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Palm Garden Of Pinellas

200 16th Ave SE, Largo, FL 34641 · For profit - Individual · 120 certified beds · (727) 585-9377 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Apr 2024Resident-funds citation (F0565)2 immediate-jeopardy citations$10,039 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Apr 2024
  • it has a citation for mishandling residents’ money or property (F0565)
  • inspectors cited 2 immediate-jeopardy problems — the most serious level
  • a high number of inspection citations overall (31) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $10,039 in federal fines (most recent 2024-04-10)
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection rating is low (1/5)
  • nursing-staff turnover (58%) runs well above the national median (45%)
  • about 20% 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.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
10225 Ulmerton Rd · (727) 584-1551 · Call to confirm hours
Pharmacy
10697 Ulmerton Rd · (727) 584-5587 · Call to confirm hours
Grocery
10411 Ulmerton Rd · (772) 672-6000 · Call to confirm hours
Park
10365 Ulmerton Rd · (727) 588-9515 · Typically dawn to dusk
Place of worship
1645 Seminole Blvd · (727) 584-8601

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 3 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 held steady at 1 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 rating1★
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 increased7.4%8.7%15.4%better
Long-stay residents who lose too much weight2.8%5.5%5.4%better
Long-stay residents with a catheter left in their bladder0.2%0.3%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.6%0.7%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms0.0%4.6%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury3.7%2.5%3.3%typical
Long-stay residents whose ability to walk worsened6.2%9.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication12.2%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine99.0%99.2%95.3%typical
Long-stay residents with pressure ulcers4.3%4.5%4.7%typical
Long-stay residents with worsening bladder/bowel control31.3%10.5%21.2%worse than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table8.6%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.2%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine94.2%94.7%79.4%better
Short-stay residents rehospitalized after admission26.1%26.1%22.6%worse
Short-stay residents with an outpatient ER visit7.6%9.1%12.0%better
Long-stay hospitalizations per 1,000 resident days2.692.131.67worse
Long-stay outpatient ER visits per 1,000 resident days0.121.151.80better

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

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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

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

48.1% 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 182 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

48.1%U.S. median 51.5%
Got home and stayed home
12.9%U.S. median 10.7%
Went back to hospital
50.0%U.S. median 56.6%
Met the expected recovery
0.30U.S. median 0.31
Therapy hours / resident / day
0.23hours / resident / day
Physical therapy
0.01hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 50.0% 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 128 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 0.30 therapist hours per resident per day in 2026Q1 — more than 48% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% 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 SNF48.1%CMS range 40.7–54.751.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.9%CMS range 9.9–16.010.7%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 discharge50.0%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 discharge63.3%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 discharge44.5%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 identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge98.7%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 stay0.6%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.2%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 hospitalization7.2%CMS range 4.8–11.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.111.02Oct 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

0.58
RN hours/ resident / day
0.82
LPN hours/ resident / day
2.20
Aide hours/ resident / day
3.60
Total nurse hours/ resident / day
0.52
RN hoursweekends
57.9%
Total nursing turnover
37.5%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 113.0 residents a day — about 94% occupied, or roughly 7 beds typically open. It runs fairly full. 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 3.60 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.20 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 3.31 hrs/resident/day on weekends vs 3.72 on weekdays — 11% thinner on weekends. RN hours go from 0.61 to 0.52 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% is well above the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

15
deficiencies at the latest standard inspection (2025-05-15)
6
at the previous standard inspection (2023-03-30)

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.

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.

31 citations, most serious first. The 13 most serious are shown; the remaining 18 are one tap away and print in full.

  • Immediate jeopardy · J2024-04-10 · 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 observations, interviews and record reviews, the facility failed to protect the resident's right to be free from neglect by not ensuring one resident (#1) of six residents at risk for elopement with a known history of exit seeking behaviors, and an expressed desire to leave the facility, was provided supervision and services to prevent elopement. Resident #1, on 3/25/2024 at approximately 4:15 p.m., exited the facility without being seen by staff members. Resident #1 exited through an ambulance side (C-Wing) entrance door of the facility, which was equipped with an electromagnetic locking device (a magnetic lock that was unlocked when de-energized and required power to remain locked). Resident #1 was able open the door by punching the security code into the keypad beside the door. She walked out of the door and around the outside of the facility for approximately 13 minutes. She traveled approximately 0.3 miles, along a 2-lane road, across this busy road and continued walking 0.5 miles down 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · Jcited before2024-04-10 · 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 observations, interviews, and record review, the facility failed to ensure one resident (#1) of six residents at risk for elopement, was provided with supervision and services related to the resident's cognitive deficits, lack of safety awareness, and confusion before admission to the facility. The facility staff failed to ensure the supervision and safety of Resident #1 on 3/25/2024 at approximately 4:15 p.m. Resident #1 exited the facility through an ambulance side (C Wing) entrance door that was equipped with an electromagnetic locking device (a magnetic lock that unlocked when de-energized and required power to remain locked). Resident #1 was able open the door by punching the security code into the keypad beside the door. She walked out of the door and around the outside of the facility for approximately 13 minutes and then traveled approximately 0.3 miles along a 2-lane road, crossed this busy road and continued walking 0.5 miles down a well-traveled 6-lane road for 16 minutes. Resident #1 was…

    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
  • Actual harm · G2026-05-12 · 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 interviews and record review, the facility failed to provide care and treatment in accordance with professional standards and failed to send the resident to higher level of care, upon request for one (Resident #2) of two residents sampled. Resident #2 experienced a change of condition on [DATE] with a delay treatment according to professional standard of practice. Cross-reference F580. Findings included:Review of Resident #2's medical record revealed she was admitted to the facility on [DATE] and expired on [DATE]. Resident #2 had a primary diagnosis of heart failure, unspecified and additional diagnoses included type 2 diabetes mellitus with diabetic neuropathy, unspecified; essential (primary) hypertension; and hyperlipidemia, unspecified. Resident #2 had intact cognition and primary physician was listed as Medical Director. Review of Resident #2's progress notes from [DATE] to [DATE] revealed: - [DATE] at 5:35 p.m., Staff A, Registered Nurse (RN), wrote, Patient c/o [complained of] middle back pain…

    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 · D2026-05-12 · 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

    Based on interviews and record review, the facility failed to ensure the residents' family and physician was notified of a significant change in condition for one (Resident #2) of two residents sampled. Cross-reference F684. Findings included:Review of Resident #2's medical record showed that her primary physician was listed as Medical Director. Review of Resident #2's progress notes from 4/7/26 to 4/8/26 revealed: - On 4/7/26 at 5:35 p.m., Staff A, Registered Nurse (RN), wrote, Patient c/o [complained of] middle back pain and became anxious. and Per nursing supervisor, patient vomited prior to alerting me that patient was feeling unwell. - On 4/8/26 at 9:30 a.m., Staff B, RN, wrote, Resident c/o chest pain that's radiating to her back. Upon assessment resident appeared clammy and sweating. - On 4/8/26 at 12:00 p.m., Staff B, RN, wrote, Resident called out to staff stating she is really wanting to go to ER [emergency room] and she wasn't feeling good at all. Nurse writing this went into residents [sic] room and once again resident appearing sweaty, pale and clammy to touch. 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 · F2025-05-15 · 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 and interviews, the facility did not ensure food safety standards were followed, in the kitchen and two of two nourishment rooms, as evidenced by improper infection control practices including hand hygiene, ice buildup in the walk-in freezer, the dish machine and dumpster areas not maintained in a clean sanitary condition, and resident food items were not labeled/dated. Findings included: On 5/12/25 at 9:28 a.m., an initial tour of the kitchen was conducted. An interview and observation of Staff Q, Culinary Assistant was conducted while he was utilizing the dish machine. An observation of the top of the dish machine revealed a plastic water bottle. An observation of Staff Q, Culinary Assistant revealed he grabbed the plastic water bottle, drank from it, and placed it back on top of the dish machine. He said he was thirsty as the dish machine area was hot. Observations of the interior and bottom edges of the dish machine hood revealed multiple areas of brown and red discoloration. Further observation of the dish machine area revealed a white rag with light…

    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 · F2025-05-15 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 4. On 05/15/2025 at 12:07 PM Staff U, Laundry Aide was observed placing clean laundry under his chin during laundry folding. Staff U let a sheet touch the floor while he was folding. Staff U stated he should not place the laundry under his chin. He stated he was trying to remember not to do that. He stated he did that at home when he folded his personal laundry. During an interview on 05/15/2025 at 1:21 PM the Infection Control Preventionist (ICP) stated hand sanitizing was to be used between each resident contact. He stated hand sanitizing was to be performed between each resident they pass a tray to. ICP stated they encourage the residents to hand sanitize also. The ICP stated the staff was to hand sanitize between each resident. The ICP stated the staff was to have their own hand sanitizer or use the machines on the wall. The ICP stated the staff had been educated regarding cleaning of multi-use equipment such as blood pressure cuffs, thermometers, pulse oximeters. The ICP stated the expectation was to clean…

    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 · E2025-05-15 · tag F0565 — failed to support the resident council — pattern
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to file and act upon grievances voiced during resident council meetings for 6 meetings on (4/30/25, 3/26/25, 2/26/25, 1/29/25, 12/31/24 and 11/29/24) of six Resident Council Meetings Minutes reviewed, with a potential to affect a census of 107. Findings included: During a Resident Council meeting conducted on 05/13/25 at 02:02 PM with seven participants, who regularly attend the Resident Council Meetings. The group confirmed on-going complaints related to the following: - Call light response time during mealtimes. Certified Nursing Assistants (CNAs) are removed to assist in the dining room. We have to wait for them to return to have our light answered. This is embarrassing at times, due to incontinent care needed. The CNAs are punished if they are late, we can hear them being paged to the dining room. One of the residents stated one time a CNA was in the middle of providing care and someone came looking for the CNA and told the CNA that she was in trouble for not being in the dining room. The resident said, You would think…

    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 · E2025-05-15 · tag F0582 — pattern
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews, the facility failed to ensure residents reviewed for Beneficiary Protection Notification received the required Skilled Nursing Facility Advanced Beneficiary Notice (SNF-ABN) form prior to the end of Medicare part A services for two (#64 and #159) of three residents reviewed. Findings Included: Review of record revealed Resident #64 had Medicare A days remaining in the benefit period. The facility informed Resident #64 of Medicare part A services would be terminated on 4/24/25. Resident #64 was choosing to remain in the facility. The facility did not complete form SNF-ABN as required. Review of record revealed Resident #159 had Medicare part A days remaining in the benefit period. The facility informed Resident #159 Medicare part A services would be terminated on 5/6/25. Resident #159 was choosing to remain in the facility. The facility did not complete form SNF-ABN as required. During an interview on 05/15/25 at 02:42 PM the Social Service Director (SSD) stated being familiar with the Notice of Medicare Non-coverage (NOMNC) and the SNF-ABN. 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-05-15 · tag F0585 — failed to handle grievances — pattern
    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 2. During interviews on 5/12/25 at 1:46 PM and 05/13/25 at 09:46 AM Resident #92 stated speaking with multiple staff members, including the dietary manager regarding his preferences not being followed. Resident #92 stated nothing changes and no follow up occurs, they don't listen. Review of the clinical record for Resident #92 shows resident was admitted on [DATE]. The resident's most recent quarterly Minimum Data Set, dated [DATE] shows resident is cognitively intact. A review of the Grievance Logs from February to May 2025, revealed a grievance for Resident #92 related to dietary/culinary preferences dated 2/13/25. The grievance reveals Resident #92 unhappy with dietary/culinary preferences, receiving cold food all meals, burnt toast, what he receives doesn't match what he requests. Has asked not to receive these items several times. The response on the form revealed: updated preferences - ticket now match dislikes, new toaster needed. In-serviced staff on following tickets. Resolution/Final Disposition:…

    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 · E2025-05-15 · tag F0657 — failed to keep the care plan current — pattern
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 3. On 05/12/25 at 09:53 AM Resident #33 was observed lying in bed in a facility gown, just above resident elbow on the right upper extremity red circular spots were noted. Resident stated having a rash that was extremely itchy. Resident continued this is much better, the physician visited and prescribed a cream the facility has been applying. Review of the admission Record showed Resident #33 was admitted to the facility on [DATE] with diagnoses that included but not limited to Generalized Anxiety Disorder, and Major Depressive Disorder. Review of Resident #33's Minimum Data Set (MDS) most recent quarterly assessment dated [DATE] revealed resident is cognitively intact, with a Brief Interview for Mental Status (BIMS) of 15/15. Review of Resident #33's Dermatology Provider Note dated 04/24/2025 revealed new resident to be seen per administration to rule out contagion. Diagnoses included but not limited to: Rash and other nonspecific skin eruption; Pruritus, unspecified; Xerosis cutis; Atrophic disorder of skin,…

    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 before2025-05-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    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 interview and record review the facility failed to provide an environment free from falls and failed to ensure documentation of assessments and neurological checks post fall, for three (#93 #11 and #10) of three residents sampled. Findings included: 1. On 05/14/2025 at 8:41 a.m. Resident #93 was observed sitting at her bedside. She was not eating her breakfast. When greeted, she stated, not good. She turned her back and would not engage in conversation. Resident #93 was admitted on [DATE] and readmitted on [DATE]. Review of the admission Record showed diagnoses included but not limited to pneumonia, End Stage Renal Disease (ESRD), gastrostomy, adult failure to thrive, diabetes, dependent on renal dialysis, muscle weakness, difficulty in walking, anemia, Cerebrovascular Accident (CVA), hypertension, cardiac pacemaker, depression, atrial fibrillation, generalized anxiety disorder. Review of the admission, Minimum Data Set (MDS) dated [DATE] showed Brief Interview for Mental Status (BIMS) score…

    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 · E2025-05-15 · tag F0699 — pattern
    Provide care or services that was trauma informed and/or culturally competent.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. During an interview and observation on 05/12/25 at 09:53 AM, Resident #33 was teary eyed and emotionally upset as she discussed her prior nursing home experience. Resident #33 stated she was abused and treated badly at the previous nursing home. Resident #33 stated since being admitted to the facility no one had discussed the diagnosis of PTSD or any triggers that would cause her re-traumatization. Resident #33 stated being seen by psychology/psychiatrist at the facility. Review of the admission Record showed Resident #33 was admitted to the facility on [DATE] with diagnoses that included but not limited to Generalized Anxiety Disorder, and Major Depressive Disorder, and other comorbidities. Review of Resident #33's Minimum Data Set (MDS) most recent quarterly assessment dated [DATE] revealed resident was cognitively intact, with a Brief Interview for Mental Status (BIMS) score of 15/15. Review of Resident #33's Psychiatric Nurse Practitioner note dated 2/27/2025 revealed: Follow-up visit at SNF. A new…

    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 · Ecited before2025-05-15 · tag F0881 — failed to use antibiotics responsibly — pattern
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. On 05/14/2025 at 8:34 a.m. Resident #38 was observed dozing in bed. Her breakfast was on her overbed table. The head of the bed was elevated. Resident #38 was admitted on [DATE]Review of the admission Record showed diagnoses included but not limited to after care following a total knee replacement, sepsis due to Methicillin Resistant Staphylococcus Aureus (MRSA), infection and inflammatory reaction due to internal left knee prosthesis, intraspinal abscess and granuloma, enterocolitis due to clostridium difficile, difficulty in walking, heart failure, Rheumatoid arthritis. Review of the Minimum Data Set, dated [DATE] showed Section C, Cognitive Patterns, Brief Interview for Mental Status of 12, cognitively intact. Review of physician orders showed Cephalexin (Keflex) 500 mg twice day for MRSA left knee, suppressive therapy for life, no stop date as of 03/03/2025. Review of the Antibiotic Time Out dated 02/24/2025 showed Cephalexin 500 mg twice day. admitted on [DATE] with diagnosis of MRSA chronic to left knee…

    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
Show the remaining 18 citations
  • Potential for harm · D2025-05-15 · 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 interview and record review the facility failed to ensure the Minimum Data Set (MDS) was accurate related to discharge reason for one (#106) of 50 sampled residents. Findings included: Resident # 106 was admitted to the facility on [DATE] and discharged on 03/25/2025. Review of the admission Record showed the diagnoses included but not limited to fracture of right femur. Review of the discharge MDS dated [DATE] showed Section A, Identification Information showed discharge status to 04. Short-Term General Hospital. Review of the progress notes dated 3/25/25 showed discharged to assisted living facility (ALF). Transported by ALF, sent with discharge instructions. During an interview on 05/14/2025 at 5:47 p.m. the MDS RN, (Registered Nurse) stated the MDS showed the resident was transferred to an acute hospital. She verified the progress note showed the resident was discharged to an ALF. The MDS RN stated the resident went to an ALF. The MDS RN stated the MDS had an error and needed to be modified.…

    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 · D2025-05-15 · 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 record review and staff interview, the facility failed to complete and or update the Pre-admission Screening and Resident Reviews (PASARRs) for residents with a mental disorder and individuals with intellectual disability following qualifying mental health diagnoses for two (#12 and #6) of six residents reviewed for PASARRs. Findings included: 1. Review of the admission record for Resident #12 showed the resident was admitted to the facility on [DATE] and readmitted on [DATE] with primary diagnosis of dementia dated 9/22/24, and secondary diagnoses to include unspecified psychosis dated 9/21/20 and an adjustment disorder with depressed mood dated 6/17/21. Review of a level I PASARR for Resident #12 dated 5/8/24 revealed the primary diagnosis of Dementia was not checked. The review showed the Level I PASARR was incomplete, and a level II was not submitted for consideration following qualifying diagnoses. 2. A review of Resident #6's admission record revealed an initial admission date of 10/26/21 and 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-15 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure personal hygiene needs were provided to one (#76) of two dependent residents sampled for Activities of Daily Living (ADL). Findings included: 1. On 05/12/25 at 02:03 PM Resident #76 was observed sitting in his specialty wheelchair with whiskers (long stiff hairs) growing on his face and food particles on his face and down his shirt. During an interview on 05/12/25 at 02:36 PM Resident #76's Responsible Party (RP) stated frequently finding Resident #76 unshaven and has informed the facility on multiple occasions of resident's preference to be shaved. The RP confirmed Rsident #76 was dependent on staff to complete ADLs. On 05/13/25 at 05:36 PM Resident #76 was observed lying in bed with whiskers growing on his face. Review of Resident #76 clinical record revealed the resident was a long term care resident with diagnosis that included cerebral infarction (stroke) and contracture of right wrist/hand. Review of the Resident #76's most recent quarterly Minimum Data Set (MDS) Assessment, dated 05/02/2025,…

    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 · D2025-05-15 · 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 devices for contracture prevention were provided as ordered for two (#76 and #82) of two residents sampled. Findings included: 1. Multiple observations were conducted of Resident #76 without splints and braces. On 05/12/25 at 2:03 PM Resident #76 was observed in room seated in a wheelchair without any splints or braces on upper extremities. On 05/13/25 at 5:36 PM, Resident #76 was observed in bed without any splints or braces on upper extremities. On 05/14/25 at 9:15 AM, Resident #76 was observed in the day room seated in a wheelchair without any splints on. On 05/14/25 at 1:09 PM, Resident #76 was observed in his room seated in a wheelchair without any splints on. On 05/14/25 at 3:15 PM, Resident #76 was observed in bed sleeping without any splints on. On 05/14/25 at 5:32 PM, Resident #76 was observed in bed awake, without any splints on. During an interview on 5/12/25 at 2:35 PM Resident #76's family member stated they had not…

    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 · D2025-05-15 · 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 observation, interview and record review the facility failed to ensure medications were administered prior to dialysis appointments for one (#93) of one sampled resident. Findings included: On 05/14/2025 at 8:41 a.m. Resident #93 was observed sitting at her bedside. She was not eating her breakfast. She stated, not good to greetings, turned her back and would not engage in conversation. Resident #93 was admitted on [DATE] and readmitted on [DATE]. Review of the admission Record showed diagnoses included but not limited to pneumonia, End Stage Renal Disease (ESRD), gastrostomy, adult failure to thrive, diabetes, dependent on renal dialysis, muscle weakness, difficulty in walking, anemia, Cerebrovascular Accident (CVA), hypertension, cardiac pacemaker, depression, atrial fibrillation, generalized anxiety disorder. Review of the admission, Minimum Data Set (MDS) dated [DATE] showed Brief Interview for Mental Status (BIMS) score of 15 or cognitively intact. Section GG, Functional Abilities showed resident…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-15 · 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

    Based on observations, record reviews, and interviews, the facility failed to ensure the medication error rate was less than 5%. Thirty-three medication opportunities were observed, and two errors were identified for Resident #1 resulting in an error rate of 6.06% Findings included: On 5/14/25 at 8:23 A.M. Staff M, Registered Nurse (RN) was observed administering medication to Resident #1. Prior to the medication administration, Staff M, RN obtained the following vital signs: pulse 95 and blood pressure 115/83. Staff M, RN administered the following medications: -Vitamin D 1000 Units -Tizanidine 2mg, 3 tablets -Oxycodone 10 mg -Methimazole 5 mg -Midodrine HCl 5 mg -Aspirin low dose 81 mg -Omeprazole 20 mg, 2 capsules -Quetiapine 400 mg -Duloxetine HCl 60 mg, 2 capsules -Bupropion SR 100 mg -Pregabalin 150 mg Following the medication administration observation, a review of the physician's orders for Resident #1 revealed Aspirin 325 MG Give 1 tablet by mouth in the morning for anticoagulant and Midodrine HCl 5 mg Give 1 tablet by mouth three times a day for hypotension hold 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-03-30 · tag F0644 — pattern
    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 medical record review, the facility failed to ensure that two (#24 and #66) out of two sampled residents had a Preadmission Screening and Resident Review (PASRR) that reflected an accurate screen decision-making for mental illness or suspected mental illness. Findings included: 1. On 03/28/2023 at 9:49 a.m. Resident # 24 was observed from her door way sitting up in her bed eating her breakfast. She looked at the open door and stated outloud help me. Resident #24 waved her hand that gestured to come here, and as she was approached she stated move me over it hurts to sit on my bottom. A nurse was in the hallway and was informed of the resident need, he stated she will say that over and over, she does it all the time. The nurse and a certified nursing assistant assisted the resident. Resident #24 thanked staff over and over again, as she stated she was no longer in pain. Medical record review of the admission Record form revealed Resident #24 had resided at the facility for over…

    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 · E2023-03-30 · tag F0679 — failed to provide activities — pattern
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure identification of need, and development and implementation of an individualized one to one activities program to support the physical, mental, and psychosocial well-being for two residents diagnosed with dementia (Resident #108 and Resident #66) out of two sampled residents. Findings included: 1. Multiple observations of Resident #108 were conducted. She was not observed engaged in activity programming during any observations. On 03/27/23 from 12:15 p.m. to 12:45 p.m. Resident #108 was observed in her wheelchair out of her room on her unit (C wing) verbally agitated and calling out for help and asking for her son. Initially she was in front of the nurse's station and then was moved by Staff C, Certified Nursing Assistant (CNA) and placed in hallway in front of her room with a tray table in front of her where she continued to call out and exhibit verbal agitation. Multiple staff were in the area but nobody addressed or engaged…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-30 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    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 medical record review, the facility failed to ensure an active comprehensive assessment for one Resident (#24) out of one, total of thirty seven, sampled for accurate psychiatric and mood disorder diagnosis. Findings included: On 03/28/2023 at 9:49 a.m. Resident # 24 was observed from her door way sitting up in her bed eating her breakfast. She looked at the open door and stated outloud help me. Resident #24 waved her hand that gestured to come here, and as she was approached she stated move me over it hurts to sit on my bottom. A nurse was in the hallway and was informed of the resident need, he stated she will say that over and over, she does it all the time. Medical record review of the admission Record form revealed Resident #24 had resided at the facility for over five years and is geriatric in age. The form contained diagnosis information that listed schizoaffecive disorder, bipolar type and major depressive disorder. Review of Psychiatric Nurse Practitioner Progress…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-30 · tag F0685 — isolated
    Assist a resident in gaining access to vision and hearing services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and medical record review, the facility failed to ensure one (#90) out of two residents sampled for communication and sensory were provided care and treatment in timely manner for a hearing deficit. Findings included: On 03/27/2023 at 9:50 a.m. Resident #90 was observed in her bedroom and was receptive to an interview. She appeared comfortable as she talked about her short term rehabilitation that extended into long term care. During the interview process Resident #90 asked the surveyor to talk louder on multiple occasions indicating a hearing deficit. She stated I'm very hard of hearing. She went on to say the facility had sent her out to an audiologist appointment last month, but he did nothing. He didn't even look into my ears. He told me my hearing loss could be from something else. Resident #90 repeated he did nothing for me. Medical record review of the admission Record form for Resident #90 diagnosis list did not reflect a deficit in hearing. Review of Resident #90 progress notes dated: 02/15/2023 at 11:56 a.m. revealed Communication with…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-03-30 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    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 review, and interviews, the facility failed to ensure the Consulting Pharmacist recommendations were addressed in a timely manner for one (#4) out of five residents sampled for the task of unnecessary medications. Findings included: Resident #4 was observed, on 3/27/23 at 7:34 a.m., sitting in a wheelchair between the two beds in the room. On 3/28/23 at 9:10 a.m., the resident was observed sitting in a wheelchair in between the two beds of the room. The resident was observed on 3/29/23 at 8:55 a.m., sitting in wheelchair at the units nursing station and was able to propel self. A review of the admission Record identified that Resident #4 was originally admitted on [DATE] and recently readmitted on [DATE]. The record included diagnoses not limited to Type 2 Diabetes Mellitus and moderate protein-calorie malnutrition. The review of Resident #4's active physician orders indicated the following orders: - Insulin Detemir solution 100 unit/milliliter (mL) - Inject 15 unit subcutaneously…

    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 · Dcited before2023-03-30 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    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 and record reviews, the facility failed to follow infection prevention and control procedures related to antibiotic stewardship for two (#12 and #28) of three resident reviewed for prophylactic antibiotic use. Findings include: 1. According to admission records, Resident #12 was a [AGE] year old female admitted on [DATE] from a local hospital after suffering an unwitnessed ground level fall. Her past medical history included atrial fibrillation with implanted cardiac pacemaker, type 2 diabetes mellitus, congestive heart failure, anxiety disorder, major depressive disorder, severe dementia, and urinary frequency. Review of Resident #12's medical record revealed an antibiotic order dated 6/4/22 for Hiprex Tablet (Methenamine Hippurate) 1 gram two times daily for chronic Urinary Tract Infection (UTI) prophylaxis. Further review of Resident #12's medical record failed to show consideration of the risks versus benefits supporting long term use of antibiotic mediation for UTI prophylaxis. 2.…

    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 · D2021-07-01 · 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 observations, staff & resident interview and record review, the facility failed to ensure two of thirty-six sampled residents' (#57, #24)'s care plan interventions were implemented related to: 1. Resident #57's left hand splint not applied consistent with the Activities of Daily Living (ADL) care plan, during two of four days observed (6/28/2021, 6/29/2021); 2. Staff did not ensure a call light cord was placed within #24's reach during two of four days observed (6/28/2021, 6/29/2021). Findings included: 1. Review of the current Physician's Order Sheet, for the month of 6/2021 for Resident # 57, found: - Apply splint to the L hand after A.M. care till bed time as tolerated. May remove the splints for meals, check skin integrity with application and removal every day and evening shift. Order date 6/8/2021. On 6/28/2021 at 12:56 p.m. Resident #57 was observed in her room and lying in bed with her Head Over Bed position at approximately 45 degrees. She was observed with the over the bed table in front of…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-07-01 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews the facility failed to discontinue an indwelling catheter as prescribed by the physician and in a timely manner for a resident who did not have a diagnosis which supported the use of a catheter for one (#85) out of four residents sampled for urinary catheters. Findings included: An observation was conducted on 6/28/21 at 10:01 a.m., of Resident #85 lying in bed with a urinary drainage bag hanging from the bed frame. The tubing appeared to have straw-colored sediment in it. At 1:31 p.m., the resident stated that there were no problems with the catheter. A review of the Physician Orders for Resident #85 identified an order, dated 6/28/21 at 3:57 p.m., that instructed staff to Discontinue Foley Catheter, every evening shift for 1 day. The resident's Treatment Administration Record (TAR) indicated that the discontinuation of the Foley Catheter was scheduled and completed on 6/29/21. During a visit with Resident #85 on 6/30/21 at 11:32 a.m., the urinary catheter…

    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 before2021-07-01 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    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 ensure Pharmacy Recommendations were addressed by the provider for one (#73) of five residents sampled for the mandatory task of Unnecessary Medications. Findings included: On 6/29/21 at 4:06 p.m., Resident #73 was observed lying in bed with the head of the bed upright. The Electronic Medical Record (EMR) identified that the resident was admitted on [DATE]. The EMR included diagnoses not limited to anxiety disorder and depression. A review of the physician orders for Resident #73 found that the resident received the psychotropic medication, Alprazolam (Xanax) 0.25 milligram (mg) three times a day related to anxiety and Percocet 5-325 mg every (q) 4 hours as needed (prn) for non-acute pain. A Consultation Report from the Consultant Pharmacist, dated 5/19/21, indicated that Resident #73 received the benzodiazepine, Alprazolam three times a day for anxiety and there was no documentation of failure/contraindication to first-line therapies…

    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 · Dcited before2021-07-01 · 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

    Based on observations, interviews, and record review, the facility failed to ensure that the medication error rate was less than 5.00%. Twenty-nine medication administration opportunities were observed, and two errors were identified for two (#97 and #204) of seven residents observed. These errors constituted a 6.8% medication error rate. Findings included: 1. On 6/29/21 at 8:07 a.m., an observation of medication administration with Staff Member G, Licensed Practical Nurse (LPN), was conducted with Resident #97. Staff G, LPN was observed administering the following medications: - Vitamin C 500 milligram (mg) oral tablet - Aspirin 81 mg chewable tablet - Furosemide 20 mg oral tablet - Multivitamin oral tablet - Acidophilus oral capsule A review of the physician orders indicated that Resident #97 was ordered to receive a Multivitamin with mineral - one capsule by mouth one time a day for skin impairment. 2. On 6/29/21 at 11:55 a.m., an observation of medication administration with Staff Member G, Licensed Practical Nurse (LPN), was conducted with Resident #204. Staff G, LPN was…

    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 · D2021-07-01 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews the facility failed to ensure drugs and biologicals were stored & labeled with currently accepted professional principles regarding 1. Narcotic containers not permanently affixed in 2 (A Wing & C Wing) of 2 refrigerators 2. Insulin pens and eye drops not labeled with Expiration dates or expired in 2 of 3 medication carts (A-1 and C-5) & and 3. Narcotic count not reconciled in one (A-1) of 2 medication refrigerators. Findings included: 1. On [DATE] at 2:46 p.m., an observation was conducted with Staff J, LPN, of the A-wing medication room. The observation revealed a gray metal locked box inside the medication refrigerator. The locked box was unattached to the refrigerator. She stated that narcotics were kept in the locked box. She confirmed that she could walk out of the room with the box as it was not permanently affixed to the refrigerator. Staff J stated the facility was trying to glue the box to the shelf but she told them it was not going to work. An…

    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 · D2021-07-01 · tag F0867 — failed to act on quality-improvement findings — isolated
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, interviews, policy review, and review of the facility's Plan of Correction, the facility failed to ensure that it had a functioning Quality Assurance Committee. The facility was actively involved in the effective creation, implementation and monitoring of the Plan of Correction for deficient practice identified during a recertification survey and complaint investigation conducted on 6/28/2021 through 7/1/2021; F759 and F761 were cited. On 09/07/2021 deficient practice was identified related to F759 and F761. The facility had developed a Plan of Correction with a completion date 07/31/2021. Findings included: 1). The facility developed a Plan of Correction related to on-going compliance with 1. medication error rate was less than 5.00% and drugs and topical biologicals were stored and labeled with currently accepted professional principles. 2). The facility developed a plan of correction that included: Education on the 5 rights of medication administration. Randomly audit med pass 2 times a week for 2 months and then 1 time a week for 1 month. 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.

    Administration 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

$10,039 in federal fines across 2 penalties.

  • $5,019 — penalty dated 2024-04-10
  • $5,020 — penalty dated 2024-04-10

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 PALM GARDEN HEALTH AND REHABILITATION — 14 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 1 of 53.1-2.1 vs chain
Health inspection 1 of 52.6-1.6 vs chain
Staffing 3 of 53.4-0.4 vs chain
Quality measures 4 of 54.4-0.4 vs chain
The other 13 homes this chain runs (chain average 3.1★, 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
PALM GARDEN HEALTHCARE HOLDINGS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST50%since 11/01/2013
MCCARVER, PATSYIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST50%since 11/01/2013
JAMES O. MCCARVER QTIP BUSINESS MARITAL TRUST U/A DATED JUNE 22, 2001,Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF38%since 11/01/2013
JAMES O. MCCARVER RESIDUARY TRUST SHARE U/A DATED 06/22/2001Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST8%since 12/23/2014
PATSY E. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY EOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF48%since 11/01/2013
REGIONS BANKOrganization5% OR GREATER MORTGAGE INTEREST; 5% OR GREATER SECURITY INTERESTsince 11/01/2013
PGPIN RE LLCOrganization5% OR GREATER SECURITY INTEREST; ADP OF THE SNFsince 07/29/2024
BOMBERGER, JEFFREYIndividualCORPORATE OFFICERsince 10/01/2014
CHALMERS, JAMESIndividualCORPORATE OFFICERsince 01/01/2015
GREENE, ROBERTIndividualCORPORATE OFFICERsince 01/01/2014
BACHA, MOUNAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/04/2025
MITCHELL, SANDRAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/04/2025
PALM HEALTHCARE MANAGEMENT, LLCOrganizationADP OF THE SNFsince 04/04/2025

CMS files one row per role, so the 19 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.

7 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.

$13.3M
Net patient revenuemost recent cost report
-1.4%
Operating marginrevenue minus expenses
$2.7M
Related-party expense20% of expenses
Who pays — share of resident-days
Medicaid 67%Medicare 12%Other / private 21%

This home reported $2.7M paid to related parties — landlords or management companies under common ownership — equal to about 20% 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.

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

$329per resident / day
operating cost
$9,992per month
≈ monthly operating cost
$324per 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 105733. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-15, 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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