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Solaris Healthcare Celebration

1290 Celebration Blvd, Kissimmee, FL 34747 · For profit - Limited Liability company · 120 certified beds · (321) 337-7400 Medicare & Medicaid certified

Call the home — (321) 337-7400 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • 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 (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • about 21% of its spending goes to commonly-owned related companies

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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Urgent care / clinic
1530 Celebration Blvd Ste 407 · (321) 939-4137 · Call to confirm hours
Pharmacy
Walgreens1.1 mi
1501 Future Way · (407) 964-3062 · Call to confirm hours
Grocery
605 Market St · (407) 566-8887 · Call to confirm hours
Park
923 Pondview Ct · (407) 566-1200 · Typically dawn to dusk
Place of worship
1050 Celebration Ave · (321) 939-1492

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 5 of 5
Short-stay residentsrehab / post-hospital 4 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 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 increased8.6%8.7%15.4%better
Long-stay residents who lose too much weight0.5%5.5%5.4%better
Long-stay residents with a catheter left in their bladder0.3%0.3%0.9%typical for the state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.8%0.7%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms1.6%4.6%6.5%better
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 injury0.4%2.5%3.3%better
Long-stay residents whose ability to walk worsened12.5%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication8.6%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers6.1%4.5%4.7%worse
Long-stay residents with worsening bladder/bowel control10.4%10.5%21.2%typical for the state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table4.8%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.3%1.5%1.4%typical
Short-stay residents given the seasonal flu vaccine97.4%94.7%79.4%better
Short-stay residents rehospitalized after admission28.8%26.1%22.6%worse
Short-stay residents with an outpatient ER visit12.0%9.1%12.0%typical
Long-stay hospitalizations per 1,000 resident days3.122.131.67worse
Long-stay outpatient ER visits per 1,000 resident days1.181.151.80better

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.

61.6% 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 579 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

61.6%U.S. median 51.5%
Got home and stayed home
11.7%U.S. median 10.7%
Went back to hospital
58.4%U.S. median 56.6%
Met the expected recovery
0.64U.S. median 0.31
Therapy hours / resident / day
0.27hours / resident / day
Physical therapy
0.32hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 58.4% 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 238 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 0.64 therapist hours per resident per day in 2026Q1 — more than 90% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 28% 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 SNF61.6%CMS range 57.0–66.051.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.7%CMS range 9.7–13.610.7%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 discharge58.4%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 discharge65.1%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 discharge56.3%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 identified99.7%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 discharge100.0%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 stay1.0%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 worsened0.3%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 hospitalization9.1%CMS range 6.5–10.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.211.02Oct 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

1.05
RN hours/ resident / day
0.74
LPN hours/ resident / day
2.30
Aide hours/ resident / day
4.08
Total nurse hours/ resident / day
0.71
RN hoursweekends
42.7%
Total nursing turnover
37.8%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 115.9 residents a day — about 97% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.08 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.05 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.30 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 3.79 hrs/resident/day on weekends vs 4.20 on weekdays — 10% thinner on weekends. RN hours go from 1.18 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 43% is about the same as the national median of 45%.

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

Inspection trend

4
deficiencies at the latest standard inspection (2026-02-05)
12
at the previous standard inspection (2024-05-23)

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.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

  • Potential for harm · D2026-02-05 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to develop and implement a person-centered comprehensive care plan to address a hearing impairment, including interventions to promote the resident's highest practicable well-being for 1 of 1 residents reviewed for communication/sensory needs, of a total sample of 57 residents, (#189). Findings: Cross Reference F697 Review of resident #189's medical record revealed she was admitted to the facility on [DATE] with diagnoses including fracture of the neck of the left femur, fracture of the lower end of the left radius, and history of falling. Review of the original State Agency 5000-3008 Medical Certification for Medicaid Long-Term Care Services and Patient Transfer Form, dated 1/28/26, revealed resident #189 was non-ambulatory, alert, oriented, and able to follow instructions. The form indicated the resident had impaired hearing and used a left hearing aid. Review of the hospital History and Physical form, dated 1/09/26, revealed a medical…

    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 · D2026-02-05 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to obtain wound care orders and document wound care treatment per the resident's comprehensive, person-centered care plan, (#188); and failed to implement physician orders for treatment of psoriasis consistent with professional standards of practice, (#33), for 2 of 2 residents reviewed for non-pressure skin conditions, of a total sample of 57 residents.Findings: 1.Review of resident #188's medical record revealed he was admitted to the facility on [DATE] with diagnoses including syncope and collapse, thrombocytopenia, anemia, and atrial fibrillation. Thrombocytopenia refers to a low platelet count, which increases the risk of bleeding due to impaired clot formation, (retrieved from www.mayoclinic.org on 2/07/26). Review of resident #188's physician orders revealed the following wound care orders initiated on 2/02/26: *Skin tear to left inner forearm: cleanse with normal saline, apply skin prep to periwound, apply Xeroform, cover with rolled…

    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 before2026-02-05 · 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, and record review, the facility failed to ensure the flow rate for Oxygen (O2) therapy was administered as per physician's order for 1 of 2 residents reviewed for O2 therapy, of a total sample of 57 residents, (#88).Findings:Resident #88 was admitted to the facility on [DATE] with diagnoses of Alzheimer's disease, failure to thrive, anemia, anxiety, depression, and subsequent encounter for palliative care. On 2/02/26 at 11:55 AM, resident #88 was observed in bed, she wore a nasal cannula attached to an oxygen concentrator. The O2 was set at 2.5 liters per minute (LPM), with the concentrator located inside her bathroom. A review of resident #88's medical record revealed O2 was ordered by the physician for 2 LPM by nasal cannula. The Quarterly Minimum Data Set, dated [DATE] showed a Brief Interview for Mental Status of 12/15, which indicated the resident's cognition was moderately impaired. The assessment indicated the resident required moderate to maximum assistance for activities…

    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 · D2026-02-05 · 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 observation, interview, and record review, the facility failed to implement physician orders for pain management accurately and timely; and failed to effectively manage pain in accordance with the resident's care plan and goals, for 1 of 2 residents reviewed for pain, of a total sample of 57 residents, (#189). Findings: Cross Reference F656 Review of resident #189's medical record revealed she was admitted to the facility on [DATE] with diagnoses including fracture of the neck of the left femur, fracture of the lower end of the left radius, and history of falling. Review of resident #189's Brief Interview for Mental Status assessment dated [DATE] revealed a score of 15 out of 15 indicating intact cognition. Review of the comprehensive care plan, initiated on 1/30/26, revealed resident #189 had pain and discomfort related to fractures of the left femur and left radius. The goal was for pain to be at or below the resident's stated acceptable level. Interventions included administering pain medication per…

    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 before2024-05-23 · 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 observations, staff interview, cleaning schedule, and policy and procedure review, the facility failed to maintain food safety standards, such as ensuring food employees used beverage containers that prevented contamination from hands; resident Time/Temperature Control for Safety (TCS) food was not stored too long under refrigeration; ensure that food and non-food contact surfaces were clean to sight and touch; bathrooms used by food employees were equipped with handwashing signage; ensure that exposed food, clean equipment and clean utensils were protected from contamination from non-Food and Nutrition Services staff unrestrained hair; and clean equipment and utensils were stored in a clean and dry location and protected from splash. These findings have the potential to cause foodborne illness for 101 out of 109 residents who consumed the facility's food. The findings included: During the Initial Brief Tour of the Kitchen with the Director of Food and Nutrition Services on 5/20/24 at 10:24 AM, there was an employee's bottled water container with a twist off lid and a blue…

    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 · E2024-05-23 · tag F0561 — failed to honor residents' choices — pattern
    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 honor resident's rights to choose their bathing preference for 1 of 3 residents reviewed for choices, of a total sample of 47 residents, (#17). Findings: Review of the medical record revealed resident #17 was admitted to the facility on [DATE] from a skilled nursing facility. His diagnosis included cervical disc disorder, syncope and collapse, difficulty in walking, ataxic gait, major depressive disorder, muscle weakness, and need for assistance with personal care. Resident #17's Annual Minimum Data Set (MDS) with an assessment reference date of 4/08/24 revealed the resident scored 13 out of 15 on the Brief Interview for Mental Status which indicated he did not have any cognitive impairment. The MDS assessment also indicated it was very important to the resident to choose his bathing preferences. The MDS assessment showed the resident required substantial/maximal assistance for bathing and noted the resident did not exhibit behavior…

    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 · E2024-05-23 · tag F0623 — pattern
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide written Notification of Transfer or Discharge forms to the residents or their representative for 3 of 3 residents reviewed for hospitalization, of a total sample of 47 residents, (#51, #64 and #117). Findings: 1. Resident #51 was admitted to the facility on [DATE] with diagnoses including cerebral infarction, gastrointestinal hemorrhage, chronic respiratory failure, type 2 diabetes, chronic obstructive pulmonary disease, Alzheimer's Disease, and cerebrovascular disease. Review of resident #51's medical record revealed she was transferred to the hospital on 3/17/24 due to hypokalemia and on 4/03/24 due to gastrointestinal bleeding. Resident #51 returned to the facility following each hospital transfer. The medical record contained a Notification of Transfer or Discharge form for each hospital transfer. The form dated 3/17/24 indicated resident #51's daughter was notified of the transfer by phone and the form dated 4/03/24 indicated 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-23 · 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 interview and record review, the facility failed to employ a qualified professional to serve as the Activity Director. Findings: On 5/23/24 at 3:37 PM, during a Background Screening review with the Human Resources (HR) Director, the HR Director reported the Activity Director was hired on 1/23/24. A review of the Activity Director's Background Screening revealed she had worked for an Assisted Living Facility (ALF) for 1 year and 8 months prior to her employment date. The HR Director reviewed the Activity Director's personnel file and stated she was unable to locate certification for the Activity Director. Verbal information was provided the Activity Director was enrolled in the course to become certified but was not currently certified. On 5/23/24 at 3:54 PM, the Activity Director verified she was hired 1/23/24. She explained prior to this position she worked as an Activity Assistant at an ALF. The Activity Director stated she enrolled in an online national activity training course in March 2024. She acknowledged she had not completed the course as of 5/23/24. The Activity…

    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 · E2024-05-23 · 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 meal observation, resident and staff interviews, menu review, and medical record review, the facility failed to provide three residents (#43, #106, and #419) their prescribed sodium-restricted diets out of three residents reviewed for food quality and a randomly observed resident during the Dining Observation Task. This occurred at three meals during the four day survey. The findings included: During the Dining Observation task on 5/20/24 at 12:57 PM, Resident #419 was eating lunch in her room. She had her lunch tray and the tray ticket documented NAS [No Added Salt] Regular. There was a salt packet on her tray and saltine crackers. Photographic evidence taken. On 5/22/24 at 9:20 AM. Resident #106 was in bed awake. His wife was setting up his meal tray. He had scrambled eggs, French toast, cranberry juice; milk, oatmeal. The tray ticket documented Liberalized Renal diet. There were two salt packets on his tray. Photographic evidence obtained. On 5/22/24 at 9:33 AM, Resident #419 was in bed and she finished her breakfast and her tray was set aside. She ate her oatmeal 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 · E2024-05-23 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    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 indicate the duration of an as needed (PRN) anti-anxiety/anxiolytic medication for 1 of 1 residents reviewed for psychotropic medications, of a total sample of 47 residents, (#56). Findings: Review of the medical record revealed resident #56 was admitted to the facility on [DATE] and readmitted on [DATE] from the hospital. Her diagnosis included major depressive disorder, generalized anxiety disorder, Alzheimer's disease, encounter for palliative care, and adult failure to thrive. Resident #56's Annual Minimum Data Set (MDS) with an assessment reference date of 4/30/24 revealed the resident had moderately impaired cognitive skills for daily decision making. The Annual MDS noted that the resident received antianxiety medications. The MDS also noted the resident did not exhibit behavior symptoms or rejection of care necessary to achieve the resident's goals for health and well-being. Review of resident #56's medical record revealed a care plan initiated…

    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
Show the remaining 9 citations
  • Potential for harm · D2024-05-23 · 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 complete an accurate admission assessment coding of the Minimum Data Set (MDS) under Functional Abilities and Goals for 1 of 1 resident reviewed for limited range of motion, of a total sample of 47 resident, (#42). Findings: During an interview with resident #42 on 5/20/24 at 10:53 AM, it was noted he had a left-hand contracture with no carrot, washcloth or palm guard present in the hand. He stated he used to have a splint on every day, but there was nothing in his hand when he didn't have the splint. Review of the Clinical Nursing admission assessment dated [DATE] at 9:15 PM, showed under the function section a sub-section for occupational therapy (OT), which revealed he was able to move all extremities, and had no contractures. Review of the Care Plan initiated on 3/15/24 revealed no focus for contractures, splints, or positioning for the left hand. Review of the Occupational Evaluation and Plan of Treatment dated 3/17/24 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 · D2024-05-23 · 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, interview, and record review, the facility failed to ensure resident received appropriate health care services to minimize further decrease in range of motion by not applying a palm grip cushion, or carrot for contracted left hand for 1 of 3 residents reviewed for limited range of motion, of a total sample of 47 residents, (#42). Findings: Review of the medical record revealed resident #42 was admitted to the facility on [DATE] with previous admission on [DATE], with diagnoses of functional quadriplegia, multiple sclerosis, need for assistance with personal care, and other abnormalities of gait and mobility. Review of the Clinical Nursing admission assessment dated [DATE] at 9:15 PM, under the function sub section for occupational therapy (OT), revealed resident #42 was able to move all extremities, and had no contractures. Review of the Care Plan initiated on 3/15/24 revealed no focus for contracture, splint, or limited range of motion positioning for the left hand. Review of the Care Plan…

    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 · D2024-05-23 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility failed to assure safe and accurate medication administration for 1 of 6 residents reviewed for Medication Administration, of a total sample of 47 residents, (#270). Finding: Review of the medical record revealed resident #270, a [AGE] year old male, was admitted to the facility on [DATE] from an acute care hospital with diagnoses of severe chronic kidney disease, nonrheumatic aortic (valve) stenosis, heart failure, cerebral infarction (stroke), hypo-osmolarity and hyponatremia (electrolyte imbalance), gout, hypotension, hypertension, and ataxia (impaired coordination). The Minimum Data Set admission assessment with assessment reference date 5/16/24 was incomplete and noted as in progress. The Brief Interview for Mental Status 3.0 assessment noted the resident scored 15 out of 15 that indicated he was cognitively intact. The Section GG Documentation evaluation noted the resident required moderate staff assistance to complete his Activities of Daily…

    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 · D2024-05-23 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on meal observation, resident and staff interviews, menu review, and medical record review, the facility failed to provide food that accommodated preferences for one (#106) of three residents reviewed for food quality for two meals out of two meals observed. The findings included: On 5/22/24 at 9:20 AM, Resident #106 was in bed and his wife was setting up his meal tray. He had scrambled eggs, French toast, cranberry juice; milk, oatmeal served for breakfast. The tray ticket documented liberalized renal (kidney) diet, and included his food dislikes including cranberry juice. Resident #106 said he told Food and Nutrition Services that he doesn't like cranberry juice. He said he liked mashed potatoes and wanted them once a day. During the lunch meal observation on 5/23/24 at 1:33 PM, resident #106 had his lunch meal on his bedside table. He was waiting for his wife to come to the facility to heat it up for him. He had pork, white rice, and corn. There was cranberry juice on the tray, even though his tray ticket indicated no cranberry. During an interview with the Director of Food…

    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 · D2024-05-23 · tag F0814 — failed to dispose of garbage properly — isolated
    Dispose of garbage and refuse properly.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, interview, and policy and procedure review, the facility failed to ensure that a garbage receptacle in the kitchen food preparation area was covered during non peak food production time. This was observed on one out of 4 Kitchen Observation Task visits. The findings included: On 5/22/24 at 4:25 PM, during a follow up kitchen visit to the kitchen, the garbage can in the food preparation area near food preparation sink had no lid. The garbage can was almost full of garbage. Photographic evidence obtained. The Director of Food and Nutrition Services was present at that time and stated that a new lid was on order.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-23 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, and interview, the facility failed to ensure staff donned appropriate Personal Protective Equipment (PPE) before or upon entry into the environment of a resident on transmission-based precautions (e.g., contact precautions) for Clostridioides difficile (a germ that causes diarrhea and inflammation of the colon and can be life-threatening) and perform soap and water handwashing before exiting; and failed to ensure nursing staff followed appropriate hand hygiene practice during medication administration for 4 of 8 residents reviewed for medication administration, of a total sample of 47 residents, (#25, #98, #42 and #32) . The findings included: 1. On 5/22/24 at 1:18 PM, the Restorative Certified Nursing Assistant, Staff G entered Resident #37's room to deliver a lunch tray and did not don a gown and gloves before entering the room. Staff G went in and out of the room within a minute, which was not time enough to wash her hands with soap and water before exiting the room. Resident #37 had a diagnosis of recurrent Clostridioides difficile infection and was on…

    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 · E2023-02-16 · tag F0655 — pattern
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the baseline care plan summaries were reviewed with the resident or resident representative for 4 of 4 new admission residents out of a total sample of 42 residents (#15, #88, #273 & #274). Findings: 1. Resident #15's medical record revealed the resident was admitted to the facility on [DATE] with previous admissions on 12/01/22, 11/15/22, and 5/24/21 with diagnoses of acute kidney failure, pain, urinary tract infection, hypertension, history of traumatic brain injury. The Minimum Data Set (MDS) entry assessment had an assessment reference date (ARD) of 1/24/23. Nurses' notes from 1/24/23 at 10:00 PM through 2/16/23 at 2:29 PM did not contain any documentation of the resident's refusal to sign a baseline care plan summary. The medical record did not contain a copy of a baseline care plan summary provided to resident #15 or the resident's representative. On 2/13/23 at 9:37 AM, resident #15 stated she did not have any concerns with care plans and…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-02-16 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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, record review and interview, the kitchen staff failed to follow hygienic practices, during food distribution, to prevent the cross contamination of food, utensils, and clean equipment. Finding: Review of the facility menu for 2/13/21 revealed the residents would be served Cinnamon Oatmeal, Cheese Omelet, Hashbrown Patty, and Raisin Toast for breakfast. Review of the facility's mealtimes noted that breakfast would start at approximately 7:30 AM. On 2/13/23 at approximately 8:09 AM, the cook and a dietary aide had already started the breakfast tray line. The cook wore gloves and was the actual staff person plating the food. Approximately 2-3 minutes later, the cook, who was still wearing the same gloves, lowered his surgical mask below his nose and mouth, and drank from a Styrofoam cup that did not have a lid. The cook could not explain why he was drinking during the tray line service but indicated he should not have done so. He indicated he was aware that eating and drinking was prohibited during tray line. Approximately 1-2 minutes later, the Certified Dietary…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-02-16 · 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 and record review, the facility failed to follow physician ordered liters of oxygen administration for 1 of 1 resident reviewed for oxygen therapy out of a total sample of 42 residents (#274). Findings: Resident #274's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses of anemia, chronic kidney disease, heart failure, COVID-19 and pneumonia. The Minimum Data Set (MDS) entry assessment with assessment reference date (ARD) of 2/09/23 did not show an oxygen order. Review of the care plan initiated and revised on 2/10/23 showed a problem of respiratory distress with a goal and an intervention to administer oxygen as ordered. On 2/13/23 at 10:43 AM, observation of resident #274 revealed oxygen via nasal cannula running at 3 liters per minute. The medical record revealed a physician's order dated 2/10/23 for oxygen at 2 liters per minute via nasal cannula every shift. On 2/13/23 at 3:16 PM, observation of resident #274 with Registered Nurse (RN) A…

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

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

“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 SOLARIS HEALTHCARE — 22 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 54.0-1.0 vs chain
Health inspection 3 of 53.5-0.5 vs chain
Staffing 4 of 53.8+0.2 vs chain
Quality measures 4 of 54.5-0.5 vs chain
The other 21 homes this chain runs (chain average 4.0★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
CELEBRATION SNF OPERATIONS HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 06/05/2023
ACC SNF OPERATIONS HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 06/05/2023
CH ACC HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 06/05/2023
SEAM TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 06/05/2023
SK HOLDINGS ACC HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 06/05/2023
NAGALAPADI, VENKATESHIndividualCONTRACTED MANAGING EMPLOYEEsince 06/05/2023
KLEIN, SOLOMONIndividualCORPORATE OFFICERsince 06/05/2023
MACSWEENEY, DIANEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/05/2023

5 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.

$9.8M
Net patient revenuemost recent cost report
-5.6%
Operating marginrevenue minus expenses
$2.1M
Related-party expense21% of expenses
Who pays — share of resident-days
Medicaid 43%Medicare 36%Other / private 22%

This home reported $2.1M paid to related parties — landlords or management companies under common ownership — equal to about 21% 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

$443per resident / day
operating cost
$13,463per month
≈ monthly operating cost
$420per 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 106127. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-05, 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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