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Waterford, The

601 Universe Blvd, Juno Beach, FL 33408 · Non profit - Corporation · 60 certified beds · (561) 627-3800 Medicare & Medicaid certified

Call the home — (561) 627-3800 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 15 lower-level deficiencies on record (see below)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (23% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2400 PGA, 2400 PGA Blvd · (561) 626-3223 · Call to confirm hours
Pharmacy
11940 Us Highway 1 Ste 160 · (855) 346-0944 · Call to confirm hours
Grocery
12214 US Highway 1 · (561) 625-6544 · Call to confirm hours
Park
Juno Park0.4 mi
2090 Ellison Wilson Rd · (561) 966-6611 · Typically dawn to dusk
Place of worship

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 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 5 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 3 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased13.6%8.7%15.4%better
Long-stay residents who lose too much weight3.6%5.5%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.3%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection5.5%0.7%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms0.0%4.6%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury9.2%2.5%3.3%worse
Long-stay residents whose ability to walk worsened4.4%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication1.7%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers0.8%4.5%4.7%better
Long-stay residents with worsening bladder/bowel control5.7%10.5%21.2%better than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table14.0%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication0.2%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine98.7%94.7%79.4%better
Short-stay residents rehospitalized after admission27.7%26.1%22.6%worse
Short-stay residents with an outpatient ER visit14.5%9.1%12.0%worse
Long-stay hospitalizations per 1,000 resident days3.692.131.67worse
Long-stay outpatient ER visits per 1,000 resident days0.341.151.80better

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

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.

61.3% 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 336 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

61.3%U.S. median 51.5%
Got home and stayed home
9.5%U.S. median 10.7%
Went back to hospital
82.7%U.S. median 56.6%
Met the expected recovery
0.74U.S. median 0.31
Therapy hours / resident / day
0.28hours / resident / day
Physical therapy
0.30hours / resident / day
Occupational therapy
0.16hours / resident / day
Speech therapy

Met the expected recovery: 82.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 173 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 0.74 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 47% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF61.3%CMS range 56.4–66.151.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.5%CMS range 6.6–12.210.7%Oct 2022–Sep 2024no 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 discharge82.7%56.6%Oct 2024–Sep 2025CMS 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 discharge78.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge74.0%50.0%Oct 2024–Sep 2025CMS 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 identified99.2%98.7%Oct 2024–Sep 2025CMS 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 setting100.0%100.0%Oct 2024–Sep 2025CMS 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 discharge98.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.6%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.8%CMS range 4.1–10.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.991.02Oct 2022–Sep 2024CMS 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

1.02
RN hours/ resident / day
0.39
LPN hours/ resident / day
2.08
Aide hours/ resident / day
3.49
Total nurse hours/ resident / day
0.96
RN hoursweekends
23.3%
Total nursing turnover
43.8%
RN turnover

How full it usually is: this home is certified for 60 beds and averages 45.2 residents a day — about 75% occupied, or roughly 15 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.49 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.02 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.08 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 3.30 hrs/resident/day on weekends vs 3.56 on weekdays — 7% thinner on weekends. RN hours go from 1.04 to 0.96 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 23% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

4
deficiencies at the latest standard inspection (2025-02-06)
7
at the previous standard inspection (2023-10-26)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

  • Potential for harm · Dcited before2025-02-06 · 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 observation, interview, and record review, the facility failed to ensure accurate Minimum Data Set (MDS) assessments for 2 of 13 sampled residents, Resident #32 related to vision, and Resident #44 related to discharge status. The findings included: 1. Review of the record revealed that Resident #32 was admitted to the facility on [DATE]. Review of the Quarterly minimum data set (MDS) assessment dated [DATE] revealed the vision status for Resident #32 was adequate, and coded as (0), indicating the resident sees fine detail including regular print in newspapers / books. During an interview on 02/03/25 at 2:32 PM, Resident #32 stated she is unable to read the activities calendar that was on her bedside table or the dining menu provided at meal time. The resident explained that she has macular degeneration. Interview with the Activity Director on 02/05/25 at 10:45 AM, with Staff C, Certified Nursing Assistant (CNA) on 02/05/25 11:45 AM, and with Staff A, Dietary Assistant on 02/06/25 11:27 AM, all revealed…

    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 · D2025-02-06 · 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 record review and interview, the facility failed to provide medications as per physician order for 1 of 6 sampled residents reviewed for medications, Resident #10, as evidenced by holding blood pressure medications without hold parameters or documented notification to the physician. The findings included: Review of the record revealed Resident #10 was admitted to the facility on [DATE]. Review of the current orders revealed Resident #10 was receiving two medications daily, amlodipine and metoprolol, that affected the residents blood pressure. Further review of these orders lacked any physician ordered parameters to hold the medications. Review of the February 2025 Medication Administration Record (MAR) documented both medications were held on 02/01/25 with a blood pressure of 98/54 and on 02/02/25 with blood pressure of 98/57. Review of the January 2025 MAR documented both medications were held on 01/17/25 with a blood pressure of 110/54, on 01/27/25 with a blood pressure of 103/58, and on 01/30/25 with…

    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 · D2025-02-06 · tag F0685 — isolated
    Assist a resident in gaining access to vision and hearing services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide interventions to enhance vision for 1 of 2 sampled residents, Resident #32, reviewed for vision. The findings included: Review of record revealed Resident #32 was admitted to the facility on [DATE]. Review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the vision status for Resident #32 was adequate, and coded as (0) indicating the resident sees fine detail, including regular print in newspapers / books. This MDS also revealed that it was very important for Resident #32 to participate in music, keep up with the news, do things with groups of people, and to go outside. During an interview on 02/03/25 at 2:32 PM, Resident #32 stated she was unable to read the activities calendar that was on her bedside table. The resident stated she has macular degeneration, and would have attended the music show recently if she had known when it was scheduled. She further stated she cannot see the menu for her meals 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-06 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, observation, interview, and record review, the facility failed to report an Influenza outbreak to the Florida Department of Health (DOH) for 1 of 2 sampled residents, Resident #197, reviewed for Influenza by lack of reporting to DOH. The findings included: The facility policy, titled, Infection Prevention and Control Manual Outbreak Management, dated 2019, revealed it is the policy of this community to recognize and contain infectious disease outbreaks. Outbreak measures will be instituted whenever there is evidence of an outbreak, as outlined below. The infection preventionist, or designee, will conduct the outbreak investigation and has the authority to implement outbreak measures to control possible transmission. These actions will be carried out in coordination with the medical director, administration, and medical team members as well as state and local health agencies. In the absence of the infection preventionist, the director of nursing or the assistant director of nursing, or…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-26 · tag F0561 — failed to honor residents' choices — isolated
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure residents received showers on her scheduled shower days and/or per the resident's request for 1 of 4 sampled residents reviewed for Choices, Resident #38. The findings included: review review documented Resident #38 was admitted to the facility on [DATE] with diagnoses that included Malignant Neoplasm of the Esophagus, Encounter for attention to Gastrostomy, Dysphagia, Chronic Fatigue, Muscle Weakness, and Abnormalities of Gait and Mobility. Review of the Minimum Data Set (MDS) assessment completed on 09/23/2, documented Resident #38's Brief Interview for Mental Status (BIMS) was a 15 out of 15, indicating cognition was intact. Resident 38's assessment for Activities of Daily Living (ADLs) documented that Resident #38 required extensive assistance for transfering between surfaces, for personal hygiene, and for dressing. Resident #38 also required physical help in part of the bathing activity. On 10/25/23 at 9:35 AM, Resident #38…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-26 · 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 accuracy of the Minimum Data Set (MDS) assessment related to medication use for 1 of 5 sampled residents, Resident #14. The findings included: Review of the record revealed Resident #14 was admitted to the facility on [DATE] with diagnoses to include anxiety. Review of the current MDS assessment dated [DATE] documented Resident #14 received an anti-anxiety medication on 7 of 7 days during the look-back period of 08/26/23 through 09/01/23. Review of the corresponding Medication Administration Records (MARs) revealed Resident #14 was receiving diazepam (an anti-anxiety medication) once daily. Further review of the August 2023 MAR revealed the medication was held on 08/30/23 and 08/31/23. Review of the corresponding progress notes revealed the medication was held on those two days for lethargy. During a side-by-side record review with the Director of Nursing (DON), and a phone interview on 10/26/23 at 2:07 PM, the MDS Coordinator agreed with 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-26 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure care plans were initiated to reflect diuretic usage for 1 of 5 sampled residents, Resident #10. The findings included: During the unnecessary Medication, Psychotropic Medications, and Medication Regimen Review process for Resident #10, it was revealed Resident #10 was initially admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses that included Hypertension (high blood pressure). The quarterly minimum data set (MDS) assessment, reference date 07/02/23, recorded a Brief Interview for mental Status (BIMS) score of 15, indicating Resident #10 was cognitively intact. Further review of this MDS, under section N for medication, subsection G for Diuretic, it was revealed that Resident #10 had received diuretics 7 times on the 7 days look back period. Additional record review evidenced a physician order dated 10/12/23 of Bumetanide (a diuretic) 1 MG give 1 tablet by mouth one time a day every other day for fluid retention. Review…

    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 · D2023-10-26 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, record review, and policy review, the facility failed to ensure proper care and services for 1 of 1 sampled resident, Resident #38, who received medications and nutrition via an enteral tube (feeding tube), as evidenced by failure to check for placement of the PEG (percutaneous endoscopic gastrostomy / surgical procedure for placement of a feeding tube), failure to administer medication via gravity, and failure to utilize purified water, as per facility policy. The findings included: Review of the policy, titled, Administering Medications through an Enteral Tube, revised November 2018, documented, in part, Steps in the Procedure: . 6. Verify placement of feeding tube. 9. Dilute medication: . with purified water. 11. Reattach syringe (without plunger) to the end of the tubing. 12. Administer medication by gravity flow. A medication administration observation for Resident #38 was made on 10/24/23 beginning at 1:32 PM with Staff E, Registered Nurse / RN. The RN obtained two medications, crushed each one, and put them into separate small medication cups.…

    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 · D2023-10-26 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and policy review, failed to ensure proper care and services and properly assess 2 of 2 sampled residents, Residents #20 and #107, during respiratory treatments via a nebulizer (a device for administering a medication by spraying a fine mist), failed to document findings in the record; and failed to change the nebulizer tubing weekly for 1 of 2 sampled resident, Resident #107, as per facility policy. The findings included: Review of the policy, titled, Administering Medications through a Small Volume (Handheld) Nebulizer, revised October 2010, documented, in part, Steps in the Procedure . 17. Remain with the resident for the treatment. 18. Approximately five minutes after treatment begins (or sooner if clinical judgment indicates) obtain the resident's pulse. 19 Monitor for medication side effects, including rapid pulse, restlessness and nervousness throughout the treatment. 20. Stop the treatment and notify the physician if the pulse increases 20 percent above…

    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 · D2023-10-26 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and policy review, the facility failed to timely assess and treat a newly voiced complaint of pain for 1 of 1 sampled resident, Resident #14, who voiced pain on 08/17/23, after having not taking any pain medications since 08/11/23, and staff did not thoroughly assess the location or underlying cause of the new pain, and the resident was diagnosed with a fracture on 08/24/23. The findings included: Review of the policy, titled, Pain Management, effective 10/25/22, documented, in part, Pain Management Guidelines: . 2. Pain management is a multidisciplinary care process that includes the following: . b. Effectively recognizing the presence of pain; c. Identifying the characteristics of pain; d. Addressing the underlying causes of the pain; . 4. Conduct a comprehensive pain assessment upon admission to the community, at the quarterly review, whenever there is a significant change in condition, and when there is onset of new pain or worsening of existing pain. 5. Assess the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 5 citations
  • Potential for harm · D2023-10-26 · tag F0770 — failed to provide lab services — isolated
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    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 follow through with an ordered laboratory test for 1 of 1 sampled resident, Resident #3. The findings included: Record review revealed Resident #3 was initially admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses that included: high blood pressure (Hypertension), Hyperlipidemia (high cholesterol), Non-Alzheimer's Dementia, and malnutrition. The quarterly minimum data set (MDS) assessment, reference date 09/13/23, recorded a Brief Interview for Mental Status (BIMS) score of 08, indicating Resident #3 was moderately cognitively impaired. This MDS recorded mood of Feeling down, depressed, or hopeless. Trouble falling or staying asleep or sleeping too much. Feeling tired or having little energy. No behavior exhibited. This MDS indicated Resident #3 required extensive assistance with activity of daily living (ADLs). Subsequent review of the records evidenced a physician assessment dated [DATE] at 12:05 PM, it indicated that 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-07-01 · tag F0880 — failed to prevent and control infections — pattern
    Provide 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, record review, and policy review, the facility failed to ensure disinfection of a used blood glucose devise, as per manufacturer's instructions, by 1 of 2 nurses observed (Staff D, a Registered Nurse/RN), after obtaining the blood sugar reading of Resident #103. The facility failed to ensure proper hand washing and infection control standards during the medication pass observation with 2 of 5 staff observed (Staff D, an RN and Staff C, a Licensed Practical Nurse/LPN) while providing medications to Residents #103, #153 and #28. The facility failed to follow their admission policy related to isolation for 1 of 2 current residents not up to date with their COVID-19 vaccinations (Resident #102). The facility failed to ensure proper infection control practices during wound care observation for 1 of 2 sampled residents (Resident #26). The findings included: 1. Review of the policy, titled, Cleaning and Disinfecting Blood Glucose Meters, dated 2019, documented to refer to manufacturer'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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-07-01 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview, and policy review, the facility failed ensure proper urinary catheter care and maintenance for 1 of 2 sampled residents, Resident #7, that included: Proper positioning and anchoring of the urinary catheter for Resident #7 was not maintained and Resident #7 was admitted to the facility with an indwelling urinary catheter and the facility failed to assess for and attempt a prompt removal of the catheter. The findings included: Review of the policy Catheter Care, Urinary, revised September 2014, documented, Infection Control . 2b. Be sure the catheter tubing and drainage bag are kept off the floor. Changing Catheters . 2. Ensure that the catheter remains secured with a leg strap to reduce friction and movement at the insertion site. (Note: Catheter tubing should be strapped to the resident's inner thigh.) An observation on 06/27/22 at 9:47 AM revealed Resident #7 in bed. A urinary catheter bag was noted at the bedside, with half of the bag and the catheter tubing…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-07-01 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation interview and record review, the facility failed to ensure accurate documentation between the controlled medication utilization record and the medication administration record for 2 of 4 sampled residents reviewed during the medication storage process (Residents #4 and #8). The findings included: 1. During the review of medication storage process conducted on 06/29/22 at 2:50 PM at the 100-unit medication cart, two random residents' records were selected for review and for reconciliation of the substance control medications (narcotics). There was discrepancy found in one of the resident's records (Resident # 8). It was revealed that Resident #8 had an order of tramadol 50 mg 1 tablet by mouth twice daily as needed for pain. The controlled medication utilization record was compared against the June 2022 medication administration records (MARs). The controlled medication utilization record documented the tramadol was removed twice from the locked substance control box, in June 2022 (06/09/22 at 9:32 PM and 06/20/22 at 11:00 AM), however the June's MARs was signed…

    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 · D2022-07-01 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure 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 policy review, the facility failed to ensure proper storage of medications by 1 of 4 nurses observed during the medication pass observations (Staff D, a Registered Nurse/RN),as evidenced by: Insulin for Resident #103 was left on the medication cart unattended; failed to ensure 1 of 3 medication carts (Wing A) was locked when unattended; and the Wing A medication cart was noted to be unlocked and unattended on three different observations, by two staff nurses during the survey (Staff E, an RN and Staff F, an RN) . There were 13 independently ambulatory residents residing in the facility at the time of the survey, two of whom resided on the A wing. The census upon entrance was 53. The findings included: Review of the policy, titled, Storage of Medications, revised April 2007, documented, 7. Compartments containing drugs and biologicals shall be locked when not in use, and trays or carts used to transport such items shall not be left unattended if open or otherwise potentially available to others. 1. A medication pass observation for Resident #103…

    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

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to LIFESPACE COMMUNITIES — 15 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 →

RatingThis homeChain avg
Overall 4 of 54.4-0.4 vs chain
Health inspection 4 of 53.7+0.3 vs chain
Staffing 4 of 54.3-0.3 vs chain
Quality measures 4 of 54.5-0.5 vs chain
The other 14 homes this chain runs (chain average 4.4★, 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 / managerTypeRoleShareSince
LIFESPACE COMMUNITIES INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL100%since 04/24/2007
LIFESPACE, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%since 07/09/2012
GEIST, MARCIIndividualW-2 MANAGING EMPLOYEEsince 10/04/2021
BLACKFORD, GARYIndividualCORPORATE DIRECTORsince 12/01/2021
DARKEY-HRINYA, JOYCEIndividualCORPORATE DIRECTORsince 01/15/2018
DUTRA, ANAIndividualCORPORATE DIRECTORsince 07/18/2016
FIELDS, VENITAIndividualCORPORATE DIRECTORsince 01/15/2018
JENSEN, CLAUSIndividualCORPORATE DIRECTORsince 04/26/2023
MCDONOUGH, AMYIndividualCORPORATE DIRECTORsince 04/26/2023
SALAMINO, JENIFERIndividualCORPORATE DIRECTORsince 04/26/2023
SOKEYE, JONATHANIndividualCORPORATE DIRECTORsince 12/01/2021
SPANGLER, PATRICKIndividualCORPORATE DIRECTORsince 07/18/2016
STRETCH, CLYDEIndividualCORPORATE DIRECTORsince 04/26/2023
WILLIAMS, DAVIDIndividualCORPORATE DIRECTORsince 12/01/2021
YANOFSKY, NEALIndividualCORPORATE DIRECTORsince 07/18/2016
GORMAN, JOSEPHIndividualCORPORATE OFFICERsince 07/26/2022
HARSHFIELD, NICHOLASIndividualCORPORATE OFFICERsince 07/01/2020
JANTZEN, JESSEIndividualCORPORATE OFFICERsince 04/01/2020
KRESSE, NIKKIIndividualCORPORATE OFFICERsince 04/19/2021
POPE, ERINIndividualCORPORATE OFFICERsince 07/25/2022

CMS files one row per role, so the 21 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

$18.3M
Net patient revenuemost recent cost report
-58.3%
Operating marginrevenue minus expenses
$1.7M
Related-party expense6% of expenses
Who pays — share of resident-days
Medicaid 2%Medicare 31%Other / private 68%

This home reported $1.7M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

$1,523per resident / day
operating cost
$46,290per month
≈ monthly operating cost
$962per day
avg. revenue, all payers

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

Paying with Medicaid

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.

Typical monthly cost in Florida
$10,342/mo
Nursing home (semi-private)
$12,167/mo
Nursing home (private)
$5,610/mo
Assisted living

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 105404. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-02-06, 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.

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