without angina pectoris (chest pain), long term use of insulin, and hypoglycemia (low blood sugar). Review of Resident #152's physician orders dated 9/13/2025 read, Insulin Semglee (insulin-glargine-yfgn) pen 100 unit/ml(milliliter)(3ml) amount to administer: 30 units SQ (subcutaneous) at bedtime for DM…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-09-26 · tag F0757 — failed to avoid unnecessary drugs — isolatedEnsure each resident’s drug regimen must be free from unnecessary drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review the facility failed to ensure physician ordered parameters were followed for blood pressure medications resulting in the administration of unnecessary medications for three residents (#157, #10 and #91) of five residents reviewed for unnecessary medications.Findings include:1.Review of Resident #157's medical record documented diagnosis that include fracture of unspecified part of the neck of right femur, subsequent encounter for closed fracture with routine healing, presence of right artificial hip joint, other sequalae of other cerebrovascular disease, urinary tract infection site not specified, sepsis due to Escherichia coli, hypothyroidism unspecified, hyperlipidemia unspecified, hypertensive chronic kidney disease with stage 1 through 4 chronic kidney disease, and orthostatic hypotension (a form of low blood pressure that happens when standing up from sitting or lying down).Review of Resident #157's physician order dated 9/5/2025 read, Midodrine tablet: 2.5 mg (milligram); amt(amount);2.5 mg; oral; special instructions: Hold if SBP (systolic…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-09-26 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review the facility failed to properly store medications for two residents (#212 and #213) in one unit (200) out of 3 units observed.Findings included: 1.) During an observation on 9/22/2025 at 9:38 AM Resident #212 was sitting up on her bed. There was an Arnica cream on top of her bedside table.During an interview on 9/22/2025 at 9:38 AM Resident #212 stated, I use the cream at times for pain. I will apply it [arnica cream] to my shoulder and it helps me.During an observation on 9/25/2025 at 12:19 PM Resident #212 was sitting up on her bed. There was an Arnica cream on top of her bedside table.During an interview on 9/25/2025 at 12:32 PM Staff I Registered Nurse (RN) confirmed Resident #212 had an Arnica cream in the resident's room.Review of Resident #212's physician orders did not document the resident was able to self-administer medications.2.) During an observation on 9/22/2025 at 9:45 AM Resident #213's room was observed empty. On top of her bedside table there was a Vicks Vaporub cream. [photographic evidence obtained]During an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-09-26 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard 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 and adequately document medication administration for antidiabetic and cardiovascular medications for three residents (#35, #85 and #185) of seven residents reviewed for medication management. Findings included: 1.) Review of Resident #35's physician order dated 6/2/2025 read, Lantus Solostar U-100 Insulin (insulin glargine) insulin pen; 100 unit /ml [milliliters] (3ml) amt [amount] 44 units subcutaneous special instructions hold FBS <100 [fasting blood sugar less than 100].Review of Resident #35's physician order dated 9/5/2025 read, Lantus Solostar U-100 Insulin (insulin glargine) Insulin pen; 100 unit /ml (3ml) amt 46 units subcutaneous special instructions hold FBS <100.Review of Resident #35's Medication Administration Record (MAR) for the month of September 2025 for Lantus Solostar with parameters to hold if fasting blood sugar was less than 100 documented as given on 9/1/2025 at 7:30 AM blood sugar level was 80, 9/10/2025 at 7:30 AM blood sugar level was 79, 9/16/2025 at 7:30 AM blood sugar level was 95,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-04-29 · tag F0756 — failed to review each resident's drug regimen — patternEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of pharmacy recommendations and interviews, the facility failed to ensure the attending physician documented in the residents medical records the rationale for not acting on and following pharmacy recommendation for two (#2 and #19) of three residents reviewed for pharmacy recommendations. Findings included: Review of Resident #2's medical record documented an admission date of 2/16/2024 and included the following diagnoses: depression, anxiety disorder, pulmonary hypertension a type of high blood pressure that affects the arteries in the lungs), emphysema (a disorder that affects the tiny air sacs in the lungs), and pulmonary fibrosis (scarring of the tissue around the airs sacs in the lungs). Review of the document tiled, Consultant Pharmacist's Report for Resident #2 recommendation date of 2/23/2024 reads, Findings/Recommendations: New admission medication regimen review. admission summary: This 77 y/o (year old) resident was readmitted on [DATE]. #1) Beers drug/potentially inappropriate…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-04-29 · tag F0880 — failed to prevent and control infections — patternProvide 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 policy and procedure review, the facility failed to maintain an infection prevention and control program designed to help prevent the transmission of communicable diseases and infection, by failing to perform hand hygiene during medication administration for three (Residents #12,#13 and #14) of six residents observed for medication administration. The findings included: During an observation of medication administration on 4/25/2025 at 5:39 AM Staff A, Licensed Practical Nurse (LPN), returned to the medication cart from a resident room, removed medication cart keys from their pocket, unlocked the medication cart, activated the computer and typed on the computer. Staff A, LPN removed medication from the medication cart, and went to Resident #12's room, entered the room without performing hand hygiene, assisted the resident to reposition in bed and administered the medication to Resident #12. Staff A, LPN exited the resident's room and returned to the medication cart without performing hand hygiene. During an observation of medication…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-04-29 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure drugs and biologicals were stored in a secured manner to limit unauthorized access to medications for one (#14) of three residents reviewed for medication storage. The findings included: During an observation on 4/25/2025 at 5:51 AM Resident #14 had one tube of Ease-Z Diabetics dry skin therapy foot cream containing Zinc on her bedside table and one bottle of ActivICE pain reliever gel roll on. During an interview on 4/25/2025 at 6:05 AM Staff A, Licensed Practical Nurse(LPN) stated. I don't know what those lotions are on her nightstand. Her family brings those in for her. She does not need an order for those. During an observation on 4/25/2025 at 6:07 AM Staff A, LPN verified that one was a bottle of ActivICE and one was Ease Z diabetics dry skin therapy foot cream with Zinc. During an observation on 4/25/2025 at 10:10 AM the Director of Nursing (DON) and Regional Nurse Consultant (RNC) verified that Ease Z diabetics with Zinc and ActivICE bottle with barrier cream were unsecured on the resident's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 8 citations
- Potential for harm · Ecited before2023-09-14 · tag F0550 — failed to protect resident dignity and rights — patternHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to maintain privacy and dignity related to 1. one (Unit D) of three units, with a constant loud high pitch noise coming from the call light system, and throughout the halls during four of four days observed (9/11/2023, 9/12/2023, 9/13/2023, and 9/14/2023); and 2. two (Residents #33 and #136) of two sampled residents observed from the hallway, lying in bed disrobed. Findings included: 1. On 9/12/2023, while seated at the D unit nurses station, observations revealed there were three hallways with resident rooms on each of the hallways. Across from the D unit nurses station was two dining/activity rooms where residents frequent throughout the day. Directly across from the nurses station and at the window wall for one of the dining/activity rooms, revealed an area where several residents were seated throughout the day. While seated at the nurses station, the wall was observed with a call light system panel that indicated all the D unit resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-14 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to assess one (Resident #95) of forty-three sampled residents for the ability to self-administer medications. Findings included: On 9/11/23 at 10:32 a.m., an observation was made of a medication cup with medications in it and a medication cup containing applesauce sitting on the dresser of Resident #95. The resident was attending to personal hygiene and/or toileting in the restroom. She returned to the room, opened the top drawer of the dresser and a tube of topical pain relief cream was observed in it. She stated on 9/11/23 at 10:45 a.m., the nurse brought them (the medication) while she was in the restroom and the medication needed to be taken. The resident confirmed 5 tablets were in the cup. A review of the progress notes, observations, and physician orders, showed Resident #95 had not been assessed and did not have an order to self-administer medications. During an interview on 9/14/23 at 9:45 a.m., the Director of Nursing (DON) stated residents must have a physician order allowing the self-administration…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-09-14 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to accurately follow up on a pharmacy recommendation for one (Resident #85) of five residents sampled for unnecessary medications. Findings included: On 9/12/23 at 8:44 a.m., Resident #85 was observed lying in bed and did not verbally or visually respond to verbal stimuli. A review of the 8/1/23 a Consultant Pharmacist's recommendation for Resident #85 showed the resident had been routinely ordered Pepcid-FAMOTIDINE TAB 20 milligram (MG) every bedtime (QHS) since 5/2021 for Gastroesophageal Reflux Disease (GERD). The section for the Prescriber's response and comment showed a checkmark for other and the comment was order not found, wrong patient. The recommendation was neither signed and dated by the prescriber or the nurse receiving the response. A review of Resident #85's physician order report, dated 8/1 - 9/14/23, showed an open-ended order that started on 5/12/21 for Pepcid (Famotidine) tablet 20 mg oral for the diagnosis of Gastro-esophageal Reflux Disease without esophagitis, scheduled at 9:00 p.m. 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.
- Potential for harm · D2023-09-14 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the medication error rate was less than 5.00%. Twenty-six medication administration opportunities were observed, and four errors were identified for four (Residents #356, #456, #97, and #95) of seven residents observed. These errors constituted a 15.38% medication error rate. Findings included: 1. On 9/13/23 at 8:49 a.m., an observation of medication administration with Staff N, Licensed Practical Nurse (LPN), was conducted with Resident #356. Staff N was observed dispensing the following medications: - Topiramate 50 milligram (mg) tablet - Vitamin D 25 microgram (mcg) (1000 international unit) over-the-counter tablet - Duloxetine 30 mg capsule - Furosemide 40 mg tablet - Lidocaine topical patch 4% - Potassium Chloride 20 milliequivalent's (meq) Extended Release (ER) capsule - Carbidopa/Levodopa 25/100 mg tablet - Artificial Tears eye drops - Acetaminophen 325 mg 2 tablets Staff N confirmed the number of tablets, the patch, and the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-09-14 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to 1. have personal protective equipment (PPE) immediately available for staff use to protect residents who were on enhanced barrier precautions for one (Residents #407) of two residents reviewed and 2. failed to ensure staff cleaned their multi-use mask after each use for one (Resident #127) of two residents reviewed. Findings included: 1. A review of Resident #407's face sheet revealed he was admitted to the facility on [DATE] from an acute care hospital. Review of his medical diagnoses included but were not limited to sepsis, non-pressure chronic ulcer of the right foot, right toe, left foot, and left second toe. A review of Resident #407's physician orders revealed an order to start on 9/7/2023 without an end date for enhanced barrier precautions related to left groin surgical incision site and bilateral lower extremity ulcers for every shift, days, evenings, and nights. An observation was made on 9/11/23 at 8:29 a.m. of Staff Q, CNA 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.
- Potential for harm · Dcited before2021-08-27 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews, the facility failed to provide a dignified dining experience during two (8/24 - 8/25/2021) of two dining observations. Fifty-eight residents were identified as living on one of three wings (B wing) where staff were observed standing over two (#100 and #44) residents while assisting with eating. The Staff delivered meal trays to four roommates (#57, 51, 14, and 67) at different times, and left one meal out of reach but within sight of one dependent diner (#97). Findings included: 1. An observation was made at 12:33 p.m. on 8/24/21 of Staff Member A, Certified Nursing Assistant (CNA), standing next to Resident #100, assisting the resident with eating. She asked the resident if the resident wanted to try it then placed a fork of food into the resident's mouth. The Face Sheet identified that Resident #100 was admitted on [DATE] with diagnoses not limited to unspecified dementia without behavioral disturbance, and unspecified Chronic Obstructive Pulmonary 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.
- Potential for harm · D2021-08-27 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 observation, interview, and record review the facility failed to implement care plan interventions for one (Resident #137) of four residents sampled for falls related to placement of floor mats for safety. Findings included: Resident #137's Resident Face Sheet . revealed on page 2 medical diagnoses of hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, muscle weakness, unspecified dementia with behavioral disturbance, and mood disorder due to known physiological condition with depressive features. Resident #137's record titled MDS [Minimum Data Set] Nursing Home Quarterly, dated 06/29/21, revealed under Section C: Cognitive Patterns a BIMS [Brief Interview for Mental Status] Summary Score of 9, indicating impaired cognition. Section G: Functional Status revealed Resident #137 had total dependence on staff for transfer, locomotion on and off the unit, and bathing. Resident #137 had functional limitations of range of motion in both the upper and lower extremities. Resident #137's record titled Observation Detail List Report . Morse Fall…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-08-27 · tag F0825 — isolatedProvide or get specialized rehabilitative services as required for a resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide specialized rehabilitation services related to physical therapy, for one (Resident #418) of 32 residents sampled. Findings Included: On 08/24/21 at 11:34 a.m. an interview was conducted with Resident #418. She stated she was admitted to the facility about six weeks ago. Resident #418 had a goal of completing physical therapy and being discharged home. Resident #418 stated her therapy services ended over three weeks ago. Staff informed her that it was due to her insurance coverage ending. Resident #418 stated she asked staff to speak to the facility social worker, to no avail. Resident #418 stated her son would not allow her to come back home until she was able to transfer safely to the bathroom. Resident #418 stated since she was not receiving physical therapy, she was unable to achieve that goal. A review of Resident #418's admission Record revealed an initial admission date of 07/13/21 with a diagnosis of Sepsis, unspecified…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$90,650 in federal fines across 1 penalty.
- $90,650 — penalty dated 2025-09-26
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 SOLARIS HEALTHCARE — 22 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 4.0 | -1.0 vs chain |
| Health inspection | 2 of 5 | 3.5 | -1.5 vs chain |
| Staffing | 4 of 5 | 3.8 | +0.2 vs chain |
| Quality measures | 5 of 5 | 4.5 | +0.5 vs chain |
The other 21 homes this chain runs (chain average 4.0★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| BAYONET POINT HEALTHCARE HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 10/20/2015 |
| SOLARIS FOUNDATION INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 10/06/2015 |
| SOLARIS HEALTHCARE PROPERTIES LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 10/06/2015 |
| CORLEY, SHAWN | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/01/2022 |
| SAAYMAN, AMY | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/27/2025 |
| BELL, THOMAS | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER; ADP OF THE SNF | — | since 01/01/2016 |
| BERKOWITZ, MICHAEL | Individual | CORPORATE DIRECTOR | — | since 06/01/2022 |
| BUXBAUM, MIRIAM | Individual | CORPORATE DIRECTOR | — | since 06/01/2022 |
| HERZKA, CHAIM | Individual | CORPORATE DIRECTOR | — | since 06/01/2022 |
| KIRVES, TERRI | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | — | since 01/01/2016 |
| OBERLANDER, JOSEPH | Individual | CORPORATE DIRECTOR | — | since 06/01/2022 |
| SZCZECH, MALGORZATA | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | — | since 07/17/2019 |
| PARKER, SHELBY | Individual | ADP OF THE SNF | — | since 10/01/2016 |
CMS files one row per role, so the 26 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.
3 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 $2.5M paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in FL
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Florida Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 105544. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-09-26, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.