Scott Lake Health And Rehabilitation Center

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.

55.7% 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 406 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 69.5% 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 233 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 0.47 therapist hours per resident per day in 2026Q1 — more than 78% of the 13,892 homes that report any therapy hours at all.

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

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

Staffing

How full it usually is: this home is certified for 120 beds and averages 114.4 residents a day — about 95% occupied, or roughly 6 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.74 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.23 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 3.55 hrs/resident/day on weekends vs 3.82 on weekdays — 7% thinner on weekends. RN hours go from 0.47 to 0.24 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% 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 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.

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.

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

• Immediate jeopardy · Jcited before2025-10-01 · 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 interviews, record review, and policy review, the facility failed to protect the resident's right to be free from neglect related to medications not being reconciled and accurately transcribed, not reporting abnormal lab values and abnormal blood pressures to a provider for one resident (#1) out of three residents reviewed. This failure created a situation that resulted in a worsened condition and the likelihood for serious injury and or death to Resident #1 and resulted in the determination of Immediate Jeopardy beginning on 8/22/25. The findings of Immediate Jeopardy were determined to be removed on 10/1/25 and the severity and scope was reduced to a D after verification of removal of immediacy of harm. Findings included: An interview was conducted on 9/30/25 at 11:45 a.m. with the Resident Representative (RR) for Resident #1. The RR said Resident #1 was not given her required insulin from the time she arrived at the facility on 8/22/25 until the day she had to go to the hospital on 8/30/25. The RR…

  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 · J2025-10-01 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  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, interviews, hospital record review, facility documentation and policy review, the facility failed to ensure the nursing staff was competent to reconcile hospital discharge medication orders, blood glucose levels were monitored for a diabetic resident, or recognize and respond to elevated blood pressures and abnormal lab results for one resident (#1) out of three residents reviewed. This failure created a situation that resulted in a worsened condition to Resident #1 and resulted in the determination of Immediate Jeopardy beginning on 8/22/25. The findings of Immediate Jeopardy were determined to be removed on 10/1/2025 and the severity and scope was reduced to a D after verification of removal of immediacy of harm.Findings included: An interview was conducted on 9/30/25 at 11:45 a.m. with the Resident Representative (RR) for Resident #1. The RR said Resident #1 was not given her required insulin from the time she arrived at the facility on 8/22/25 until the day she had to go to the…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-10-01 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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, interviews, hospital record review, facility documentation and policy review, the facility failed to ensure one resident (#1) of three reviewed for new admission orders was free from significant medication errors as evidenced by the resident not receiving the correct medications order upon admission. This failure created a situation that resulted in a worsened condition and the likelihood for serious injury and or death to Resident #1 and resulted in the determination of Immediate Jeopardy beginning on 8/22/25. The findings of Immediate Jeopardy were determined to be removed on 10/1/25 and the severity and scope was reduced to a D after verification of removal of immediacy of harm. Findings included: An interview was conducted on 9/30/25 at 11:45 a.m. with the Resident Representative (RR) for Resident #1. The RR said Resident #1 was not given her required insulin from the time she arrived at the facility on 8/22/25 until the day she had to go to the hospital on 8/30/25. The RR said 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-08-21 · 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 observation, record review, and interviews, the facility failed to ensure adequate supervision and assistance was implemented during a transfer for one resident (#1) of five residents sampled. Resident #1 was care planned to receive a mechanical lift transfer and on 07/01/2023 two staff members (G and H) verified the transfer status verbally from the resident and staff and failed to confirm the transfer status in the care plan. Resident #1 was assisted utilizing a stand and pivot transfer resulting in pain and subsequently an X-ray result identified an acute humeral neck fracture. Findings included: A review of Resident #1's admission Record documented an admission date of 04/01/2021. Her diagnoses information included: contractures of muscle, multiple sites; lack of coordination; muscle weakness (generalized); vascular dementia, unspecified severity; syncope and collapse and unspecified osteoarthritis. A review of Resident #1's Minimum Data Set (MDS), dated [DATE], Section G - Functional Status…

  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 before2026-04-23 · tag F0761 — failed to label and store drugs safely — widespread
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review the facility did not ensure medications were stored in accordance with current professional standards for 6 of 6 medication carts, 2 of 4 medication storage rooms, and central supply storage.1. An observation on 4/21/2026 at 3:30 P.M. of the 100 Hall Top Medication Cart revealed:In the top drawer was one loose ciprofloxacin pill; the pill did not have a resident name.In the top drawer was a container of cholestyramine powder that expired on 3/30/2026.The bottom drawer of the medication cart contained 11 safety syringes that expired on 2/3/2026.An interview on 4/21/2026 at 3:35 P.M. with Staff M, Registered Nurse (RN) was conducted. Staff M, RN verified the medications in 100 Hall Top Medication Cart were expired and she said the medications should have been removed. Staff M, RN said all nurses are responsible for removing expired medications and cleaning the medication carts.2. An observation on 4/21/2026 at 4:05 P.M. of the 100 Hall Back Medication Cart revealed:In the second drawer was a medication card for olanzapine that…

  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 · E2026-04-23 · tag F0558 — failed to accommodate residents' needs and preferences — pattern
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility failed to ensure call lights were within reach for eight residents (#63, #115, #61, #7, #98, #124, #82, and #95) out of nine residents sampled for call lights.Findings included:1. An observation on 4/20/2026 at 9:45 A.M. of Resident #63 revealed he was lying in bed; the call light was seen on the floor under the head of the bed.An observation on 4/21/2026 at 3:15 P.M. of Resident #63 revealed he was lying in bed; the call light was seen on the floor in the same position.A review of Resident #63's admission Record showed he was admitted to the facility on [DATE] with diagnoses including but not limited to lack of coordination, difficulty in walking, dizziness and giddiness, and muscle weakness. A review of Resident #63's Annual Minimum Data Set (MDS), dated [DATE] revealed he required partial/moderate assistance for toilet hygiene needs and personal hygiene.A review of Resident #63's active care plan showed a Focus of (Resident #63) is at risk for…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-23 · 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 observations, interviews and record reviews the facility failed ensure Preadmission Screening and Resident Review (PASRR) was accurate for one (Resident #10) out of two Residents sampled for PASRR. Review of Resident #10's admission record revealed the resident was admitted on [DATE]. The record included diagnoses not limited to schizoaffective disorder, depressive type (onset 8/10/2022), generalized anxiety disorder (onset 8/10/2022), major depressive disorder, recurrent, moderate (10/03/2022), and insomnia (onset 7/11/2025).Review of Resident #10's Minimum Data Set (MDS), dated [DATE] for Medications, revealed the resident is taking an antidepressant and antipsychotic regularly.Review of Resident #10's psychiatric notes dated 4/15/2026 revealed Resident #10 had a diagnosis of schizoaffective disorder, depression, anxiety, and insomnia. Diagnoses Rationale and Justifications for Resident #10's schizoaffective diagnosis revealed the resident's history shows the resident has chronic and consistent…

  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 · D2026-04-23 · tag F0919 — failed to provide a working call system — isolated
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews, the facility failed to maintain an effective resident call system in one room (113) of four rooms sampled for call light functioning.Findings included:On 4/20/2026 at 09:55 a.m., the following observations were made.Resident room (113) was observed with a malfunctioning call light.During an interview with Resident #36, on 4/20/2026 at 09:58 a.m., the Resident stated, The call light system has been broke 2-3 times in the past few days. The Resident proceeded to activate the call light and the call light was not functioning. During an interview with the Nursing Home Administrator (NHA) on 4/22/2026 at 2:03 p.m. The NHA stated she was notified of the broken call lights in the above identified room. She stated her expectation is that the maintenance director tests all the call lights and repairs them immediately and that the staff is familiar with the call light policy and that training is provided on call light responses. During an interview with the Director of Maintenance (DOM) on 4/22/2026 at 12:27 p.m., the DOM said he does 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-23 · 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 interview and record review, the facility failed to personalize resident care plans leaving Certified Nursing Assistants (CNAs) to choose between one- or two-person assistance transfers for two residents (#1 and #2) of three residents sampled. Failure to develop, revise and implement personalized transfer care plans puts residents at risk for falls.Findings Included: During an observation made on 10/23/2025 at 9:45 a.m., Resident #1 was observed in a common area, sitting up in their wheelchair in front of the television. Resident #1 did not respond to the interview.During a telephone interview on 10/23/2025 at 10:33 a.m., with Staff A, CNA, The staff member said regarding the shift on 10/09/25, I gave resident #1 a shower and was in her room putting her into her Geri chair . I was using a Hoyer Lift Staff A stated there was another CNA in the room with her. Staff A stated not able to recall the name of the other CNA. Staff A stated the other CNA would not come forward, they are all scared they are going…

  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 before2024-12-30 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  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 the medication error rate was less than 5.00%. Twenty-two medication administration opportunities were observed, and six errors were identified for two (#2 and #3) of two residents observed. These errors constituted a 27.27% medication error rate. Findings included: 1) On 12/30/24 at 8:32 a.m., observation of medication administration with Staff A, Licensed Practical Nurse (LPN) was conducted. Staff A, LPN dispensed the following medications for Resident #2: - 2 tablets of Vitamin B12 500 microgram (mcg) tablet over-the-counter (otc) - Vitamin C 500 milligram (mg) tablet otc - Fish Oil 500 mg softgel otc - Loratadine 10 mg tablet otc - Bumetanide 0.5 mg tablet - Gabapentin 300 mg capsule - Duloxetine 20 mg capsule - 2 capsules Guaifenesin 400 mg otc - Breo Ellipta inhaler 100 mcg/25 mcg - Acidophilus probiotic (lactobacillus acidophilus 0.5 mg - 10 million) The staff member reviewed 2 bottles - one white and one green otc bottles of probiotics before dispensing the one tablet of lactobacillus. Staff 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-12-30 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews the facility failed to notify the attending physician or Hospice on a change of condition for one (#1) of one resident sampled. Findings included: On 12/30/24 at 9:04 a.m. Resident #1 was observed sitting upright in a low bed with a perimeter mattress, on either side of the bed were fall mats. The observation revealed the resident was wearing oxygen cannula and oxygen concentrator was running. The resident's eyes were open and did not respond verbally or reactively. Review of Resident #1's admission Record showed the resident was admitted on [DATE] and was readmitted on [DATE]. The record included diagnoses not limited to chronic obstructive pulmonary disease with (acute) exacerbation, bipolar type schizoaffective disorder, unspecified recurrent major depression disorder, generalized anxiety disorder, and unspecified severity unspecified dementia with other behavioral disturbance(s). Review of Resident #1's care plan revealed the following focus': - 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 · E2023-11-16 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide housekeeping and maintenance services to maintain a sanitary and homelike environment for three (200, 300, 400) of four units related to: 1. heavy dust and debris build up on package terminal air conditioner (PTAC) unit filters in 17 resident rooms (415, 413, 412, 411 410, 409, 408, 404, 403, 402, 401, 213, 211, 209, 206, 202, 201) of 21 resident rooms, 2. bathroom shower stalls with rubber flooring strips not maintained and not secured to the floor in eight resident bathrooms (414, 405, 213, 211, 209, 206, 202, 201) of 11 resident bathrooms, 3. commode devices rusted and with paint chipped away, and a commode loose and a chipped tank lid in two resident bathrooms (312, 309), and 4. Failure to ensure one resident room (415) out of 15 rooms was free from odors for three days (11/13/23, 11/14/23 and 11/15/23) of four days of the survey. Findings included: 1. Observations on the 400 hall and the 200 hall on 11/13/2023 at 10:00 a.m.,…

  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 · Ecited before2023-11-16 · tag F0645 — pattern
  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 record review, staff interviews, and review of the facility's policy, the facility failed to complete the Preadmission Screening and Resident Reviews (PASRR) for residents with a mental disorder and individuals with intellectual disability following qualifying mental health diagnosis for nine (Residents #41, #21, #12, #14, #13, #90, #108, #103, and #87) of nine residents sampled for PASRRs Findings included: 1. Review of the electronic medical record (EMR) revealed Resident #41 was admitted to the facility on [DATE] with diagnoses to include Major depressive disorder, Vascular Dementia, and anxiety disorder. Review of a level I PASRR for Resident #41 dated 04/16/21 showed qualifying diagnoses were not checked or indicated. Review of the electronic medical record (EMR) revealed Resident #21 was admitted to the facility on [DATE] with diagnoses to include Major depressive disorder, Mood disorder, unspecified dementia, generalized anxiety disorder, anxiety disorder, schizoaffective disorder, and bipolar…

  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 before2023-11-16 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  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 the medication error rate was less than 5.00%. Thirty medication administration opportunities were observed and 23 errors were identified for two (Residents #84 and #89) of three residents observed. These errors constituted a 76.6% medication error rate. Findings Included: On 11/15/23 at 10:08 a.m. an observation of medication administration with Staff I, Registered Nurse (RN) was conducted for Resident #89. Staff I dispensed the following medications: -Amiodarone HCL 100 mg one tablet -Carbidopa/Levodopa 10 milligram (mg)/ 100 mg two tablets -Claritin 10 mg one tablet -Clopidogrel Bisulfate 75 mg one tablet -Tamsulosin 0.4 mg one tablet -Spironolactone 50 mg one tablet -Metoprolol 25 mg one tablet -Lasix 40 mg tablet one tablet -Eliquis 2.5 mg one tablet -Aspirin 81 mg DR one tablet On 11/15/23 at 10:36 a.m. an observation of medication administration with Staff F, Licensed Practical Nurse (LPN) was conducted for Resident #84. Staff F dispensed the following medications: -Aspercream lidopatch one…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“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

$80,408 in federal fines across 2 penalties.

• $68,770 — penalty dated 2025-10-01
• $11,638 — penalty dated 2023-08-21

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 SUMMIT CARE — 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 →

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 15 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $955K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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