Oasis At The Conch Republic Nursing And Rehab

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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

Quality measures — how residents actually fare

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

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

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

45.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 195 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 49.1% 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 108 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 0.27 therapist hours per resident per day in 2026Q1 — more than 40% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 120 beds and averages 101.6 residents a day — about 85% occupied, or roughly 18 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 3.23 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.74 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.11 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 3.05 hrs/resident/day on weekends vs 3.30 on weekdays — 8% thinner on weekends. RN hours go from 0.76 to 0.71 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%. 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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

21 citations, most serious first. The 14 most serious are shown; the remaining 7 are one tap away and print in full.

• Immediate jeopardy · J2024-03-15 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor 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 and interview, the facility failed to implement their policy and procedure and honor the resident's documented advance directives, including Do Not Resuscitate status for 1 (Resident #1) of 3 residents reviewed. On [DATE] at approximately 11:40 a.m., Resident #1 was found without a pulse or respiration. Staff did not verify Resident #1's advance directives for code status and administered cardiopulmonary resuscitation (CPR) against the resident's documented wishes to withhold CPR in the event of cardiac or respiratory arrest. Applying the reasonable person concept, the failure to honor the resident's wishes for a natural, dignified death created a likelihood for serious psychosocial harm. This failure placed other residents with established advance directives at a likelihood to be resuscitated against their wishes and resulted in the determination of Immediate Jeopardy (IJ) at a scope and severity of isolated (J) starting on [DATE]. On [DATE] at 4:49 p.m., the Administrator was notified of…

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

  Resident Rights Deficiencies · Past Non-Compliance
• Immediate jeopardy · J2024-03-15 · tag F0678 — failed to provide CPR when needed — isolated
  Provide 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 clinical record review and staff interview, the facility failed to implement their policies and procedures by failing to verify code status and administering cardiopulmonary resuscitation (CPR) to 1 (Resident #1) of 2 sampled residents found without pulse or respiration, against the resident's documented wishes and physician's order for DNR (Do not resuscitate). On [DATE] at approximately 11:40 a.m., Resident #1 was found without a pulse or respiration. Staff did not verify Resident #1's code status and administered cardiopulmonary resuscitation (CPR) against the resident's documented wishes, and the physician's orders to withhold CPR in the event of cardiac or respiratory arrest. The failure to follow the facility's CPR policies and procedures placed residents who had established advance directives at a likelihood that they would be resuscitated against their wishes and resulted in the determination of Immediate Jeopardy (IJ) at a scope and severity of isolated (J) starting on [DATE]. CPR may result 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.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Immediate jeopardy · K2023-10-26 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, review of the facility's policies and procedures, and staff interviews, the facility failed to protect residents from neglect when they failed to ensure residents received food in the appropriate texture to prevent accidental choking for 2 (Residents #1, and #4) of 4 sampled residents. The facility's failure to provide the services necessary to prevent neglect placed other residents with similar conditions at a likelihood of serious illness and/or death and resulted in the determination of Immediate Jeopardy. Resident #1 had a diagnosis of Dysphagia (impaired Swallowing) and had been downgraded to a pureed diet (all food has been ground, pressed, and/or strained to a soft, smooth consistency, like a pudding) with nectar thickened liquids on 10/06/23. On 10/7/23 the resident was served a mechanical soft meal with chopped chicken, which resulted in the resident choking on the food and requiring transfer to an acute care facility, where he was diagnosed with acute aspiration pneumonia (food or liquid breathed into the lungs) and acute hypoxemic (low oxygen 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · K2023-10-26 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, review of policies and procedures, resident and staff interviews, the facility failed to consistently ensure the therapeutic mechanically altered diet was followed for 2 (Residents #1 and #4) of 4 sampled residents on mechanically altered diet. Resident #1 had a diagnosis of Dysphagia (impaired swallowing). On 10/6/23 Resident #1's diet texture was downgraded to a pureed consistency with nectar thickened liquids. The facility failed to provide Resident #1 with the appropriate consistency diet for three meals. On 10/7/23 Resident #1 did not receive a pureed diet for lunch and choked on the food. Staff suctioned food particles from the resident's mouth. On 10/7/23 at approximately 5:30 p.m., Resident #1 was transported to the emergency room for delayed response in following command, persistent excessive coughing spell, and a drop in oxygen status. Resident #1 was diagnosed with acute aspiration pneumonia (food or liquid breathed into the airways) and acute hypoxemic (low oxygen in the blood) respiratory failure. The facility's failure to ensure residents…

  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 · D2025-09-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to provide adequate supervision to prevent unsafe wandering and elopement of 1 cognitively impaired Resident for 1 (Resident #1) of 1 resident reviewed for elopement. The facility also failed to implement care planned elopement intervention for 1 (Resident #2) of 5 residents reviewed for elopement.The findings included:Review of the facility policy titled Elopements and Wandering Residents with a revision date of 3/16/23 indicated Elopement occurs when a resident leaves the premises or a safe area without authorization (i.e., an order for discharge or leave of absence) and/or any necessary supervision to do so. 4. Monitoring and Managing Residents at Risk for Elopement or Unsafe Wandering. C. Interventions to increase staff awareness of the resident's risk, modify the resident's behavior, or to minimize risks associated with hazards will be added to the residents care plan and communicated to appropriate staff. Ie: diversional activities, wander guard placement. E. Charge nurses and unit managers will monitor the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-06-26 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews and policy review, there were concerns that the dietary department failed to ensure food safety, covering, labeling and dating of foods, food temperatures and equipment failure. Findings include: A tour of the kitchen was conduct on 6/23/25 at 6:30AM with the Administrator (ADM). An observation was made in the walk-in cooler of 27 assorted glasses with no date or identifying label. There were 11 bags of what appeared to be assorted cookies in the walk-in cooler with no identifying label. An observation was made in the walk-in cooler of five 9-ounce bowls and three 4-ounce bowls of what appeared to be some type of fruit or pudding with no identifying label, date or covering. An observation was made at 6:40AM of six ¼ size food containers and 1 full size steam table pan in the steam table. An observation was made of the MC taking the food temps of the food on the steam table. The 6 ¼ steam table pans consisted of: 1. pureed sausage temp 100 degrees 2. pureed eggs temp 125 degrees 3. Cream of wheat temp 140 degrees 4. Regular scrambled eggs temp 140…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-06-26 · tag F0761 — failed to label and store drugs safely — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure all drugs and biologicals used in the facility were stored and labeled in accordance with current professional standards, including proper refrigeration and expiration dates for three of four medication carts observed. Findings include: During an observation on [DATE] at 5:35AM through 5:50 AM there was an unlocked medication cart and unattended with a cup of medications with 2 small white medications observed in the medication cup. Staff A, Registered Nurse (RN) returned to the medication cart from a residents room at 5:50 AM. Observation of the medication cart #1 was conducted with Staff A, there were two NovoLog insulin pens that were opened with no dates opened on the insulin pen or the pharmacy bag and no expiration dates. There was one unopened insulin aspart with pharmacy instructions to refrigerate until opened. There was one unopened insulin glargine with pharmacy instructions to refrigerate until opened. There was one…

  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 · E2025-06-26 · 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

  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 #20, #21 and #22) of six residents observed for medication administration. Failure to follow proper infection control standards increases the risk of adverse health outcomes for facility residents. Findings include: During an observation of medication administration on 6/24/2025 at 5:15 AM Staff F, Registered Nurse (RN), was observed returning to the medication cart ,removed medication cart keys from their pocket, unlocked the medication cart, activated and typed on the computer, then Staff F, RN began to prepared medications without performing hand hygiene, removed medications from the drawers, donned gloves without performing hand hygiene and opened a drawer to remove a liquid medication. The bottle of medication had the foil protective layer in place. Staff F attempted 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-26 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview the facility failed to ensure that services provided meet professional standards of practice when physician orders were not followed for medication administration for 1 (Resident #9) of 3 residents reviewed. Findings include: Review of Resident #9's admission record documented an admission date of 5/6/2024 with diagnoses that include unilateral primary osteoarthritis, right hip, gastro-esophageal reflux disease without esophagitis, schizoaffective disorder, bipolar type, unspecified severe protein-calorie malnutrition, cognitive communication deficit, pressure ulcer of sacral region, stage 4, contracture, left knee, and contracture, right knee. Review of Resident 39's physician order dated 9/11/2024 read, Midodrine HCL oral tablet 5 MG (milligrams) Give 1 tablet by mouth every 6 hours as needed for BP (blood pressure) less than 110/60. Review of Resident #9's weight and vitals summary from 6/1/2025 through 6/24/2025 documented a blood pressure (B/P) of 105/57 mm/Hg (millimeters of mercury) at 11:23 am on 6/2/2025, a B/P of 106/56 at 1923 (7:23…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-06-27 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, facility policy and procedure review, and staff interviews the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. The findings included: The facility's Policy titled food Preparation initiated on 2/9/2023 stated, It is the center policy that all foods are prepared in accordance with the guidelines of the FDA Food Code. The Certified Dietary Manager or [NAME] are responsible for food preparation procedures that avoid contamination by potentially harmful physical, biological, and chemical contamination; is responsible to ensure that all utensils, food contact equipment, and food contact surfaces are cleaned and sanitized after every use. On 6/24/24 at 9:15 a.m., the initial kitchen tour was conducted with cook Staff C. The floor had a large puddle of water under and around the three-compartment sink. Photographic evidence obtained. Staff C, [NAME] said she had seen it like that a few times. Dietary Aide Staff D was present during the tour said she has been employed at the facility for…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-27 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, maintenance log review, staff and resident interview, the facility failed to ensure they provided housekeeping and maintenance services for 11 out of 28 sampled rooms. The findings included: On 6/24/24 during a tour of the second-floor resident rooms, observed in rooms 201, 205, 210, and 219 the air conditioner (a/c) vents above the resident's bed had a dark/black colored substance around the vent and appeared rusted in some areas. In rooms 203, 205, 210, 226 and 229 the bathroom floor tiles around the toilet were discolored, chipped and not in good repair. The caulking around the toilets was noted to be a dark brown discoloration and had some pieces missing. In room [ROOM NUMBER], the bed next to the bathroom, the bed frame was noted to be rusted and not in good repair. In room [ROOM NUMBER] a towel was observed under the a/c unit under the window, the bedside table and bedside nightstand molding around the bedside table and nightstand were missing showing exposed wood. On 6/24/24 around…

  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 · E2024-06-27 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to provide an ongoing activities program to meet the needs of 3 (Residents #44, #20, and #16) of 3 residents reviewed for activities by failing to ensure the residents had choices and were encouraged to participate in activities. The findings included: On 6/24/24 at 11:45 a.m., Resident #16 was observed lying in bed. When asked about activities Resident #16 said there were not a lot a lot of activities. They have Bingo and play for a cookie. On 6/26/24 at 8:38 a.m., Resident #16 was observed sleeping in bed. The resident's breakfast tray was observed sitting at bedside still covered. Review of Resident #16's care plan reads, [Resident #16] is independent on staff etc. [sic] for meeting emotional, intellectual, physical, and social needs r/t (if dependent) Cognitive deficits, Immobility, Physical Limitations The resident will maintain involvement in cognitive stimulation, social activities as desired through review date All staff to converse with resident…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-27 · tag F0680 — pattern
  Ensure the activities program is directed by a qualified professional.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, and staff interviews, the facility failed to ensure the activities program was directed by a qualified professional who was a qualified therapeutic recreation specialist or an activity professional. This had the potential to affect all current residents residing in the facility. The findings included: On 6/26/24 at 11:56 a.m., The Activity Director said she had been the facility's activity director for almost three years. She said prior to coming to the facility she was a high school teacher with a Bachelor of Science degree in chemistry, and a minor in Physics and Zoology. She said she did not have a certification as a therapeutic recreation specialist or as an activity professional by a recognized accrediting organization. She further said she did not have two years of experience in a social or recreational program within the last 5 years prior to becoming the facility's Activity Director. Review of the Activity Director's employment files revealed she was hired on 8/10/21, signed and accepted the facility's Activity Director position on 9/16/21. Review of…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-27 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interviews and medical record and facility policy review the facility failed to implement interventions to prevent the decline in range of motion for 1 Resident (Resident #45) of 1 resident reviewed. The findings included: The facility policy implemented 11/2020 and revised 7/27/2022 for Comprehensive Care Plans stated, It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive assessment. The comprehensive care plan will describe, at a minimum, the following: The services that are to be furnished to attain or maintain the residents highest practicable physical, mental, and psychosocial well-being; Any services that would otherwise be furnished, but are not provided due to the resident's exercise of his 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.

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

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

Fines & penalties

$195,071 in federal fines across 3 penalties.

• $5,125 — penalty dated 2024-02-18
• $9,159 — penalty dated 2024-02-18
• $180,787 — penalty dated 2023-10-26

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.

Who owns this facility

CMS files one row per role, so the 20 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner 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 $2.9M paid to related parties — landlords or management companies under common ownership — equal to about 22% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in FL