North Campus Rehabilitation And Nursing Center
700 N Palmetto St, Leesburg, FL 34748 · For profit - Limited Liability company · 90 certified beds · (352) 323-5500 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- its payroll-based staffing rating is low (2/5)
- nursing-staff turnover (58%) runs well above the national median (45%)
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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 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 — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 5 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 fell from 4 to 3 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 9.7% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 5.4% | 5.5% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.5% | 0.3% | 0.9% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 0.7% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 7.1% | 4.6% | 6.5% | typical |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 7.1% | 2.5% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 6.1% | 9.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 4.6% | 14.4% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 99.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 6.7% | 4.5% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 2.4% | 10.5% | 21.2% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 3.7% | 8.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.3% | 1.5% | 1.4% | typical |
| Short-stay residents given the seasonal flu vaccine | 95.0% | 94.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 17.2% | 26.1% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 8.4% | 9.1% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.74 | 2.13 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 1.62 | 1.15 | 1.80 | better |
‡ 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.
50.8% 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 101 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 71.7% 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 99 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 0.40 therapist hours per resident per day in 2026Q1 — more than 69% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 24% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 50.8%CMS range 41.4–60.8 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.8%CMS range 6.8–13.1 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 71.7% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 64.7% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 55.6% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 97.1% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS 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 discharge | 85.7% | 98.7% | Oct 2024–Sep 2025 | CMS 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 stay | 1.2% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.2% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.6%CMS range 4.3–12.6 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.23 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 90 beds and averages 84.3 residents a day — about 94% occupied, or roughly 6 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 3.66 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.45 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.39 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 3.44 hrs/resident/day on weekends vs 3.74 on weekdays — 8% thinner on weekends. RN hours go from 0.52 to 0.28 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
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.
- Potential for harm · Ecited before2026-04-22 · tag F0761 — failed to label and store drugs safely — patternEnsure 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 observation, interview, and record review the facility failed to ensure medications were secure when unattended, failed to label medications, and failed to discard expired medications. Findings include: 1. During an observation on 4/19/2026 at 9:10 AM of Resident #44's room there were unsecured medications at bedside. The medications consisted of four cups of crushed pills, one cup of clear liquid, and one clear vial of medication. During an interview on 4/22/2026 at 8:45 AM Staff A, Registered Nurse (RN) stated, The medication at bed side are the morning meds. I couldn't tell you each medication. They are part of the med pass, and the vial is the eye drops. Review of Resident #44's medication administration record (MAR) documented the morning medications at the bedside as aspirin chewable 81mg (milligram), cyanocobalamin 1000 mcg (micrograms), escitalopram oxalate oral solution 5 mg/5ml (milliliters), ferrous sulfate 325 mg, lisinopril 20 mg, acidophilus lactobacillus oral capsule, cyclosporine ophthalmic emulsion 0.05 %, oxybutynin 5 mg, hydralazine 50 mg, and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2026-04-22 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure food was properly stored in 1 of 3 nourishment rooms (West Unit nourishment room) and failed to ensure food was prepared and/or served in a sanitary manner. Findings include: During an observation on 04/19/2026 at 11:37 AM, the Director of Food and Nutritional Services was wearing gloves and plating meal trays from the steam table for lunch. The Director of Food and Nutritional Services walked to the microwave, removed the glove from her right hand, pushed a button on the microwave with her right hand, and removed a container from the microwave. The Director of Food and Nutritional Services did not perform hand hygiene, walked back to the tray line, and put a new glove on her right hand and continued plating food. During an observation on 04/19/2026 at 11:38 AM, the Director of Food and Nutritional Services was observed handing plates of food to Staff E, Dietary Aide, who was not wearing gloves. Staff E, Dietary Aide was observed handing plates of food to Staff D, Dietary Aide, who was also not wearing…
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.
- Potential for harm · D2026-04-22 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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 and interview the facility failed to maintain the facility interior in a sanitary and orderly manner for 3 of 3 medication storage rooms.Findings include:During an observation on 4/19/2026 at 10:51 AM with Staff A, Registered Nurse (RN) of medication room [ROOM NUMBER], the sink had a very thick brown substance on it covering the entire sink basin which was sticky to the touch. There were multiple pieces of paper and medication caps in the sink. There were bags and paper towels on the floor, and the floor had a sticky residue when walking on the floor.During an interview on 4/19/2026 at 10:51 AM Staff A, RN stated, The sink is filthy and there are multiple things in the sink. The floor is dirty and sticky. I don't know the last time it was cleaned.During an observation on 4/19/2026 at 11:20 AM of medication room [ROOM NUMBER], the Director of Nursing (DON) verified there was a brown sticky substance on the sink with multiple papers and medications caps in the sink basin, the floor contained…
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.
- Potential for harm · Dcited before2026-04-22 · tag F0644 — isolatedCoordinate 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 record review and interview, the facility failed to ensure a required Level 2 Preadmission Screening and Resident Review (PASARR) was completed for 1 of 3 residents, Resident #86, reviewed for PASARR. Findings include:Review of Resident #86's medical record documented the resident was admitted into the facility on [DATE]. Dated 02/18/2026 a Level I PASARR was completed related to the resident having a new medical diagnosis of Brief Psychotic Disorder. The Level I PASARR indicated a Level 2 PASARR should be completed. The record did not contain a Level 2 PASARR.During an interview on 04/21/2026 at 9:15 AM, the Director of Nursing stated, I will get with social services and let you know about the PASARR.During an interview on 04/21/2026 at 11:33 AM the Director of Social Services stated, [Resident #86's name's] level 2 PASARR is in the process of being completed. We had attempted to finish it, and submitted it, and [name of the healthcare management partner] closed it.Review of the policy and procedure…
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.
- Potential for harm · Dcited before2026-04-22 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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
Based on observation, interview, and record review, the facility failed to ensure the implementation of resident care plans for 3 of 6 residents, Residents #86, #73, and #23, reviewed for care plans. Findings include: 1) During an observation on 04/20/2026 at 8:25 AM, Resident #86 was sitting up in bed sleeping with the overbed table in front of her. There were no floor mats on the sides of the bed. Review of Resident #86's care plan dated 04/16/2026 read, Focus: [Resident #86's name] is at risk for falls and/or fall related injury r/t [related to]: generalized weakness, limited endurance, impaired balance, has a hx [history] of falls, has poor safety awareness, has impaired vision, receives psychotropic meds, use of antiplatelet. Interventions: 1/24/26 bilateral floor mats for safety. During an observation on 04/21/2026 at 9:18 AM, Resident #86 was sitting up in bed. The resident was adequately groomed and dressed appropriately for the time of day and the weather. There were no floor mats beside the bed. During an interview on 04/21/2026 at 9:21 AM, Staff F, LPN [Licensed Practical…
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.
- Potential for harm · D2026-04-22 · tag F0694 — isolatedProvide for the safe, appropriate administration of IV fluids for a resident when needed.
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 midline catheter intravenous medication administration was completed according to professional standards of practice for 1 of 2 residents, Resident #16, reviewed with a midline catheters. Findings include:Review of Resident #16's admission record documented diagnosis to include cellulitis, unspecified, other bacterial infections of unspecified site and lymphedema not elsewhere classified.Review of Resident #16's physician order dated 4/14/2026 read, Cefepime HCL [hydrochloride] Intravenous Solution Reconstituted 2 GM (grams), use 2 gram intravenously every 12 hours for cellulitis for 14 days. During an observation of medication administration on 4/22/2026 at 9:39 AM Staff A, Registered Nurse (RN) assembled supplies to administer Cefepime intravenously and entered Resident#16's room. Resident #16 was observed with a left single lumen midline catheter needleless connector that was resting in contact with the resident's arm. Staff A, RN did not scrub the hub of the needleless connector, and attached a 10…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-22 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure 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
Based on interview and record review the facility failed to document in the medical record rationales for the pharmacy recommendations for 1 of 5 residents, Resident #31, reviewed for unnecessary medications. Findings include:Review of Resident #31's admission record documented diagnosis to include cerebrovascular disease unspecified cerebral atherosclerosis, chronic obstructive pulmonary disease unspecified, type 2 diabetes mellitus without complications, schizoaffective disorder bipolar type, morbid severe obesity due to excess calories, pseudobulbar effect, chronic pain syndrome, unspecified dementia unspecified severity without behavioral disturbance psychotic disturbance mood disturbance and anxiety, Barrett's esophagus with dysplasia, bipolar disorder, post-traumatic stress disorder unspecified, obstructive sleep apnea adult, legal blindness, opioid dependence in remission, personal history of malignant neoplasm of prostate, major depressive disorder recurrent moderate, other specified anxiety disorders, bipolar disorder recurrent episode mixed and moderate, other specified…
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.
- Potential for harm · Dcited before2026-04-22 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview, the facility failed to prevent the possible spread of infection when not performing hand hygiene and/or maintaining enhanced barrier precautions for 4 of 7 observations of medication administration. Findings include:1) During an observation of medication administration on 4/20/2026 at 8:17 AM Staff I, Licensed Practical Nurse (LPN) did not perform hand hygiene and poured medications into a medication cup for Resident #86, entered Resident #86's room, did not perform hand hygiene, donned gloves and attempted to administer medications. Resident #86 spit out the medications into Staff I's gloved hand. Staff I, LPN doffed the gloves, did not perform hand hygiene, donned new gloves and administered Resident #86's eye drops. 2) During an observation of medication administration on 4/20/2026 at 8:31 AM Staff I, LPN returned to medication cart, retrieved keys from a uniform pocket, unlocked the medication cart, activated and typed on the computer. Staff I, LPN did not perform hand hygiene and began preparing Resident #34's medications, entered 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.
- Potential for harm · Dcited before2024-12-09 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 observation, interview, and record review, the facility failed to ensure medications were stored in a secure manner. Findings include: During an observation on 12/9/2024 at 9:30 AM, there was one bottle of Spring Valley Cinnamon Dietary Support Supplement on Resident #5's bedside table. During an interview on 12/9/2024 at 9:30 AM, Resident #5 stated, I take that for my diabetes. I have permission to have that. During an observation on 12/9/2024 at 9:35 AM, there was one clear plastic cup containing 3 round white tablets on Resident #6's bedside table. During an interview on 12/9/2024 at 9:35 AM, Resident #6 stated, It's my sodium pills and I'm not taking those. They get stuck when I try to swallow them, so I'm not taking them. The cup is from the night before. I just didn't take them. During an interview on 12/9/2024 at 1:15 PM, the Assistant Director of Nursing (ADON) stated, There are never to be medications left at bedside. I expect them [staff] to stand with the resident until they have taken all of their medications. If they [residents] wish to have meds at bedside,…
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.
- Potential for harm · Fcited before2024-11-06 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure food was stored properly and kitchen equipment were kept in a safe and sanitary manner in the main kitchen and 3 of 3 nourishment rooms. Findings include: During an observation on 11/3/2024 beginning at 9:24 AM while conducting the initial tour of the kitchen, there were white substance buildup on the exterior of the ice machine, one package of pork that was wrapped in foil that was gapped open, shredded cheese wrapped in plastic wrap that was not sealed, one undated and unlabeled plastic container of red sauce, one undated container of pancakes in the reach-in refrigerator. The exterior surface of the oven was discolored and splattered with black and brown substances. There was a black substance caked on the gas stove top grates. During an interview on 11/4/2024 at 8:42 AM, the Certified Dietary Manager confirmed there were undated and unlabeled food items in the reach-in refrigerator. She confirmed the ice machine, oven and gas stove top needed cleaning. During an observation on 11/4/2024 at 8:48 AM…
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.
Show the remaining 11 citations
- Potential for harm · Ecited before2024-11-06 · tag F0695 — failed to provide proper breathing / tracheostomy care — patternProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 3) During an observation on 11/3/2024 at 8:40 AM, Resident #19's nebulizer mouthpiece and tubing was uncovered on the table in her room. Review of Resident #19's physician order dated 8/23/2024 read, Albuterol Sulfate Inhalation Nebulization Solution 2.5 mg/3 ml. 2.5 mg inhale orally via nebulizer every 6 hours as needed for wheezing or shortness of breath. During an interview on 11/5/2024 at 8:45 AM, the Regional Registered Nurse confirmed Resident #19's nebulizer mouthpiece and tubing were improperly stored. Review of the facility policy and procedure titled Respiratory Care with the last review date of 1/23/2024, read, Policy: It is the policy of this facility to provide respiratory care and safe oxygen administration to meet the needs of the residents. Procedure: 1. Verify that there is a physician's order for respiratory procedures or oxygen use. Review the physician's orders for oxygen administration, nebulizer treatments, inhalers, trach care, chest tube/PleurX care, BiPap, CPAP or medication…
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.
- Potential for harm · Fcited before2023-08-03 · tag F0761 — failed to label and store drugs safely — widespreadEnsure 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 observation, interview, and record review, the facility failed to ensure the drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional principles in 3 of 3 reviewed medication carts, and failed to ensure the medications were not unattended (Photographic evidence obtained). Findings include: During an observation on 7/31/2023 at 9:00 AM, there was a bag on the floor in the conference room, which contained four unopened normal saline syringes. During an interview on 7/31/2023 at 9:15 AM, the Director of Nursing (DON) stated, We had an IV [intravenous] class for nurses that is why it was there. During an observation of North Wing Medication Cart on 7/31/2023 at 9:30 AM with Staff A, License Practical Nurse (LPN), there were one opened Advair with opened date of 5/14/2023, three opened bottles of Latanoprost with no opened date, and one opened Lantus insulin pen with no opened or expiration date. During an interview on 7/31/2023 at 9:37 AM, Staff A, LPN, stated, Upon opening medication, we should label it with an open…
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.
- Potential for harm · D2023-08-03 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the Minimum Data Set (MDS) assessment accurately reflected the residents' status for 3 of 7 residents reviewed, Residents #13, #35, and #78. Finding include: 1. During an observation on 7/31/2023 at 12:00 PM, Resident #13 was sitting in her room, with oxygen being administered via nasal cannula. During an observation on 8/1/2023 at 9:00 AM, Resident #13 was sitting in her wheelchair, with oxygen being administered via nasal cannula. Review of Resident #13's MDS 5-day Significant Change in Status assessment dated [DATE] reads, Section O. O0100. Special Treatments, Procedures and Programs . C. Oxygen. 1. While NOT a Resident: No, 2. While a Resident: No. Review of Resident #13's physician order dated 5/4/2023 reads, Monitor O2 [oxygen] sats [saturation] as needed for SOB [Shortness of Breath]/Respiratory Distress . Monitor O2 sats every shift for O2 monitoring. Review of Resident #13's physician order dated 5/5/2023 reads, May apply…
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.
- Potential for harm · Dcited before2023-08-03 · tag F0644 — isolatedCoordinate 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 interview and record review, the facility failed to ensure a resident who was diagnosed with a serious mental illness was referred for level II Preadmission Screening and Resident Review (PASRR) for 1 of 3 residents reviewed, Resident #49. Findings include: Review of Resident #49's admission records showed the resident was initially admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including cognitive communication deficit, dementia, major depressive disorder, anxiety disorder, and schizophrenia (onset date of 9/18/2022). Review of Resident #49's records revealed no referral for Level II PASRR screening when the resident received the diagnosis of schizophrenia. During an interview on 8/2/2023 at 10:00 AM, the Director of Nursing stated, We did not conduct a new Level I screen when [Resident #49's Name] was officially diagnosed with schizophrenia. Review of the facility policy and procedures titled P&P Role of Admissions and Social Services in PASRR last reviewed on 1/17/2023…
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.
- Potential for harm · D2023-08-03 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to ensure a resident who was admitted with a diagnosis of a serious mental received a referral to the appropriate state-designated authority for Level II Preadmission Screening and Resident Review (PASRR) evaluation and determination for 1 of 3 residents reviewed, Resident #39. Findings include: Review of Resident #39's admission record revealed the resident was admitted most recently to the facility on 6/3/2022 with diagnoses including cerebral atherosclerosis, psychotic disorder with delusions, unspecified psychosis not due to a substance or known physiological, general anxiety disorder, mood disorders, major depressive disorder, neurocognitive disorder with Lewy bodies and encounter for palliative care. Review of Resident #39's level II Preadmission Screening and Resident Review (PASRR) dated 6/3/2022 reads, Section IV: PASRR Screen Completion . Individual may not be admitted to an Nursing Facility. Use this form and required documentation to request a Level II PASRR evaluation because there is a diagnosis of or suspicion…
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.
- Potential for harm · Dcited before2023-08-03 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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
Based on observation, interview, and record review, the facility failed to implement a comprehensive person-centered care plan for 1 of 5 residents reviewed for nutrition, Resident #30, and failed to develop a person-centered care plan for 1 of 4 residents reviewed for respiratory services, Resident #13. Findings include: 1. During an observation on 7/31/2023 at 12:10 PM, Resident #30 was eating independently in her room. The meal tray had a plate with green beans and pasta on the same plate, rice pudding in a bowl and a cup of coffee. During an observation on 8/1/2023 at 8:13 AM, Resident #30 was eating independently in her room. The meal tray contained scrambled eggs and toast on the same plate and a bowl of oatmeal. During an observation on 8/1/2023 at 11:59 AM, Resident #30 was eating in the restorative dining room area. The plate contained macaroni and cheese, chopped meat, spinach, and a roll. All items were together on the same plate (Photographic evidence obtained). Review of Resident #30's care plan with revision date of 4/4/2022 reads, Focus: [Resident #30's name] has 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.
- Potential for harm · D2023-08-03 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure that residents received care in accordance with professional standards of practice for medication administration for 1 of 7 residents reviewed, Resident #180. Finding include: During an observation of medication administration for Resident #180 on 8/2/2023 at 8:26 AM, Staff L, Registered Nurse (RN), pulled Depakote Delayed Release 250 mg (milligram) blister pack out of the medication cart and verified the order and medication on hand. Staff L placed one tablet in a clear plastic sleeve, crushed the medication, and placed the crushed medication into a plastic medication cup. Staff L proceeded to prepare Citalopram Hydrobromide 10 mg and Metoprolol 25 mg, crushed the medications individually and placed them in separate medication cups. Staff L stated to review how many milliliters of water each medication should be mixed with. When asked to review Depakote delayed release medication order one more time, Staff L stated, It says delayed release. We should not be crushing this medication, but that is what…
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.
- Potential for harm · Dcited before2023-08-03 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
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 residents received respiratory care services consistent with professional standards of practice for 3 of 4 residents reviewed for respiratory services, Residents #26, #30, and #35 (Photographic evidence obtained). Findings include: 1. During an observation on 7/31/2023 at 12:10 PM, Resident #26 was lying in bed, with the nebulizer mouthpiece on top of the drawer with no bag. There were vials of Albuterol next to the mouthpiece, and the oxygen tank tubing was dated 04/09. During an observation on 8/1/2023 at 8:32 AM, Resident #26 was lying in bed, with the nebulizer mouthpiece on top of the drawer with no bag. There were vials of Albuterol next to the mouthpiece, and the oxygen tank tubing was dated 04/09. During an observation on 8/2/2023 at 7:34 AM with Staff I, License Practical Nurse (LPN), Resident #26 was resting in bed with her eyes closed. The nebulizer mouthpiece was on top of the drawer with no bag. There were vials of albuterol next to the mouthpiece. The nebulizer mask was on top of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-08-03 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and policy and procedure review, the facility failed to ensure foods in the refrigerator and storage area of the kitchen were dated and/or labeled, and failed to ensure the expired or outdated foods were discarded. Findings include: During an initial walk-through of the kitchen on 7/31/2023 at 9:17 AM with the Dietary Manager (DM), there were eight containers of cranberry juice cocktail with a manufacturer stamped expiration date of 7/18/23 on the shelves in the stock room; a container of sour cream with a manufacturer used by date of 7/23/23 in the reach-in cooler; an unidentified Styrofoam hinged container with no label or date in the walk-in cooler; and a large container of red potatoes, a large container of sauce, and a large container of sliced ham with no label identifying the contents and a date of 7/27/23 on the lid. During an interview on 7/31/2023 at 9:29 AM, the DM stated that the cranberry juice cocktail was expired and should have been pulled and discarded on 7/18/2023, the sour cream container showed an expiration date of 7/23/23 and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-03 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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 resident records were complete and accurate for 4 of 15 residents reviewed, Residents #42, #229, #61, and #182. Findings include: 1. Review of Resident #42's physician order dated 7/6/2023 reads, Weight resident daily on 11-7 shift. Notify MD [Medical Doctor] for 3 lbs [pounds] weight gain in 24 hours or 5 lbs weight gain in 1 week. every night shift for prophylaxis. Review of Resident #42's Treatment Administration Record (TAR) for July 2023 revealed no weights recorded for 7/6/2023, 7/10/2023, 7/15/2023, 7/23/2023, 7/24/2023, and 7/25/2023, and NA [Not Applicable] recorded for 7/7/2023, 7/8/2023, 7/9/2023, 7/12/2023, 7/17/2023, 7/21/2023 and 7/22/2023. Review of Resident #42's Weight and Vital Summary reads, 7/7/2023: 260 lbs, 7/12/2023: 259 lbs, 7/15/2023: 262 lbs, 7/17/2023: 261.7 lbs, 7/19/2023: 260 lbs, 7/20/2023: 258.4 lbs, 7/27/2023: 261 lbs, 7/31/2023: 259.6 lbs. Review of Resident #42's care plan revised on 6/28/2023 reads, Interventions . Provide diet as ordered. Observe for compliance 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.
- Potential for harm · Dcited before2023-08-03 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure staff followed infection control standards to help prevent the possible development and transmission of communicable diseases and infections during wound care for 1 of 2 residents reviewed for pressure ulcers, Resident #229. Findings include: During an observation of Staff E, Licensed Practical Nurse (LPN), and Staff F, LPN, providing wound care for Resident #229 on 8/2/2023 at 4:25 PM, Staff E washed her hands and proceeded to place barrier under the resident's legs. The resident's right leg had a gauze dressing dated 8/2/2022. Staff E removed the old dressing and placed the resident's leg on top of the barrier. Staff F handed Staff E a sterile saline wipe. Staff E used the wipe to clean the right shin without washing her hands. Staff F handed Staff E a 4x4 gauze. Without performing hand hygiene or changing gloves, Staff E patted dry the area. Staff E applied xeroform to the right shin, covered it with an abdominal pad and wrapped the right shin area with kerlix gauze. Staff E removed her gloves and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“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.
- 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.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| Ownership Data Not Available |
The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.
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.
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
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.
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 105621. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-22, 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.