Lafayette Nursing And Rehabilitation Center
512 W Main St, Mayo, FL 32066 · For profit - Limited Liability company · 60 certified beds · (386) 294-3300 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high number of inspection citations overall (16) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- about 17% 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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
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 | 4 of 5 |
| Long-stay residentspeople who live here | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 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 | 13.6% | 8.7% | 15.4% | better |
| Long-stay residents who lose too much weight | 4.1% | 5.5% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.3% | 0.9% | better 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 | 0.0% | 4.6% | 6.5% | check this* — see note marked star below the table |
| 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 | 5.2% | 2.5% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 10.6% | 9.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 17.6% | 14.4% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 99.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.5% | 4.5% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 17.2% | 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 table | 4.4% | 8.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 2.8% | 1.5% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 100.0% | 94.7% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 17.3% | 26.1% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 15.0% | 9.1% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.24 | 2.13 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.35 | 1.15 | 1.80 | worse |
* 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.
51.8% 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 77 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 66.2% 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 74 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 0.09 therapist hours per resident per day in 2026Q1 — more than 5% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 63% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. 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 | 51.8%CMS range 42.4–60.6 | 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 | 10.1%CMS range 6.8–14.1 | 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 | 66.2% | 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 | 63.5% | 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 | 60.8% | 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 | 100.0% | 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 | 100.0% | 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 | 0.0% | 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 | 0.0% | 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 | 6.9%CMS range 3.7–13.1 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.35 | 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 60 beds and averages 56.2 residents a day — about 94% occupied, or roughly 4 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 3.69 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.54 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.35 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 3.17 hrs/resident/day on weekends vs 3.90 on weekdays — 19% thinner on weekends. RN hours go from 0.63 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 53% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are unchanged from the previous inspection. 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.
16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.
- Potential for harm · D2026-04-09 · tag F0640 — isolatedEncode each resident’s assessment data and transmit these data to the State within 7 days of 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 encode and transmit the resident discharge assessment for 1 (Resident #1) of 6 residents reviewed for minimum data set [MDS] completion. Findings include:Review of Resident #1's physicians order dated 3/19/2026 read, [Resident #1's name] will discharge to [Facility's Name] in [Town's and State Name] on 3/19/26.Review of Resident #1's Discharge summary dated [DATE] read, Transferring to [Name of Facility]. Mode of Transportation: Transportation provided by facility. Date: 3/19/2026. Time: 11:00.Review of Resident #1's progress note dated 3/20/2026 read, [Resident #1's name] discharged to [Name of Facility] 3/19/2026 in [Town's and State's Name]. [Resident #1's name] is to follow up with PCP [primary care provider] at [Facility's name].Review of Resident #1's Minimum Data Set did not document a discharge assessment. During an interview on 4/8/2026 at 3:20 PM, Staff E, Minimum Date Set Coordinator, Registered Nurse, stated, I verified with my regional 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 · Dcited before2026-04-09 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — the official record, unedited, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure the Minimum Data Set (MDS) accurately reflected the resident's active diagnoses for 1 (Resident #20) of 6 residents reviewed for weight and nutrition, by failing to code a thyroid disorder in Section I, resulting in inaccurate clinical data used for care planning, quality measures, and reimbursement. Findings include:Review of Resident #20's active medical diagnosis include thyrotoxicosis, also known as hyperthyroidism.Review of Resident #20's physician's order dated 1/25/2025 read, Methimazole tablet 10 milligrams (MG), give one tablet by mouth one time a day for hyperthyroidism.Review of Resident #20's Annual MDS dated [DATE] section I, subsection I3400 Thyroid disorder was coded as No.During an interview on 4/8/2026 at 1:16 PM, the Regional MDS Nurse stated, I reviewed the MDS concerns and identified that the resident was coded incorrectly in section I for not being documented for having the active diagnosis of thyroid disease.
- Potential for harm · Dcited before2026-04-09 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
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 care and services to ensure acceptable parameters of nutritional status for 2 (Resident #31 and Resident #61) of 6 residents reviewed for nutritional concerns.Findings include: 1.) Review of Resident #61's clinical record under Vital Signs documented the following weights: 4/1/2026: 122.3 lbs (pounds); 3/25/2026: 122.7 lbs; 3/22/2026: 124.9 lbs; 3/11/2026: 127.3 lbs; 3/8/2026: 133.9 lbs; 3/7/2026: 134.3 lbs; 3/6/2026: 133.2 lbs; 3/5/2026: 133.9 lbs. On 3/05/2026, Resident #61 weighed 133.9 lbs and on 4/01/2026, Resident #61 weighed 122.3 lbs which calculated to a -8.66% Loss. Review of Resident #61's Nutritional Risk Screen assessment dated [DATE] read, 80YOF ([AGE] year-old female) admitted with dx (diagnosis) of fx (fracture), CVA (Cerebrovascular Accident), dysphagia [difficulty with swallowing], T2DM (Type 2 Diabetes Mellitus), hypothyroidism, HTN (Hypertension). Allergy: food dye. Ht (height) 64in, wt (weight) 122.7#, BMI…
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 · D2026-04-09 · tag F0693 — failed to provide proper feeding-tube care — isolatedEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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 appropriate milliliter per hour of auto flushes via feeding tube for 1 (Resident #8) of 2 reviewed for enteral feedings.Findings include: During an observation on 4/8/2026 at 1:30 PM with Staff C, Licensed Practical Nurse (LPN), confirmed Resident #8's automatic water flushes were running at 50 ml [milliliters] per hour. During an interview on 4/8/2026 at 1:38 PM, Staff C, LPN, stated, [Resident #8's name] auto flushes should be running at 60 ml per hour. The night shift nurse is the one to hang the feedings. I will need to go back and adjust the flushes. During an observation on 4/8/2026 at 1:43 PM with Staff D, Unit Manager LPN confirmed Resident #8's auto water flushes were running at 50 ml per hour. Review of Resident #8's physician's order dated 2/16/2026 read, Osmolite 1.5 give @ 65 ml/hr [at 65 milliliters per hour] and flush rate of 60 ml/hr via g-tube [gastric] x [times] 20 hrs, one time a day for Nutrition up x 20 hours…
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 before2026-04-09 · 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, record review the facility failed to document accurately skin assessments for 1 (Resident #56) of 3 residents reviewed for skin conditions.Findings include:During an observation on 4/06/2026 at 10:23 AM, Resident #56 was sitting up in bed. Resident #56's right forearm had a small 2x2 white dressing. The dressing had no date. During an interview on 4/06/2026 at 10:23 AM, Resident #56 stated, On Saturday I bumped myself and got a skin tear. The nurse insisted on putting a dressing on it. Normally, if I was home I would just put Neosporin and that's all. They change the dressing every day. During an observation on 4/7/2026 at 12:10 PM, Resident #56 was sitting up in bed. There was a dressing on his right forearm dated 4/6/2026.Review of Resident #56's physician's orders documented no orders for a skin tear on right arm.Review of Resident #56's progress notes did not document any incident regarding right arm skin tear or provider documentation.Review of Resident #56's medical records did not document a skin assessment for the right arm skin tear.During…
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 before2026-04-09 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to follow infection control standards for 1 (Resident #8) of 3 residents reviewed for enhance barrier precautions, failed to perform hand hygiene for 1 (Resident #6) of 2 residents reviewed for enteral nutrition, and failed to provide weekly changes for nebulizer equipment for 1 (Resident #48) of 3 residents reviewed for respiratory services. Findings include: 1) During an observation on 04/08/2026 at 1:30 PM, Staff C, Licensed Practical Nurse (LPN) prepared medication for Resident #8. Staff C entered Resident #8's room and performed hand hygiene. Staff donned gloves but did not don a gown. Staff C checked Resident #8's gastric tube placement and administered Resident #8's medication enterally. During an interview on 4/8/2026 at 1:38 PM, Staff C, LPN, stated, [Resident #8's name] is on enhanced barrier precautions, I should have donned a gown. Review of Resident #8's physician's orders dated 1/8/2026, read, Enhanced Barrier Precautions 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.
- Potential for harm · Dcited before2024-10-24 · 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 record review and interview, the facility failed to ensure the Minimum Data Set (MDS) assessment was accurate for 1 of 5 residents reviewed for unnecessary medications, Resident #38. Findings include: Review of Resident #38's Medicare admission 5-day MDS dated [DATE] showed the resident was receiving anticoagulant medication under Section N- Medications. Review of Resident #38's physician orders revealed no current or previous orders for anticoagulant medication. During an interview on 10/24/2024 at 8:15 AM regarding Resident #38's MDS dated [DATE], the MDS Coordinator stated, I reviewed it and it is inaccurate. During an interview on 10/24/2024 at 8:30 AM regarding MDS accuracy, the Administrator stated, I expect them to be accurate. Review of the facility policy and procedure titled Conducting an Accurate Resident Assessment revised on 1/4/2024 showed it read, Policy Explanation and Compliance Guidelines . 3. The appropriate, qualified health professional will correctly document the resident's…
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 · D2024-10-24 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure residents received intravenous therapy (IV) in accordance with professional standards of practice for 1 of 1 resident, who was receiving intravenous medications, Resident #55. Findings include: Review of Resident #55's admission record showed the resident was most recently admitted on [DATE] with the diagnoses to include encounter for surgical aftercare following surgery on the nervous system, disruption of internal operation (surgical) wound, and infection and inflammatory reaction due to internal fixation device. Review of Resident #55's physician order dated 10/21/2024 read, Cefepime HCl Injection Solution Reconstituted 1 GM [gram], Use 1 gram intravenously one time a day for Toxic Metabolic Encephalopathy until 10/24/2024 23:59 [11:59 PM]. Review of Resident #55's care plan dated 9/20/2024 read, [Resident #55's name] is on IV medications r/t [related to] toxic metabolic encephalopathy . Interventions . Administer medications as…
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 · D2024-10-24 · 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 oxygen as prescribed by physician for 3 of 8 residents reviewed for oxygen therapy, Residents #5, #31, and #44. Findings include: 1) During an observation on 10/21/2024 at 9:59 AM, Resident #31 was receiving oxygen via nasal cannula at 5 L/M [liters per minute]. During an observation on 10/21/2024 at 1:58 PM, Resident #31 was receiving oxygen via nasal cannula at 5 liters per minute. During an observation on 10/22/2024 at 7:40 AM, Resident #31 was receiving oxygen via nasal cannula at 5 liters per minute. Review of Resident #31's physician order dated 4/10/2023 read, Oxygen PRN [as needed]- O2 [oxygen] at 2 L/M via nasal cannula as needed for O2 sats [saturation] < [less than] 90%. Review of Resident #31's care plan dated 3/14/20244 read, Focus: [Resident #31's name] has COPD [Chronic Obstructive Pulmonary Disease] . Interventions/Tasks . Give oxygen therapy as ordered by the physician. During an interview on 10/22/2024 at 11:20 AM, Resident #31 stated, My oxygen is supposed to be…
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 · D2024-10-24 · tag F0804 — failed to serve food at safe, palatable temperature — isolatedEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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 food at a safe and appetizing temperature. Findings include: During an observation of the tray line for breakfast meal service on 10/23/2024 at 7:40 AM, after one hall's trays were prepared, sausage patty temperature was at 130 degrees Fahrenheit on the steamtable and 4-ounce strawberry yogurt was at 47.8 degrees Fahrenheit. During an interview on 10/23/2024 at 7:40 AM, the Dietary Manager confirmed the temperatures recorded and stated that the temperature for the sausage should have been above 135 degrees and the temperature of the yogurt should have been below 41 degrees. Review of the facility policy and procedure titled Food Holding and Service dated 10/1/2018 and last reviewed on 12/31/2023 showed it read, Policy: To ensure that all food served by the facility is of good quality and safe for consumption, all food will be held and served according to the state and US Food Codes and HACCP [Hazard Analysis Critical Control Point] guidelines. Procedure: 1. Serve all hot foods at 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.
Show the remaining 6 citations
- Potential for harm · Dcited before2024-10-24 · 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 sanitized resident-care equipment between resident use to prevent the possible development and transmission of communicable diseases and infections. Findings include: During an observation on 10/22/2024 at 8:03 AM, Staff A, Licensed Practical Nurse (LPN), obtained blood pressure for Resident #261 and returned to the medication cart and placed the blood pressure cuff on top of the medication cart without sanitizing the blood pressure cuff. At 8:04 AM, Staff A proceeded to Resident #23's room and obtained blood pressure reading from right arm and administered the medications returning to the medication cart to prepare medication for Resident #55. Staff A did not sanitize the blood pressure cuff. During an interview on 10/22/2024 at 8:30 AM, Staff A, LPN, stated, They are cloth. How are we going to clean them? I didn't wipe it off and I should have wiped it down with a sanitizer cloth after each resident use. During an observation on 10/22/2024 at 10:35 AM, Staff B, Registered Nurse (RN), obtained…
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 · E2023-07-13 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure foods were stored in a sanitary manner in the kitchen and in 1 of 2 nourishment rooms, Nourishment room [ROOM NUMBER] (100 Hall). Findings include: During an observation on 7/10/2023 at 9:20 AM, there were an unlabeled unidentifiable food item in a plastic bag and an undated pizza crust, lying open on the second shelf of the walk-in freezer. During an interview on 7/10/2023 at 9:20 AM, the Certified Dietary Manager (CDM) acknowledged there was no label or date on the plastic bag and/or the frozen pizza crust. During an observation on 7/10/2023 at 9:30 AM, there was ½ case of single serve bowls of cheerios with an expiration date of February 2023 on the bottom shelf of the storage room. During an interview on 7/10/2023 at 9:33 AM, the CDM acknowledged the expiration date of the ½ case of single serve bowls of cheerios. During an observation on 7/10/2023 at 9:40 AM, there were 10 single serve bowls of cereal stored in the upper…
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 · D2023-07-13 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
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 administered according to professional standards of practice for 2 residents, Resident #31 and Resident #3. Findings include: During an observation on 7/10/2023 at 9:43 AM, Resident #31 was lying in her bed. There were 3 halves of medication tablets in a medication cup on the bedside table in front of Resident #31. During an observation on 7/10/2023 at 9:44 AM, Staff A, Licensed Practical Nurse (LPN), was standing outside of Resident #31's room, facing the room. Resident #31's room door was ajar. Staff A was intermittently glancing in the direction of Resident #31's room and at her computer screen. Resident #31's room door was not fully open and Staff A did not constantly maintain visual supervision of Resident #31. During an interview on 7/10/2023 at 9:44 AM, Staff A stated, I park right here and keep an eye on her. Review of Resident #31's medical records did not show the resident had been assessed as able to safely self-administer medications. During an observation on 7/10/2023 at…
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 before2023-07-13 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
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 residents received dietary supplement at mealtimes for 1 of 2 residents reviewed for nutrition, Resident #152. Findings include: Review of Resident #152's Weights and Vitals Summary showed the resident weighed 132.6 pounds on 7/3/2023, and 130.7 pounds on 7/11/2023, which was a -1.43% loss. During an interview on 7/10/2023 at 9:32 AM, Resident #152 stated, The food is bland. I do not enjoy it, always the same thing. I am vegetarian and they always give me oatmeal and grits. During an observation on 7/10/2023 at 12:10 PM, Resident #152 was eating in her room. Resident #152's meal tray contained noodles mixed with beef, mixed veggies, fries, frosted cake. No ice cream was observed with Resident #152's meal. During an interview on 7/10/2023 at 12:15 PM, Resident #152 stated, I will not eat this. I do not eat beef. Review of Resident #152's lunch meal ticket dated 7/10/2023 read, Buttered Noodles, California Vegetables, Tater Tots,…
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 before2023-07-13 · 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, record review, and interview, the facility failed to ensure resident records were accurate for 1 of 2 residents reviewed for nutrition, Resident #152. Findings include: During an observation on 7/10/2023 at 12:10 PM, Resident #152 was eating in her room. Resident #152's meal tray contained noodles mixed with beef, mixed veggies, fries, frosted cake. No ice cream was observed with Resident #152's meal. Review of Resident #152's lunch meal ticket dated 7/10/2023 read, Buttered Noodles, California Vegetables, Tater Tots, Jello-Red, Water. Instructions: Vegetarian only send meat on request. During an observation on 7/11/2023 at 12:12 PM through 12:53 PM, Staff B, Certified Nursing Assistant (CNA), brought Resident #152's lunch meal tray that contained a fruit cup and cottage cheese. Resident #152 told Staff B that she would go into the kitchen to get the other items missing. Staff B returned with a plate of scallop potatoes, green beans, and dinner roll. No ice cream was delivered with the tray or during lunch time. Staff B removed the lunch tray from 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.
- No harm found · C2024-10-24 · tag F0732 — widespreadPost nurse staffing information every day.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation, interview, and record review, the facility failed to ensure nurse staffing information was posted on a daily basis. Findings include: During an observation on 10/21/2024 at 9:15 AM, Daily Nursing Staffing Form was posted in the main entry hall of the facility. The form read, Saturday. Today's Date: 10/19/2024. During an interview on 10/24/2024 at 9:10 AM, the Administrator stated, I would like the staffing sheet posted by 11:00 AM. Mondays can take a little longer because they are balancing 3 days of staffing. Review of the facility policy and procedure titled Nurse Staffing Posting Information last reviewed on 12/29/2023, showed it read, Policy: It is the policy of this facility to make nurse staffing information readily available in a readable format to residents and visitors at any given time. Policy Explanation and Compliance Guidelines: 1. The Nurse Staffing Sheet will be posted on a daily basis and will contain the following information . 2. The facility will post the Nurse Staffing Sheet daily each morning.
“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.
Part of a chain
This home belongs to MAXIMUS HEALTHCARE GROUP — 7 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 4.1 | ≈ chain avg |
| Health inspection | 4 of 5 | 4.1 | ≈ chain avg |
| Staffing | 3 of 5 | 3.0 | ≈ chain avg |
| Quality measures | 4 of 5 | 4.1 | ≈ chain avg |
The other 6 homes this chain runs (chain average 4.1★, 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 / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| LAFAYETTE HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 02/28/2016 |
| BAUMGARDNER, CHELSEA | Individual | W-2 MANAGING EMPLOYEE | — | since 09/28/2017 |
1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 17% 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
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 105963. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-09, 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.