The Good Samaritan Society-Kissimmee Village

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

49.1% 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 67 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.17 therapist hours per resident per day in 2026Q1 — more than 17% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 161 beds and averages 136.6 residents a day — about 85% occupied, or roughly 24 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 3.42 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.81 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.08 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.20 hrs/resident/day on weekends vs 3.51 on weekdays — 9% thinner on weekends. RN hours go from 0.89 to 0.61 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

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

Inspection trend

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

Inspection deficiencies

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

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 15 most serious are shown; the remaining 7 are one tap away and print in full.

• Immediate jeopardy · J2023-08-10 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interview, the facility failed to protect the resident's right to be free from neglect by not ensuring the correct procedure was followed when using a full body mechanical lift to transfer residents, failed to provide nursing care and services to ensure proper post-fall nursing evaluation was conducted and failed to complete a thorough investigation for possible neglect for a fall with major injury for 1 of 7 residents sampled for falls, (#1). This failure resulted in resident #1' transfer to the hospital for treatment of a fractured clavicle and laceration to the head requiring staples. Clavicle fracture (collarbone), is diagnosed through physical examination and x-rays. Resident #1 likely experienced severe pain and swelling at the site of the collarbone fracture and possible visible deformity in some cases. On 7/10/23 at approximately 9:30 AM, the facility failed to prevent an avoidable fall for a physically and cognitively impaired resident. The fall occurred during a transfer…

  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 · Jcited before2023-08-10 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 thoroughly investigate an incident involving neglect and failed to report the results of the investigation to the State Survey Agency related to an avoidable fall with major injury for 1 of 7 residents sampled for falls, (#1). On 7/10/23 at approximately 9:30 AM, the facility failed to prevent an avoidable fall for a physically and cognitively impaired resident. The fall occurred during a transfer from a bed to a wheelchair with a full body mechanical lift. Resident #1 fell feet first from the sling while she was suspended above the floor when one of six loops that secured the sling was not attached to the lift. The staff failed to follow the policy to have two trained staff for mechanical lift transfers, failed to ensure a time out safety stop and did not ensure that all straps were secure before moving the resident away from the surface. The Certified Nursing Assistant (CNA) moved the resident before she was assessed by a nurse and did not inform…

  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 · J2023-08-10 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to prevent an avoidable fall with major injury for a vulnerable, physically, and cognitively impaired resident, and failed to ensure the correct procedure was followed when using a full body mechanical lift to transfer residents for 1 of 7 residents sampled for accidents, of a total of 45 residents requiring mechanical lifts for transfers, (#1). This failure resulted in the resident sustaining a fractured left clavicle and laceration to the head requiring staples. Clavicle fracture (collarbone), is diagnosed through physical examination and x-rays. Resident #1 likely experienced severe pain and swelling at the collarbone fracture and with possible visible deformity. On 7/10/23 at approximately 9:30 AM, resident #1 fell during a transfer from bed to a wheelchair with a full body mechanical lift. Resident #1 fell feet first from the sling while she was suspended above the floor when one of six loops that secured the sling was not attached to the lift. 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
• Immediate jeopardy · J2023-08-10 · tag F0835 — failed to run the facility competently — isolated
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, and record review, the facility failed to effectively use its resources to identify safety concerns related to the use of mechanical lifts and slings; and failed to ensure staff were knowledgeable of mechanical lift transfer techniques, for 1 of 7 residents reviewed for accidents and mechanical lift use, (#1). On 7/10/23 at approximately 9:30 AM, the facility failed to prevent an avoidable fall for a physically and cognitively impaired resident. The fall occurred during a transfer from bed to a wheelchair with a full body mechanical lift. Resident #1 fell feet first from the sling of the lift while she was suspended above the floor when one of six loops that secured the sling was not attached to the lift. The staff failed to follow the policy to have two trained staff to transfer using mechanical lift and failed to do a time out safety stop to ensure all straps were secure before moving the resident away from the surface. The Certified Nursing Assistant (CNAs) did not immediately notify the assigned nurse of the fall with possible head injury. Instead, they…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-11-10 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to maintain effective communication between nursing staff and medical providers, and failed to collaborate with a dialysis center to promote adequate treatment, monitoring, and continuity of care for 2 of 2 residents reviewed for dialysis care and services, out of a total sample of 5 residents, (#1 and #3). The facility's failure to respond appropriately to ongoing communication from the dialysis center and failure to coordinate care to ensure necessary services were arranged in a timely manner placed residents #1 and #3 at risk for potential complications and caused actual harm for resident #1, that was inconsistent with the goals of the resident and his representative. Findings: 1. Review of the medical record revealed resident #1, a [AGE] year-old male, was originally admitted to the facility on [DATE] and re-admitted on [DATE]. His diagnoses included end-stage renal disease with dependence on dialysis, coronary artery bypass graft or open heart…

  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 · F2025-12-11 · 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, record review and interview the facility failed to ensure potentially hazardous food was at the correct holding temperature, staff followed practices to prevent physical contamination of food and make sure cookware & equipment are clean and sanitary. Finding: On 12/8/25 at 11:22 AM, the initial kitchen inspection was conducted. In the dishwashing room there was a dietary aide with a beard putting away Dome Pellet Covers. The aide was not wearing a beard guard. He indicated his beard guard had fallen off, time unknown, but failed to explain why he had not donned a new guard. Several minutes later the Kitchen General Manger and Registered Dietitian (RD) arrived, and they said they both round in the kitchen and oversight of the staff. In the three-compartment sink, dishes were observed floating in the sanitizer water. The RD confirmed that the dishes need to be completely submerged in the sanitizer. On a clean storage rack there was an 8-inch frying pan with a significant amount or carbon buildup. The buildup was so pronounced; it was difficult to determine if…

  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 · E2025-12-11 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, record review and interview, the facility failed to follow the menu for mashed potato portion size. The facility's non-compliance had the likeliness to potentially affect residents who prefer mashed potatoes. Findings:Review of the facility's menu revealed garlic mashed potatoes would be severed for lunch on 12/11/25. The Diet Spreadsheet noted a number 8 scoop was to be used to portion the garlic mashed potatoes, which means residents would receive a 4-ounce portionOn 12/11/25 at 11:15 AM, the lunch tray line was observed. After the staff completed taking the hot holding temperatures on the steam table, serving utensils were placed near each food item and the staff started plating the meals. The staff had used a number 10 scoop for the garlic mashed potatoes instead of a number 8 scoop. A number 10 scoop is a 3.2-ounce portion which was contrary to the facility's menu. The staff present could not explain why the wrong size scoop was used even though there was oversight provided by the kitchen manager and registered dietitian.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-11 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  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 appropriately record and investigate grievances to ensure resolution in a timely manner for 1 of 2 residents reviewed for grievances, of a total sample of 49 residents, (#145).Findings: Resident #145 was admitted to the facility on [DATE] with diagnoses including fracture of unspecified part of right clavicle, unspecified fracture of the lower end of right radius, and presence of right artificial ankle joint. Review of the Minimum Data Set quarterly assessment with assessment reference date of 11/22/23 revealed resident #145 had a Brief Interview for Mental Status score of 15/15, which indicated she was cognitively intact. Review of the facility's Grievance Log revealed grievances were filed by the resident or on her behalf on 8/24/25 and 9/02/25. Review of the grievance filed 8/24/25 revealed the issue was addressed with solutions offered to the resident and resident representative. The grievance filed 9/02/25 concerned customer service provided by…

  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 · D2025-12-11 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure each resident received an accurate assessment that was reflective of their status, needs, and areas of decline for 2 of 2 residents reviewed for resident assessments, of a total sample of 49 residents (#10 and #119).1.Resident #10 was admitted to the facility on [DATE] with diagnoses that included dementia, Alzheimer's disease, mild cognitive impairment, anxiety, adjustment disorder, and chronic obstructive pulmonary disease. Review of the Minimum Data Set (MDS) Quarterly assessment dated [DATE] revealed resident #10 received treatment and services for hospice care, dialysis, tracheostomy care, mechanical ventilator, radiation, and oxygen therapy. Review of resident #10's medical record revealed no physician orders or care plans related to the need for dialysis, hospice, radiation, oxygen therapy, or tracheostomy care. There was no documentation in the medical record other than in the MDS Quarterly assessment that resident #10…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-11 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to complete a new Preadmission Screening and Resident Review (PASARR) level I screening to ensure other mental health services were not required for 2 of 2 residents reviewed for PASARR, of a total sample of 49 residents, (#11 and #107).Findings: 1.Resident #107 was initially admitted to the facility on [DATE] with diagnoses that included anxiety, epilepsy, and migraine. From 2015 to 2025 other diagnoses were added to include Alzheimer's disease, dementia, mood disorder, schizoaffective disorder, major depression, altered mental status, cognitive communication deficit, and psychotic disorder. Review of the Minimum Data Set (MDS) Quarterly assessment dated [DATE] revealed resident #107 was severely, cognitively impaired. Resident #107's Order Summary Report dated 12/11/25 revealed she was on Depakote sprinkles twice per day for mood disorder, Remeron at bedtime for depression, and Trazodone twice a day for depression. Review of the…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-11 · tag F0679 — failed to provide activities — isolated
  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 observation, interview and record review, the facility failed to provide an ongoing activity program for 3 of 3 residents reviewed for activities, of a total sample of 30 residents, (#5, #8, #135) Findings: 1. Resident #135 was admitted to the facility 11/09/23 and placed under Hospice Care 10/25/24. admission diagnoses included unspecified dementia, depression and hypothyroidism. The Minimum Data Set Quarterly assessment dated [DATE] references resident #135 had a staff assessment for Mental Status due to resident #135 rarely/never understood. The staff assessment for Mental Status rated resident #135 as having severe cognitive impairment, being fully dependent on staff for all activities of daily living and transport. Activity preferences in the assessment included music, activities with groups of people, and outside visits. The activities care plan initiated 9/02/24 and revised 10/23/25 indicated resident #135 had a potential for activity deficit and unable to self-pursue activity interest,…

  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 · D2025-12-11 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to prevent medication administration error rate of 5% or greater for 1 of 13 residents sampled for medication administration, (#87). There were 2 medication errors in 25 opportunities for a medication error rate of 8%. Findings:Resident #87 was admitted to the facility on [DATE] with diagnoses that included dementia, insomnia, anxiety, depression, restlessness and agitation, moderate protein-calorie malnutrition, and generalized muscle weakness. On 12/10/25 at 10:48 AM, Registered Nurse (RN) A was observed during medication administration for resident #87. She pulled up Morphine Sulfate 0.25 milliliters (ml) liquid solution into a medication cup and Lorazepam 0.5 ml liquid solution into another cup. RN A proceeded to resident #87's room to administer the medication. He was lying in bed with his eyes closed in a semi-reclined position with the hospice nurse sitting at the bedside. RN A brought the medication cups to the resident's lips 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-01 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 a thorough investigation was conducted and completed for missing narcotics for 1 of 1 resident of a total sample of 44 residents, (#76). Findings: Clinical record review revealed resident #76, a [AGE] year-old-male was admitted to the facility on [DATE]. His diagnoses included cellulitis to the right lower limb, peripheral vascular disease, chronic pain syndrome, and dorsalgia. Review of the resident's physician orders revealed an order dated [DATE] for Percocet 5-325 milligram (mg) one tablet every six hours as needed for moderate pain. The order was discontinued on [DATE], and a new order was noted for Percocet 5-325 mg one tablet every six hours Review of the facility's Reportable log revealed an entry on [DATE] for misappropriation of property, and documentation revealed twenty-four (24) tablets of Percocet 5-325 mg for resident #76 was unaccounted for. On [DATE] 4:23 PM, the incident was reviewed with the Administrator, the Director 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-01 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  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 a Preadmission Screening and Resident Review (PASRR) was completed to evaluate the need for additional mental health resources and appropriate placement of a resident prior to admission for 1 of 1 residents reviewed for PASRRs of a total sample of 44 residents, (#29). Findings: Resident #29 was admitted to the facility on [DATE] from an Assisted Living Facility with diagnoses that included unspecified dementia, Bipolar disorder, and Major Depressive Disorder. Review of the Minimum Data Set (MDS) admission assessment dated [DATE] section A1500 (PASRR) coded O which incorrectly indicated resident #29 did not have a serious mental illness and/or an intellectual disability according to the stated level II PASRR. Review of the MDS Section I, Active Diagnosis revealed resident #29 was diagnosed with Non-Alzheimer's dementia and Manic depression/Bipolar disease. A Psychology Evaluation Note dated 3/07/23 revealed resident #29 reported recurrent, mild…

  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 · D2024-02-01 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to ensure accurate record for receipt and disposition of controlled medications was completed to enable accurate reconciliation, and to account for missing Percocet tablets for 1 of 1 resident of a total sample of 44 residents, (#76). Findings: Clinical record review revealed resident # 76 a [AGE] year-old-male was admitted to the facility on [DATE]. His diagnoses included cellulitis to the right lower limb, peripheral vascular disease, chronic pain syndrome, and dorsalgia Review of the resident's physician orders revealed an order dated 3/09/23 for Percocet 5-325 milligram (mg) one tablet every six hours as needed for moderate pain. The order was discontinued on 9/26/23, and a new order was noted for Percocet 5-325 mg one tablet every six hours. Review of the facility's Reportable log revealed an entry on 10/20/23 for misappropriation of property, and documentation revealed twenty-four (24) tablets of Percocet 5-325 mg for resident #76 was unaccounted…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$11,629 in federal fines across 1 penalty.

• $11,629 — penalty dated 2023-11-10

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to GOOD SAMARITAN SOCIETY — 92 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 22 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted.

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 $4.7M paid to related parties — landlords or management companies under common ownership — equal to about 16% 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